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L'acc\u00e8s est imm\u00e9diat apr\u00e8s l'inscription et illimit\u00e9 dans le temps : le contenu reste disponible aussi longtemps que vous le souhaitez, sur ordinateur, tablette ou smartphone. \u00c0 l'issue du parcours, chaque apprenant re\u00e7oit une attestation de fin de formation nominative. Il s'agit d'une attestation de participation \u00e0 une action de formation, exploitable dans le dossier individuel et la d\u00e9marche qualit\u00e9 de l'\u00e9tablissement, et non d'un dipl\u00f4me d'\u00c9tat ni d'une qualification r\u00e9glement\u00e9e.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"La formation peut-elle \u00eatre prise en charge par l'employeur ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"C'est envisageable : DYNSEO est un organisme de formation certifi\u00e9 Qualiopi (N\u00b0 11757351875), condition g\u00e9n\u00e9ralement requise pour une prise en charge au titre du plan de d\u00e9veloppement des comp\u00e9tences ou par un op\u00e9rateur de comp\u00e9tences. Les r\u00e8gles, plafonds et proc\u00e9dures varient selon les pays, les branches et les financeurs, et aucun montant ne peut \u00eatre garanti \u00e0 l'avance. La d\u00e9marche fiable : faites valider le programme et le devis par votre service RH ou votre organisme financeur avant l'achat.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Peut-on inscrire toute une \u00e9quipe ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Oui. Chaque professionnel dispose de son propre compte apprenant et de son attestation nominative, ce qui permet de verser les justificatifs aux dossiers individuels. C'est m\u00eame l'usage recommand\u00e9 pour ce sujet : face au refus de soins, la coh\u00e9rence de toute l'\u00e9quipe compte autant que la comp\u00e9tence de chacun. Pour un d\u00e9ploiement sur plusieurs postes ou un devis \u00e0 l'\u00e9chelle d'un \u00e9tablissement, passez par la page contact du site : une proposition adapt\u00e9e au nombre d'apprenants peut \u00eatre \u00e9tablie.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Quel accompagnement ou support en cas de question ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La formation est un parcours en ligne \u00e0 suivre en autonomie, mais vous n'\u00eates pas livr\u00e9 \u00e0 vous-m\u00eame : l'\u00e9quipe DYNSEO reste joignable via la page contact du site pour toute question technique ou administrative li\u00e9e \u00e0 l'acc\u00e8s, au compte apprenant ou \u00e0 l'attestation. Pour les questions cliniques rencontr\u00e9es sur le terrain \u2014 douleur, \u00e9tat de sant\u00e9, d\u00e9cision de soin \u2014, la formation renvoie syst\u00e9matiquement au professionnel de sant\u00e9 r\u00e9f\u00e9rent, seul habilit\u00e9 \u00e0 poser un diagnostic et \u00e0 d\u00e9cider de la conduite \u00e0 tenir.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n<div class=\"dbi-art-591f26\">\n<!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 SEO\/GEO ARTICLE TEMPLATE  \u00b7  v1.0\nDo not modify class names: the script generer-articles.py\nand all previously published articles depend on it.\n\nThe script generer-articles.py injects, in order: the colored header,\nthe training or tool box, the written body, and then the structured data.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n--><\/p>\n<div class=\"dyn-article\">\n<header class=\"dyn-pagehead dyn-pagehead--eau\">\n  <span class=\"dyn-pagehead__cat\">Professionals \u00b7 Behavioral disorders<\/span><\/p>\n<h1>Training \u201cRefusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach\u201d: program, content, and who it is for<\/h1>\n<pee class=\"dyn-pagehead__lead\">\u201c&nbsp;She grits her teeth as soon as I approach with the glove&nbsp;\u201d, \u201c&nbsp;he pushes away the tray without a word&nbsp;\u201d, \u201c&nbsp;she says no to everything, even to what she liked before&nbsp;\u201d. In the reports, refusal of care almost always comes through these little phrases. Three accurate observations, three doors that seem to close \u2014 and, behind each, a need, a fear, or a story that we have not yet understood.<\/pee>\n<ul class=\"dyn-pagehead__meta\">\n<li>\u23f1\ufe0f 13 min read<\/li>\n<li>\ud83d\udc65 For professionals<\/li>\n<li>\ud83d\udd04 Updated in August 2026<\/li>\n<\/ul>\n<\/header>\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this article\">\n<div class=\"dyn-hero__grid\">\n<div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/04\/autism-en-etablissement-Accompagnement-Global-161-pdf.jpg\" alt=\"DYNSEO Training \u2018Refusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach\u2019\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n<div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this article<\/span>\n      <pee class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">Refusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach<\/a><\/pee>\n      <pee class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/pee>\n<ul class=\"dyn-badges\">\n<li>\ud83c\udfa5 5 modules \u00b7 16 lessons<\/li>\n<li>\ud83d\udcbb 100 % online<\/li>\n<li>\u23f1\ufe0f At your own pace<\/li>\n<li>\ud83c\udfc5 Qualiopi organization<\/li>\n<li>\ud83c\udf0d 9 languages<\/li>\n<\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">See the training<\/a><br \/>\n        <span class=\"dyn-hero__price\">90.0 \u20ac<\/span>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/aside>\n<pee>This page details the <strong>refusal of care training<\/strong> offered by DYNSEO&nbsp;: <strong>\u201cRefusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach\u201d<\/strong>. You will find its actual content, module by module, the professions it addresses, its duration, its format, its price, the deployment modalities in teams \u2014 and, to be honest, the scope it does not cover.