{"id":5099,"date":"2015-02-11T14:24:23","date_gmt":"2015-02-11T13:24:23","guid":{"rendered":"http:\/\/chu-poitiers.ovh\/?p=5099"},"modified":"2015-09-16T14:30:25","modified_gmt":"2015-09-16T12:30:25","slug":"cafe-ethique-le-theme-de-la-sedation-profonde-a-fait-salle-comble","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/cafe-ethique-le-theme-de-la-sedation-profonde-a-fait-salle-comble\/","title":{"rendered":"Caf\u00e9 \u00e9thique : le th\u00e8me de la s\u00e9dation profonde a fait salle comble"},"content":{"rendered":"<p>Organis\u00e9e par <a href=\"http:\/\/www.espace-ethique-poitoucharentes.org\/\" target=\"_blank\">l&#8217;espace de r\u00e9flexion \u00e9thique r\u00e9gional <\/a>(ERER), cette soir\u00e9e avait pour th\u00e8me la s\u00e9dation profonde terminale. Elle s&#8217;interrogeait sur ce qu&#8217;elle est, ce qu&#8217;elle n&#8217;est pas et ce qu&#8217;elle pourrait \u00eatre. Plus de 250 personnes, dont des \u00e9tudiants et professionnels de sant\u00e9, des personnes engag\u00e9es dans la vie associative au service des malades et de leurs familles, mais aussi de personnes mobilis\u00e9es \u00e0 un titre ou \u00e0 un autre par cette probl\u00e9matique, avaient fait le d\u00e9placement, certains venant des Deux-S\u00e8vres, de Charente et de Charente-Maritime.<\/p>\n<p>C&#8217;est le Pr Roger Gil, directeur de l&#8217;ERER, qui a introduit la soir\u00e9e en pr\u00e9sentant le concept de s\u00e9dation profonde terminale, pr\u00e9sent\u00e9 comme un nouveau droit dans le rapport sur la fin de vie r\u00e9dig\u00e9 par Alain Claeys et Jean L\u00e9onetti. Le Dr Laurent Montaz, responsable du service des soins palliatifs au CHU de Poitiers, a poursuivi en expliquant ce qu&#8217;est la s\u00e9dation profonde terminale et comment on y arrive. Nadine Poupin, infirmi\u00e8re des soins palliatifs du CHU, a insist\u00e9 sur le r\u00f4le des soignants pendant cette p\u00e9riode de la s\u00e9dation profonde. \u00ab Ce n&#8217;est pas parce que le patient est endormi qu&#8217;on ne s&#8217;occupe plus de lui. Nous continuons \u00e0 lui prodiguer des soins, \u00e0 s&#8217;occuper de sa peau, de sa bouche, de tout ce qui pourrait g\u00e9n\u00e9rer de l&#8217;inconfort sans oublier de lui parler&#8230; Et de communiquer avec sa famille aussi. \u00bb<\/p>\n<h3>Complexit\u00e9 de la fin de vie<\/h3>\n<p>Un accompagnement que le Dr Isabelle Migeon-Duballet, responsable adjointe du p\u00f4le de g\u00e9riatrie au CHU, confront\u00e9e \u00e0 des souffrances r\u00e9fractaires chez des personnes tr\u00e8s \u00e2g\u00e9es, d\u00e9crit comme attentif et exigeant en termes de comp\u00e9tences en soins palliatifs. En r\u00e9animation, le Pr Ren\u00e9 Robert, chef de ce service au CHU, insiste sur la diversit\u00e9 des situations de fin de vie. Il propose une r\u00e9flexion sur la situation du malade chez qui tous les traitements ont \u00e9t\u00e9 interrompus. Que faire si la vie se prolonge au-del\u00e0 de quelques heures ou d&#8217;un jour ou deux ?<\/p>\n<p>Enfin, Ma\u00eft\u00e9 Duballet, infirmi\u00e8re coordinatrice du r\u00e9seau de sant\u00e9 de la Vienne, est venue faire part de son exp\u00e9rience d&#8217;infirmi\u00e8re \u00e0 domicile et des liens qu&#8217;elle entretenait avec l&#8217;h\u00f4pital et l&#8217;unit\u00e9 de soins palliatifs mobile.<\/p>\n<p>Toutes ces interventions ont suscit\u00e9 beaucoup de questions, la premi\u00e8re pos\u00e9e par le Pr Bertrand Debaene, pr\u00e9sident de la commission m\u00e9dicale d&#8217;\u00e9tablissement, suivie de r\u00e9flexions, d&#8217;interrogations et de t\u00e9moignages de beaucoup de participants.<\/p>\n<p>Il revenait au Pr Roger Gil de conclure cette rencontre en faisant la synth\u00e8se des prises de parole des intervenants et de l&#8217;assistance et en revenant sur la complexit\u00e9 de la fin de vie, mais aussi de ces instants ultimes qui interrogent sur leur sens ou leur non sens et qui demandent aux \u00e9quipes de soins, au-del\u00e0 des concepts techniques entourant la s\u00e9dation, d&#8217;apprendre \u00e0 percevoir et \u00e0 accompagner, derri\u00e8re le rideau d&#8217;une alt\u00e9ration de la vigilance, ce passage crucial des souffrances \u00e0 l&#8217;apaisement.<\/p>\n<p><a href=\"http:\/\/www.espace-ethique-poitoucharentes.org\/\" target=\"_blank\">Voir le site de l&#8217;espace de r\u00e9flexion \u00e9thique r\u00e9gional.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La salle de conf\u00e9rence Jean-Bernard, sur le site de la Mil\u00e9trie, n&#8217;\u00e9tait pas assez grande pour accueillir le public venu nombreux \u00e9couter\u2026","protected":false},"author":1,"featured_media":5100,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[34,1],"tags":[],"class_list":["post-5099","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-soins-palliatifs","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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