[Non-intensive care of COVID-19 patients: treatment plan and therapeutic orientations.]

Despite the recent emergence of COVID-19 and the absence of a specific cure, the hospital treatment of patients affected by this virus is well established. It is based on symptomatic treatments including oxygen therapy, physiotherapy and anticoagulation therapy. The treatment plan and potential therapeutic limitations must be well defined and adapted to the severity, predisposition and wishes of the patient.

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Nursing clinical approach, listening to the body. In their practice working closely with patients and their families, nurses base their clinical approach on the gathering and analysis of the multiple signals sent by the body of the patient they are caring for. In collaboration with the doctor, the monitoring of vital signs and biological data helps to guide the care and the choice and implementation of therapies. A concrete case illustrates the contribution of nursing sciences to the clinical approach led by the nurse.

[Quality of life in palliative care]

Palliative care aims to improve the quality of life of patients with a serious or terminal progressive disease, through global and multidisciplinary care. The notion of quality of life is multidimensional and unique to each individual patient, making them key players in their own care. Taking into account the different dimensions of a patient's quality of life is necessary in order to propose a personalised and appropriate care plan.

[Art therapy, a care approach with several dimensions]

Art therapy is starting to find its place in psychiatric units. However, depending on the facility, it is seen either as an occupational activity, or as a real therapy. While, in both cases, art therapy provides a form of care, it is essential that it is carried out in specific conditions to be truly effective as part of a therapeutic project.

[Shared medical decision-making at the end of life, the role of the home health nurse]

Caring for patients approaching the end of life in their home requires multidisciplinary reflection on the part of all caregivers. Informing the patients and their families as well as taking into consideration all aspects of the support needed must lead to decisions being made as a team. Global care can then be provided based on a joint care project.

[Nurse coordinator and in-home nursing care services]

Three nurse coordinators in the Bouches-du-Rhône share their experience and involvement in the in-home nursing care service and the multidisciplinary in-home care and assistance service.

[Paediatric palliative care and the nursing role]

Paediatric palliative care has only been clearly referred to as such in France since 2008. It is defined as care provided from the antenatal period until the age of 19 to children suffering from a disease which limits or threatens their life expectancy. Many nurses will encounter patients such as these at some point during their career in a health or medical-social facility. They require multi-disciplinary care and coordination between all the health professionals involved in the treatment.

[Care pathway and life course of drug-addicted patients]

Placing drug addicts, notably heroin addicts, at the centre of their care project, itself part of a life project, is the objective of the Le Lac d'Argent association in Annecy. Caregivers have been able to reflect on their practices and help to fight against preconceived ideas. This article presents the experience of a global support approach.

[Private practice nurse and palliative care in the home]

The development of palliative care in the home, requested by patients and recommended in the 2015-2018 national plan, requires the home to be considered as a specific place of care. Private practice nurses have an important role to play with the patient and their relatives, in the assessment of needs, coordination, relational care as well as in providing the care required for maintaining and continuing life, an increasingly technical process.

[Paramedical research, a long path towards autonomy]

An integral part of the care project of Versailles general hospital, paramedical research is facilitated and promoted by nursing management. It is also strongly encouraged and supported by medical professionals. Beyond the scientific interest in terms of the benefits for the quality of care, it is considered as an innovative project which unites and motivates staff, thereby favouring employee retention.

[The compassionate care approach within an institutional framework]

The motivations for promoting a policy for the implementation of a compassionate care approach in the nursing sector appear commendable and respectable. The relatively recent notion of compassionate care seems to be accepted as long as it is used consensually. What is the meaning of compassionate care? Which benchmarks should be used for its implementation within a health institution?