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1.
Rev Med Brux ; 34(4): 357-67, 2013 Sep.
Article in French | MEDLINE | ID: mdl-24195253

ABSTRACT

Physicians are asked to complete certificates within their profession. These certificates relate to various aspects of an individual's life, from birth to the end of life. The nature of requests is striking by its diversity. As a first step, the authors recall the outline of a certificate and its structure, as well as traps, hazards and risks to avoid. In a second step they describe three specific situations for the certificate: in the context of work accidents, common law accidents and social matters. All materials can not be treated in this space, so they refer the reader to the main bibliographic sources useful in this matter.


Subject(s)
Accidents, Occupational/legislation & jurisprudence , Eligibility Determination , Medical Records/legislation & jurisprudence , Certification/legislation & jurisprudence , Certification/methods , Confidentiality/legislation & jurisprudence , Disability Evaluation , Humans , Legislation, Medical , Medical Records/standards , Patient Rights/legislation & jurisprudence , Social Responsibility
2.
Rev Med Brux ; 34(4): 368-75, 2013 Sep.
Article in French | MEDLINE | ID: mdl-24195254

ABSTRACT

The widespread practice of physical restraint of the elderly has used in most case in order to protect elders against injuries after falls or to manage behaviour agitation during delirium for example. However, "protect" isn't correct because of the adverse effects have been reported as falls increase, pressures sores, depression, aggression and death. In fact, efficacy of restraints for safeguarding patients from injury has not been demonstrated clinically. This paper reviews the current medico-legal knowledge regarding physical restraint use in this frail population and suggests some considerations about ethical practice and procedure evaluation.


Subject(s)
Accidental Falls/prevention & control , Frail Elderly , Restraint, Physical/methods , Aged , Aged, 80 and over , Algorithms , Frail Elderly/psychology , Frail Elderly/statistics & numerical data , Humans , Legislation, Medical/ethics , Nursing Homes/ethics , Nursing Homes/legislation & jurisprudence , Patient Rights/legislation & jurisprudence , Restraint, Physical/adverse effects , Restraint, Physical/ethics , Restraint, Physical/legislation & jurisprudence
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