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SHORT RESPONSE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<section class=\"dyn-tldr\">\n<h2>The essentials in 30 seconds<\/h2>\n<pee>Online training of <strong>4 modules and 16 lessons<\/strong> (approximately <strong>4 hours<\/strong>), intended for professionals facing refusal of care in healthcare, medico-social, school, or business settings. Price&nbsp;: <strong>90 \u20ac<\/strong>. Immediate and unlimited access.<\/pee>\n<ul>\n<li><strong>For whom<\/strong> \u2014 nursing assistants, nurses, home helpers, companions, managers, teams from healthcare establishments, schools, and businesses.<\/li>\n<li><strong>Objective<\/strong> \u2014 understand what is behind a refusal, adopt the right posture, and negotiate without forcing, respecting the person&#8217;s rights.<\/li>\n<li><strong>What is covered<\/strong> \u2014 causes and meaning of refusal, legal framework, caring posture, gentle communication and negotiation, complex situations, teamwork, prevention.<\/li>\n<li><strong>What is not covered<\/strong> \u2014 the technical gestures of care themselves, the diagnosis, and the medical decision, which remain the responsibility of healthcare professionals.<\/li>\n<li><strong>Organization<\/strong> \u2014 DYNSEO, certified Qualiopi (No. 11757351875), certificate of completion issued.<\/li>\n<\/ul>\n<\/section>\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <pee>In the table of contents<\/pee>\n<ol>\n<li><a href=\"#dyn-probleme\">The problem it solves on the ground<\/a><\/li>\n<li><a href=\"#dyn-pourqui\">Who the refusal of care training is aimed at<\/a><\/li>\n<li><a href=\"#dyn-programme\">The program&nbsp;: 4 modules, 16 lessons<\/a><\/li>\n<li><a href=\"#dyn-format\">Format and organization<\/a><\/li>\n<li><a href=\"#dyn-competences\">What you will be able to do by the end<\/a><\/li>\n<li><a href=\"#dyn-qualiopi\">Qualiopi, certificate, and funding<\/a><\/li>\n<li><a href=\"#dyn-equipe\">Deploying the training in a team<\/a><\/li>\n<li><a href=\"#dyn-tarif\">Price and registration<\/a><\/li>\n<li><a href=\"#dyn-limites\">What this training is not<\/a><\/li>\n<li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n<\/ol>\n<\/nav>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-probleme\">The problem it solves on the ground<\/h2>\n<pee>Refusal of care is not a whim, nor a personal attack against the professional. It is a message. A person who refuses a bath may be cold, in pain, ashamed, not recognizing the person approaching them, or no longer understanding what is expected of them. The same gesture \u2014 saying \u201c&nbsp;no&nbsp;\u201d, turning their head, clenching their jaws \u2014 covers very different realities.<\/pee>\n<pee>The right to refuse is also enshrined in French law&nbsp;: the law of March 4, 2002, relating to the rights of patients establishes the principle of consent, and the Claeys-Leonetti law of 2016 reaffirms respect for the person&#8217;s will. The professional is therefore not faced with a simple organizational problem, but with a delicate balance between respecting a right and their duty to protect and care.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>What is observed and transmitted<\/th>\n<th>Frequent interpretation<\/th>\n<th>What it often concerns<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Refuses morning hygiene<\/td>\n<td>Unwillingness, opposition<\/td>\n<td>Pain with movement, modesty, fear of water<\/td>\n<\/tr>\n<tr>\n<td>Pushed away the meal tray<\/td>\n<td>Lack of appetite<\/td>\n<td>Feared choking, fatigue, unsuitable textures<\/td>\n<\/tr>\n<tr>\n<td>Grinds teeth during care<\/td>\n<td>Aggressiveness<\/td>\n<td>Anticipated pain, misunderstanding, feeling of intrusion<\/td>\n<\/tr>\n<tr>\n<td>Says \u201cno\u201d to any proposal<\/td>\n<td>Difficult character<\/td>\n<td>Need to maintain control over their life<\/td>\n<\/tr>\n<tr>\n<td>Freezes and no longer responds<\/td>\n<td>Pouting, indifference<\/td>\n<td>Overload, anxiety, comprehension disorder<\/td>\n<\/tr>\n<tr>\n<td>Accepts in the morning, refuses in the evening<\/td>\n<td>Incoherence<\/td>\n<td>End-of-day fatigue, rhythm not respected<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>Each line of this table represents a possible adjustment: a rephrased sentence, a shifted moment, an explanation given differently. This is precisely the purpose of this training: to move from observation to accurate decoding, and then to a response that respects both the person and the necessity of care. We do not seek to \u201cmake them yield,\u201d but to understand in order to find an acceptable path together.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-pourqui\">Who the training on refusal of care is for<\/h2>\n<pee>The refusal of care crosses all support settings. The training has been designed for professionals in various fields, united by the same question: how to continue providing care when the person says no?<\/pee>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\uddd1\u200d\u2695\ufe0f<\/span><\/p>\n<h3>Care assistants<\/h3>\n<pee>Hygiene, meals, transfers: the moments most exposed to refusal, where posture and the words used make all the difference.