Outil d\u2019aide au rep\u00e9rage des situations pouvant justifier le recours \u00e0 une \u00e9quipe sp\u00e9cialis\u00e9e de soins palliatifs.<\/p>\n\n\n\n\n\n
\n \n \n Calculatrice Pallia 10<\/title>\n <style>\n :root {\n --bg: #f6f8fb;\n --card: #ffffff;\n --text: #1f2937;\n --muted: #64748b;\n --primary: #2563eb;\n --primary-dark: #1d4ed8;\n --ok: #047857;\n --warn: #b45309;\n --danger: #b91c1c;\n --border: #dbe3ef;\n --shadow: 0 18px 40px rgba(15, 23, 42, 0.08);\n }\n\n * { box-sizing: border-box; }\n\n body {\n margin: 0;\n font-family: system-ui, -apple-system, BlinkMacSystemFont, \"Segoe UI\", sans-serif;\n background: linear-gradient(180deg, #eef4ff 0%, var(--bg) 35%);\n color: var(--text);\n line-height: 1.5;\n }\n\n .container {\n max-width: 980px;\n margin: 0 auto;\n padding: 32px 18px 56px;\n }\n\n .hero {\n background: var(--card);\n border: 1px solid var(--border);\n border-radius: 24px;\n padding: 28px;\n box-shadow: var(--shadow);\n margin-bottom: 20px;\n }\n\n h1 {\n margin: 0 0 10px;\n font-size: clamp(2rem, 5vw, 3.25rem);\n letter-spacing: -0.04em;\n }\n\n .subtitle {\n color: var(--muted);\n font-size: 1.05rem;\n max-width: 760px;\n margin: 0;\n }\n\n .notice {\n margin-top: 18px;\n padding: 14px 16px;\n border-radius: 16px;\n background: #fff7ed;\n border: 1px solid #fed7aa;\n color: #7c2d12;\n font-size: 0.95rem;\n }\n\n .score-card {\n position: sticky;\n top: 14px;\n z-index: 2;\n background: var(--card);\n border: 1px solid var(--border);\n border-radius: 22px;\n padding: 18px;\n box-shadow: var(--shadow);\n display: grid;\n gap: 12px;\n margin-bottom: 20px;\n }\n\n .score-row {\n display: flex;\n flex-wrap: wrap;\n gap: 14px;\n align-items: center;\n justify-content: space-between;\n }\n\n .score {\n font-size: 2.25rem;\n font-weight: 800;\n letter-spacing: -0.04em;\n }\n\n .badge {\n display: inline-flex;\n align-items: center;\n border-radius: 999px;\n padding: 8px 12px;\n font-weight: 700;\n font-size: 0.95rem;\n background: #ecfdf5;\n color: var(--ok);\n }\n\n .badge.warn {\n background: #fff7ed;\n color: var(--warn);\n }\n\n .badge.danger {\n background: #fef2f2;\n color: var(--danger);\n }\n\n .progress {\n height: 12px;\n border-radius: 999px;\n background: #e2e8f0;\n overflow: hidden;\n }\n\n .progress-bar {\n width: 0%;\n height: 100%;\n background: var(--primary);\n border-radius: 999px;\n transition: width 0.25s ease;\n }\n\n .questions {\n display: grid;\n gap: 14px;\n }\n\n .question {\n background: var(--card);\n border: 1px solid var(--border);\n border-radius: 20px;\n padding: 18px;\n box-shadow: 0 8px 24px rgba(15, 23, 42, 0.04);\n }\n\n .question-header {\n display: grid;\n grid-template-columns: auto 1fr;\n gap: 12px;\n align-items: start;\n margin-bottom: 12px;\n }\n\n .number {\n width: 36px;\n height: 36px;\n border-radius: 12px;\n background: #eff6ff;\n color: var(--primary-dark);\n display: inline-flex;\n align-items: center;\n justify-content: center;\n font-weight: 800;\n }\n\n .question-title {\n font-weight: 750;\n font-size: 1.03rem;\n }\n\n .help {\n color: var(--muted);\n font-size: 0.92rem;\n margin-top: 6px;\n }\n\n .answers {\n display: flex;\n gap: 10px;\n flex-wrap: wrap;\n padding-left: 48px;\n }\n\n label.choice {\n cursor: pointer;\n user-select: none;\n border: 1px solid var(--border);\n border-radius: 999px;\n padding: 9px 13px;\n background: #fff;\n transition: 0.15s ease;\n }\n\n label.choice:hover { border-color: var(--primary); }\n\n input[type=\"radio\"] { margin-right: 7px; }\n\n .actions {\n display: flex;\n gap: 10px;\n flex-wrap: wrap;\n margin-top: 20px;\n }\n\n button {\n appearance: none;\n border: 0;\n border-radius: 14px;\n padding: 11px 15px;\n font-weight: 750;\n cursor: pointer;\n background: var(--primary);\n color: #fff;\n transition: transform 0.12s ease, background 0.12s ease;\n }\n\n button:hover { background: var(--primary-dark); transform: translateY(-1px); }\n\n button.secondary {\n background: #e2e8f0;\n color: #1e293b;\n }\n\n button.secondary:hover { background: #cbd5e1; }\n\n .footer {\n color: var(--muted);\n font-size: 0.88rem;\n margin-top: 22px;\n }\n\n @media print {\n body { background: white; }\n .score-card { position: static; box-shadow: none; }\n button, .actions { display: none; }\n .hero, .question, .score-card { box-shadow: none; }\n }\n <\/style>\n<\/head>\n<body>\n <main class=\"container\">\n <section class=\"hero\">\n <h1>Calculatrice Pallia 10<\/h1>\n <p class=\"subtitle\">Outil d\u2019aide au rep\u00e9rage des situations pouvant justifier le recours \u00e0 une \u00e9quipe sp\u00e9cialis\u00e9e de soins palliatifs.