Document 2121
 DOCN  M94A2121
 TI    Needs in team training in long and medium stays of patients with AIDS.
 DT    9412
 AU    Malafronte B; Pradier C; Mondain V; Carles M; Dunais B; Dellamonica P;
       CISIH, NICE University Hosp. France.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):376 (abstract no. PD0111). Unique
       Identifier : AIDSLINE ICA10/94370454
 AB    OBJECTIVE: To avoid reactions of fright and rejection linked to an
       intense suffering on the part of caregivers working with AIDS patients
       in long and medium sojourn hospitals or clinics. METHOD AND POPULATION:
       A program of annual training addressed monthly to the entire caregivers'
       team. Pluridisciplinary reflection groups with video support:--training
       recipients: doctors, physiotherapists, nurses...--training team:
       doctors, physiotherapists, nurses, psychologist from the infectious and
       tropical diseases department of Nice's CHU. RESULTS: To this day, around
       100 persons have benefited from training sessions which have brought to
       light the following questions and difficulties: for the doctors: how to
       evolve from curative care to palliative care, effect, on care quality,
       of therapeutic abandonment, what to reply when the patient says I'm
       going to die, the meaning of pain, assessment of pain. for the
       caregivers; how to protect themselves psychologically, how to start a
       dialogue, how to listen, what to do in front of the patients'
       resignation, how to take charge of families, the transgression of the
       law by drug addicts, the risks of contamination. In answer to these
       identified problems, it seems interesting to favour a maximum exchange
       of practices, of actual experiences, between different teams in order
       that the most experienced ones may stimulate the others. For the
       training team it is also a valorization and a stimulation essentially in
       the intellectual dimension. CONCLUSION: The practical application of
       such a program answers the team's request to have, on the one hand, an
       adapted and concrete information and, on the other hand, to perceive the
       situations differently in order to find new ways of adapting to reality.
       Such a task seems necessary in order to preserve the individual's
       interests and also those of the Public Health.
 DE    Acquired Immunodeficiency Syndrome/*PSYCHOLOGY/THERAPY  Adaptation,
       Psychological  *Attitude of Health Personnel  Caregivers/*PSYCHOLOGY
       Fear  France  Human  *Inservice Training  Long-Term Care/*PSYCHOLOGY
       Palliative Treatment/PSYCHOLOGY  *Patient Care Team  Quality Assurance,
       Health Care  Rejection (Psychology)  Sick Role  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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