.dbi-art-b229ac50{margin:0;background:#f8f9fc}.dossier-back{padding:17px 24px;font:14px Arial;background:#edf0fa}.dbi-art-b229ac50 .dossier-back a{color:#41459b}.communication-article{--primary-blue:#5e5ed7;--dark-blue:#4456ac;--teal:#a9e2e4;--yellow:#ffeca7;--pink:#e73469;--light-gray:#f8f9fc;--text-color:#2f3b4b;--border-color:#dce3ed;font-family:'Poppins',Arial,sans-serif;line-height:1.7;color:var(--text-color);background:var(--light-gray);overflow-wrap:break-word;font-size:16px}
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.communication-article .article-hero-curve{position:absolute;bottom:-1px;width:100%;height:45px;background:var(--light-gray);clip-path:ellipse(100% 100% at 50% 100%)}.communication-article .article-body{background:white;margin:-29px auto 0;max-width:1200px;position:relative;border-radius:22px 22px 0 0;padding:42px 0 50px}.dbi-art-b229ac50 .communication-article .intro-block{background:linear-gradient(135deg,#f6f7fe,#f0f6f8);border-left:5px solid var(--primary-blue);padding:30px 34px;border-radius:18px}.communication-article .intro-block p:last-child{margin:0}.dbi-art-b229ac50 .communication-article .stats-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:19px;margin:32px 0}.communication-article .stat-card{padding:24px 18px;text-align:center;border-radius:16px;border:1px solid var(--border-color);box-shadow:0 9px 28px #4b4bb30b}.dbi-art-b229ac50 .communication-article .stat-card 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30px;background:#fff4cc;border:1px solid #eadba2;border-radius:17px;margin:30px 0}.communication-article .conseil-card p:last-child,.communication-article .tip-box p:last-child{margin-bottom:0}.dbi-art-b229ac50 .communication-article .product-card{display:grid;grid-template-columns:230px 1fr;align-items:center;gap:30px;padding:28px;border:1px solid #dde2f4;background:linear-gradient(130deg,#f6f6ff,#f3fbfc);border-radius:21px;margin:35px 0}.communication-article .product-card img{width:100%;height:auto;display:block;border-radius:15px;aspect-ratio:1;object-fit:contain}.dbi-art-b229ac50 .communication-article .product-card h3{margin-top:10px;font-size:1.5rem}.communication-article .small-label{text-transform:uppercase;letter-spacing:.07em;font-size:.73rem;font-weight:800;color:#4a55a8}.dbi-art-b229ac50 .communication-article .product-meta{font-size:.84rem;color:#526078}.communication-article .btn-purple{display:inline-block;padding:12px 23px;border-radius:30px;background:#5151ba;color:#fff;text-decoration:none;font-weight:700;font-size:.9rem}.dbi-art-b229ac50 .communication-article .table-scroll{overflow-x:auto;margin:25px 0}.communication-article table{border-collapse:collapse;width:100%;min-width:540px;font-size:.92rem}.dbi-art-b229ac50 .communication-article caption{text-align:left;font-weight:700;margin:0 0 12px;color:#424e6a}.communication-article th,.communication-article td{padding:17px 16px;text-align:left;vertical-align:top;border-bottom:1px solid #dce3ed}.dbi-art-b229ac50 .communication-article th{background:#ebecfc;color:#3e428e}.communication-article tr:nth-child(even){background:#f8fafc}.dbi-art-b229ac50 .communication-article .tip-box{background:#fff0f4;border:1px solid #efbfd0;padding:24px 28px;border-radius:16px;margin:28px 0}.communication-article .tip-box strong{color:#8c3154;display:block;margin-bottom:10px}.dbi-art-b229ac50 .communication-article .questions-card{border:1px solid #d5dfee;background:#f7f9fd;border-radius:16px;padding:20px 27px}.communication-article .questions-card li{padding:6px 0}.dbi-art-b229ac50 .communication-article .questions-card li::marker{font-weight:800;color:#5454bd}.communication-article .methods-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:18px;margin:28px 0}.dbi-art-b229ac50 .communication-article .method-card{padding:23px;background:#f4f6ff;border:1px solid #d9dff5;border-radius:16px}.communication-article .method-card h3{font-size:1.17rem;margin:16px 0}.dbi-art-b229ac50 .communication-article .method-card p{font-size:.94rem}.communication-article .method-number{display:inline-grid;place-items:center;width:38px;height:38px;background:#e0e2fb;color:#4b4bb2;border-radius:11px;font-weight:800}.dbi-art-b229ac50 .communication-article .evaluation-tools{padding:26px 30px;border:2px solid #b4dce0;border-radius:16px;margin:28px 0}.communication-article .training-card{display:grid;grid-template-columns:1fr 1.2fr;gap:28px;align-items:center;padding:28px;background:linear-gradient(135deg,#eef0ff,#e8f6f7);border-radius:22px;margin:55px 0}.dbi-art-b229ac50 .communication-article .training-card img{display:block;width:100%;height:auto;border-radius:15px}.communication-article .training-card h2{font-size:1.5rem;margin:12px 0 20px;border:0;padding:0}.dbi-art-b229ac50 .communication-article .training-card p{font-size:.94rem}.communication-article .faq-item{border:1px solid var(--border-color);border-radius:12px;margin:14px 0;overflow:hidden}.dbi-art-b229ac50 .communication-article .faq-item summary{cursor:pointer;padding:20px 23px;font-weight:700;color:#444b91}.communication-article .faq-item[open] summary{background:#f3f4fc;border-bottom:1px solid var(--border-color)}.dbi-art-b229ac50 .communication-article .faq-item>div{padding:22px 23px}.communication-article .faq-item p{margin:0}.dbi-art-b229ac50 .communication-article 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solid var(--border-color);padding-top:25px;margin-top:28px}.communication-article .article-tags span{background:#f0f1fb;color:#444ca3;padding:7px 13px;border-radius:25px;font-size:.8rem}
.dbi-art-b229ac50 .communication-article figure{margin:0}.communication-article figcaption{font-size:.8rem;line-height:1.6;color:#5d6881;text-align:center;padding:12px 8px 0}.dbi-art-b229ac50 .communication-article .souvenir-showcase{display:grid;grid-template-columns:1.08fr 1fr;gap:32px;align-items:center;background:linear-gradient(135deg,#f8f4ff,#f1f9f9);padding:27px;border:1px solid #e1e3f2;border-radius:20px;margin:35px 0}.communication-article .real-page img{display:block;width:100%;height:auto;border-radius:10px;box-shadow:0 10px 25px #30305d16}.dbi-art-b229ac50 .communication-article .souvenir-notes h3{font-size:1.5rem;margin-top:12px}.communication-article .exercise-showcase{max-width:780px;margin:35px auto}.dbi-art-b229ac50 .communication-article .exercise-showcase img{display:block;width:100%;height:auto;border-radius:16px;box-shadow:0 9px 28px #30305d17}.communication-article .series-showcase{max-width:500px;margin:30px auto 25px}.dbi-art-b229ac50 .communication-article .series-showcase img{display:block;width:100%;height:auto;border-radius:16px}
@media (max-width:760px){.dbi-art-b229ac50 .communication-article .container{padding:0 17px}.dbi-art-b229ac50 .communication-article .article-hero{padding:30px 0 75px}.dbi-art-b229ac50 .communication-article .article-body{padding:25px 0}.dbi-art-b229ac50 .communication-article .intro-block{padding:22px}.dbi-art-b229ac50 .communication-article h2{font-size:1.55rem;margin-top:40px}.dbi-art-b229ac50 .communication-article .stats-grid{grid-template-columns:1fr;gap:11px}.dbi-art-b229ac50 .communication-article .stat-card{padding:15px}.dbi-art-b229ac50 .communication-article .stat-card strong{font-size:1.3rem}.dbi-art-b229ac50 .communication-article .product-card, .dbi-art-b229ac50 .communication-article .training-card, .dbi-art-b229ac50 .communication-article .methods-grid, .dbi-art-b229ac50 .communication-article .souvenir-showcase{grid-template-columns:1fr}.dbi-art-b229ac50 .communication-article .product-card, .dbi-art-b229ac50 .communication-article .training-card, .dbi-art-b229ac50 .communication-article .souvenir-showcase{padding:21px}.dbi-art-b229ac50 .communication-article .product-card .product-visual{max-width:220px;margin:auto}.dbi-art-b229ac50 .communication-article .cta-box{padding:28px 20px}.dbi-art-b229ac50 .communication-article .cta-buttons{flex-direction:column;align-items:center}.dbi-art-b229ac50 .communication-article .article-meta{gap:10px;flex-direction:column}}.dbi-art-b229ac50 .communication-article a.btn-purple, .dbi-art-b229ac50 .communication-article a.btn-purple:link, .dbi-art-b229ac50 .communication-article a.btn-purple:visited, .dbi-art-b229ac50 .communication-article a.btn-purple:hover, .dbi-art-b229ac50 .communication-article a.btn-purple:focus, .dbi-art-b229ac50 .communication-article a.btn-purple:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #4d46b5 !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-purple:hover,
.communication-article a.btn-purple:focus-visible,
.communication-article a.btn-purple:active {
background: #39348c !important;
border-color: #39348c !important;
}.dbi-art-b229ac50 .communication-article a.btn-white, .dbi-art-b229ac50 .communication-article a.btn-white:link, .dbi-art-b229ac50 .communication-article a.btn-white:visited, .dbi-art-b229ac50 .communication-article a.btn-white:hover, .dbi-art-b229ac50 .communication-article a.btn-white:focus, .dbi-art-b229ac50 .communication-article a.btn-white:active{
color: #39348c !important;
-webkit-text-fill-color: #39348c !important;
background: #ffffff !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-white:hover,
.communication-article a.btn-white:focus-visible {
background: #f0f1ff !important;
border-color: #f0f1ff !important;
}.dbi-art-b229ac50 .communication-article a.btn-outline, .dbi-art-b229ac50 .communication-article a.btn-outline:link, .dbi-art-b229ac50 .communication-article a.btn-outline:visited, .dbi-art-b229ac50 .communication-article a.btn-outline:hover, .dbi-art-b229ac50 .communication-article a.btn-outline:focus, .dbi-art-b229ac50 .communication-article a.btn-outline:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-outline:hover,
