Bien accompagner la fin de vie: Medical, Religious and Spiritual accompagnement in Simone de Beauvoir’s Une mort très douce

2020 ◽  
Vol 57 (3) ◽  
pp. 365-380
Author(s):  
JORDAN OWEN McCULLOUGH
Keyword(s):  
Medical Humanities ◽  
Care Provision ◽  
Fin De Vie ◽  
Reflective Process ◽  
Fundamental Component ◽  
Familial Caregivers

With its rise to prominence in the medical humanities canon, there has been a surge in bioethical readings of Simone de Beauvoir’s Une mort très douce (1964). However, such readings have tended to foreground binary analyses of the medical and ethical topoi found in the text. Moving away from such approaches, this article reads the care dynamics in Une mort through the lens of accompagnement by analysing the care provided by the medical, religious and familial caregivers depicted in the text. Through the juxtaposition of these three literary depictions of care, the article argues that “presence” is the fundamental component of an active accompagnement that seeks to care holistically for a patient at the end of their life. In calling for greater reflection on the place of accompagnement in care provision, the article also emphasizes the role of literature in facilitating this reflective process.

The lawyer’s role as a representative in the economic procedure

2020 ◽  
Vol 4 (4) ◽  
pp. 149-152
Author(s):  
Liliya Mezhevska ◽  
Valeriya Vasylchenko
Keyword(s):  
Special Role ◽  
Legal Assistance ◽  
Fundamental Component ◽  
Legitimate Interests ◽  
Commercial Process ◽  
Legal Position ◽  
Rights And Interests ◽  
Comprehensive Study

The participation of a lawyer is a fundamental component of the trial. After all, there are many people who need qualified legal assistance, primarily to protect their rights and interests. However, the current legislation of Ukraine regulates the legal relations of procedural representation in different ways, especially with regard to the provision of legal assistance and the performance of functions in court by a lawyer. This question requires a new comprehensive study, taking into account the peculiarities of the legal position of a lawyer in economic and procedural legal relations as their subject and on its basis the following provision: taking into account the special role of a lawyer as a person providing legal assistance. requires a separate regulatory regulation. Introduction of norms in the legislation that will be more in line with the direction of strengthening the protection of the rights and legitimate interests of participants in commercial proceedings during the proceedings in the commercial court, provided that their interests are represented by a lawyer. Thus, we can conclude that the specifics of the lawyer in the commercial process is determined by the specifics of the commercial proceedings.

scholarly journals Commentary on “depression and people with a learning disability: a way forward”

2020 ◽  
Vol 25 (1) ◽  
pp. 22-25
Author(s):  
Peter McGill
Keyword(s):  
Learning Disability ◽  
Design Methodology ◽  
Social Care ◽  
Well Being ◽  
Care Provision ◽  
Care Needs ◽  
Eligibility Criteria ◽  
Psychological Well Being ◽  
Content Type

Purpose The purpose of this paper is to provide a commentary on Andrew Jahoda’s article “Depression and people with a learning disability: a way forward”. Design/methodology/approach The paper considers depression and other issues of psychological well-being from the perspective of the eligibility criteria for social care in England as enshrined in the 2014 Care Act. Findings There is a danger of issues of psychological well-being being seen as health rather than social care needs. A more integrated perspective is required. Originality/value The paper illustrates the importance of the role of social care provision in promoting the well-being of people with learning disabilities.