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc89<\/span><\/p>\n<h3>Nurses<\/h3>\n<pee>Technical care, medication administration, dressings: how to articulate safety, urgency, and respect for expressed refusal.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe0<\/span><\/p>\n<h3>Life assistants and home care aides<\/h3>\n<pee>Often alone at home, without an immediate team. The training provides guidelines to defuse situations and to know when to alert.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd1d<\/span><\/p>\n<h3>Support workers and educators<\/h3>\n<pee>In medical-social institutions as well as in schools, facing individuals who refuse an activity, a meal, or hygiene care.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe2<\/span><\/p>\n<h3>Institution and company teams<\/h3>\n<pee>Residences, Nursing homes, specialized structures: a common foundation to harmonize practices and ease recurring situations.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcca<\/span><\/p>\n<h3>Managers and quality supervisors<\/h3>\n<pee>A shared content by an entire team, with individual certificates to be added to the training file.<\/pee>\n  <\/div>\n<\/div>\n<h3>Made for you \/ not made for you<\/h3>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Your situation<\/th>\n<th>This training\u2026<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>You are facing repeated refusals and feel helpless<\/td>\n<td><span class=\"dyn-oui\">\u2714 Perfectly suitable<\/span><\/td>\n<\/tr>\n<tr>\n<td>Your team reacts heterogeneously and you are looking for a common foundation<\/td>\n<td><span class=\"dyn-oui\">\u2714 Suitable<\/span> \u2014 this is the most common usage<\/td>\n<\/tr>\n<tr>\n<td>You want to better understand the legal framework of refusal<\/td>\n<td><span class=\"dyn-oui\">\u2714 Suitable<\/span> \u2014 dedicated module 1<\/td>\n<\/tr>\n<tr>\n<td>You are looking to learn the technical care gestures themselves<\/td>\n<td><span class=\"dyn-non\">\u2718 No<\/span> \u2014 the training focuses on the relationship, not on care techniques<\/td>\n<\/tr>\n<tr>\n<td>You are looking for a medical protocol for restraint or sedation<\/td>\n<td><span class=\"dyn-non\">\u2718 No<\/span> \u2014 these decisions are the doctor&#8217;s responsibility<\/td>\n<\/tr>\n<tr>\n<td>You are looking for a state diploma or a regulated qualification<\/td>\n<td><span class=\"dyn-non\">\u2718 No<\/span> \u2014 this is a certificate of completion<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-programme\">The program: 4 modules, 16 lessons<\/h2>\n<pee>The course follows a logical progression: first understanding what is at stake and what the law says, then working on one&#8217;s own posture, acquiring communication and negotiation techniques, and finally facing the most complex situations and anchoring the knowledge in the collective. The lessons are short: about eleven to twenty minutes each.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">1<\/div>\n<h3 class=\"dyn-module__title\">Understanding the refusal of care \u2014 causes, meanings, and law<\/h3>\n<\/p><\/div>\n<ul>\n<li>What is refusal of care really?<\/li>\n<li>The causes of refusal of care<\/li>\n<li>The legal framework \u2014 right to refuse and caregiver obligations<\/li>\n<li>Refusal of care in individuals with cognitive disorders<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">2<\/div>\n<h3 class=\"dyn-module__title\">The caregiver&#8217;s posture in the face of refusal<\/h3>\n<\/p><\/div>\n<ul>\n<li>Not experiencing refusal as a personal failure<\/li>\n<li>Active listening as the first tool<\/li>\n<li>Respecting the refusal while ensuring safety<\/li>\n<li>Managing emotions in the face of repeated refusals<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">3<\/div>\n<h3 class=\"dyn-module__title\">Communication and gentle negotiation techniques<\/h3>\n<\/p><\/div>\n<ul>\n<li>Reformulating the care proposal<\/li>\n<li>Building on the relationship and the person&#8217;s preferences<\/li>\n<li>The Montessori approach and techniques from person-centered care<\/li>\n<li>When care is urgent and refusal persists<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">4<\/div>\n<h3 class=\"dyn-module__title\">Complex situations, teamwork, and prevention<\/h3>\n<\/p><\/div>\n<ul>\n<li>The most common refusal situations and how to approach them<\/li>\n<li>Refusal of care at the end of life \u2014 a particular dimension<\/li>\n<li>DYNSEO tools to reduce anxiety and rebuild trust<\/li>\n<li>Building an institutional culture around refusal of care<\/li>\n<\/ul>\n<\/div>\n<pee>The course ends with a summary quiz that reviews the key points of the four modules, useful for verifying one&#8217;s knowledge before receiving the certificate.<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Two lessons that teams mention most often<\/strong>\n  <pee>\u201c&nbsp;<strong>Not experiencing refusal as a personal failure<\/strong>&nbsp;\u201d (module 2) and \u201c&nbsp;<strong>Reformulating the care proposal<\/strong>&nbsp;\u201d (module 3). The first changes the perspective: refusal stops being a defeat to become information. The second provides concrete words, immediately reusable at the bedside or at home, to transform a \u201c&nbsp;no&nbsp;\u201d into a possible negotiation.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Transform daily refusals into dialogue<\/h3>\n<pee>4 modules, 16 lessons, about 4 hours, unlimited access and personalized certificate. A gentle and ethical method, applicable from the next position taken.