{"id":15908,"date":"2013-02-01T00:00:00","date_gmt":"2013-01-31T23:00:00","guid":{"rendered":"http:\/\/ricom-web.com\/gestions-hospitalieres\/strategie-face-a-la-maladie-sadapter-au-quotidien\/"},"modified":"2018-03-08T11:06:54","modified_gmt":"2018-03-08T10:06:54","slug":"strategie-face-a-la-maladie-sadapter-au-quotidien","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/","title":{"rendered":"Strat\u00e9gie face \u00e0 la maladie : s\u2019adapter au quotidien"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">L\u2019organisation hospitali\u00e8re de la prise en soins des patients pr\u00e9sentant une maladie d\u2019Alzheimer ou des troubles apparent\u00e9s a tr\u00e8s fortement \u00e9volu\u00e9 sous l\u2019impulsion des plans Alzheimer. Jusqu\u2019alors, des acteurs de diff\u00e9rentes sp\u00e9cialit\u00e9s (g\u00e9riatres, neurologues, voire psychiatres) avaient d\u00e9velopp\u00e9 localement et \u00ab avec les moyens du bord\u00a0\u00bb des offres de soins particuli\u00e8res pour ces patients et leur entourage. Plusieurs s\u2019\u00e9taient appuy\u00e9s sur l\u2019architecture de la fili\u00e8re de soins g\u00e9riatriques (circulaire du 18 mars 2002). Depuis le premier plan Alzheimer (2004), des structures sp\u00e9cialis\u00e9es sont reconnues\u00a0:\u00a0<\/span><\/p>\n<ul>\n<li class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">consultations m\u00e9moire de proximit\u00e9,\u00a0<\/span><\/li>\n<li class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">centres m\u00e9moire ressource et recherche,\u00a0<\/span><\/li>\n<li class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">unit\u00e9s cognitivo-comportementales,\u00a0<\/span><\/li>\n<li class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">unit\u00e9s d\u2019h\u00e9bergement renforc\u00e9.\u00a0<\/span><\/li>\n<\/ul>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">Sous l\u2019impulsion du minist\u00e8re, tout le territoire fran\u00e7ais est progressivement dot\u00e9 de structures sp\u00e9cialis\u00e9es. Ces lieux de soins sont des recours pour les partenaires extrahospitaliers. Il s\u2019agit d\u2019\u00e9laborer des diagnostics complexes, de prendre en soins des patients pr\u00e9sentant des troubles envahissants du comportement ou d\u2019accompagner des patients dans des phases tr\u00e8s \u00e9volu\u00e9es de la maladie. Les m\u00e9dicaments sont utilis\u00e9s avec raison et les approches dites \u00ab\u00a0non m\u00e9dicamenteuses\u00a0\u00bb y sont promues. Les connaissances et les techniques de soins d\u00e9velopp\u00e9es diffusent de part en part des murs hospitaliers. Progressivement, les soins ambulatoires \u00e9voluent aussi.<\/span><\/p>\n<blockquote>\n<p class=\"para-TC_txt\">La maladie d\u2019Alzheimer a fait bouger l\u2019h\u00f4pital dans son organisation et dans la conception m\u00eame des soins\u2026<\/p>\n<\/blockquote>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">L\u2019enseignement prodigu\u00e9 dans ces structures pr\u00e9pare plusieurs cat\u00e9gories de professionnels appel\u00e9s \u00e0 travailler sp\u00e9cifiquement aupr\u00e8s de ce type de malades mais aussi aupr\u00e8s d\u2019une client\u00e8le plus large. Enfin, la recherche est coordonn\u00e9e, y compris sur le plan \u00e9thique. La maladie d\u2019Alzheimer est une maladie chronique \u00e9volutive \u00e9maill\u00e9e de complications diverses. Aujourd\u2019hui, l\u2019h\u00f4pital propose un panel d\u2019offres de soins adapt\u00e9es aux diff\u00e9rentes phases de la maladie. Depuis des cahiers des charges somme toute assez larges, cadrants et acteurs des soins affinent au quotidien les techniques, inventent leurs outils, d\u00e9finissent mieux leur domaine d\u2019action et par l\u00e0 m\u00eame\u00a0per\u00e7oivent mieux leurs limites.\u00a0<\/span><\/p>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">Le soin \u00e0 la personne malade atteinte par la maladie d\u2019Alzheimer requiert comp\u00e9tence et de fortes valeurs. Le respect, la bienveillance, l\u2019autonomie, l\u2019\u00e9quit\u00e9, l\u2019int\u00e9grit\u00e9 et la s\u00e9curit\u00e9 sont autant de valeurs qui fondent le socle commun du prendre soin, de tous les professionnels \u0153uvrant dans l\u2019h\u00f4pital. Elles ne sont pas des mod\u00e8les \u00e0 suivre, mais sont \u00e0 d\u00e9cliner tous les jours dans chaque geste, parole et d\u00e9cision. Elles sont plus qu\u2019un id\u00e9al, elles deviennent une n\u00e9cessit\u00e9 pour garder les sens et la mesure dans le prendre soin d\u2019autrui.