360 research outputs found
L'ulcère veineux: quand la douleur perturbe la vie quotidienne : revue de la littérature
L’ulcère veineux est la conséquence de l’insuffisance veineuse chronique. Il touche un grand nombre de patients et sa prévalence augmente avec l’âge. Il est le type d’ulcère le plus rencontré par les soignants. L’ulcère veineux a des conséquences négatives sur la qualité de vie, il engendre de fortes douleurs. Le but de cette revue de la littérature est d’explorer l’impact de la douleur sur la qualité de vie des patients atteints d’ulcère veineux dans leur milieu de vie. Six études provenant des bases de données CINAHL et Pubmed, publiées dans les cinq dernières années, ont été analysées. La population ciblée est la personne âgée de soixante-cinq ans et plus avec un ulcère veineux dans son milieu de vie. Les deux études qualitatives ont permis de comprendre le point de vue des patients. Tandis que les quatre études quantitatives nous apportent des informations au sujet de l’évaluation de la douleur et de la qualité de vie. Les résultats ont mis en évidence la douleur comme symptôme dominant. Elle modifie les activités du quotidien, le sommeil, la santé physique et psychique des patients. Diverses stratégies de coping sont énoncées. La relation avec les soignants en fait partie. Une prise en charge holistique de l’ulcère veineux comprend l’évaluation de la douleur et de la qualité de vie. En invitant le patient à s’exprimer, l’infirmière crée une relation de confiance et d’espoir. Il se sentira plus soutenu et mieux compris. Ensemble, ils travailleront dans un but commun afin de rendre le quotidien du patient plus agréable
Prévention des escarres au sein d'un EMS: un défi quotidien
Il s’agit d’une recherche qualitative exploratoire pour l’obtention d’un Bachelor Thesis. Le but principal de celle-ci est : la récolte des différentes techniques de prévention des escarres dans un EMS en rapport avec l’échelle de Braden. La thématique des escarres est une problématique réelle dans les soins. La population choisie se compose de onze soignants soit des infirmières, infirmières assistantes, ASSC, aides-soignantes qualifiées et non qualifiées. Les participants sont inscrits de leur plein gré. Les entretiens sont réalisés grâce à un questionnaire semi-dirigé construit à partir des facteurs de risques de l’échelle de Braden. Il en ressort une grande sensibilité des soignants interviewés face à cette problématique. Pour tous les facteurs de risques, les soignants mettent en place des actions précises. Des interrogations telles que les notions d’escarre de stade I, effleurage – massage, talc, protections, soins de fin de vie sont relevées et travaillées dans l’analyse. Les soignants estiment que l’utilisation de l’échelle de Braden serait un bénéfice pour mettre l’accent sur les facteurs déficients et agir en conséquence et de manière systématique lors de l’admission ou de changement de l’état de santé
Bereavement Following Substance Misuse: A Disenfranchised Grief
Bereavement following a drug- or alcohol-related death has been largely neglected in research and service provision, despite its global prevalence and potentially devastating consequences for those concerned. Whilst researchers have drawn attention to the suffering experienced by families worldwide in coping with a member’s substance misuse, this article highlights the predicament of families bereaved following a substance misuse death. To this end, it reviews literature drawn from addiction and bereavement research that sheds light on this type of loss. The article also considers how general bereavement theory may illuminate bereavement following a substance misuse death. We argue that available frames of reference reflect not only a lack of focus on this type of loss but also a tendency to reproduce rather than interrogate normative assumptions of bereavement following “bad deaths.” The article concludes by considering how findings from existing literature can guide future research
Service failures and challenges in responding to people bereaved through drugs and alcohol: An interprofessional analysis
This article reports findings from the first two stages of a three-stage qualitative study which considered the role of services, including public, private and charitable organisations, in responding to the needs of adults bereaved following the drug and/or alcohol-related death of someone close. The study, the first of its kind to explore the landscape and role of services in substance use deaths, was conducted over two sites: south west England and Scotland. In stage 1 of the research, adopting both convenience and purposive sampling, data were collected via semi-structured interviews on experiences and support needs of bereaved individuals (n = 106). In stage 2, six focus groups were conducted with a purposive sample of practitioners (n = 40), including those working for the police, coroner’s service, procurator fiscal depute (Scotland), health service, funeral service, press, clergy, Public Health England, Drugs Policy Unit, bereavement counselling/support and alcohol and drug treatment services, to investigate how services may better respond to this bereavement. Thematic analysis from both data-sets identified two overarching themes. The first, focusing on practitioner responses, captures how these bereaved people may meet with inadequate, unkind, and discriminatory responses from services. Having to navigate unfamiliar, fragmented, and time-consuming procedures compounds the bereaved’s distress at an already difficult time, illustrated by a ‘mapping’ of relevant services. The second relates to challenges and opportunities for those responding. Service failures reflect practitioners’ poor understanding of both substance use bereavement and the range of other practitioners and services involved. Those bereaved are a poorly understood, neglected and stigmatised group of service users. There is a need for services to respond without judgement or insensitive language, and provide information about, communicate and work closely with, other services despite differences in working practices and cultures. These recommendations could positively affect bereaved peoples’ experiences, alleviating stress and overwhelm at a particularly vulnerable time
How do UK Universities support bereaved students? A case study.
This article reports on a small, qualitative, in-house pilot case study on student bereavement support at one UK university, where I work. The study’s aim was to examine how bereaved students are supported to continue their studies and recover their emotional well-being from the perspectives of both previously bereaved students and staff involved in dealing with student bereavement. To this end, I conducted a review of available support as documented on the university’s internal webpages, interviews with bereaved students, and interviews and focus groups with relevant staff. Being part of the social reality I was investigating afforded me access to study participants, some of whom were colleagues I worked with; website information to which an outsider would not be privy; and private spaces on campus to accommodate the interviews and focus groups. This situation fostered a ‘collaborative approach’, placing me both inside and outside the field of study. This twofold perspective was invaluable for identifying key messages that took account of both opportunities and barriers within the university environment for improving support for bereaved students
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