Extract
[...] But rather a balance of the two, namely the Care and the Cure. In order to modify my approach, I will approach negotiation as a continuous learning of the Cure through the presence and communication with the patient. Since we are aware of the dangers of certain situations, and we have the knowledge to help physically and psychologically the patient, it would be good to present our approach as being at the center of the patient's therapeutic learning. In this way, as a nurse, after conscious explanation, listening, empathy, and sharing, the refusal of care should become an acceptance. [...]
[...] I relied on new research, particularly on suffering in the hospital environment, and what it could mean. Although it is not directly a direct causal factor of our profession, the authors Dany, Dormieux, Futo and Favre will tell you that it 'questions the very nature of the care relationship and its implementation on a daily basis'. We often separate in our approaches the psychological suffering from the physical suffering. As a nurse, we help to heal physical suffering, and at the same time, we try to understand the psychological suffering of patients. [...]
[...] The age of the body, physical aging, is then the one to be taken into account. I learned that each living being is different. Physical aging is a fact, we all age, every day, every second that passes, yet, it doesn't mean we can't do what we did yesterday. It certainly leads to a progressive loss of functional ability, which can lead to chronic diseases with a greater probability of appearance, but it is not the only factor in the loss of autonomy, and many nursing authors testify to this. [...]
[...] Should we truly name this a 'negotiation'? However, this is not true, negotiation is a journey with steps that should not be burned, and it means a need to determine the concept of negotiated care according to Eberhart. However, the equal, symmetrical social relationships that are necessary for the establishment of a negotiation are not respected in the field of the caregiver-care recipient relationship, since we have seen that this relationship is asymmetrical. Negotiation does not, if we follow the perspective I have just presented, have its place in the hospital environment, nor in the caregiver-care recipient relationship. [...]
[...] care elsewhere?) Allow me to introduce this work by making a brief presentation of the patient I met during my fourth internship in Continuing Care and Rehabilitation and who allowed me to question myself on this subject. For confidentiality reasons, we will call her Mrs. R. Mrs. R was an 84-year-old patient who had been admitted to Continuing Care and Rehabilitation following an infectious endocarditis. She was under long-term antibiotic treatment with a Piccline device and a Montauban placed at the foot of her bed due to the administered diuretics. [...]
