Soins; la revue de référence infirmière
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A practice authorised in France for some years, organ and tissue donation from a circulatory death donor must follow a specific medical process. It is an extreme emergency to be managed within a few minutes, and in which the organ donation nurse coordinator plays a key role in the hospital.
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The anticipated organ donation approach aims to increase the number of donors and transplants. This approach requires a procedural framework. It also helps the families begin their grieving process, without any added suffering.
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Intensive care medicine is confronted with situations of suffering and dependence experienced as the appropriation of the body or medical futility. In this context, withholding and withdrawing active intensive care must be given a framework. The ethical challenge is to decide to continue or not with care considered vain or futile. The "Leonetti Law", in particular, helps to clarify the situation for professionals and families.
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"Laïcité"--the French concept of secularity--holds a central position in contemporary debates. The subject here is a reminder of how this concept was introduced in France, how it has guided the secularization process in institutions and on what levels it is now called into question.
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Since 2007, the Observatoire de la Laïcité has been helping the French Government in its actions aimed at ensuring compliance with the principle of "laïcité"--the French concept of secularity--in the country. Implementation of its missions enable it to measure how the concept of "laïcité" is understood and applied today.