<\/p>\n <div class=\"notice\"><strong>Important :<\/strong> une r\u00e9ponse positive \u00e0 la question 1 est une condition n\u00e9cessaire pour utiliser Pallia 10 et passer aux questions suivantes. Cette calculatrice ne remplace pas l\u2019\u00e9valuation clinique ni la d\u00e9cision coll\u00e9giale.<\/div>\n <\/section>\n\n <section class=\"score-card\" aria-live=\"polite\">\n <div class=\"score-row\">\n <div>\n <div class=\"score\"><span id=\"score\">0<\/span> \/ 10<\/div>\n <div id=\"answered\">0 question renseign\u00e9e<\/div>\n <\/div>\n <div id=\"interpretation\" class=\"badge\">\u00c0 compl\u00e9ter<\/div>\n <\/div>\n <div class=\"progress\" aria-label=\"Progression du score\">\n <div id=\"progressBar\" class=\"progress-bar\"><\/div>\n <\/div>\n <div id=\"message\" class=\"help\">R\u00e9pondez aux 10 questions. Au-del\u00e0 de 3 r\u00e9ponses positives, le recours \u00e0 une \u00e9quipe sp\u00e9cialis\u00e9e doit \u00eatre envisag\u00e9.<\/div>\n <\/section>\n\n <form id=\"palliaForm\" class=\"questions\">\n <div id=\"questions\"><\/div>\n <div class=\"actions\">\n <button type=\"button\" onclick=\"window.print()\">Imprimer \/ enregistrer en PDF<\/button>\n <button type=\"button\" class=\"secondary\" onclick=\"resetForm()\">R\u00e9initialiser<\/button>\n <\/div>\n <\/form>\n\n <p class=\"footer\">D\u2019apr\u00e8s Pallia 10, outil SFAP. \u00c0 utiliser par un professionnel de sant\u00e9 dans le cadre d\u2019une r\u00e9flexion clinique.<\/p>\n <\/main>\n\n <script>\n const items = [\n {\n q: \"Le patient est atteint d\u2019une maladie qui ne gu\u00e9rira pas, en l\u2019\u00e9tat actuel des connaissances.\",\n help: \"Condition n\u00e9cessaire pour utiliser Pallia 10 et passer aux questions suivantes.\"\n },\n {\n q: \"Il existe des facteurs pronostiques p\u00e9joratifs.\",\n help: \"Par exemple : hypoalbumin\u00e9mie, lymphop\u00e9nie, OMS 3 ou 4, d\u00e9nutrition s\u00e9v\u00e8re.\"\n },\n { q: \"La maladie est rapidement \u00e9volutive.\", help: \"\" },\n {\n q: \"Le patient et son entourage sont demandeurs d\u2019une prise en charge palliative et d\u2019un accompagnement.\",\n help: \"\" \n },\n {\n q: \"Il existe des sympt\u00f4mes non soulag\u00e9s malgr\u00e9 la mise en place des traitements de premi\u00e8re intention.\",\n help: \"Douleurs, dyspn\u00e9e, vomissements, syndrome occlusif, confusion, agitation\u2026\"\n },\n {\n q: \"Vous identifiez des facteurs de vuln\u00e9rabilit\u00e9 d\u2019ordre psychique pour le patient et\/ou son entourage.\",\n help: \"Tristesse, angoisse, repli, agressivit\u00e9, troubles de la communication, conflits familiaux\u2026\"\n },\n {\n q: \"Vous identifiez des facteurs de vuln\u00e9rabilit\u00e9 d\u2019ordre social pour le patient et\/ou son entourage.\",\n help: \"Isolement, pr\u00e9carit\u00e9, d\u00e9pendance physique, charge en soins, difficult\u00e9s financi\u00e8res\u2026\"\n },\n {\n q: \"Le patient et\/ou son entourage ont des difficult\u00e9s d\u2019int\u00e9gration de l\u2019information sur la maladie et\/ou sur le pronostic.\",\n help: \"M\u00e9canismes de d\u00e9fense, communication difficile, difficult\u00e9 \u00e0 mettre en place un projet de soin palliatif.\"\n },\n {\n q: \"Vous constatez des questionnements et\/ou des divergences au sein de l\u2019\u00e9quipe concernant la coh\u00e9rence du projet de soin.\",\n help: \"Prescriptions anticip\u00e9es, hydratation, alimentation, antibioth\u00e9rapie, s\u00e9dation, lieu de prise en charge, niveau d\u2019engagement th\u00e9rapeutique\u2026\"\n },\n {\n q: \"Vous vous posez des questions sur l\u2019attitude adapt\u00e9e.\",\n help: \"Par exemple : refus de traitement, limitation ou arr\u00eat de traitement, demande d\u2019euthanasie, conflit de valeurs.