An Exploration of the Relationship Between Patient Autonomy and Patient Advocacy: implications for nursing practice

2002 ◽  
Vol 9 (5) ◽  
pp. 472-482 ◽  
Author(s):  
Deirdre Hyland
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Patient Autonomy ◽  
Positive Outcome ◽  
Care Provision ◽  
Patient Advocates ◽  
The Right ◽  
The Relationship ◽  
Paternalistic Approach

The purpose of this article is to examine whether patient/client autonomy is always compatible with the nurse’s role of advocacy. The author looks separately at the concepts of autonomy and advocacy, and considers them in relation to the reality of clinical practice from professional, ethical and legal perspectives. Considerable ambiguity is found regarding the legitimacy of claims of a unique function for nurses to act as patient advocates. To act as an advocate may put nurses at personal and professional risk. It may also be deemed arrogant and insulting to other health care professionals. Patient autonomy can be seen as a subcategory of the right of every individual to self-determination, and as such is protected by law. However, it is questionable whether the traditionally paternalistic approach to health care provision truly respects the autonomous rights of each patient. The author considers examples and cases from the literature that resulted in professional and/or personal difficulties for the nurses involved, and also reflects on an incident from her own practice where a positive outcome was achieved that demonstrated compatibility between the concepts under consideration.

scholarly journals The Role of Partnership Status on Late-Life Physical Function

2014 ◽  
Vol 33 (4) ◽  
pp. 413-425 ◽  
Author(s):  
Sean A. P. Clouston ◽  
Andrea Lawlor ◽  
Ashton M. Verdery
Keyword(s):  
Nous Avons ◽  
Physical Function ◽  
Late Life ◽  
Fin De Vie ◽  
Réseaux Sociaux ◽  
Partnership Status ◽  
Reseaux Sociaux

RÉSUMÉCette étude a examiné les voies socio-économiques reliant le statut de partenariat pour le fonctionnement physique en fin de vie, mesuré à l'aide des moyens objectifs, y compris le débit de pointe et la force de préhension. Utilisant la vague 4 de l’enquête SHARE sur la santé, le vieillissement et la retraite en Europe, nous avons couru des modèles multi-niveaux pour examiner la relation entre le statut de partenariat et la fonctionnement physique en fin de vie, en ajustant les caractéristiques des réseaux sociaux, les facteurs socio-économiques et les comportements sanitaires. Nous avons trouvé une relation forte entre le statut de partenariat et le fonctionnement physique. L'incorporation des caractéristiques des réseaux sociaux, des facteurs socio-économiques et des comportements de santé ont montré de relations indépendantes et solides avec le fonctionnement physique. La covariance a atténué l'impact de la cohabitation, la séparation, le veuvage sur la fonction physique; des effets robustes ont été trouvés pour le célibat et le divorce. Analyses séparées par sexe suggèrent que les associations entre la cohabitation, le célibat, le divorce et le veuvage sont plus pour les hommes que pour les femmes. Les résultats indiquent que les liens sociaux sont importants pour l'amélioration du fonctionnement physique.

scholarly journals A Qualitative Inquiry into Nursing Students’ Experience of Facilitating Reflection in Clinical Setting

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Shahnaz Karimi ◽  
Fariba Haghani ◽  
Nikoo Yamani ◽  
Majid Najafi Kalyani
Keyword(s):  
Content Analysis ◽  
Nursing Students ◽  
Qualitative Content Analysis ◽  
Qualitative Inquiry ◽  
Clinical Settings ◽  
Nursing Educators ◽  
Reflective Process ◽  
Semistructured Interviews

Background and Aim. Reflection is known as a skill that is central to nursing students’ professional development. Due to the importance and the role of reflection in clinical areas of nursing, it is important to know how to achieve it. However, nursing trainers face the challenge of how to help their students to improve reflection in clinical settings. The aim of this study was to investigate the nursing students’ experiences of facilitating reflection during clinical practice. This qualitative study was conducted by qualitative content analysis approach. Twenty nursing students during the second to eighth semester of their educational program were selected for participation using purposive sampling. Data were collected through in-depth semistructured interviews. The interview was transcribed verbatim, and qualitative content analysis was used to analyze the data. From the data analysis, four main themes were extracted. Motivation to reflect, complex experiences, efficient trainer, and effective relations were four main themes obtained from study that, in interaction with each other, had facilitating roles in students’ reflective process on experiences. The findings revealed that the nursing students’ reflection in clinical settings is effective in personal and professional level. Reflection of nursing students depends on motivational and educational factors and these factors increase the quality of care in patients. Furthermore, nursing educators need to create nurturing climate as well as supporting reflective behaviors of nursing students.

