Soins Psychiatrie最新文献

Sexological problems are rarely highlighted in the context of post-traumatic stress disorder. Beyond the direct clinical symptoms of this disorder, sexual dysfunction is one of the most common co-morbid signs in psychotraumatic clinics. In the specific context of the military institution, and particularly the Foreign Legion hospital, the sexological approach represents both a challenge and an opportunity to contribute to the reconstruction of these young men, overwhelmed by the unspeakable effects of war and their intimate difficulties.

The psychiatric department at the Laveran Army Training Hospital in Marseille is a referral center for legionnaires, a population at high risk of psychological trauma. As part of a multi-disciplinary team, nurses and orderlies play a major role in their care. The dual status of caregiver and soldier is an asset in providing comprehensive care for psychologically injured legionnaires. The service's civilian staff also have extensive knowledge of the military environment.

War-related psychological disorders have a major impact on family relationships. There are tools and methods for dealing with families affected by war trauma, which can be insidiously transmitted. An account of the therapeutic work carried out with a family affected by psychotrauma reveals the particularities of this systemic intervention.

In 2024, the Desgenettes military hospital was transformed into an outpatient facility. The psychiatry department has been reorganized into a multidisciplinary day-care center based on the consultation service. Patients are cared for on a case-by-case basis, based on a personalized care plan drawn up collectively. Care is based on the support of caregivers using a variety of methods. It is always adapted to the clinical situation, enabling us to respond to crisis situations. Care organization reflects a dynamic, constantly evolving process.

The practice of psychic care for military personnel in the context of hospital care in metropolitan France is singular. Army training hospitals act as rear bases, taking in repatriated medical personnel as well as everyday sufferers, and blending the stigma of a clinic that is more heterogeneous than that which would be specific to the context of war, yet equally involving care teams - nurses, psychologists and psychiatrists - acculturated to the military environment, and singularizing their practice to ever-changing needs in the face of a changing society and world.

A teacher of adapted physical activity and health (EAPAS) is a paramedical professional. A professional degree in sciences and techniques of physical and sports activities, with a specialization in adapted physical activity and health, is a prerequisite for this profession. These studies can be supplemented by a professional master's degree. EAPAS practitioners can work in the medico-social, somatic, psychiatric, geriatric and functional rehabilitation sectors. In mental health, they work as part of multi-disciplinary teams, with institutional support. They act on medical prescription to achieve psychological, physical, motivational and social benefits.

In the post-Covid context, which is unstable and changing, what is the role of the team when it is reduced to operating with a growing number of temporary staff? The medical desertification that is gradually taking hold in certain regions is a cause for concern, as is the growing disaffection of nurses throughout France. It is essential to draw up a map that incorporates survival oases, in order to meet the essential need to provide care anyway, while at the same time perpetuating the process of improving care. Advanced practice nursing faces many challenges.

Thanks to their guidance and coaching skills, advanced practice nurses (APNs) support teams on a daily basis in improving their practices and developing their reflexivity. Their leadership enables caregivers to question themselves, exchange ideas and think about care from a different angle. Situational analysis sessions provide a space for them to step back, debate and innovate. This meaningful support enabled a newly-qualified IPA to find her place among the teams. Here's a testimonial.