Published in Soins; la revue de reference infirmiere
The prevalence of haematological malignancies increases in elderly patients. The complexity of therapeutic management makes it necessary to evaluate them using a global approach, namely bio-psycho-environmental. Identifying and assessing their weaknesses are part of the roles of advanced practice nurse (APN). Various tools are used to do this, incl...
Published in Soins; la revue de reference infirmiere
Constraints in the care of vulnerable elderly people are part of the daily life of services. This practice must not avoid multidisciplinary reflection by preserving the autonomy of patients' decisions despite cognitive disorders. The search for consent and reasons for refusing care must be the leitmotif and coercion the exception and must be suppor...
Published in Soins; la revue de reference infirmiere
In child psychiatry, there are significant ethical challenges when patients put themselves at risk or refuse to cooperate in their care. This article illustrates two situations of violence and restraints and looks at how the vulnerability of caregivers can be acknowledged in order to find the best balance between the imperatives of protection and t...
Published in Soins; la revue de reference infirmiere
Restraints in the healthcare context is a controversial and complex topic. Used for providing care, the latter could lead to psychological implication for both patients and caregivers. A thorough understanding of those psychological consequences can support the decision-making as well as considering the safety and emotional needs of the patient. Co...
Published in Soins; la revue de reference infirmiere
Restraint is an extremely controversial practice, symbol of crucial debates on developments in care. This is about trying to think about this painful reality where care is at its limit and carries many dangers. The ethical issues raised by restraint will thus be described, and the responses that can be provided to them. Copyright © 2023 Elsevier Ma...
Published in Soins; la revue de reference infirmiere
This article on architecture, care and hospitality is part of a reflection shared by several researchers at the Chair of Philosophy in Hospitals. It follows on from previously published texts by Marie Tesson, Éric de Thoisy and Hugo Martin, which explore in different ways the spaces in which care can be deployed, and how the ethics of care are like...
Published in Soins; la revue de reference infirmiere
Restraint is used relatively often during pediatric care. However, no scale has yet been validated to assess its intensity. The study presented here did this for the Procedural Restraint Intensity in Children tool in metrological terms (with some limitations). In the absence of a reference scale in this area, the reliability of this tool was studie...
Published in Soins; la revue de reference infirmiere
The clinical practice of nursing sometimes leads to physically restraining the patient while carrying out a therapeutic or diagnostic procedure. This laconic observation says little about the many questions raised by the use of restraint on a person during treatment. The questions are professional, institutional, philosophical, ethical, legal and d...
Published in Soins; la revue de reference infirmiere
The use of physical restraint in the context of medical resuscitation is relatively frequent. Although temporary or prolonged physical restraint is justified by patient safety (possibility of self-extubation, etc.), this practice is itself a source of risk, leads to suffering on the part of the patient, and raises dilemmas and ethical questions wit...
Published in Soins; la revue de reference infirmiere
The context of the emergency department particularly exposes professionals to situations where the question of restraint arises. This article describes the indications and modalities of physical restraint. Physical restraint should be considered as a last resort, and requires systematic ethical questioning. Copyright © 2023 Elsevier Masson SAS. All...
