Elderly person, Autonomy, Consent, Refusal of care, Healthcare professional, Nursing care, Patient empowerment, Elderly autonomy, Care project
This document discusses the importance of autonomy and consent in elderly care, exploring the perceptions of nursing professionals and the complexities of care refusal.
[...] The heavy events linked to advancing age To return to our situation of professional call, until now autonomous and independent, Mrs. R. is today experiencing a real crisis, given its sudden nature. We have learned through our research that in the aging process, there is a breaking point, the loss of balance in one's past life, towards a new life, which can be frightening and stigmatizing for older people. Mrs. R. finds herself in a position of vulnerability, and her health needs exceed her adaptive capacities. [...]
[...] Prevention of risks related to aging: a new social pact Gerontology and society, 35(HS1), 81-91. DOI: 10.3917/gs.hs01.0081 Ennuyer B. (2020). Age discrimination of "older people": conjunction of mostly negative social representations and an elderly policy that has established the category "older people" as a problem for society. The Review of Human Rights DOI: 10.4000/revdh.8756 Fantini-Hauwel C., Gély-Nargeot M.-C., and Raffard S. (2014). Psychology and psychopathology of the aging person. Dunod. ISBN: 978-2-10-058506-9 Ferrero M. (2023). What future for old age The Journal of Psychologists 67-75. DOI: 10.3917/jdp.405.0067 Hanus M. [...]
[...] We describe here the very essence of the caregiver's role. However, consent to care is subject to laws, as well as the same psychological capacity of the patient to use this free consent, because in fact, many pathologies, stereotypes, or simply phases of crises and grief can reduce the perspectives and understandings of certain elderly patients. In our second part, we will present a more specific research on the different themes and notions related to our general research question. We will delve deeper into the free and informed consent of patients, decision-making autonomy, and grief, in order to create the specific research question of this thesis and determine the scope of the reflection generated by the situation experienced with Mrs. [...]
[...] In this introduction, we will present the clinical situation experienced during this internship, followed by our reflection, our motivations for addressing this topic, and we will outline a professional inquiry. In order to personalize the account, we will use the first person singular in this first description. Mrs. R., an 84-year-old woman presenting with malnutrition, was admitted to the SSR department for gait reeducation following an infectious endocarditis that requires prolonged antibiotic treatment. Before her hospitalization, Mrs. R. was a very independent and autonomous woman, traveling and actively managing an association in Africa that she had created with her late husband. [...]
[...] Explain to him our role and our knowledge in the face of situations such as health problems for the convince and that consent be free and informed. All this, with the aim of concretize the care approach alongside the individual and that he be fully involved in the development of the care pathway. The care relationship therefore involves a kind of negotiation with the patient. This negotiation should not, however, be generated by our personal desires, but should be based on our technical knowledge of medicine and care, as well as the personal characteristics of the individual, here the elderly person, who is being cared for. [...]
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