Donner sens et saveur aux repas thérapeutiques d’un centre de jour pour adolescents

This article is the result of a team reflection on its practice of therapeutic meals in a day centre for adolescents. We examine our clinical and theoretical development, and our modifications of the setting, in which the meal is envisaged both as a space for exchanges and meetings, a true picture of a family meal. Through the delicate task of sharing oral sensoriality in a group, it is above all a question of bringing the meal to life as a form of mediation in an adolescent clinical practice.Cet article est issu d’une réflexion d’équipe sur sa pratique des repas thérapeutiques au sein d’un centre de jour pour adolescents. Nous y abordons notre cheminement théorico-clinique, et nos aménagements du cadre, où le repas est envisagé à la fois comme un espace d’échanges et de rencontres, véritable figure d’une une tablée familiale. À travers la délicate tâche de partager une sensorialité orale en groupe, il s’agit avant tout de faire vivre le repas comme une médiation dans une clinique adolescente

Family Presence during Resuscitation: A Qualitative Analysis from a National Multicenter Randomized Clinical Trial

<div><p>Background</p><p>The themes of qualitative assessments that characterize the experience of family members offered the choice of observing cardiopulmonary resuscitation (CPR) of a loved one have not been formally identified.</p><p>Methods and Findings</p><p>In the context of a multicenter randomized clinical trial offering family members the choice of observing CPR of a patient with sudden cardiac arrest, a qualitative analysis, with a sequential explanatory design, was conducted. The aim of the study was to understand family members’ experience during CPR. All participants were interviewed by phone at home three months after cardiac arrest. Saturation was reached after analysis of 30 interviews of a randomly selected sample of 75 family members included in the trial. Four themes were identified: 1- choosing to be actively involved in the resuscitation; 2- communication between the relative and the emergency care team; 3- perception of the reality of the death, promoting acceptance of the loss; 4- experience and reactions of the relatives who did or did not witness the CPR, describing their feelings. Twelve sub-themes further defining these four themes were identified. Transferability of our findings should take into account the country-specific medical system.</p><p>Conclusions</p><p>Family presence can help to ameliorate the pain of the death, through the feeling of having helped to support the patient during the passage from life to death and of having participated in this important moment. Our results showed the central role of communication between the family and the emergency care team in facilitating the acceptance of the reality of death.</p></div

Selected quotes.

<p>Selected quotes.</p

Themes and sub-themes of study.

<p>Themes and sub-themes of study.</p

Characteristics of the cohort.

<p>Characteristics of the cohort.</p

Flow chart of the sample.

<p>Flow chart of the sample.</p