Soins; la revue de référence infirmière
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A practice authorised in France for some years, organ and tissue donation from a circulatory death donor must follow a specific medical process. It is an extreme emergency to be managed within a few minutes, and in which the organ donation nurse coordinator plays a key role in the hospital.
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The anticipated organ donation approach aims to increase the number of donors and transplants. This approach requires a procedural framework. It also helps the families begin their grieving process, without any added suffering.
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Intensive care medicine is confronted with situations of suffering and dependence experienced as the appropriation of the body or medical futility. In this context, withholding and withdrawing active intensive care must be given a framework. The ethical challenge is to decide to continue or not with care considered vain or futile. The "Leonetti Law", in particular, helps to clarify the situation for professionals and families.
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Since 2007, the Observatoire de la Laïcité has been helping the French Government in its actions aimed at ensuring compliance with the principle of "laïcité"--the French concept of secularity--in the country. Implementation of its missions enable it to measure how the concept of "laïcité" is understood and applied today.
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Healthcare teams are sometimes questioned by patients and their loved ones concerning respect for their desires or performing rites, whether religious or part of their own personal beliefs. While caregivers are convinced that it is part of their job to meet these needs, this is sometimes contrary to the requirements of neutrality and laïcité--the French concept of secularity--on healthcare premises. Nonetheless, each can contribute to the evolution of the general reflections undertaken by a team or an organization.