{"id":449348,"date":"2025-12-19T20:21:51","date_gmt":"2025-12-19T19:21:51","guid":{"rendered":"https:\/\/www.dynseo.com\/working-as-a-team-from-home-avs-ide-physio-who-does-what\/"},"modified":"2026-01-05T19:20:25","modified_gmt":"2026-01-05T18:20:25","slug":"working-as-team-from-home-care-assistant-nurse-physiotherapist-who-does-what","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/working-as-team-from-home-care-assistant-nurse-physiotherapist-who-does-what\/","title":{"rendered":"Working as a team from home: Care assistant\u2013nurse\u2013physiotherapist, who does what?"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML v8.4&#8243; _builder_version=&#8221;4.16&#8243;][et_pb_row][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243;][et_pb_code admin_label=&#8221;HTML stylis\u00e9&#8221;]<link 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.dynseo-button-wrap{margin:20px 0}.dynseo-article .dynseo-button{display:block;text-align:center;padding:14px 25px}.dynseo-article .dynseo-cta{padding:25px 20px;margin:30px 0}.dynseo-article .dynseo-cta h3{font-size:1.3rem}.dynseo-article .dynseo-intro{padding:15px 18px;margin:25px 0;font-size:1rem}.dynseo-article .dynseo-tip-box{padding:20px;margin:25px 0}.dynseo-article blockquote{padding:20px;margin:25px 0}.dynseo-article .section-divider{margin:40px 0;font-size:1.4rem;letter-spacing:12px}}\n@media(max-width:480px){.dynseo-article{font-size:15px;line-height:1.7}.dynseo-article h2{font-size:1.3rem;margin:35px 0 18px;padding-bottom:10px}.dynseo-article h3{font-size:1.1rem}.dynseo-article p{font-size:.95rem}.dynseo-article .dynseo-toc{padding:20px;margin:25px 0}.dynseo-article .dynseo-toc .toc-title{font-size:1.1rem;margin-bottom:15px}.dynseo-article .dynseo-toc li{padding:10px 12px;font-size:.9rem}.dynseo-article .dynseo-game-card{padding:18px;margin:20px 0}.dynseo-article .dynseo-game-card-image img{max-width:150px}.dynseo-article .dynseo-game-card-content h4{font-size:1.05rem}.dynseo-article .dynseo-game-card-desc{font-size:.9rem}.dynseo-article .dynseo-feature-card{padding:18px}.dynseo-article .dynseo-feature-card img{max-width:80px}.dynseo-article .dynseo-feature-card h4{font-size:1rem}.dynseo-article .dynseo-feature-card p{font-size:.85rem}.dynseo-article .dynseo-button{padding:12px 20px;font-size:.95rem}.dynseo-article .dynseo-cta{padding:20px 18px}.dynseo-article .dynseo-cta h3{font-size:1.15rem}.dynseo-article .dynseo-cta p{font-size:.9rem}.dynseo-article .dynseo-intro{padding:12px 15px;font-size:.95rem}.dynseo-article .dynseo-tip-box{padding:18px}.dynseo-article .styled-list li,.dynseo-article ul li{padding-left:22px;margin-bottom:10px;font-size:.95rem}.dynseo-article .styled-list li::before,.dynseo-article ul li::before{width:8px;height:8px;top:7px}}\n<\/style>\n<div class=\"dynseo-article\">\n<div class=\"dynseo-intro\"><pee>title: Working in a team at home: coordination AVS, IDE, physio and interveners<\/pee>\n<pee>description: Complete guide to understanding and optimizing multidisciplinary team work at home. Roles of the AVS, IDE, physio, occupational therapist: who does what, how to coordinate, transmit effectively and offer coherent support.<\/pee>\n<pee>keywords: team work home, AVS home help, IDE home nurse, home physiotherapist, coordination interveners, multidisciplinary team, information transmission, home help<\/pee>\n<pee>[\/META]<\/pee>\n<pee>home help, team work, coordination, AVS, IDE, physiotherapist, occupational therapist, transmission, multidisciplinary, health professionals<\/pee>\n<pee>[\/TAGS]<\/pee>\n<pee><em>Reading time: 22 minutes<\/em><\/pee>\n<\/a>\n<pee>&#8220;The nurse arrives while I am washing Mr. Dubois, we get in each other&#8217;s way.&#8221; &#8220;The physio changed the exercises, but no one informed me.&#8221; &#8220;Who should monitor medication intake? Me or the IDE?&#8221; &#8220;The family tells me one thing, the nurse tells me another, I don&#8217;t know who to listen to anymore.&#8221;<\/pee>\n<pee>Keeping an elderly or dependent person at home often requires the intervention of several professionals: social life support assistant (AVS), state-qualified nurse (IDE), physiotherapist, occupational therapist, attending physician. Each has their role, skills, intervention scope. But on the ground, boundaries can seem blurry, information gets lost, and coordination becomes a puzzle.