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">Discover the training \u2014 \u20ac90<\/a>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-format\">Format and organization<\/h2>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Criterion<\/th>\n<th>Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Format<\/td>\n<td>100% online, short video lessons<\/td>\n<\/tr>\n<tr>\n<td>Content<\/td>\n<td>4 modules \u00b7 16 lessons \u00b7 1 quiz<\/td>\n<\/tr>\n<tr>\n<td>Duration<\/td>\n<td>About 4 hours in total<\/td>\n<\/tr>\n<tr>\n<td>Pace<\/td>\n<td>Free, no imposed end date<\/td>\n<\/tr>\n<tr>\n<td>Support<\/td>\n<td>Computer, tablet, smartphone<\/td>\n<\/tr>\n<tr>\n<td>Access<\/td>\n<td>Immediate after registration, unlimited over time<\/td>\n<\/tr>\n<tr>\n<td>Required level<\/td>\n<td>All levels, no prerequisites<\/td>\n<\/tr>\n<tr>\n<td>Validation<\/td>\n<td>Certificate of completion<\/td>\n<\/tr>\n<tr>\n<td>Price<\/td>\n<td>90 \u20ac per learner<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>The asynchronous format meets a specific constraint on the ground: you cannot immobilize an entire team for a whole day. The four hours are divided into sequences of fifteen to twenty minutes, during available times, without disrupting a schedule. Everyone progresses at their own pace, revisits a lesson when a situation arises, and picks up where they left off. The content remains accessible afterwards: it is a resource that can be drawn from over the months.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-competences\">What you will be able to do at the end<\/h2>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd0e<\/span><\/p>\n<h3>Decode a refusal<\/h3>\n<pee>Identify what lies behind a &#8220;no&#8221;: pain, fear, modesty, fatigue, misunderstanding \u2014 and adapt the response accordingly.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u2696\ufe0f<\/span><\/p>\n<h3>Situate the legal framework<\/h3>\n<pee>Understand the right to refuse and the caregiver&#8217;s obligations, to act in respect of the person&#8217;s rights.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udee7<\/span><\/p>\n<h3>Maintain a proper posture<\/h3>\n<pee>Stop viewing refusal as a failure, regulate your own emotions and remain available even after several refusals.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcac<\/span><\/p>\n<h3>Negotiate gently<\/h3>\n<pee>Rephrase a proposal, rely on the person&#8217;s preferences, offer a choice rather than imposing care.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udea8<\/span><\/p>\n<h3>React when care is urgent<\/h3>\n<pee>Distinguish what can wait from what cannot, apply the instructions and alert the healthcare professional at the right time.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc65<\/span><\/p>\n<h3>Team up<\/h3>\n<pee>Share what has worked, build a coherent response and contribute to a calm establishment culture.<\/pee>\n  <\/div>\n<\/div>\n<h3>Concrete words and gestures<\/h3>\n<pee>The training does not just provide principles. It offers precise formulations and attitudes to adopt. For example, rather than insisting with &#8220;you need to wash yourself,&#8221; we learn to offer a choice: &#8220;Would you prefer to start with your face or your hands?&#8221;. Instead of standing in front of the person, we learn to get to their level, to announce each gesture before doing it, and to allow time for a response.<\/pee>\n<div class=\"dyn-alerte\">\n  <pee><strong>\u274c To avoid&nbsp;:<\/strong> forcing, doing instead &#8220;to go faster&#8221;, raising your voice, or speaking about the person in the third person in front of them (&#8220;she never wants&#8221;). These reactions, very human when we are in a hurry or tired, reinforce refusal and damage the trust relationship. The training helps to identify these automatism and replace them with more soothing responses.<\/pee>\n<\/div>\n<pee>In case of doubt about pain, a change in condition, or a persistent refusal regarding necessary care, the rule remains the same&nbsp;: observe, note, report, and refer to the healthcare professional, who is the only one authorized to make a diagnosis and decide on the course of action. In life-threatening situations, contact your country&#8217;s emergency services without delay.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-qualiopi\">Qualiopi, certification, and funding<\/h2>\n<pee>DYNSEO is a certified training organization <strong>Qualiopi<\/strong>, registered under the activity declaration number <strong>11757351875<\/strong>. The certification focuses on the quality of the process&nbsp;: defined educational objectives, adaptation to audiences, qualification of trainers, collection of feedback, and continuous improvement.<\/pee>\n<pee>Each learner receives a <strong>certificate of completion<\/strong> in their name, to be added to the individual file and usable within the quality approach of the establishment. It is neither a state diploma nor a regulated qualification&nbsp;: it is a certificate of participation in a training action.<\/pee>\n<pee>Regarding funding, the Qualiopi certification is the condition that allows an employer to consider coverage under the skills development plan or by their skills operator. The rules, ceilings, and procedures vary by country, branches, and operators&nbsp;: the only reliable approach is to have the quote and program validated by the HR service or the funding organization <em>before<\/em> the purchase. No amount of coverage can be guaranteed in advance.