.communication-article a.btn-outline:focus-visible,
.communication-article a.btn-outline:active {
background: #39348c !important;
}.dbi-art-b229ac50 .communication-article a.btn-purple *, .dbi-art-b229ac50 .communication-article a.btn-white *, .dbi-art-b229ac50 .communication-article a.btn-outline *{
color: inherit !important;
-webkit-text-fill-color: inherit !important;
opacity: 1 !important;
}
.communication-article a.btn-purple,
.communication-article a.btn-white,
.communication-article a.btn-outline {
display: inline-flex;
align-items: center;
justify-content: center;
max-width: 100%;
min-height: 44px;
white-space: normal;
text-align: center;
line-height: 1.5;
}
.dbi-art-b229ac50 .communication-article a.btn-purple:focus-visible, .dbi-art-b229ac50 .communication-article a.btn-white:focus-visible, .dbi-art-b229ac50 .communication-article a.btn-outline:focus-visible{
outline: 3px solid #232645 !important;
outline-offset: 4px;
}
.communication-article .cta-box a:focus-visible {
outline-color: #ffeca7 !important;
}.dbi-art-b229ac50 .communication-article .multi-products{display:grid;grid-template-columns:1fr 1fr;gap:18px;margin:30px 0}.communication-article .multi-products .product-card{display:block;margin:0;padding:24px}.dbi-art-b229ac50 .communication-article .multi-products .product-visual{display:block;max-width:175px;margin:0 auto 18px}.communication-article .visual-grid{display:grid;grid-template-columns:1fr 1fr;gap:22px;align-items:start;margin:35px 0}.dbi-art-b229ac50 .communication-article .visual-grid figure{padding:16px;background:#f5f7fc;border:1px solid #e0e5ef;border-radius:17px}.communication-article .visual-grid img{width:100%;height:auto;display:block;border-radius:10px}.dbi-art-b229ac50 .communication-article .support-links{display:flex;gap:9px;flex-wrap:wrap;margin:20px 0 30px}.communication-article .support-links a{padding:7px 13px;border-radius:22px;background:#eef1fa;text-decoration:none;font-size:.84rem;font-weight:600;color:#3b428e}.dbi-art-b229ac50 .communication-article .sources-mini{margin:35px 0 0;font-size:.85rem;color:#59667c}.communication-article .sources-mini h2{font-size:1.1rem;border:0;padding:0;margin:15px 0}.dbi-art-b229ac50 .communication-article .sources-mini p{font-size:.85rem}.communication-article .product-card p{font-size:.93rem}.dbi-art-b229ac50 .communication-article .article-body{padding-bottom:40px}.communication-article .ideas-list li{margin-bottom:18px}@media (max-width:760px){.dbi-art-b229ac50 .communication-article .multi-products, .dbi-art-b229ac50 .communication-article .visual-grid{grid-template-columns:1fr}.dbi-art-b229ac50 .communication-article .visual-grid{gap:17px}}.dbi-art-b229ac50 .communication-article .product-card{grid-template-columns:minmax(250px,.9fr) 1.2fr}
.communication-article .product-card .product-visual{display:block;padding:10px;background:#fff;border-radius:16px}
.dbi-art-b229ac50 .communication-article .product-card img{aspect-ratio:auto;max-height:390px;object-fit:contain}
.communication-article .sequence-showcase{margin:38px 0;padding:23px;border:1px solid #dbe2ef;background:#f5f8fc;border-radius:20px}
.dbi-art-b229ac50 .communication-article .sequence-showcase img{display:block;width:100%;max-height:540px;object-fit:contain;height:auto;border-radius:12px}
.communication-article .sequence-showcase figcaption{max-width:800px;margin:auto}
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.communication-article .sources-mini{margin-top:32px;padding-top:16px;border-top:1px solid #dce3ed}
.dbi-art-b229ac50 .communication-article .sources-mini h2{border:0;font-size:1.12rem;padding:0;margin:16px 0}
.communication-article .sources-mini p,.communication-article .sources-mini li{font-size:.84rem;line-height:1.75}
.dbi-art-b229ac50 .communication-article .sources-mini li{margin:7px 0}
.communication-article .intro-block+.contents{margin-top:26px}
@media (max-width:760px){.dbi-art-b229ac50 .communication-article .product-card{grid-template-columns:1fr}.dbi-art-b229ac50 .communication-article .product-card .product-visual{max-width:450px;width:100%}.dbi-art-b229ac50 .communication-article .sequence-showcase{padding:16px}}