\u00a0<\/span><\/p>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">Les conditions pour que ces valeurs perdurent et soient cultiv\u00e9es tiennent compte de l\u2019organisation m\u00eame des soins, des moyens d\u00e9di\u00e9s aux structures, aux conditions d\u2019acc\u00e8s \u00e0 l\u2019information et du travailler ensemble (interprofessionnalit\u00e9). Gageons que le pilotage de l\u2019h\u00f4pital comme une entreprise et que la crise \u00e9conomique actuelle n\u2019ob\u00e8rent pas tous les efforts d\u00e9j\u00e0 produits.\u00a0<\/span><\/p>\n<p class=\"para-TC_txt\"><span class=\"char-TC_txt-Local-14\">La maladie d\u2019Alzheimer a fait bouger l\u2019h\u00f4pital dans son organisation et dans la conception m\u00eame des soins (partage de comp\u00e9tences, ouverture sur la ville, soins de l\u2019entourage\u2026). De son c\u00f4t\u00e9, l\u2019h\u00f4pital a contribu\u00e9 \u00e0 faire changer l\u2019image m\u00eame de l\u2019Alzheimer\u00a0: ce n\u2019est plus une fatalit\u00e9 li\u00e9e \u00e0 l\u2019\u00e2ge, c\u2019est une maladie n\u00e9cessitant des soins sp\u00e9cialis\u00e9s.<\/span><\/p>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>L\u2019organisation hospitali\u00e8re de la prise en soins des patients pr\u00e9sentant une maladie d\u2019Alzheimer ou des troubles apparent\u00e9s a tr\u00e8s fortement \u00e9volu\u00e9 sous l\u2019impulsion des plans Alzheimer. Jusqu\u2019alors, des acteurs de diff\u00e9rentes sp\u00e9cialit\u00e9s (g\u00e9riatres, neurologues, voire psychiatres) avaient d\u00e9velopp\u00e9 localement et \u00ab avec les moyens du bord\u00a0\u00bb des offres de soins particuli\u00e8res pour ces patients et leur entourage. Plusieurs s\u2019\u00e9taient appuy\u00e9s sur l\u2019architecture de la fili\u00e8re de soins g\u00e9riatriques (circulaire du&hellip; <\/p>\n","protected":false},"author":1202,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[2,2219],"tags":[79,2344,2345,2343,2346,4749,62,1396],"class_list":["post-15908","post","type-post","status-publish","format-standard","hentry","category-gestions-hospitalieres","category-universite-dete-alzheimer","tag-alzheimer","tag-centre-memoire","tag-citoyennete","tag-consultation-memoire","tag-droit-de-vote","tag-erema","tag-ethique","tag-geriatrie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Strat\u00e9gie face \u00e0 la maladie : s\u2019adapter au quotidien - Gestions hospitali\u00e8res<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Strat\u00e9gie face \u00e0 la maladie : s\u2019adapter au quotidien - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  2 minutesL\u2019organisation hospitali\u00e8re de la prise en soins des patients pr\u00e9sentant une maladie d\u2019Alzheimer ou des troubles apparent\u00e9s a tr\u00e8s fortement \u00e9volu\u00e9 sous l\u2019impulsion des plans Alzheimer. Jusqu\u2019alors, des acteurs de diff\u00e9rentes sp\u00e9cialit\u00e9s (g\u00e9riatres, neurologues, voire psychiatres) avaient d\u00e9velopp\u00e9 localement et \u00ab avec les moyens du bord\u00a0\u00bb des offres de soins particuli\u00e8res pour ces patients et leur entourage. Plusieurs s\u2019\u00e9taient appuy\u00e9s sur l\u2019architecture de la fili\u00e8re de soins g\u00e9riatriques (circulaire du&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/\" \/>\n<meta property=\"og:site_name\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/gestionshospitalieres\/\" \/>\n<meta property=\"article:published_time\" content=\"2013-01-31T23:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-03-08T10:06:54+00:00\" \/>\n<meta name=\"author\" content=\"yann Le Sager\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:site\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"yann Le Sager\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/\"},\"author\":{\"name\":\"yann Le Sager\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/810c9671279c5f5a094f6f0a42237516\"},\"headline\":\"Strat\u00e9gie face \u00e0 la maladie : s\u2019adapter au quotidien\",\"datePublished\":\"2013-01-31T23:00:00+00:00\",\"dateModified\":\"2018-03-08T10:06:54+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/\"},\"wordCount\":619,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"keywords\":[\"alzheimer\",\"centre m\u00e9moire\",\"citoyennet\u00e9\",\"consultation m\u00e9moire\",\"droit de vote\",\"Erema\",\"\u00e9thique\",\"g\u00e9riatrie\"],\"articleSection\":[\"Gestions Hospitali\u00e8res\",\"universit\u00e9 d\u2019\u00e9t\u00e9 Alzheimer\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/strategie-face-a-la-maladie-sadapter-au-quotidien\/\",\"name\":\"Strat\u00e9gie face \u00e0 la maladie : s\u2019adapter au quotidien - 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