ABSTRACT
The mission of the mobile pain and palliative care team is to improve the quality of care and comfort of patients. At Longjumeau general hospital the nurse-healthcare assistant partnership within this team enables the patient to benefit from the caregivers' two-way perspective, while allowing the professionals to share knowledge and to be stronger in the face of suffering.
Subject(s)
Hospice and Palliative Care Nursing/organization & administration , Mobile Health Units/organization & administration , Nurses/organization & administration , Nursing Assistants/organization & administration , Pain Management , Adult , Cooperative Behavior , Female , Home Nursing/organization & administration , Humans , Interprofessional Relations , Nursing, Team/organization & administration , Pain Management/methods , Pain Management/nursing , Palliative Care/methods , Palliative Care/organization & administration , Terminal Care/organization & administrationABSTRACT
Hypoglycemia is rare after a gastric bypass and can be taken for a dumping syndrome. There is no report in the literature of the contribution of continuous glucose monitoring to the diagnosis of hypoglycemia in these circumstances. The present case report shows that continuous glucose monitoring can be a useful tool for the diagnosis and the management of such episodes. Continuous glucose monitoring revealed hypoglycemic episodes in free living circumstances that were not present during 72-h fasting. These episodes followed wide hyperglycemic swings. No such episode resumed over 8 months after specific dietary advices and treatment by 50 mg TID of acarbose. Because hypoglycemia can be difficult to diagnose from dumping syndrome, continuous glucose monitoring is a very useful tool revealing the episodes in free living circumstances and can be used to monitor the treatment success.
