gilberte deltour - home nurse experience

21
E-health Congress 2010 FROM CURE TO CARE THURSDAY, 25 NOVEMBER 2010 DIAMANT BUILDING, BRUSSELS

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E-health Congress 2010

FROM CURE TO CARE

THURSDAY, 25 NOVEMBER 2010

DIAMANT BUILDING, BRUSSELS

DELTOUR, GILBERTE

INDEPENDENT REGISTERED NURSE (A1) FROM 1970 to 2010 and...

PRESIDENT of the AIIB-VUKB 1988 - 2010

PRESIDENT of the CBII/BCZV 1992 - 2010

AIIB - VUKB

MY EXPERIENCE

40 years of home care

In the province of Liège

‘GROUP PRACTICE’

28 years solo

12 years in a ‘health clinic’

We are 3 colleagues, independent nurses (A1)

I organise and coordinate care

I bill everyone by remote transmission

Using ‘my care net’

COMMUNICATION

By mobile phone

By e-mail

Paper patient file, but mainly electronic (SPF).

Coordination meetings

‘QUALITY of CARE’

In-service training that I organise at the IFAPME.

Training cheques reimburse the 3-hour training modules.

QFOR certified attestation

CONTINUATION OF CARE

24-7

Specific care

Palliative care

Peritoneal dialysis

Enteral nutrition

Parenteral nutrition in implantable chamber

MULTIDISCIPLINARITY

Collaboration with the treating physician

Collaboration with the kinesitherapist

Collaboration with the home-help aid

Collaboration with the family

Collaboration with the nursing unit (oncology –dialysis service - pediatrics)

Etc.

ALL THE HOSPITAL’S CARE

Can not only be done at home, but also has to be done at home.

In Liège excellent collaboration with the Pediatrie 50 and 57 rooms of the CHR of Liège.

With the dialysis service of the CHR.

Some opposition from oncologists of the CHU of Liège.

SATISFACTION

Satisfaction of the patient

Satisfaction of the family

It costs 50% less at the Social security system (see statistics)

Satisfaction of the care team (treating physician, nurses, kinesitherapist, speech therapist, home-help aid, etc.).

EXAMPLE OF CARE

Probes

Vesical probe B2 Kt supra-pubic (OK, second after fistulization B2)

Gastric probe B2 gastrostomy (OK, second after fistulization B2)

Therefore, expanding nursing

activities

… utopia

or reality!

In conclusion…

“Nothing is ever finished”

“Nothing is ever definite”Everything is a matter of

choice!

THANK YOU FOR YOUR

ATTENTION!