Optimizing Caregiving Resources and Companion Participation for Non-Communicative Patients at End of Life - published: 15/08/2025
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Themes
Palliative care, non-communicative patients, caregiving resources, companion participation, mobile palliative care teams, supportive relationship, care quality, research project, palliative care strategies
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Abstract
This document explores the organization of care for palliative care patients, focusing on the combination of caregiving resources and companion participation to meet the needs of non-communicative patients at the end of life. It highlights the importance of a supportive relationship between companions and mobile palliative care teams in optimizing care quality. Written in the context of a research project, this document aims to contribute to the development of effective palliative care strategies.
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[...] Thus, Chalifour12 The nurse's behavior is guided by her personality and what the patient represents to her as an individual. The author argues that healthcare professionals must integrate the preferred intervention model, as it constitutes a reference guide allowing for an optimal evaluation of their behavior. However, he questions the nurse's ability to name the reference model that has been integrated. The assisted person has the necessary resources to develop a wide range of personal characteristics. Assistance therefore intervenes in the difficulty of the person to recognize and accept these resources that would allow them a better experience of their situation. [...]
[...] To achieve this goal, the first step is to feel a strong emotion and take the risk of being seen. The second step is to learn to feel and express empathy without externalizing her feelings. It is essential that the caregiver is able to decipher the patient's feelings and analyze her own to respond best to their expectations and needs. This is a quality that is at the origin of a professional attitude that can be acquired with practice and experience. II.1.2.2 Defense mechanisms. [...]
[...] 'To trust' means therefore to believe in the words of the other. Trust is a feeling of security or conviction that a person has towards someone or something. Thus, to take care of someone, it is essential that a trust relationship be established, thanks especially to availability. But because care involves a kind of intrusion into the other's intimacy, Patrick Verspieren specifies thatso that this proximity finds meaning and is acceptable from an ethical standpoint, it must be translated into terms of presence: that is, including the concern to respect the other in their alterity, their status as a subject .This quality of presence is expressed in all dimensions of the relationship, whether it is about gestures that reach the body, or about all the approaches that meet the other in their need to know, to understand, to participate, to be supported, or even to be loved. [...]
[...] These care are adapted to their incapacities, as well as their tastes. In general, the team is guided by the patient's family to determine their needs and preferences. The team will gradually build a life project, in collaboration with the relatives to develop an orientation choice. These projects vary depending on the clinical state, their previous preferences, or sometimes current, admission options in specialized centers, and the attitude of their family towards them, that is to say the consistency or the re-establishment of the relationship between them. [...]
[...] It is a confrontation with a reality that is difficult to integrate. It takes time to receive the information. First, there is a period of alternation between hope and despair. Then comes the palliative phase, connoting the failure of treatment, which leads to an awareness of what awaits the patient and what this implies: separation and loss of the loved one. Elisabeth Kübler-Ross described five stages that the patient goes through from the announcement of their diagnosis to resignation and acceptance. [...]
