Home nursing care · Échirolles and southern Grenoble · 7 days a week
The practice
What we can do at home, where it comes from, how we keep it current — and what we do not do. Written to be checked, not to persuade.
Six fields from the hospital wards where the two nurses practised, transposed to the conditions of a home.
Chronic and acute wounds: venous ulcers, pressure sores, diabetic foot wounds, post-operative scars, compression therapy. Dressing chosen by healing stage, dated photographs and tracking between visits.
A wound is judged over time. Seeing the same bed, chair and shoes that explain the wound often reveals what a dressing alone will never fix.
Insulin-treated diabetes, heart failure, COPD, anticoagulant therapy: administration, monitoring of vital signs and warning signs, teaching the patient and family the technique and self-monitoring.
The aim is to make the nursing visit unnecessary wherever possible: once a person can do it alone, they take back control of their illness.
Diabetes and insulin injectionsChronic condition follow-upFrench health insurance — nursing practice
Implantable ports, PICC lines, central catheters, home antibiotic therapy and hydration, parenteral nutrition: access, dressing changes, flushing, and detection of infectious and mechanical complications.
These are the procedures where asepsis is non-negotiable. Hospital protocol is applied identically in a living room, with the same single-use equipment and the same traceability.
Infusions and implanted portsFrench National Authority for Health
Assessment-led personal care, prevention of pressure sores and falls, monitoring of malnutrition and dehydration, medication preparation and safety, early detection of cognitive decline.
Personal care is a dense observation window: skin, appetite, mood and balance can all be read there before any examination.
Support for older adultsFrench National Authority for Health
Taking over a discharge prescription, treatment continuity, drains, post-operative monitoring, anticoagulant injections, and contact with the ward and GP within 24 hours.
The break happens in the first 48 hours. That is when an incomplete prescription or missing equipment sends someone back to A&E.
Coming home after a hospital stayFrench National Authority for Health
Pain assessment and relief, mouth care, morphine pumps, family support, and coordination with the mobile palliative care team and hospital-at-home services.
Staying at home to the end has to be prepared: prescriptions anticipated, equipment ready before it is needed, and a number that answers at night.
Comfort and palliative careFrench National Authority for Health
What applies to every private nurse in France, and what you can verify yourself with the relevant bodies.
Four stages, a stated cadence, and evidence for each. A skill that is never re-examined expires.
Reading national health authority guidance and nomenclature updates that apply to the care we actually deliver — no decorative watch over fields we do not practise.
An annual continuing-education plan built from the situations actually met on the round, not from a catalogue.
The two partners review difficult situations together: a wound that will not heal, refused care, a handover that never travelled, a visit that overran. The cause is sought in the organisation before it is sought in a person.
What patients, carers, GPs and local pharmacists say. A remark heard three times is not a mood: it is a service design defect.
Commitments you can observe without taking our word for it: a deadline, a phone call, a written record.
A stated limit beats an approximate service. In each of these cases we say who to turn to instead.
The background of the two nurses, the detail of each type of care, and how a first visit is arranged.
The nursing duo behind the practiceOur care at homeContact us
Public sources cited on this page — 6