Soins; la revue de reference infirmiere最新文献

When the home becomes a place of care, it can lose its function as a refuge and anchor of identity. The intervention of professionals and the changes imposed weaken the attachment to home. In order for older people to continue to feel at home, those around them play an essential role in supporting the reappropriation of the space and promoting continuity of meaning in the living environment. In the absence of available relatives, the role of caregivers in achieving this is questioned.

Policies promoting home care for the elderly fall within the department's remit. As such, it participates in the implementation of national policy for the benefit of senior citizens and finances, among other things, the personalized autonomy allowance. It also implements local policy, in conjunction with all its partners, taking into account the specific realities and needs of its territory, in particular through the departmental autonomy plan.

Faced with an aging population, mobile geriatric teams, created in the 1990s, have become a pillar of geriatric care. Working in hospitals, residential care facilities for dependent elderly people, or at home, they prevent loss of independence. Their missions are evolving and becoming more specialized in outpatient care to meet local needs. This article explores their interventions, from emergencies to home care, highlighting their role in supporting healthcare teams. They promote coordination and the link between city and hospital for frail elderly patients.

Aging often leads to a decline in cognitive abilities and independence, making it difficult to remain at home and increasing isolation. Gerontology care assistants, trained and integrated into specialized Alzheimer's teams, offer personalized support combining cognitive stimulation, relational support, and motor assistance. This multidisciplinary approach ensures coordinated care, preventing loss of independence and improving the quality of life for patients and their loved ones.

In an era marked by "dataization", neoliberalism, and the dominance of neurobiological thinking, psychiatric diagnosis tends to be reified. This article invites critical reflection on its current use, using a metaphor to illustrate two reductive effects: the severing of the subject's personal history (apheresis) and the erasure of the potential function of the symptom (apocope). When made without meaning, diagnosis deprives the subject of their historicity and subjectivity. The article argues for a psychiatry grounded in knowledge that acknowledges itself as belief in order to foster an attitude of humility on the part of the clinician and the possibility of an encounter with the patient. Finally, it proposes the contribution of narration as a possible remedy for diagnostic apheresis and apocope.

Who can claim to feel no stress when undergoing surgery? Despite the safety of procedures, the issue of preoperative anxiety remains unresolved. Unresolved, but also revolutionized by new outpatient care pathways, enhanced recovery after surgery, and recently developed non-drug therapies. This article briefly presents the causes and consequences of preoperative anxiety, ways to detect it, and modern strategies for dealing with it.

Systematic premedication for anxiolytic purposes is no longer recommended. However, it remains acceptable for sedative action appropriate to the medical procedure and the patient's condition. As a general rule, the usefulness and quality of premedication depend on a joint assessment of the patient's anxiety level and ability to manage it. Non-pharmacological alternatives should now be considered for the management of preoperative anxiety.

Preoperative anxiety in patients is a field of knowledge and practice that state-certified nurse anesthetist students begin to learn about in the early stages of their training. Positive communication and conversational hypnosis are considered as part of a holistic approach, in the interests of quality of care, the caregiver-patient relationship, and the well-being of the caregiver themselves.

Virtual reality as a treatment for perioperative anxiety is an alternative to medication-based anxiolysis. It is comfortable for the patient, effective, non-invasive, easy to set up, and also economically advantageous. Its use deserves to be widespread.