Intérêts et limites de l'approche centrée sur le patient dans une démarche éducatice vis-à-vis du patient diabétique de type 2 en médecine générale PDF Download
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Author: Alain Moreau (médecin).)
Publisher:
ISBN:
Category :
Languages : fr
Pages :
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Book Description
L'Approche Centrée Patient (ACP) permet sur le plan conceptuel la réalisation d'une démarche éducative vis-à-vis du patient diabétique de type 2. Mais la question de son fonctionnement se pose en pratique clinique de médecine générale. Dans le cadre d'une étude exploratoire qualitative phénoménologique, une Démarche Educative DEADIEM a été testée auprès de 10 patients diabétiques de type 2 inclus par 5 médecins généralistes pour en comprendre son fonctionnement. Cette démarche comprenait l'exploration de la perspective du patient, ce qui est VRAI (Vécu, Représentation, Attentes, Important) pour lui, une démarche explicative, des conseils hygiéno-diététiques adaptés et un objectif de compréhension commune avec le médecin avec évaluation à 3 mois de ses résultats. En confrontant les données du discours avec les modèles transthéorique et transactionnel par procédure de triangulation théorique, cette démarche a corroboré une dynamique d'adaptation « coping », des processus expérientiels et comportementaux favorisant ou pas des changements. Les médecins traitants ont été sollicités pour parler de leur perception de la relation. L'étude a illustré l'interaction symbolique qui existe entre des représentations « personnages » que chacun se fait de l'autre et qui peuvent bloquer ou faciliter la relation et la compréhension commune. Les médecins traitants ont pu exprimer de manière réaliste leurs limites et les difficultés de la relation transférentielle. A l'issu de cette étude, l'ACP, enrichi par d'autres modèles, est apparue comme un processus thérapeutique systémique qui peut être accessible à tout médecin généraliste, enseignable et faire l'objet de travaux de recherche complémentaires
Author: Alain Moreau (médecin).)
Publisher:
ISBN:
Category :
Languages : fr
Pages :
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Book Description
L'Approche Centrée Patient (ACP) permet sur le plan conceptuel la réalisation d'une démarche éducative vis-à-vis du patient diabétique de type 2. Mais la question de son fonctionnement se pose en pratique clinique de médecine générale. Dans le cadre d'une étude exploratoire qualitative phénoménologique, une Démarche Educative DEADIEM a été testée auprès de 10 patients diabétiques de type 2 inclus par 5 médecins généralistes pour en comprendre son fonctionnement. Cette démarche comprenait l'exploration de la perspective du patient, ce qui est VRAI (Vécu, Représentation, Attentes, Important) pour lui, une démarche explicative, des conseils hygiéno-diététiques adaptés et un objectif de compréhension commune avec le médecin avec évaluation à 3 mois de ses résultats. En confrontant les données du discours avec les modèles transthéorique et transactionnel par procédure de triangulation théorique, cette démarche a corroboré une dynamique d'adaptation « coping », des processus expérientiels et comportementaux favorisant ou pas des changements. Les médecins traitants ont été sollicités pour parler de leur perception de la relation. L'étude a illustré l'interaction symbolique qui existe entre des représentations « personnages » que chacun se fait de l'autre et qui peuvent bloquer ou faciliter la relation et la compréhension commune. Les médecins traitants ont pu exprimer de manière réaliste leurs limites et les difficultés de la relation transférentielle. A l'issu de cette étude, l'ACP, enrichi par d'autres modèles, est apparue comme un processus thérapeutique systémique qui peut être accessible à tout médecin généraliste, enseignable et faire l'objet de travaux de recherche complémentaires
Author: Frédéric Angleviel
Publisher: Presses Univ de Bordeaux
ISBN: 9782905081179
Category : Dissertations, Academic
Languages : fr
Pages : 294
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Book Description
Author: Corinne Grenier
Publisher: John Wiley & Sons
ISBN: 1786307073
Category : Business & Economics
Languages : en
Pages : 72
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Book Description
How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.
Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317
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Book Description
Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
Author: Pnina Fichman
Publisher: Rowman & Littlefield
ISBN: 0810891026
Category : Language Arts & Disciplines
Languages : en
Pages : 179
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Book Description
Dozens of books about Wikipedia are available, but they all focus on the English Wikipedia and assume an Anglo-Saxon perspective, while disregarding cultural and language variability or multi-cultural collaborative efforts. They address the impact of Wikipedia on society, processes of mass knowledge production, and the dynamics of the Wikipedia community. However, none of them focus on Wikipedia’s global features. This lack of attention presents a serious problem because more than 80% of Wikipedia articles are written in languages other than English---in fact, Wikipedia includes articles in 285 languages. Global Wikipedia: International and Cross-Cultural Issues in Online Collaboration is the first book to address this gap by focusing attention on the global, multilingual, and multicultural aspects of Wikipedia. The editors showcase research on Wikipedia, exploring a wide range of international and cross-cultural issues. Online global collaboration, coordination, and conflict management are examined in this rich socio technical environment. Special emphases include International and cross-cultural collaboration; Intercultural synergy on Wikimedia; Conflict and collaboration in editing international entries; Case studies of Chinese, Finnish, French, and Greek Wikipedias; and, Cross-cultural studies that compare more than one Wikipedia, focusing on content, structures, policies, contributions, interactions, processes, motivations, and challenges.
