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Most care procedures require the patient to give personal information and to reveal their body in order to enable a clinical examination or a care procedure to be carried out, which can leave them feeling embarrassed. Considering as a team what causes the feeling of intrusion in a care procedure enables nursing strategies to be adopted which can help the patient overcome their modesty and feel secure, becoming a partner in a care procedure for which they understand the clinical need and underlying intentionality. Testimonies.

The fitting of a male sheath urinal directly concerns the patient's area of sexual intimacy. The modesty of the patient and caregiver as they interact is tested, leading to discomfort or clumsiness which can provoke a feeling of intrusion. Preparing this care procedure favours the adherence of both parties.

At the heart of the care relationship, the hands of the caregiver the body of the patient interact. The language of touch is therefore expressed in addition to the verbal and nonverbal elements of human communication.

An internal skills certification entitled, "The care relationship in situations of impaired communication" has been set up by the Paris hospitals authority (Assistance publique-hôpitaux de Paris). It enables healthcare workers practising in geriatrics to build on the practical experience they have developed. The fruit of an individual introspection helping to formalise the verbal and non-verbal methods they use in their practice, it requires a specific institutional, managerial and personal framework to be put in place.

Transferring knowledge is a delicate exercise. Understanding the notions of posture, identity construction, reflexivity and learner organisation helps to put the way knowledge is transferred into perspective. At the heart of skills development, these conceptual reminders throw light on the mechanisms in play in intergenerational transfer, aiming at professionalisation.

The pain provoked by a treatment is difficult to understand by professionals, individually or collectively. Guilt, a feeling of powerlessness or doubt can arise with the healthcare worker who witnesses it or performs the treatment, and lead him/her to avoid talking about it, once the treatment is carried out. The study of clinical situations aims to incite reflection among teams to improve understanding of the complexity of these situations, influenced by the representations, perceptions and emotions of everyone involved.

Treatment-related pain can be provoked, iatrogenic or induced. Some of its causes are known. They guide observation and clinical examination as well as the choice of assessment strategies and steps to prevent treatment-related pain.