<\/pee>\n<pee>However, a well-coordinated team makes all the difference: better quality care, enhanced safety, fewer errors, and above all, a consistent support that reassures the person and their family.<\/pee>\n<pee>This guide explains precisely who does what at home, how to effectively coordinate interventions, transmit essential information, and work as a team even remotely.<\/pee>\n<pee><\/pee><\/div>\n<nav class=\"dynseo-toc\">\n<div class=\"toc-title\">\ud83d\udccb Table of Contents<\/div>\n<ol>\n<li style=\"border-left:4px solid #ffeca7\"><a href=\"#section-1\">Table of Contents<\/a><\/li>\n<li style=\"border-left:4px solid #e73469\"><a href=\"#section-2\">The different home interveners {#intervenants}<\/a><\/li>\n<li style=\"border-left:4px solid #a9e2e4\"><a href=\"#section-3\">Who does what: role distribution {#repartition-roles}<\/a><\/li>\n<li style=\"border-left:4px solid #5e5ed7\"><a href=\"#section-4\">Coordinate interventions {#coordination}<\/a><\/li>\n<li style=\"border-left:4px solid #5268c9\"><a href=\"#section-5\">Transmission and communication tools {#outils-transmission}<\/a><\/li>\n<li style=\"border-left:4px solid #ffeca7\"><a href=\"#section-6\">Handling complex situations {#situations-complexes}<\/a><\/li>\n<li style=\"border-left:4px solid #e73469\"><a href=\"#section-7\">Building a real home team {#construire-equipe}<\/a><\/li>\n<li style=\"border-left:4px solid #a9e2e4\"><a href=\"#section-8\">Testimonials<\/a><\/li>\n<li style=\"border-left:4px solid #5e5ed7\"><a href=\"#section-9\">Conclusion: A united team for better support<\/a><\/li>\n<\/ol>\n<\/nav>\n<section class=\"dynseo-section\">\n<h2 id=\"section-1\">Table of Contents<\/h2>\n<pee>1. <a href=\"#intervenants\" target=\"_blank\">The different home interveners<\/a><\/pee>\n<pee>2. <a href=\"#repartition-roles\" target=\"_blank\">Who does what: role distribution<\/a><\/pee>\n<pee>3. <a href=\"#coordination\" target=\"_blank\">Coordinate interventions<\/a><\/pee>\n<pee>4. <a href=\"#outils-transmission\" target=\"_blank\">Transmission and communication tools<\/a><\/pee>\n<pee>5. <a href=\"#situations-complexes\" target=\"_blank\">Handling complex situations<\/a><\/pee>\n<pee>6. <a href=\"#construire-equipe\" target=\"_blank\">Building a real home team<\/a><\/pee>\n<pee><\/pee>\n<\/section>\n<section class=\"dynseo-section\">\n<h2 id=\"section-2\">The different home interveners {#intervenants}<\/h2>\n<h3>Social Life Support Assistant (AVS) or home helper<\/h3>\n<pee><strong>Main role: Help with essential acts of daily life.<\/strong><\/pee>\n<pee><strong>Missions:<\/strong><\/pee>\n<ul class=\"styled-list\">\n<li>Help with bathing (excluding nursing acts)<\/li>\n<li>Dressing, undressing<\/li>\n<li>Preparation and help with meals<\/li>\n<li>Assistance with mobility in the home<\/li>\n<li>Housekeeping, shopping<\/li>\n<li>Social support, stimulation, connection<\/li>\n<li>Monitoring general condition and alerting if changes<\/li>\n<pee><strong>Training:<\/strong> State Diploma of Educational and Social Accompaniment (DEAES) or Professional Title of Family Life Assistant (ADVF).<\/pee>\n<pee><strong>Cannot:<\/strong><\/pee>\n<li>Administer medications (except with authorization)<\/li>\n<li>Perform nursing care (dressings, injections)<\/li>\n<li>Diagnose, medically evaluate<\/li>\n<h3>State-qualified nurse (IDE)<\/h3>\n<pee><strong>Main role: Nursing care on medical prescription.<\/strong><\/pee>\n<pee><strong>Missions:<\/strong><\/pee>\n<li>Administration of medications (injections, infusions)<\/li>\n<li>Dressings, wound care<\/li>\n<li>Monitoring chronic pathologies (diabetes, heart failure)<\/li>\n<li>Sampling (blood tests, urinalysis)<\/li>\n<li>Monitoring vital signs (blood pressure, pulse, temperature)<\/li>\n<li>Therapeutic education of the patient and family<\/li>\n<li>Coordination of the care pathway<\/li>\n<pee><strong>Training:<\/strong> State Diploma of Nurse (Bachelor&#8217;s degree).<\/pee>\n<pee><strong>Interventions:<\/strong> On medical prescription only (except surveillance and education acts).