Author: Mirako Press
Publisher: Createspace Independent Publishing Platform
ISBN: 9781723229053
Category :
Languages : en
Pages : 104
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Book Description
This adorable music notebook is perfect for staffs, kids and musicians. The high-quality manuscript book includes 110 pages of 12 staves. Let exercise your composing skills with this well-designed music sketchbook! Enjoy!
Author: Andrew Lih
Publisher: Hachette Books
ISBN: 1401395856
Category : Computers
Languages : en
Pages : 290
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Book Description
"Imagine a world in which every single person on the planet is given free access to the sum of all human knowledge. That's what we're doing." --Jimmy Wales With more than 2,000,000 individual articles on everything from Aa! (a Japanese pop group) to Zzyzx, California, written by an army of volunteer contributors, Wikipedia is the #8 site on the World Wide Web. Created (and corrected) by anyone with access to a computer, this impressive assemblage of knowledge is growing at an astonishing rate of more than 30,000,000 words a month. Now for the first time, a Wikipedia insider tells the story of how it all happened -- from the first glimmer of an idea to the global phenomenon it's become. Andrew Lih has been an administrator (a trusted user who is granted access to technical features) at Wikipedia for more than four years, as well as a regular host of the weekly Wikipedia podcast. In The Wikipedia Revolution, he details the site's inception in 2001, its evolution, and its remarkable growth, while also explaining its larger cultural repercussions. Wikipedia is not just a website; it's a global community of contributors who have banded together out of a shared passion for making knowledge free. Featuring a Foreword by Wikipedia founder Jimmy Wales and an Afterword that is itself a Wikipedia creation.
Author: United Nations. Economic Commission for Europe
Publisher:
ISBN:
Category : Science
Languages : en
Pages : 240
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Book Description
Author: Laurence Kahn
Publisher: Taylor & Francis
ISBN: 1000630331
Category : Psychology
Languages : en
Pages : 157
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Book Description
What Nazism Did to Psychoanalysis explores the impact Nazism had on the evolution of psychoanalysis and tackles the enigma of the transformation of individual hate into mass psychosis and of the autocratic creation of a neo-reality. Addressing the effects of the Holocaust on the psychoanalytic world, this book does not focus on the suffering of the survivors but the analysis of the concrete mechanisms of destruction that affected language and thought, their impact on the practice of psychoanalysis and the defences that psychoanalysts tried to find against the linguistic, legal and symbolic chaos that struck the foundations of reality. Laurence Kahn discusses the struggle against the appropriation, by the Nazi language, of key terms such as demonic nature, drives, ideals and, above all, the Selbsterhaltungstrieb (the self-preservation drive), which became, with Hitler, the axis of the living space policy, the "Lebensraum". Covering key topics such as trauma, transgenerational issues, silence and secrecy and the depredation of culture, this is an essential work for psychoanalysts and anyone wishing to understand how strongly the development of psychoanalysis was affected by Nazism.
Author: Lawrence J. Brown
Publisher: Routledge
ISBN: 0429835817
Category : Psychology
Languages : en
Pages : 360
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Book Description
In this book, Lawrence J. Brown offers a contemporary perspective on how the mind transforms, and gives meaning to, emotional experience that arises unconsciously in the here-and-now of the clinical hour. Brown surveys the developments in theory and practice that follow from Freud’s original observations and traces this evolution from its conception to contemporary analytic field theory. Brown emphasizes that these unconscious transformational processes occur spontaneously, in the blink of an eye, through the "unconscious work" in which the analyst and patient are engaged. Though unconscious, these processes are accessible and the analyst must train himself to become aware of the subtle ways he is affected by the patient in the clinical moment. By paying attention to one’s reveries, countertransference manifestations and even supposed "wild" or extraneous thoughts, the analyst is able to obtain a glimpse of how his unconscious is transforming the ambient emotions of the session in order to formulate an interpretation. Brown casts a wide theoretical net in his exploration of these transformational processes and builds on the contributions of Freud, Theodor Reik, Bion, Ogden, the Barangers, Cassorla, Civitarese and Ferro. Bion’s theories of alpha function, transformations, dreaming and his clinical emphasis on the present moment are foundational to this book. Brown’s writing is clear and aims to describe the various theoretical ideas as plainly as possible. Detailed clinical material is given in most chapters to illustrate the theoretical perspectives. Brown applies this theory of transformational processes to a variety of topics, including the analyst’s receptivity, countertransference as transformation, the analytic setting, the paintings of J.M.W. Turner, "autistic transformations" and other clinical situations in the analysis of children and adults. Transformational Processes in Clinical Psychoanalysis will be of great interest to all psychoanalysts and psychoanalytic psychotherapists.
