Soins Psychiatrie最新文献

Protocols for cooperation expand the range of care on offer, develop nursing skills and reduce access times, but their use in psychiatry remains limited. Le Vinatier stands out for its proactive approach to deploying these protocols, the first of which was launched in 2023 in psychiatric emergencies. This system, which delegates certain medical acts to nurses, enabled 752 patients to be treated in one year, with a reduction in waiting time and a high satisfaction rate. Under the aegis of the Association of Public Mental Health Service Establishments, a coordinated network of cooperation protocols in psychiatry has been created.

Music can reduce the sense of loneliness experienced by many teenagers, increase their well-being and regulate their emotions. An interdisciplinary research team has teamed up with care teams, young psychiatric inpatients and developers to design Groovy Park, a care game combining music and video games. The game allows players to work together to create music in a variety of forms. Tested in two psychiatric institutions, it encourages creativity, inclusiveness and social interaction. User feedback is intended to enable the prototype to be adjusted with a view to its perennial integration into care practices.

When dealing with patients presenting complex somatic and psychiatric comorbidities, advanced practice nurses specializing in stabilized chronic pathologies play a central role in coordinating care. Close cooperation between the various players involved in care is likely to bring about a significant improvement in the patient's quality of life.

While French legislation guarantees patients' religious freedom and imposes neutrality on professionals, tensions arise in the interpretation of these principles. In psychiatry, religion can provide comfort and support, or be deleterious depending on the context. Caregivers lack scientific knowledge on this subject, which they are reluctant to broach, and have heterogeneous approaches, sometimes perceived as unfair by patients. Patients report a lack of understanding and support, which can affect their relationship with the teams and their mental health. Deploying training and research on these issues would enable us to better support people in their recovery journey.

In nursery schools in the Paris suburbs, the extra-familial mutism of migrant children appears to be over-represented. By inviting a young mute boy and his parents from Chechnya to draw their transcultural genogram within the school, we were able to understand the place of school, family and language. With the desire to welcome this family into the institution, this drawing of origins seems to have the capacity to weave and reassure bonds of attachment, enabling us to maintain contact with the familiar and venture into the unknown.

The complexity of exiled mothers' migratory situations calls for the identification and development of tools that facilitate the exploration of subjective reality, social, cultural and family contexts, and migratory history. The genogram is a useful research tool for studying the experience of motherhood in exile.

A priority in cancer care, pain is a symptom that is physically and emotionally intertwined with other issues, making it a real impasse to assess. As a matter of protocol, oncology caregivers tend to measure pain by asking patients to rate it between zero and ten. How can we separate subjective pain from real pain? Subjective pain includes moral, personal and environmental pain, and the difficulty of coping with the new identity of a sick person. Moral pain is inscribed in the body. Oncology management must respond to this assessment by taking a global measure of the patient's subjectivity.

The perinatal period represents a time of vulnerability for migrant families, as it raises questions about the possible transmissions for a baby born between multiple cultures. How can we support the process of psychic construction and family transmission within the mother-child dyad during the transitional phase of motherhood? The use of the transcultural genogram with women during their stay in the maternity ward has several advantages.

The benefits of therapeutic mediations are poorly documented. A retrospective survey showed that they frequently alleviated anxiety, violence and apathy, but significantly less often suicidal and delusional ideation. These symptoms were less of an obstacle to the use of mediation when the professionals involved were nurses and care assistants. Prescribing mediation appears useful.