<\/pee>\n<h3>Physiotherapist<\/h3>\n<pee><strong>Main role: Rehabilitation, maintenance and improvement of mobility.<\/strong><\/pee>\n<pee><strong>Missions:<\/strong><\/pee>\n<li>Rehabilitation post-surgery, fracture, stroke<\/li>\n<li>Articular mobilization exercises, muscle strengthening<\/li>\n<li>Fall prevention (balance, proprioception)<\/li>\n<li>Lymphatic drainage, respiratory physiotherapy<\/li>\n<li>Home adaptation advice for mobility<\/li>\n<pee><strong>Training:<\/strong> Professional Title of Masseur-Physiotherapist (Master&#8217;s degree).<\/pee>\n<pee><strong>Interventions:<\/strong> On medical prescription, usually for a fixed duration.<\/pee>\n<h3>Occupational Therapist<\/h3>\n<pee><strong>Main role: Adapting the environment and activities to preserve autonomy.<\/strong><\/pee>\n<pee><strong>Missions:<\/strong><\/pee>\n<li>Assessment of autonomy in daily life activities<\/li>\n<li>Recommendations for technical aids (support bars, WC riser, walker)<\/li>\n<li>Home adaptation (obstacle removal, security)<\/li>\n<li>Re-education of daily gestures (grasping, dressing)<\/li>\n<li>Cognitive and motor stimulation<\/li>\n<pee><strong>Training:<\/strong> State Diploma of Occupational Therapist (Bachelor&#8217;s degree).<\/pee>\n<pee><strong>Interventions:<\/strong> Often occasional (evaluation + recommendations), sometimes regular follow-up.<\/pee>\n<h3>Attending Physician<\/h3>\n<pee><strong>Main role: Prescription, diagnosis, medical coordination.<\/strong><\/pee>\n<pee><strong>Missions:<\/strong><\/pee>\n<li>Diagnosis, prescription of treatments<\/li>\n<li>Regular medical follow-up<\/li>\n<li>Prescribing paramedical interventions (IDE, physio, occupational therapist)<\/li>\n<li>Coordination with specialists<\/li>\n<li>Issuance of certificates (GIR, APA, disability)<\/li>\n<pee><strong>Coordinates the medical team<\/strong>, but not always present daily at home.<\/pee>\n<h3>Other possible interveners<\/h3>\n<pee><strong>Speech therapist:<\/strong> Swallowing disorders, aphasia, rehabilitation post-stroke.<\/pee>\n<pee><strong>Psychologist:<\/strong> Psychological support, bereavement, illness counseling.<\/pee>\n<pee><strong>Dietitian:<\/strong> Nutritional advice, diet adaptation (diabetes, malnutrition).<\/pee>\n<pee><strong>Social worker:<\/strong> Assistance with administrative procedures, rights, financial aids.<\/pee>\n<pee><strong>Meal delivery, teleassistance:<\/strong> Complementary safety and comfort services.<\/pee>\n<\/a>\n<pee><\/pee>\n<\/section>\n<section class=\"dynseo-section\">\n<h2 id=\"section-3\">Who does what: role distribution {#repartition-roles}<\/h2>\n<h3>Bathing: who intervenes?<\/h3>\n<pee><strong>Complete bed bath (bedridden person):<\/strong><\/pee>\n<li><strong>IDE<\/strong> if surveillance acts necessary (wounds, catheters, stomas)<\/li>\n<li><strong>AVS<\/strong> if simple bathing, no care<\/li>\n<pee><strong>Bathing at a sink or shower (partially autonomous person):<\/strong><\/pee>\n<li><strong>AVS<\/strong>: Help, stimulation, security<\/li>\n<li><strong>IDE<\/strong> if medical surveillance necessary (e.g.: diabetic patient with foot wounds)<\/li>\n<pee><strong>Rule:<\/strong> If medical aspect (wounds, vital signs monitoring) = IDE. If simple help = AVS.<\/pee>\n<h3>Dressing<\/h3>\n<pee><strong>AVS<\/strong>: Help with dressing, clothing choice, adaptation.<\/pee>\n<pee><strong>Occupational Therapist<\/strong>: Advice to facilitate dressing (adapted clothes, techniques).<\/pee>\n<pee><strong>Physio<\/strong>: If fine motor skills or shoulder\/arm mobility rehabilitation necessary.<\/pee>\n<h3>Meals<\/h3>\n<pee><strong>Meal preparation:<\/strong> AVS (shopping, cooking).<\/pee>\n<pee><strong>Help with feeding:<\/strong> AVS (cutting, helping to eat).<\/pee>\n<pee><strong>Swallowing monitoring:<\/strong> Speech therapist (if swallowing disorders).<\/pee>\n<pee><strong>Diet adaptation:<\/strong> Dietitian (dietary prescriptions).<\/pee>\n<pee><strong>Gastric tube placement, enteral feeding:<\/strong> IDE (nursing act).<\/pee>\n<h3>Medications<\/h3>\n<pee><strong>Administration of medications:<\/strong><\/pee>\n<li><strong>IDE<\/strong>: Injections, infusions, complex medications, monitoring.