\"\n }\n ];\n\n const questionsRoot = document.getElementById(\"questions\");\n\n items.forEach((item, index) => {\n const n = index + 1;\n const block = document.createElement(\"section\");\n block.className = \"question\";\n block.innerHTML = `\n <div class=\"question-header\">\n <div class=\"number\">${n}<\/div>\n <div>\n <div class=\"question-title\">${item.q}<\/div>\n ${item.help ? `<div class=\"help\">${item.help}<\/div>` : \"\"}\n <\/div>\n <\/div>\n <div class=\"answers\" role=\"radiogroup\" aria-label=\"Question ${n}\">\n <label class=\"choice\"><input type=\"radio\" name=\"q${n}\" value=\"1\"> Oui<\/label>\n <label class=\"choice\"><input type=\"radio\" name=\"q${n}\" value=\"0\"> Non<\/label>\n <\/div>\n `;\n questionsRoot.appendChild(block);\n });\n\n document.getElementById(\"palliaForm\").addEventListener(\"change\", updateScore);\n\n function updateScore() {\n let score = 0;\n let answered = 0;\n const q1 = document.querySelector('input[name=\"q1\"]:checked');\n\n for (let i = 1; i <= 10; i++) {\n const checked = document.querySelector(`input[name=\"q${i}\"]:checked`);\n if (checked) {\n answered++;\n score += Number(checked.value);\n }\n }\n\n document.getElementById(\"score\").textContent = score;\n document.getElementById(\"answered\").textContent = `${answered} question${answered > 1 ? \"s\" : \"\"} renseign\u00e9e${answered > 1 ? \"s\" : \"\"}`;\n document.getElementById(\"progressBar\").style.width = `${score * 10}%`;\n\n const badge = document.getElementById(\"interpretation\");\n const message = document.getElementById(\"message\");\n badge.className = \"badge\";\n\n if (!q1) {\n badge.textContent = \"\u00c0 compl\u00e9ter\";\n message.textContent = \"Commencez par la question 1 : elle conditionne l\u2019utilisation de Pallia 10.\";\n return;\n }\n\n if (q1.value === \"0\") {\n badge.textContent = \"Pallia 10 non applicable\";\n badge.classList.add(\"warn\");\n message.textContent = \"La question 1 est n\u00e9gative : Pallia 10 n\u2019est normalement pas poursuivi selon la grille.\";\n return;\n }\n\n if (score > 3) {\n badge.textContent = \"Avis sp\u00e9cialis\u00e9 \u00e0 envisager\";\n badge.classList.add(\"danger\");\n message.textContent = \"Au-del\u00e0 de 3 r\u00e9ponses positives, le recours \u00e0 une \u00e9quipe sp\u00e9cialis\u00e9e en soins palliatifs doit \u00eatre envisag\u00e9.\";\n } else {\n badge.textContent = \"Score sous le seuil\";\n message.textContent = \"Score inf\u00e9rieur ou \u00e9gal \u00e0 3. Cela n\u2019exclut pas un recours sp\u00e9cialis\u00e9 si la situation clinique le n\u00e9cessite.\";\n }\n }\n\n function resetForm() {\n document.getElementById(\"palliaForm\").reset();\n updateScore();\n }\n <\/script>\n<\/body>\n<\/html>\n\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/cptsdracenie.fr\/index.php\/soins-palliatifs\/\">revenir page pr\u00e9cedente soins palliatifs<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Outil d\u2019aide au rep\u00e9rage des situations pouvant justifier le recours \u00e0 une \u00e9quipe sp\u00e9cialis\u00e9e de soins palliatifs. Calculatrice Pallia 10 Calculatrice Pallia 10 Outil d\u2019aide au rep\u00e9rage des situations pouvant justifier le recours \u00e0 une \u00e9quipe sp\u00e9cialis\u00e9e de soins palliatifs. Important : une r\u00e9ponse positive \u00e0 la question 1 est une condition n\u00e9cessaire pour utiliser […]<\/p>\n","protected":false},"author":4,"featured_media":19732,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30,8,1,24],"tags":[],"class_list":["post-19735","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cancer","category-medecine","category-non-classe","category-gt-prevention"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Calculatrice Pallia 10 – Communaut\u00e9 Professionnelle Territoriale de Sant\u00e9 Drac\u00e9nie Provence Verdon<\/title>\n<meta name=\"description\" content=\"Voici un outil de calcul pour l'aide \u00e0 la d\u00e9cision afin de faire appel \u00e0 une equipe de soins palliatifs au bon moment\" \/>\n<meta name=\"robots\" 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