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Aging is often equated with a time of decline, evoking the need to slow down and infuse one's life with a certain wisdom. Drawing inspiration from the film Louise in Winter and drawing on a philosophy of existence, while highlighting the virtues of cinema, we will show that living through old age does not simply mean coming to terms with the effects of aging. We will borrow terms from a philosophy of living that encourages us instead to view late life as an opportunity to defy linearity and prevailing conformity in order to lay the foundations for a second life. Thus, aging does not merely invite us to tend to our frailties. It is also a time to choose to express our subjectivity in a different way, with authenticity. To take care of this stage of life is thus to nurture all the things that give it meaning -the meaning sought by the biographical subject.
The film Marguerite tells the story of the relationship between an elderly woman with diabetes and the nurse who visits her at home to provide care. It highlights how care brings people and things into contact. It helps us understand its poetic dimension-that is, the way it deepens our relationship with the world and reveals its unnoticed or forgotten aspects.
As a result of the ageing of the population, emergency departments are receiving more and more elderly people, some of whom visit several times a year (frequent users). Sometimes, these visits are inappropriate or avoidable. This study, which focuses on elderly people who are frequent users of emergency departments, is based on an analysis of a complex and authentic story and interviews with the professionals involved. It highlights the main risks of disruption in the care pathway for these patients, leading to further visits to emergency departments, and suggests ways of improving the situation.
Task interruptions during medication administration are a subject that has been little evaluated and analyzed in medical-social institutions, yet one that poses risks for nurses and residents. This study examines a tool proposed by the French National Authority for Health: the wearing of a vest in residential care facilities for dependent elderly people in order to assess the impact on task interruptions. The study highlights the importance of support and awareness-raising in its implementation in order to achieve positive results.
Mobile geriatric teams visit patients in their homes to provide multidisciplinary expertise to an aging population. The work of specialized geriatric nurse coordinators is central to these teams but remains little known. We sought to describe the specific features of geriatric home assessments conducted by our nurse coordinators in practice, analyze them, and contextualize them within the literature to raise awareness of them.
Empathy in healthcare is a key component of excellence in clinical practice. Yet it tends to diminish over the course of a professional career. Could film education -the use of cinema as an educational tool- help strengthen and cultivate empathy in care? This article presents the theoretical foundations of film education, proposes a session format illustrated by the film The Father, and analyzes its benefits and limitations.
Therapy using dolls has been shown to be beneficial in numerous international studies, but remains under-researched in France. The Melun mobile geriatric team conducted a study in nursing homes within its network to assess its impact on psychological and behavioral symptoms. An average reduction of 28.4% in the Neuropsychiatric Inventory (NPI-ES) score was observed after one week of using the empathy doll. These results confirm the data in the literature and provide local leverage to promote the use of empathy dolls in nursing homes.
The transition of seniors from long-term care facilities to emergency care has many shortcomings, including the integration of family caregivers (FCs). This article presents the results of a mixed-methods study aimed at describing FCs' perceptions in this context. The study highlights the need to recognize the expertise of FCs and consider their needs in order to ensure smooth transitions.
In recent years, the concepts of caregiver, burden, and respite have emerged in France. The development of home hospitalization, increasingly shorter hospital stays, advances in treatment, and longer life expectancy have led to rapid growth in the number of caregivers. Their number is estimated at over 9 million. Driven by these various observations, the Maison de répit de Tassin-la-Demi-Lune respite care facility was created in 2018. Six years after it opened, an assessment of the burden of care was carried out using the Zarit scale in order to measure the impact of the actions proposed and implemented within the facility and to share best practices in supporting caregivers.
The arts have educational value, and fictional cinema plays a role here in offering a useful critical analysis that deconstructs prevailing health realities. In doing so, it potentially allows us to escape these realities and envision alternative paths and ways of life. This text explores this approach by focusing on the institutionalization of the elderly, which is driven by a culture of risk and a culture of insurance. It highlights a dynamic of negotiation between children and elderly parents that favors the former and significantly disadvantages the latter. Several well-known films are used to support this analysis and a quest for emancipation.
Geriatric Medicine (GM) has evolved in Europe over the past few decades, although variably across countries. The aim of this paper is to explore the GM specialty status, postgraduate and undergraduate education for medical students, nurses and Allied Health Professionals (AHPs), academic development and GM clinical services in Europe. We collected cross-sectional data from 38 European countries as listed by the World Health Organization with an online quantitative survey. This study is part of the PROGRAMMING COST Action, which stands for PROmoting GeRiAtric Medicine in countries where it is still eMergING and is funded by the European Cooperation for Science and Technology. GM is recognised as a distinct specialty in 24 countries (63.15%), while specialty training is available in 21 countries (55.26%). Principles of GM are included in the undergraduate curricula for medical students in all or most medical universities in 24 countries (63.15%), for nurses in 26 countries (68.42%) and for AHPs in 19 countries (50%). Geriatric hospital wards are present in 28 countries (73.68%), and in eight countries, there are no GM clinical services available, especially in Southern Europe. GM is a standalone academic discipline in 20 countries (52.63%), and advanced academic doctoral study is available in 18 countries (47.36%). GM is more established in Northern and Western Europe. Our study highlights the inconsistent development of GM across European countries. It provides a foundation for policy development and educational reform to meet the needs of Europe's ageing population.
Longitudinal qualitative inquiry from a social gerontological perspective can offer unique insights into older adults' wellbeing and home care service trajectories. This temporal case study of 12 older home care clients analysed 136 interviews over three time points with 53 home care network actors in Manitoba and Nova Scotia. Many clients and families grappled with service changes almost daily, even if the level or type of service appeared officially stable. The pandemic added further disruption, shaping clients' lives, wellbeing, and relationships, as well as their access to and use of service. Notably, changes in clients' wellbeing and needs for help were not necessarily straightforward nor always apparent to case coordinators, especially when these were tied to social, emotional, or relational wellbeing, or to clients' living arrangements, housing, family, and community integration. Findings can enhance theorizing of change for older adults receiving home care and guide equity-informed policy and practice.
The formalization of advance directives remains uncommon in institutions, hampered by insufficient information, the taboo surrounding the end of life, and communication barriers. "Décidons ensemble" (Let's decide together), a co-constructed educational tool (a board game structured around six themes and online modules), aims to reduce these barriers. An exploratory phase in residential care facilities for dependent elderly people and long-term care units is assessing feasibility, acceptability, and feedback. It is an ethical tool that can be replicated and adapted to other care contexts.
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Geriatric risks such as malnutrition, falls, iatrogenic complications, and hemodynamic fluctuations pose a significant threat to older adults and require proactive management. This study evaluates the impact of home telemonitoring, using hemodynamic sensors and geriatric questionnaires via the MyPredi platform, combined with coordinated interventions to prevent the exacerbation of risks in older patients.