Interest of Pain Assessment by the Family of Patients in Limiting and Stopping Active Treatment Process Admitted in ER. Study DOFAMILA (DOFAMILIA)

Civil Hospices of Lyon

Status: Unknown

Conditions: Patient's Pain in Later Life

Study type: Observational

Funder types: Other

Identifiers

NCT02844972

69HCL14_0216

Details and patient eligibility

About

Decisions to limit and stop active therapeutics are common in the emergency unit. They are framed by the Leonetti law of 22 April 2005 recommending the refusal of unreasonable obstinacy and care of the patient's pain in later life. The pain assessment is an issue for these patients whose in majority, are not communicating. Moreover, no specific tool and the teams in charge, not knowing the patient make the recognition and treatment of pain symptoms very complex. This is the potential interest of directly involving the family or the person of confidence in this management , the first step being the detection and evaluation of pain.

Enrollment: 200 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults older than 18
• non communicating patients admitted in emergency ward
• unanimous decision of stopping and limiting active treatment according to Leonetti's law of April 22nd, 2005
• Presence of a member of the patients family or one of his legal representative

Exclusion criteria

• Children
• no health insurance