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-equipe\">Deploying training within a team<\/h2>\n<pee>The online format facilitates collective deployment, provided that you do not just send a link. Refusal of care is a subject where team coherence matters as much as individual competence&nbsp;: if one forces where the other negotiates, the person being supported loses their bearings.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Set an observable objective.<\/strong> For example&nbsp;: reduce the bathing experiences perceived as confrontations in a specific area within three months. Without an objective, the training remains just a checkbox.<\/li>\n<li><strong>Block time.<\/strong> Two slots of twenty minutes per week on the schedule are better than a directive of &#8220;do it when you can&#8221;.<\/li>\n<li><strong>Designate a referent.<\/strong> A person who advances a module in advance and leads a five-minute recap in the team meeting.<\/li>\n<li><strong>Ground each module in reality.<\/strong> After module 2, discuss a refusal situation experienced as a failure. After module 3, test a rephrasing together on a concrete case.<\/li>\n<li><strong>Archive the certificates<\/strong> as you go, in the training file, with the completion date.<\/li>\n<li><strong>Plan a follow-up in three months.<\/strong> What has really changed in practices&nbsp;? This distinguishes useful training from consumed training.<\/li>\n<\/ol>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-tarif\">Pricing and registration<\/h2>\n<pee>The training is offered at <strong>90 \u20ac<\/strong> per learner. The price is displayed in the visitor&#8217;s currency according to the country of connection. Access is immediate and unlimited over time.<\/pee>\n<ol class=\"dyn-steps\">\n<li>Open the <a href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">training page<\/a> and add it to the cart.<\/li>\n<li>Create the learner account, or log in, then confirm the payment.<\/li>\n<li>Access is immediate&nbsp;: the training appears in the learner&#8217;s space and the first lesson starts right away.<\/li>\n<\/ol>\n<pee>For deployment across multiple positions or a quote for an establishment, the contact page of the site allows obtaining a tailored proposal. The <a href=\"https:\/\/www.dynseo.com\/en\/our-training-courses\/\">DYNSEO training catalog<\/a> also includes other courses for healthcare and medico-social professionals.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-limites\">What this training is not<\/h2>\n<ul>\n<li><strong>It does not teach technical care gestures.<\/strong> It focuses on the relationship, posture, and communication around refusal, not on the execution of the care itself.<\/li>\n<li><strong>It does not replace medical advice.<\/strong> Diagnosis, pain assessment, and any therapeutic decision \u2014 including any protective measures \u2014 fall under the healthcare professional&#8217;s responsibility.<\/li>\n<li><strong>It does not offer any prescriptive protocol.<\/strong> No dosage, no imposed texture, no restraint technique&nbsp;: the training teaches to observe, report, and apply instructions.<\/li>\n<li><strong>It is not a diploma.<\/strong> The certificate attests to participation, not to a regulated qualification.<\/li>\n<li><strong>It is not an in-person training.<\/strong> There is no live trainer or group exchanges&nbsp;: it is an asynchronous video course.<\/li>\n<\/ul>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 S\u00c9RIE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2>To go further<\/h2>\n<div class=\"dyn-serie\">\n  <a href=\"#dyn-guide-refus-de-soins\"><span>Background Guide<\/span>Refusal of care: the complete guide to understanding what is at stake<\/a><br \/>\n  <a href=\"#dyn-situations-refus-de-soins\"><span>Everyday Situations<\/span>Refusal of care: 10 difficult situations and how to respond<\/a><br \/>\n  <a href=\"#dyn-outils-refus-de-soins\"><span>Toolbox<\/span>Refusal of care: activities, resources, and concrete arrangements<\/a><br \/>\n  <a href=\"#dyn-posture-refus-de-soins\"><span>Professional Stance<\/span>Refusal of care: posture, teamwork, and skill development<\/a>\n<\/div>\n<pee>Several free DYNSEO tools directly complement this training to restore dialogue and reduce anxiety: the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/emotion-thermometer\/\">emotion thermometer<\/a> and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/facial-expression-decoder\/\">facial expression decoder<\/a> to better read what the person feels, the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/choice-wheel-dynseo-training-tools\/\">wheel of choices<\/a> and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/conversation-cards\/\">conversation cards<\/a> to suggest rather than impose, and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/voice-scale\/\">voice scale<\/a> to adjust one&#8217;s tone. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">complete catalog<\/a> is freely accessible, just like the <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests<\/a>. Finally, the cognitive stimulation applications <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a> (seniors, Alzheimer&#8217;s disease, Parkinson&#8217;s) and <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a> (adults) serve as concrete supports to recreate moments of shared pleasure and soothe the relationship.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\">\n<h3>How long does it take to complete the training&nbsp;?