Palliative care, caregiver patient relationship, empathy, emotion management, nursing care, healthcare professionals, burnout, therapeutic alliance
This document discusses the importance of a caregiver-patient relationship based on mutual respect, empathy, and understanding, and the need for caregivers to manage their emotions when dealing with patients, particularly in palliative care.
[...] In the face of death, caregivers must demonstrate empathy. Jacques Hochmann, psychiatrist, reiterates Freud's definition of empathy as follows: "Empathy would be a process that not only allows us to understand others and become aware of their different psychic reality, but it would also allow us to understand unconscious thoughts and feelings that remain unknown to the person experiencing them." It's not just putting oneself "in someone else's place,"."HOCHMANN p.54). HOCHMANN, Jacques. A History of Empathy: Knowledge of Others, Concern for the Neighbour. [...]
[...] The second can be assimilated to a performance pressure and a search for the ideal, but also to self-representation, the hope of success or the need for recognition." The effects of stress are the physiological, cognitive, and psychological responses it triggers. The first manifest as an increase in heart rate, hyperventilation, muscle tension, pupil dilation, and sweating. Cognitive effects can be an increase in vigilance, hypersensitivity to criticism and negative judgment. Psychological effects can be anxiety, asthenia, and somatization. Finally, stress can have behavioral consequences such as emotional instability, impulsivity, and isolation. In the event of a confrontation with death, the IDE likely feels stress but must react. [...]
[...] Scientific Library Payot pages. ISBN : 978-2-228-89047-2. Among caregivers, the status accorded to emotions is ambivalent because they are perceived as dangerous, as they can impact decision-making. They act based on established facts, objectively confirmed by medical science. Emotions can alter this objective work, making their practice dangerous for the patient. In addition, emotions can pose a danger to the caregiver, who must therefore free themselves from them and exorcise them later if they were unable to cope with them. Emotions and reason would then be in opposition and create a 'double discourse" ». [...]
[...] The nurse-patient relationship The nurse-patient relationship is the rapport that develops between the patient and the nurse. However, in a hospital setting, the patient is in a non-exclusive relationship with a team of healthcare professionals, including several IDEs, a doctor, and nursing assistants. Also, according to Alexandre Manoukian, trainer of healthcare staff and clinical psychologist in a hospital setting, "difficulties in understanding between the patient and the doctor can disrupt certain nurse-patient relationships. Sometimes, the patient not understanding what is being said about him will dare to ask the nursing assistant or nurse later for a "translation" in some way of the medical language into a more understandable language for him, because he will feel that caregiver more available and more accessible, or closer to him on a daily basis, than the specialist of the service" (MANOUKIAN, Alexandre p.15). [...]
[...] Their release is essential at the risk of impacting the caregiver, who if they retain them, will bear a colossal pressure that will alter their professional practice and personal life and will eventually 'explode'. Sports or sophrology sessions could be offered in a dedicated location within the hospital. During the confrontation with death and the death of a patient, the caregiver's grief remains. It will then be essential for the IDE to benefit from time and resource locations. Breathing and relaxation techniques can be used to discharge emotions. The practice of yoga, meditation is also interesting. [...]
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