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Master thesis

La juste proximité au coeur de la relation soignant-patient en fin de vie

Abstract : During a work placement in Palliative Care Unit, I observed the privileged relationships between caregivers and some patients at the end of life. Then, I felt an attachment for a patient I was taking care of. This feeling that seemed inappropriate in this professional context was nonetheless obvious to me, but I couldn’t restrain it despite my protective attempts. This led me to wonder how an attachment relationship between the caregiver and his patients at the end of life could have positive or negative effects on the private and professional life of the caregiver. Faced with these questions and emotions experienced during this work placement, I nevertheless felt more professional and fulfilled than ever, I was fully convinced that it was possible to stay professional and to protect myself emotionally while feeling an attachment for the patient. I confirmed my hypothesis thanks to my research on the various concepts defining my theme, such as attachment, doctor-patient relationship, appropriate professional distance, end of life, medical care, and also with interviews conducted with nurses practicing in palliative care These interviews have highlighted the fact that, although taboo, an attachment relationship is regularly created between patients and caregivers. However, nurses are aware that this phenomenon can be disturbed for the balance between professional and private life To fight against this harmful effect, the caregivers admit that they need safeguards like teamwork for example. In this way, I concluded, after my research and my interviews, that, while attachment (to the patient) is often negatively perceived by the professional, it may be fulfilling for him if he is not locked in this relationship.
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Master thesis
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http://docnum.univ-lorraine.fr/public/BUMED_MINF_2016_MARJOLLET_MATHIEU_AUDREY.pdf
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https://hal.univ-lorraine.fr/hal-01825577
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Audrey Marjollet Mathieu. La juste proximité au coeur de la relation soignant-patient en fin de vie. Médecine humaine et pathologie. 2016. ⟨hal-01825577⟩

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