<\/h3>\n<pee>About four hours in total for the 4 modules and the 16 lessons, plus a summary quiz. The lessons being short, from eleven to twenty minutes each, most learners spread the course over two to four weeks, with two short slots per week. Access remains open indefinitely&nbsp;: you can return to a specific lesson when a refusal situation arises in the field, making it a sustainable resource and not just a one-time training.<\/pee>\n<h3>Does the training provide unlimited access and a certificate&nbsp;?<\/h3>\n<pee>Yes. Access is immediate after registration and unlimited in time&nbsp;: the content remains available as long as you wish, on computer, tablet, or smartphone. At the end of the course, each learner receives a personalized training completion certificate. This is a certificate of participation in a training action, usable in the individual file and the quality approach of the establishment, and not a state diploma or a regulated qualification.<\/pee>\n<h3>Can the training be covered by the employer&nbsp;?<\/h3>\n<pee>This is possible&nbsp;: DYNSEO is a training organization certified Qualiopi (N\u00b0 11757351875), a condition generally required for coverage under the skills development plan or by a skills operator. The rules, ceilings, and procedures vary by country, sector, and funders, and no amount can be guaranteed in advance. The reliable approach&nbsp;: have the program and the quote validated by your HR department or your funding organization before purchase.<\/pee>\n<h3>Can an entire team be registered&nbsp;?<\/h3>\n<pee>Yes. Each professional has their own learner account and their personalized certificate, which allows for submitting the documents to individual files. This is even the recommended practice for this subject&nbsp;: in the face of refusal of care, the coherence of the entire team matters as much as the competence of each individual. For deployment across multiple positions or a quote at the scale of an establishment, go through the contact page of the site&nbsp;: a proposal adapted to the number of learners can be established.<\/pee>\n<h3>What support is available in case of questions&nbsp;?<\/h3>\n<pee>The training is an online course to be followed independently, but you are not left to your own devices&nbsp;: the DYNSEO team remains reachable via the contact page of the site for any technical or administrative questions related to access, the learner account, or the certificate. For clinical questions encountered in the field \u2014 pain, health status, care decision \u2014 the training systematically refers to the referring healthcare professional, who is the only one authorized to make a diagnosis and decide on the course of action.<\/pee>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f General information<\/strong>\n  <pee>This page describes the content of a training action. The financing conditions and training obligations vary by country and employers&nbsp;: check with your HR department or your funding organization. This content does not constitute medical advice&nbsp;: in case of doubt about a person&#8217;s health status, consult a healthcare professional, and in case of a vital emergency, contact the emergency services in your country.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Responding differently to refusal of care<\/h3>\n<pee>The <strong>refusal of care training<\/strong> from DYNSEO: 4 modules, 16 lessons, approximately 4 hours, unlimited access and a personalized certificate for each professional. A gentle and ethical approach, to understand, negotiate and respect.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">Discover the training \u2014 90 \u20ac<\/a>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":150367,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" admin_label=\"Article HTML\" _builder_version=\"4.16\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_row admin_label=\"Contenu\" _builder_version=\"4.16\" width=\"100%\" max_width=\"100%\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" 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Il s'agit d'une attestation de participation \u00e0 une action de formation, exploitable dans le dossier individuel et la d\u00e9marche qualit\u00e9 de l'\u00e9tablissement, et non d'un dipl\u00f4me d'\u00c9tat ni d'une qualification r\u00e9glement\u00e9e.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"La formation peut-elle \u00eatre prise en charge par l'employeur ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"C'est envisageable : DYNSEO est un organisme de formation certifi\u00e9 Qualiopi (N\u00b0 11757351875), condition g\u00e9n\u00e9ralement requise pour une prise en charge au titre du plan de d\u00e9veloppement des comp\u00e9tences ou par un op\u00e9rateur de comp\u00e9tences. Les r\u00e8gles, plafonds et proc\u00e9dures varient selon les pays, les branches et les financeurs, et aucun montant ne peut \u00eatre garanti \u00e0 l'avance. 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Pour un d\u00e9ploiement sur plusieurs postes ou un devis \u00e0 l'\u00e9chelle d'un \u00e9tablissement, passez par la page contact du site : une proposition adapt\u00e9e au nombre d'apprenants peut \u00eatre \u00e9tablie.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Quel accompagnement ou support en cas de question ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La formation est un parcours en ligne \u00e0 suivre en autonomie, mais vous n'\u00eates pas livr\u00e9 \u00e0 vous-m\u00eame : l'\u00e9quipe DYNSEO reste joignable via la page contact du site pour toute question technique ou administrative li\u00e9e \u00e0 l'acc\u00e8s, au compte apprenant ou \u00e0 l'attestation. Pour les questions cliniques rencontr\u00e9es sur le terrain \u2014 douleur, \u00e9tat de sant\u00e9, d\u00e9cision de soin \u2014, la formation renvoie syst\u00e9matiquement au professionnel de sant\u00e9 r\u00e9f\u00e9rent, seul habilit\u00e9 \u00e0 poser un diagnostic et \u00e0 d\u00e9cider de la conduite \u00e0 tenir.