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section[id]{scroll-margin-top:30px}.dbi-art-b229ac50 .communication-article .article-hero{background:linear-gradient(135deg,#5e5ed7,#5268c9);color:white;padding:48px 0 100px;position:relative;overflow:hidden}.communication-article .article-breadcrumb{display:flex;gap:11px;flex-wrap:wrap;font-size:.8rem;margin-bottom:27px}.dbi-art-b229ac50 .communication-article .article-breadcrumb a{color:white}.communication-article .article-category{display:inline-block;background:var(--teal);color:#253e78;padding:8px 17px;border-radius:30px;font-size:.83rem;font-weight:700}.dbi-art-b229ac50 .communication-article h1{font-size:clamp(2rem,4.6vw,3.25rem);font-weight:800;margin:23px 0 25px;color:white;max-width:1010px}.communication-article .hl{color:var(--yellow)}.dbi-art-b229ac50 .communication-article .hero-intro{font-size:1.1rem;max-width:860px;line-height:1.8}.communication-article .article-meta{display:flex;gap:20px;flex-wrap:wrap;font-size:.8rem;opacity:.95;margin-top:24px}.dbi-art-b229ac50 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Support Situations
End of life: supporting the presence and expression of preferences
When speech becomes rare or absent at the end of life, loved ones may seek ways to remain present and helpful. It is not necessary to produce continuous conversation. Paying attention to preferences, comfort, and familiar means of communication can help prepare for the meeting with the team.
The DYNSEO program addresses these situations. Visual supports like MY DICTIONARY should only be considered if they have real utility for the person and are appropriate for the moment, without imposing a new learning effort on them.
Ask the team what helps the person
Inquire about known means of communication, visiting preferences, and comfort conditions. Needs can evolve rapidly. Professionals accompanying the situation can guide loved ones on how to offer appropriate presence.
You can introduce yourself, announce your presence, and leave space for a reaction, without necessarily expecting words. The person should remain the center of the exchange, even when loved ones need to talk with the team.
Keep familiar means when they are useful
An object, a photo, or a previously used support can sometimes help express a preference. The interest is verified in the situation. It may also be preferable to set the support aside if its use seems to require too much effort or no longer corresponds to the person.
MY DICTIONARY is mentioned here as a possibility among known means, not as an activity to be carried out. The goal is to facilitate a useful message, with appropriate confirmation modalities.
Preserve a place for silence and pause
A meeting may involve silence. Loved ones can simply announce that they will stay for a moment, depending on what suits the person and the organization of support. It is not necessary to fill every pause with a new request.
A question to prepare with the team
How can the person indicate that they want presence, a pause, or a change? The answers depend on their known means; they cannot be inferred from an isolated gesture or the absence of reaction.
Welcome observations without prompting further
A change in posture, an expression, or a sound may deserve to be noted. Describe what you observe and in what context. Professionals can examine questions of comfort or health; loved ones do not have to establish the clinical meaning of the reaction on their own.
Physical contact is not automatically desired. Known preferences and appropriate situational checks should guide what is proposed, with the team. Presence can also come through voice or simple proximity when suitable.
Supporting loved ones in their role
Loved ones can provide insights into the person's history, preferences, and means of communication. They can also express their own questions to the team, without being tasked with decoding all reactions.
The DYNSEO training offers professionals work on posture and end-of-life situations. It can support a reflective approach to care that remains aligned with the care plan and the person's preferences.
Frequently asked questions
Should a visual activity be proposed during each visit?
The support is only useful if it suits the person and the moment. An announced and appropriate presence can also occur without an activity or expected response.
Can a reaction be interpreted as a certain wish?
An isolated reaction can remain ambiguous. Describe it and rely on known means and the team to verify what can be verified.
Is touch always soothing?
Preferences and situations vary. Contact should not be assumed to be desired; the team helps to find what suits the person.
Prepare your next communication situation
Choose a concrete situation, then the posture references and resources suitable for the person. The training and MY DICTIONARY can support this preparation.
For further reading
- HAS — Supporting individuals at the end of life and their loved ones : reference resource on support or communication.
- Official MY DICTIONARY page : features and presentation of resources.
- DYNSEO training program : content and modalities of the course.
The situations and examples proposed are preparation pathways to adapt with the person and their communication partners.
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