scholarly journals The impact of personal budgets on unpaid carers of older people

2016 ◽  
Vol 18 (2) ◽  
pp. 119-141 ◽  
Author(s):  
John Woolham ◽  
Nicole Steils ◽  
Guy Daly ◽  
Katrina Ritters
Keyword(s):  
Social Work ◽  
Postal Survey ◽  
Direct Payment ◽  
Care Provision ◽  
Structured Interviews ◽  
Hands On ◽  
Social Work Practitioners ◽  
The Impact ◽  
Social Work Policy

Summary This paper focuses on the impact of a personal budget – either in the form of a direct payment or managed personal budget – on the role of unpaid carers of older budget holders. Data were collected via postal survey of 1500 unpaid carers and semi-structured interviews with 31 carers. Findings Unpaid carers played a central role in supporting older budget holders irrespective of the type of budget received. The allocation of a personal budget may have decreased the amount of ‘hands-on’ care they provided, enabling them to do different things for and with the person cared for, but most did not relinquish direct involvement in care provision. Both kinds of personal budget provided greater flexibility to juggle caring tasks with other roles, such as childcare or paid employment. However, carers supporting direct payment users did experience higher levels of stress. This seemed linked to the additional responsibilities involved in administering the direct payment. Carers seemed relatively unsupported by their local Adult Social Care Department: the survey found that only one in five said they had ever received a carer assessment. Application The findings offer a detailed exploration of the impact of personal budgets on carers, suggesting that even in countries with relatively well-developed systems of support for carers such as England their impact remains overlooked. The paper may be of interest to social work practitioners, managers, academics and social work policy specialists working in countries that have, or are about to introduce, personal budgets or other forms of cash-for-care scheme.

scholarly journals What is the role of the Practice Nurse in the care of people living with dementia, or cognitive impairment, and their support person(s)? : A systematic review.

2020 ◽  
Author(s):  
Caroline Gibson ◽  
Dianne Goeman ◽  
Dimity Pond
Keyword(s):  
General Practice ◽  
Cognitive Impairment ◽  
Practice Nurse ◽  
Early Recognition ◽  
Dementia Care ◽  
Care Provision ◽  
Support Person ◽  
Practice Nurses ◽  
Nurse Role

Abstract Background: The potential value of expanding the Practice Nurse role to include the recognition and management of dementia has been acknowledged and Practice Nurses are well-positioned to provide comprehensive dementia information and support so that people living with dementia are better equipped to self-manage their health and live well with dementia. The purpose of this review was to systematically examine published Australian and international literature to identify the existing and potential roles of Practice Nurse’s involvement in the delivery of care to people living with dementia or cognitive impairment and their support person(s) and also describe the characteristics and effectiveness of nurse interventions in dementia models of care in general practice. Methods: We systematically reviewed the evidence for roles and characteristics of the Practice Nurse in the delivery of dementia care. A comprehensive literature search identified relevant original research published in English between January 2000 and January 2019 and available in full text. Thirteen articles were included. Results: Characteristics of roles, undertaken by nurses working in the general practice setting, which were potentially beneficial to people living with dementia and their support person were identified. These included increased patient accessibility to the Practice Nurse, early recognition and management of cognitive changes, care management and collaboration with the General Practitioner. Limitations of the provision of dementia care by Practice Nurses included a lack of definition of the role, inadequate dementia specific training, time constraints and poor communication with General Practitioners. Conclusions Further research is required to define and evaluate the scope of practice and characteristics of the Practice Nurse role in dementia care provision. Embedding in usual general practice care an evidence-based model of care describing the role of the Practice Nurse in dementia care provision has the potential to increase early recognition of cognitive impairment and more appropriate primary care management of dementia. Systematic Review registration number PROSPERO 2018 CRD42018088191

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