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n<div class=\"dbi-art-591f26\">\n<!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 SEO\/GEO ARTICLE TEMPLATE  \u00b7  v1.0\nDo not modify class names: the script generer-articles.py\nand all previously published articles depend on it.\n\nThe script generer-articles.py injects, in order: the colored header,\nthe training or tool box, the written body, and then the structured data.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n-->\n\n<div class=\"dyn-article\">\n\n\n\n<header class=\"dyn-pagehead dyn-pagehead--eau\">\n  <span class=\"dyn-pagehead__cat\">Professionals \u00b7 Behavioral disorders<\/span>\n  <h1>Training \u201cRefusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach\u201d: program, content, and who it is for<\/h1>\n  <p class=\"dyn-pagehead__lead\">\u201c&nbsp;She grits her teeth as soon as I approach with the glove&nbsp;\u201d, \u201c&nbsp;he pushes away the tray without a word&nbsp;\u201d, \u201c&nbsp;she says no to everything, even to what she liked before&nbsp;\u201d. In the reports, refusal of care almost always comes through these little phrases. Three accurate observations, three doors that seem to close \u2014 and, behind each, a need, a fear, or a story that we have not yet understood.<\/p>\n  <ul class=\"dyn-pagehead__meta\">\n    <li>\u23f1\ufe0f 13 min read<\/li>\n    <li>\ud83d\udc65 For professionals<\/li>\n    <li>\ud83d\udd04 Updated in August 2026<\/li>\n  <\/ul>\n<\/header>\n\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this article\">\n  <div class=\"dyn-hero__grid\">\n    <div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/04\/autism-en-etablissement-Accompagnement-Global-161-pdf.jpg\" alt=\"DYNSEO Training \u2018Refusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach\u2019\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n    <div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this article<\/span>\n      <p class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">Refusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach<\/a><\/p>\n      <p class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/p>\n      <ul class=\"dyn-badges\">\n        <li>\ud83c\udfa5 5 modules \u00b7 16 lessons<\/li>\n        <li>\ud83d\udcbb 100 % online<\/li>\n        <li>\u23f1\ufe0f At your own pace<\/li>\n        <li>\ud83c\udfc5 Qualiopi organization<\/li>\n        <li>\ud83c\udf0d 9 languages<\/li>\n      <\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">See the training<\/a>\n        <span class=\"dyn-hero__price\">90.0 \u20ac<\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/aside>\n\n<p>This page details the <strong>refusal of care training<\/strong> offered by DYNSEO&nbsp;: <strong>\u201cRefusal of care: understanding, negotiating, and respecting \u2014 a gentle and ethical approach\u201d<\/strong>. You will find its actual content, module by module, the professions it addresses, its duration, its format, its price, the deployment modalities in teams \u2014 and, to be honest, the scope it does not cover.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SHORT RESPONSE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<section class=\"dyn-tldr\">\n  <h2>The essentials in 30 seconds<\/h2>\n  <p>Online training of <strong>4 modules and 16 lessons<\/strong> (approximately <strong>4 hours<\/strong>), intended for professionals facing refusal of care in healthcare, medico-social, school, or business settings. Price&nbsp;: <strong>90 \u20ac<\/strong>. Immediate and unlimited access.<\/p>\n  <ul>\n    <li><strong>For whom<\/strong> \u2014 nursing assistants, nurses, home helpers, companions, managers, teams from healthcare establishments, schools, and businesses.<\/li>\n    <li><strong>Objective<\/strong> \u2014 understand what is behind a refusal, adopt the right posture, and negotiate without forcing, respecting the person's rights.<\/li>\n    <li><strong>What is covered<\/strong> \u2014 causes and meaning of refusal, legal framework, caring posture, gentle communication and negotiation, complex situations, teamwork, prevention.<\/li>\n    <li><strong>What is not covered<\/strong> \u2014 the technical gestures of care themselves, the diagnosis, and the medical decision, which remain the responsibility of healthcare professionals.<\/li>\n    <li><strong>Organization<\/strong> \u2014 DYNSEO, certified Qualiopi (No. 11757351875), certificate of completion issued.<\/li>\n  <\/ul>\n<\/section>\n\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <p>In the table of contents<\/p>\n  <ol>\n    <li><a href=\"#dyn-probleme\">The problem it solves on the ground<\/a><\/li>\n    <li><a href=\"#dyn-pourqui\">Who the refusal of care training is aimed at<\/a><\/li>\n    <li><a href=\"#dyn-programme\">The program&nbsp;: 4 modules, 16 lessons<\/a><\/li>\n    <li><a href=\"#dyn-format\">Format and organization<\/a><\/li>\n    <li><a href=\"#dyn-competences\">What you will be able to do by the end<\/a><\/li>\n    <li><a href=\"#dyn-qualiopi\">Qualiopi, certificate, and funding<\/a><\/li>\n    <li><a href=\"#dyn-equipe\">Deploying the training in a team<\/a><\/li>\n    <li><a href=\"#dyn-tarif\">Price and registration<\/a><\/li>\n    <li><a href=\"#dyn-limites\">What this training is not<\/a><\/li>\n    <li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n  <\/ol>\n<\/nav>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-probleme\">The problem it solves on the ground<\/h2>\n\n<p>Refusal of care is not a whim, nor a personal attack against the professional. It is a message. A person who refuses a bath may be cold, in pain, ashamed, not recognizing the person approaching them, or no longer understanding what is expected of them. The same gesture \u2014 saying \u201c&nbsp;no&nbsp;\u201d, turning their head, clenching their jaws \u2014 covers very different realities.