<\/li>\n<li><strong>AVS<\/strong>: Can help with oral medication intake prepared by IDE or family (pill organizer) ONLY if written authorization and training. <strong>Cannot prepare or decide on medications.<\/strong><\/li>\n<pee><strong>Strict rule:<\/strong> AVS does NOT perform nursing acts. If in doubt, it&#8217;s the IDE.<\/pee>\n<h3>Mobilization, transfers<\/h3>\n<pee><strong>Simple transfers (bed-chair, chair-toilet):<\/strong><\/pee>\n<li><strong>AVS<\/strong> if cooperative patient, no risk of fall, adapted equipment (lift).<\/li>\n<pee><strong>Complex transfers (heavy, non-cooperative, post-operative patient):<\/strong><\/pee>\n<li><strong>IDE<\/strong> or <strong>physio<\/strong> (evaluation of skills, teaching good techniques).<\/li>\n<pee><strong>Walking, balance rehabilitation:<\/strong> <strong>Physio<\/strong> exclusively.<\/pee>\n<h3>Pressure sore prevention<\/h3>\n<pee><strong>Daily monitoring:<\/strong> AVS (reports redness, changes).<\/pee>\n<pee><strong>Preventive care (gentle massages, creams):<\/strong> AVS.<\/pee>\n<pee><strong>Dressing, care for established sores:<\/strong> IDE (nursing act).<\/pee>\n<pee><strong>Regular position changes:<\/strong> AVS (every 2-3 hours).<\/pee>\n<pee><strong>Specific equipment (anti-pressure sore mattress):<\/strong> IDE or physician prescription, IDE or care team installation.<\/pee>\n<h3>Falls<\/h3>\n<pee><strong>Prevention (home security, balance exercises):<\/strong> Physio, occupational therapist, AVS (vigilance).<\/pee>\n<pee><strong>After a fall:<\/strong><\/pee>\n<li><strong>AVS<\/strong>: Alert, basic first aid, reassurance, does NOT help up alone if risk.<\/li>\n<li><strong>IDE<\/strong>: Medical evaluation, monitoring, care if needed.<\/li>\n<li><strong>SAMU\/Firefighters<\/strong>: If serious injury, inability to move.<\/li>\n<h3>Medical follow-up<\/h3>\n<pee><strong>Daily monitoring (general condition, mood, appetite):<\/strong> AVS (reports information).<\/pee>\n<pee><strong>Medical monitoring (vital signs, treatments):<\/strong> IDE.<\/pee>\n<pee><strong>Diagnosis, prescription:<\/strong> Attending Physician.<\/pee>\n<h3>Cognitive and social stimulation<\/h3>\n<pee><strong>Daily stimulation (discussion, games, activities):<\/strong> AVS (essential role).<\/pee>\n<pee><strong>Targeted cognitive stimulation:<\/strong> Occupational therapist, speech therapist, psychologist.<\/pee>\n<pee><strong>EDITH Program<\/strong>: AVS can use the tablet with the patient (adapted games, gentle stimulation, social connection).<\/pee>\n<pee><\/pee>\n<\/section>\n<div class=\"section-divider\">\u25c6 \u25c6 \u25c6<\/div>\n<section class=\"dynseo-section\">\n<h2 id=\"section-4\">Coordinate interventions {#coordination}<\/h2>\n<h3>Why coordination is crucial<\/h3>\n<pee><strong>Without coordination:<\/strong><\/pee>\n<li>Lost information (state change not reported)<\/li>\n<li>Duplications or omissions (two people doing the same thing, or no one does)<\/li>\n<li>Conflicts (contradictory instructions)<\/li>\n<li>Exhaustion of interveners (lack of clarity)<\/li>\n<li>Risks for the patient (medication errors, unreported falls)<\/li>\n<pee><strong>With coordination:<\/strong><\/pee>\n<li>Smooth information flow, everyone knows<\/li>\n<li>Complimentary, coherent interventions<\/li>\n<li>Enhanced safety<\/li>\n<li>Better quality of life for the patient<\/li>\n<h3>Who coordinates?<\/h3>\n<pee><strong>Ideally:<\/strong> A designated coordinator.<\/pee>\n<pee><strong>Often:<\/strong><\/pee>\n<li><strong>Coordinating IDE<\/strong> (if complex care, SSIAD)<\/li>\n<li><strong>Attending Physician<\/strong> (medical coordination)<\/li>\n<li><strong>Family carer<\/strong> (links everyone)<\/li>\n<li><strong>Case manager<\/strong> (MAIA devices, autonomy coordinators)<\/li>\n<pee><strong>In practice:<\/strong> Shared coordination, everyone communicates.<\/pee>\n<h3>Coordination meetings<\/h3>\n<pee><strong>Initial meeting (set up the care plan):<\/strong><\/pee>\n<pee><strong>Participants:<\/strong> All interveners + family + patient (if possible).