Soins; la revue de référence infirmière
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The procurement of organs from donors after circulatory death is a reliable technique which gives satisfactory posttransplant results and also represents a potential source of additional organs. In order to meet the growing need for organ donations, the 'anticipated organ donation approach' procedure is currently receiving renewed interest with new conditions for its implementation in France.
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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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Healthcare teams are sometimes questioned by patients and their loved ones concerning respect for their desires or performing rites, whether religious or part of their own personal beliefs. While caregivers are convinced that it is part of their job to meet these needs, this is sometimes contrary to the requirements of neutrality and laïcité--the French concept of secularity--on healthcare premises. Nonetheless, each can contribute to the evolution of the general reflections undertaken by a team or an organization.
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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.