The management of pain during hospitalization may require the intervention of the Mobile Pain Unit (UMD) at the request of the care teams receiving the person being treated.

This unit particularly takes care of acute pain, whether post-operative or induced by care… both for adults and children.

It facilitates the setting up of drug therapies (such as the manipulation of analgesics, the administration of the Equimolar Mixture of Oxygen and Nitrous Oxide, etc.) and non-drug therapies (hypnosis, transcutaneous neurostimulation, etc.) . An outpatient follow-up of subacute pain can be proposed in certain complex situations in order to avoid its chronicization.

The UMD is also required to help relieve the pain of the cancerous disease (caused by the disease itself, by the treatments and their complications) by organizing follow-up with the referring specialist and the attending physician. This approach is part of a support care approach in oncology with the other partners involved. The mobile pain team runs an outpatient consultation and visits to the hospital day and week, depending on the person's needs.

Palliative care : this is active care in a comprehensive approach to the person suffering from a serious progressive or terminal illness. Their aim is to relieve physical pain and other symptoms and to address psychological, social and spiritual suffering.

Those who provide palliative care and support consider the patient as a living being until the end, and death as a natural process. They seek to avoid unreasonable investigation and treatment. They refuse to intentionally cause death. They strive to preserve the best possible quality of life until death and offer support to bereaved loved ones.

The various members of the Mobile Palliative Care Team travel as consultants to assess, with the caregivers, the difficulties posed by a patient suffering from a serious and advanced illness, both on the medical, nursing and psychosocial levels. Requests for intervention from the team come from various sources: doctors, caregivers, patients, family. For good collaboration, the agreement of the doctor in charge of the department calling on the team is necessary.

The role of the team is:

• to advise and support the approach of the healthcare team in place, in particular for the evaluation and prevention of the overall suffering of the patient and that of his relatives,
• help relieve distressing symptoms that interfere with the patient's quality of life,
• to support loved ones,
• to promote the return home of patients in conjunction with the attending physician and possibly home care structures, Home Nursing Service ( SSIAD ) and Home Hospitalization ( HAD ),
• to offer bereavement follow-up to those around you.