<\/pee>\n<pee><strong>Objectives:<\/strong><\/pee>\n<li>Each presents themselves (role, intervention frequency)<\/li>\n<li>Overall situation assessment<\/li>\n<li>Definition of common goals<\/li>\n<li>Task allocation<\/li>\n<li>Arrangement of transmissions<\/li>\n<pee><strong>Regular meetings (every 3-6 months or if change):<\/strong><\/pee>\n<pee><strong>Remotely<\/strong> (video, phone) or <strong>in person<\/strong> (rarer).<\/pee>\n<pee><strong>Objectives:<\/strong><\/pee>\n<li>Assessment of progress<\/li>\n<li>Adjustments to care plan<\/li>\n<li>Problem solving<\/li>\n<li>Enhanced coordination<\/li>\n<h3>Intervention planning<\/h3>\n<pee><strong>Shared planning<\/strong>: All interveners know each other&#8217;s schedules.<\/pee>\n<pee><strong>Tools:<\/strong><\/pee>\n<li><strong>Shared calendar<\/strong> (Google Calendar, dedicated app)<\/li>\n<li><strong>Paper schedule<\/strong> at home (displayed, visible to all)<\/li>\n<pee><strong>Avoid overlaps<\/strong>: IDE and AVS at the same time = confusion, not optimal.<\/pee>\n<pee><strong>Plan transmission time<\/strong>: 5-10 minutes margin between two interveners for exchange.<\/pee>\n<h3>Daily communication<\/h3>\n<pee><strong>Liaison book<\/strong> (paper or digital): <strong>Central transmission tool.<\/strong><\/pee>\n<pee>See dedicated article: <a href=\"#\" target=\"_blank\">Transmission file: digital liaison book<\/a>.<\/pee>\n<pee><strong>Direct messages<\/strong> (SMS, calls): In case of emergency or important information.<\/pee>\n<pee><strong>Dedicated application<\/strong>: Some platforms allow secure messaging between interveners.<\/pee>\n<pee><\/pee>\n<\/section>\n<section class=\"dynseo-section\">\n<h2 id=\"section-5\">Transmission and communication tools {#outils-transmission}<\/h2>\n<h3>Paper liaison book<\/h3>\n<pee><strong>Classic support:<\/strong> Notebook at home, each intervener writes.<\/pee>\n<pee><strong>Advantages:<\/strong><\/pee>\n<li>Simple, accessible<\/li>\n<li>No technology needed<\/li>\n<li>Visible to all (including family)<\/li>\n<pee><strong>Disadvantages:<\/strong><\/pee>\n<li>Risk of loss, degradation<\/li>\n<li>Not always read (forgetfulness, lack of time)<\/li>\n<li>Hard to centralize, archive<\/li>\n<pee><strong>Content:<\/strong><\/pee>\n<li>Date, time, intervener&#8217;s name<\/li>\n<li>Observations (general condition, mood, behavior)<\/li>\n<li>Care provided, help offered<\/li>\n<li>Notable events (fall, care refusal, medical visit)<\/li>\n<li>Transmission for follow-ups (e.g. &#8220;Attention, pain right knee&#8221;)<\/li>\n<h3>Digital liaison book<\/h3>\n<pee><strong>Mobile app or web platform:<\/strong> All interveners connect.<\/pee>\n<pee><strong>Advantages:<\/strong><\/pee>\n<li>Accessible remotely (even without being at home)<\/li>\n<li>Real-time notifications<\/li>\n<li>Information centralization<\/li>\n<li>Secure archiving<\/li>\n<li>Traceability (who wrote what, when)<\/li>\n<li>Possibility of photos (wounds, home adaptations)<\/li>\n<pee><strong>Disadvantages:<\/strong><\/pee>\n<li>Smartphone\/tablet, internet connection needed<\/li>\n<li>Training required<\/li>\n<li>Cost (depending on solution)<\/li>\n<li>Variable acceptance (some prefer paper)<\/li>\n<pee><strong>Existing solutions:<\/strong><\/pee>\n<li>Home care coordination apps (Medeo, Lifen, Whoog)<\/li>\n<li>Custom-made solutions (some SSIAD structures)<\/li>\n<pee><strong>DYNSEO toolbox:<\/strong> Guides and tools for effective transmission implementation.<\/pee>\n<h3>Shared patient file<\/h3>\n<pee><strong>Computerized medical file<\/strong> (if type SSIAD, HAD structure): Centralizes all medical information.<\/pee>\n<pee><strong>Secure access:<\/strong> Authorized professionals only (medical secrecy).<\/pee>\n<pee><strong>Content:<\/strong><\/pee>\n<li>Medical history<\/li>\n<li>Current treatments<\/li>\n<li>Hospital reports<\/li>\n<li>Prescriptions<\/li>\n<li>Examination results<\/li>\n<pee><strong>Advantages:<\/strong> Global view, optimal coordination, security.<\/pee>\n<h3>Oral transmission meetings<\/h3>\n<pee><strong>Oral transmissions<\/strong> between two interveners (handover).<\/pee>\n<pee><strong>Example:<\/strong> Morning AVS transmits to afternoon AVS, IDE transmits to AVS.<\/pee>\n<pee><strong>Duration:<\/strong> 5-10 minutes.<\/pee>\n<pee><strong>Content:<\/strong> Essential information, priorities, alerts.