as presented at TMAB eHealth Congress 2010

1. E-health Congress 2010
FROM CURE TO CARE
THURSDAY, 25 NOVEMBER 2010
DIAMANT BUILDING, BRUSSELS

2. DELTOUR, GILBERTE
 INDEPENDENT REGISTERED NURSE (A1)
FROM 1970 to 2010 and...
 PRESIDENT of the AIIB-VUKB 1988 - 2010
 PRESIDENT of the CBII/BCZV 1992 - 2010

3. AIIB - VUKB

4. MY EXPERIENCE
 40 years of home care
 In the province of Liège

5. ‘GROUP PRACTICE’
 28 years solo
 12 years in a ‘health clinic’
 We are 3 colleagues, independent nurses (A1)
 I organise and coordinate care
 I bill everyone by remote transmission
 Using ‘my care net’

6. COMMUNICATION
 By mobile phone
 By e-mail
 Paper patient file, but mainly electronic (SPF).
 Coordination meetings

7. ‘QUALITY of CARE’
 In-service training that I organise at the
IFAPME.
 Training cheques reimburse the 3-hour training
modules.
 QFOR certified attestation

8. CONTINUATION OF CARE
 24-7
 Specific care
 Palliative care
 Peritoneal dialysis
 Enteral nutrition
 Parenteral nutrition in implantable chamber

9. MULTIDISCIPLINARITY
 Collaboration with the treating physician
 Collaboration with the kinesitherapist
 Collaboration with the home-help aid
 Collaboration with the family
 Collaboration with the nursing unit (oncology –
dialysis service - pediatrics)
 Etc.

10. ALL THE HOSPITAL’S CARE
 Can not only be done at home, but also has to be
done at home.
 In Liège excellent collaboration with the
Pediatrie 50 and 57 rooms of the CHR of Liège.
 With the dialysis service of the CHR.
 Some opposition from oncologists of the CHU
of Liège.

11. SATISFACTION
 Satisfaction of the patient
 Satisfaction of the family
 It costs 50% less at the Social security system
(see statistics)
 Satisfaction of the care team (treating physician,
nurses, kinesitherapist, speech therapist, home-
help aid, etc.).

12. EXAMPLE OF CARE

14. Probes
 Vesical probe B2 Kt supra-
pubic (OK, second after
fistulization B2)
 Gastric probe B2
gastrostomy (OK, second
after fistulization B2)

19. Therefore, expanding nursing
activities
… utopia
or reality!

20. In conclusion…
“Nothing is ever finished”
“Nothing is ever definite”
Everything is a matter of
choice!

21. THANK YOU FOR YOUR
ATTENTION!