Soins palliatifs à domicile : évolutions et perspectives

Home palliative care data remain little supported and/or disparate and constitute a brake analysis in perspective. A probative data however: to make access to palliative care at home a reality throughout the territory, a number of issues remain for years to come. For liberal professionals, the need to develop teamwork, training, support and closer ties with the hospital continues. The supply of graduates care (liberals, SSIAD, HAD) still presents differentiations according to the territories, requiring adapt supply to the needs of patients and reducing the Manager logic between these devices, with each mission of coordination. The refocusing of palliative care on the coordination and support networks should not obscure the clinical dimension that corresponds to one of the expectations of liberal professionals. The continuous training of these professionals must evolve to form together with the palliative approach. It unfolds slowly in social medical institutions, for which the support and companionship to the bed of the patient must continue and intensify. A company issues lies in the choices that will be made to support relatives accompanying the sick at home. Finally the development of palliative care to a significant medicalization in institutions could, if we take custody, modify the end of life even at home.