<\/pee>\n<pee><strong>Limitations:<\/strong> Lost information if not noted, availability not always possible.<\/pee>\n<h3>Communication with family<\/h3>\n<pee><strong>Family = essential partner:<\/strong> Knows the patient, their habits, preferences.<\/pee>\n<pee><strong>Regularly inform:<\/strong> Evolution, decisions, schedule changes.<\/pee>\n<pee><strong>Listen to feedback:<\/strong> Family often first reports changes (appetite, sleep, mood).<\/pee>\n<pee><strong>Respect medical secrecy:<\/strong> Medical information = patient or legal representative consent.<\/pee>\n<pee><\/pee>\n<\/section>\n<section class=\"dynseo-section\">\n<h2 id=\"section-6\">Handling complex situations {#situations-complexes}<\/h2>\n<h3>Conflicting instructions<\/h3>\n<pee><strong>Situation:<\/strong> The doctor says one thing, the family another, the IDE a third.<\/pee>\n<pee><strong>Solution:<\/strong><\/pee>\n<li><strong>Clarify roles:<\/strong> Who decides what (doctor for medical, family for daily preferences).<\/li>\n<li><strong>Coordination meeting:<\/strong> Bring everyone together at the table.<\/li>\n<li><strong>Written reference:<\/strong> Written care plan, validated by all, displayed at home.<\/li>\n<pee><strong>Rule:<\/strong> In case of contradictory medical instructions, <strong>always refer to the attending physician<\/strong> (absolute priority).<\/pee>\n<h3>Untransmitted information<\/h3>\n<pee><strong>Situation:<\/strong> An intervener does not read the liaison book, or forgets to write.<\/pee>\n<pee><strong>Solutions:<\/strong><\/pee>\n<li><strong>Reminder of importance:<\/strong> Transmission = patient safety.<\/li>\n<li><strong>Training:<\/strong> Some do not know what to write, need support.<\/li>\n<li><strong>Adapted tool:<\/strong> If paper book not read, switch to digital with notifications.<\/li>\n<li><strong>Quality control:<\/strong> Responsible (coordinator, service manager) regularly checks.<\/li>\n<h3>Overload of interveners<\/h3>\n<pee><strong>Situation:<\/strong> Too many different interveners = confusion for the patient, diluted information.<\/pee>\n<pee><strong>Solutions:<\/strong><\/pee>\n<li><strong>Limit number of interveners:<\/strong> Restricted, regular team (same people).<\/li>\n<li><strong>Stable planning:<\/strong> Same AVS on Mondays, same IDE in the morning, etc.<\/li>\n<li><strong>Systematic presentation:<\/strong> Each new intervener introduces themselves, explains their role.<\/li>\n<h3>Patient refusing care<\/h3>\n<pee><strong>Situation:<\/strong> Refuses IDE, accepts AVS, or vice versa.<\/pee>\n<pee><strong>Solutions:<\/strong><\/pee>\n<li><strong>Change intervener:<\/strong> Sometimes, a question of feeling, personality.<\/li>\n<li><strong>Explain the role:<\/strong> Patient does not always understand why several people.<\/li>\n<li><strong>Involve the family:<\/strong> Reassures, explains.<\/li>\n<li><strong>Respect refusal:<\/strong> If lucid patient, right to refuse (unless danger).<\/li>\n<h3>Emergency intervention<\/h3>\n<pee><strong>Situation:<\/strong> AVS arrives, patient on the floor, unconscious, or in respiratory distress.<\/pee>\n<pee><strong>Protocol:<\/strong><\/pee>\n<pee>1. <strong>Assess the situation:<\/strong> Immediate danger? (e.g. gas leak, fire)<\/pee>\n<pee>2. <strong>Secure:<\/strong> Move away from danger if necessary.<\/pee>\n<pee>3. <strong>Call for help:<\/strong> 15 (SAMU) or 18 (Firefighters) depending on urgency.<\/pee>\n<pee>4. <strong>Do not move<\/strong> if suspicion of fracture, trauma.<\/pee>\n<pee>5. <strong>Reassure:<\/strong> Speak calmly, stay present.<\/pee>\n<pee>6. <strong>Inform family, IDE, service manager:<\/strong> As soon as possible.<\/pee>\n<pee>7. <strong>Note in liaison book:<\/strong> Circumstances, time, actions taken.<\/pee>\n<pee><strong>First aid training:<\/strong> Essential for all home interveners.<\/pee>\n<\/a>\n<pee><\/pee>\n<\/section>\n<div class=\"section-divider\">\u25c6 \u25c6 \u25c6<\/div>\n<section class=\"dynseo-section\">\n<h2 id=\"section-7\">Building a real home team {#construire-equipe}<\/h2>\n<h3>The pillars of an effective team<\/h3>\n<pee><strong>1. Mutual Respect<\/strong><\/pee>\n<pee>Each intervener has their expertise, their essential role.