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24. The Existential Dimension of Palliative Care: The Mirror Effect of Death on Life.

Author

Drillaud, Frédérique, Saussac, Camille, Keusch, Florence, Lafaye, Danièle, Bely, Hélène, Averous, Véronique, Frasca, Matthieu, Baudry, Patrick, and Burucoa, Benoît

Subjects
RESEARCH, ANTHROPOLOGY, LIFE, CATASTROPHIC illness, DEATH, PALLIATIVE treatment, SPIRITUAL care (Medical care)
Abstract

The WHO has included the spiritual dimension in its definition of palliative care since 1990, but this dimension is frequently confused with notions of religion. Yet, the spiritual suffering experienced by palliative care patients is primarily a matter of existential suffering. The objective of this study was to examine the ways in which the existential dimension was manifested in the experiences of those present in a palliative care unit. This anthropological monograph was conducted in a palliative care unit in a French University Hospital. The existential dimension appears to reside in the connections between individuals and the proximity of death appears to shed new light on the meaning of life. The mirror effect of death on life, could serve to encourage greater appreciation of the value of our connections with others, and the desire to take care of others, which offers new insight into forms of solidarity and social organisation. [ABSTRACT FROM AUTHOR]

Published
2022
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29. La dimension existentielle dans une unité de soins palliatifs

Author

Drillaud, Frédérique, Burucoa, Benoît, Médiation, Information, Communication, Art (MICA), Université Bordeaux Montaigne, and CHU Bordeaux [Bordeaux]

Subjects
[SHS.INFO]Humanities and Social Sciences/Library and information sciences, [SHS.ANTHRO-SE]Humanities and Social Sciences/Social Anthropology and ethnology, ComputingMilieux_MISCELLANEOUS
Abstract

International audience

Published
2019

33. 'Dimension existentielle et situations palliatives – Explorer, découvrir'

Author

Drillaud, Frédérique, Burucoa, Benoît, Drillaud, Frédérique, and CHU Bordeaux [Bordeaux]

Subjects
[SHS.ANTHRO-SE] Humanities and Social Sciences/Social Anthropology and ethnology, [SHS.ANTHRO-SE]Humanities and Social Sciences/Social Anthropology and ethnology, ComputingMilieux_MISCELLANEOUS
Abstract

International audience

Published
2018

39. Opioids' Prescriptions : Exploring Medical Residents' Representations At The University of Bordeaux

Author

Ducoin-Pannunzio, Marie-Hélène, Burucoa, Benoît, and Lafaye, Fanny

Abstract

Background : Pain management is a priority in palliative care because it has a huge impact on quality of life. However, many medical residents have difficulties with the prescription of strong opioids though they are highly indicated in intense pain. Aim : The aim of our study was to explore the medical residentsu2019 representations expressed toward opioidsu2019 prescription and their links to professional practices in order to improve them. Methods : A descriptive qualitative monocentric method was chosen. Semi-structured interviews were conducted with oldest medical residents from the University of Bordeaux. These interviews were leading by interviewsu2019 frame. This frame was built from a brainstorm grid of representationsu2019 patterns about opioidsu2019 prescriptions ; theoretical knowledges, experiences and beliefs. The transcription of the interviews named as verbatim were analyzed. Results : 12 semi-directed interviews were conducted before data saturation was achieved. Pain measurements were subjective, prescribing modalities were poorly knew. Mentorship and palliative care teamu2019s help were factors that positively influenced the opioids u2018prescription. Fears and reluctance were broadly based on the addictive risk and side effects of opioids. Discussion : The residentu2019s difficulties about opioidsu2019 prescriptions were similar to those of the medical literature. The prescription context is influenced by historical opiophobia and confusing American news (opioid crisis) that confronts to misuse and drift. Pain management skills are acquired through relevant academic training and quality mentorship. Conclusion : Mentalities about opioidu2019s prescriptions evolves in a positive way with a more suitable and adapted prescription. Continuing dissemination of the palliative culture, companionship and developing innovative teaching methods could improve the representations of opioidsu2019 prescription in the general practice.

Published
2017

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