<\/pee>\n<pee><strong>AVS is not &#8220;just&#8221; a housekeeper:<\/strong> They know the daily patient, habits, subtle changes. Their perspective is valuable.<\/pee>\n<pee><strong>IDE is not &#8220;just&#8221; for shots:<\/strong> Global medical vision, care coordination.<\/pee>\n<pee><strong>Physio is not &#8220;just&#8221; for moving:<\/strong> Expertise in readaptation, prevention.<\/pee>\n<pee><strong>Value each other:<\/strong> &#8220;The AVS noticed that Mrs. eats less, thank you for reporting it.&#8221;<\/pee>\n<pee><strong>2. Open Communication<\/strong><\/pee>\n<pee><strong>Ask questions:<\/strong> If in doubt about who does what, ask.<\/pee>\n<pee><strong>Share observations:<\/strong> Even if they seem trivial (mood change, disturbed sleep).<\/pee>\n<pee><strong>No judgment:<\/strong> Mistakes happen, the important thing is to correct, learn.<\/pee>\n<pee><strong>3. Common Goals<\/strong><\/pee>\n<pee><strong>All work for the same goal:<\/strong> Well-being, safety, patient autonomy.<\/pee>\n<pee><strong>Shared care plan:<\/strong> Everyone knows the global goals (e.g.: &#8220;Maintain walking autonomy, prevent falls, preserve social connection&#8221;).<\/pee>\n<pee><strong>4. Trust<\/strong><\/pee>\n<pee><strong>Trust each other&#8217;s expertise:<\/strong> IDE trusts AVS for alert, AVS trusts IDE for care.<\/pee>\n<pee><strong>Delegate:<\/strong> Do not want to do everything yourself, accept that others have complementary skills.<\/pee>\n<pee><strong>5. Flexibility<\/strong><\/pee>\n<pee><strong>Adapt:<\/strong> Situation evolves, patient changes, adjustments needed.<\/pee>\n<pee><strong>Be reactive:<\/strong> If problem, talk quickly, find solution together.<\/pee>\n<h3>Recognition and value<\/h3>\n<pee><strong>Frequent burnout in home help<\/strong> (mental, emotional, physical burden).<\/pee>\n<pee><strong>Support each other:<\/strong><\/pee>\n<li>Thank, recognize other&#8217;s work<\/li>\n<li>Share difficulties (don&#8217;t remain alone facing a difficult situation)<\/li>\n<li>Celebrate successes (patient who walks again, who smiles again)<\/li>\n<pee><strong><a href=\"https:\/\/www.dynseo.com\/en\/courses\/stimulate-and-build-connections-with-dynseo-games\/\" target=\"_blank\">DYNSEO training for professionals<\/a><\/strong>: Learn to stimulate, create connections, benevolent support techniques.<\/pee>\n<h3>Conflict management<\/h3>\n<pee><strong>Inevitable conflicts:<\/strong> Different personalities, stress, fatigue, divergent vision.<\/pee>\n<pee><strong>Solutions:<\/strong><\/pee>\n<pee><strong>Talk directly:<\/strong> Problem with a colleague? Discuss calmly, face-to-face.<\/pee>\n<pee><strong>Mediator:<\/strong> If conflict persists, involve service manager, coordinator.<\/pee>\n<pee><strong>Refocus on the patient:<\/strong> &#8220;What&#8217;s best for Mrs. Martin?&#8221; Bring back to the essentials.<\/pee>\n<pee><\/pee>\n<\/section>\n<section class=\"dynseo-section\">\n<h2 id=\"section-8\">Testimonials<\/h2>\n<h3>Marie, AVS<\/h3>\n<pee><em>&#8220;At first, I didn&#8217;t know how to work with the nurse. She would arrive, do her dressings, leave. We didn&#8217;t talk. Then I started noting my observations in the book: &#8216;Mr. Leroy slept poorly last night.&#8217; The nurse reacted, informed the doctor. The treatment was adjusted. Now, we really work together. I feel heard, valued.&#8221;<\/em><\/pee>\n<h3>Thomas, IDE<\/h3>\n<pee><em>&#8220;I intervene at Mrs. Dubois for complex dressings. The AVS is there every day. At first, I didn&#8217;t ask her anything. Then one day, she said to me: &#8216;I notice she eats less, she seems sad.&#8217; I dug deeper: start of depression. We set everything up. Without the AVS, I would&#8217;ve seen nothing. Now, I always ask for her opinion. She knows the patient better than I do.&#8221;<\/em><\/pee>\n<h3>Sophie, Physiotherapist<\/h3>\n<pee><em>&#8220;I come three times a week for rehabilitation after hip fracture. The AVS walks Mrs. Martin on other days, with the exercises I&#8217;ve shown. Result: recovery twice as fast. Teamwork is that. I&#8217;m not there every day, but the AVS takes over. Together, we do miracles.&#8221;<\/em><\/pee>\n<pee><\/pee>\n<\/section>\n<section class=\"dynseo-section\">\n<h2 id=\"section-9\">Conclusion: A united team for better support<\/h2>\n<pee>Working as a team at home is a daily challenge. Different interveners, dispersed locations, no common office, no daily meetings. And yet, it&#8217;s possible. With clear roles, effective transmission tools, mutual respect, and smooth communication, the multidisciplinary team becomes a strength for the patient and their family.<\/pee>\n<pee><strong>The keys to success:<\/strong><\/pee>\n<pee>1. &#x2705; Clarify roles (who does what, no overstepping, no forgetting)<\/pee>\n<pee>2. &#x2705; Communicate systematically (liaison book, oral transmissions, meetings)<\/pee>\n<pee>3. &#x2705; Respect each other (each profession has its expertise)<\/pee>\n<pee>4. &#x2705; Share goals (work for the patient, together)<\/pee>\n<pee>5. &#x2705; Continuously adapt (situation evolves, adjustments needed)<\/pee>\n<pee>6. &#x2705; Support each other (value, recognition, mutual aid)<\/pee>\n<pee><strong>You are not alone. Our home help toolbox accompanies you with practical guides, transmission tools, synthetic sheets. <a href=\"https:\/\/www.dynseo.com\/en\/courses\/stimulate-and-build-connections-with-dynseo-games\/\" target=\"_blank\">DYNSEO training<\/a>: Techniques to stimulate and create connections. EDITH Program: Gentle cognitive stimulation, usable by all interveners.<\/strong><\/pee>\n<pee><\/pee>\n<pee><strong>DYNSEO resources for home help professionals:<\/strong><\/pee>\n<li>Home help toolbox: guides and practical tools<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/en\/courses\/stimulate-and-build-connections-with-dynseo-games\/\" target=\"_blank\">Training: Stimulate and create connections with DYNSEO games<\/a><\/li>\n<li>EDITH Program: Adapted cognitive stimulation<\/li>\n<\/ul>\n<p><\/a>\n<pee><\/pee>\n<pee><em>Working as a team at home means accepting that each one contributes their stone to the building. The AVS knows the small daily habits, the IDE monitors the medical aspects, the physio returns mobility, the family brings affection. Together, we form a safety net, a united team around the same patient. And that is the real wealth of home support: this plurality, this complementarity, this solidarity.<\/em><\/pee><\/section>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243;][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_code]<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What professionals are typically involved in home care teams?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Home care teams typically include care assistants (AVS), registered nurses (IDE), physiotherapists, occupational therapists, and the attending physician. 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However, care assistants may observe and report any concerns about medication compliance to the nurse.\"}},{\"@type\":\"Question\",\"name\":\"What happens when a physiotherapist changes exercise routines for a patient?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"When a physiotherapist modifies exercise routines, they should communicate these changes to all team members, especially care assistants who may need to support the patient with daily activities. Proper transmission of this information ensures continuity of care and prevents confusion.\"}},{\"@type\":\"Question\",\"name\":\"How should conflicts between family instructions and professional care plans be handled?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"When conflicts arise between family instructions and professional care plans, the team should prioritize the established medical care plan while maintaining open communication with the family. A team meeting including family members can help resolve discrepancies and ensure everyone understands the care objectives.\"}}]}<\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_row et_pb_row_0 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> title: Working in a team at home: coordination AVS, IDE, physio and interveners description: Complete guide to understanding and optimizing multidisciplinary team work at home. 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