<\/p>\n\n<p>The right to refuse is also enshrined in French law&nbsp;: the law of March 4, 2002, relating to the rights of patients establishes the principle of consent, and the Claeys-Leonetti law of 2016 reaffirms respect for the person's will. The professional is therefore not faced with a simple organizational problem, but with a delicate balance between respecting a right and their duty to protect and care.<\/p>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>What is observed and transmitted<\/th><th>Frequent interpretation<\/th><th>What it often concerns<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Refuses morning hygiene<\/td><td>Unwillingness, opposition<\/td><td>Pain with movement, modesty, fear of water<\/td><\/tr>\n    <tr><td>Pushed away the meal tray<\/td><td>Lack of appetite<\/td><td>Feared choking, fatigue, unsuitable textures<\/td><\/tr>\n    <tr><td>Grinds teeth during care<\/td><td>Aggressiveness<\/td><td>Anticipated pain, misunderstanding, feeling of intrusion<\/td><\/tr>\n    <tr><td>Says \u201cno\u201d to any proposal<\/td><td>Difficult character<\/td><td>Need to maintain control over their life<\/td><\/tr>\n    <tr><td>Freezes and no longer responds<\/td><td>Pouting, indifference<\/td><td>Overload, anxiety, comprehension disorder<\/td><\/tr>\n    <tr><td>Accepts in the morning, refuses in the evening<\/td><td>Incoherence<\/td><td>End-of-day fatigue, rhythm not respected<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>Each line of this table represents a possible adjustment: a rephrased sentence, a shifted moment, an explanation given differently. This is precisely the purpose of this training: to move from observation to accurate decoding, and then to a response that respects both the person and the necessity of care. We do not seek to \u201cmake them yield,\u201d but to understand in order to find an acceptable path together.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-pourqui\">Who the training on refusal of care is for<\/h2>\n\n<p>The refusal of care crosses all support settings. The training has been designed for professionals in various fields, united by the same question: how to continue providing care when the person says no?<\/p>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\uddd1\u200d\u2695\ufe0f<\/span>\n    <h3>Care assistants<\/h3>\n    <p>Hygiene, meals, transfers: the moments most exposed to refusal, where posture and the words used make all the difference.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc89<\/span>\n    <h3>Nurses<\/h3>\n    <p>Technical care, medication administration, dressings: how to articulate safety, urgency, and respect for expressed refusal.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe0<\/span>\n    <h3>Life assistants and home care aides<\/h3>\n    <p>Often alone at home, without an immediate team. The training provides guidelines to defuse situations and to know when to alert.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd1d<\/span>\n    <h3>Support workers and educators<\/h3>\n    <p>In medical-social institutions as well as in schools, facing individuals who refuse an activity, a meal, or hygiene care.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe2<\/span>\n    <h3>Institution and company teams<\/h3>\n    <p>Residences, Nursing homes, specialized structures: a common foundation to harmonize practices and ease recurring situations.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcca<\/span>\n    <h3>Managers and quality supervisors<\/h3>\n    <p>A shared content by an entire team, with individual certificates to be added to the training file.<\/p>\n  <\/div>\n<\/div>\n\n<h3>Made for you \/ not made for you<\/h3>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Your situation<\/th><th>This training\u2026<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>You are facing repeated refusals and feel helpless<\/td><td><span class=\"dyn-oui\">\u2714 Perfectly suitable<\/span><\/td><\/tr>\n    <tr><td>Your team reacts heterogeneously and you are looking for a common foundation<\/td><td><span class=\"dyn-oui\">\u2714 Suitable<\/span> \u2014 this is the most common usage<\/td><\/tr>\n    <tr><td>You want to better understand the legal framework of refusal<\/td><td><span class=\"dyn-oui\">\u2714 Suitable<\/span> \u2014 dedicated module 1<\/td><\/tr>\n    <tr><td>You are looking to learn the technical care gestures themselves<\/td><td><span class=\"dyn-non\">\u2718 No<\/span> \u2014 the training focuses on the relationship, not on care techniques<\/td><\/tr>\n    <tr><td>You are looking for a medical protocol for restraint or sedation<\/td><td><span class=\"dyn-non\">\u2718 No<\/span> \u2014 these decisions are the doctor's responsibility<\/td><\/tr>\n    <tr><td>You are looking for a state diploma or a regulated qualification<\/td><td><span class=\"dyn-non\">\u2718 No<\/span> \u2014 this is a certificate of completion<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-programme\">The program: 4 modules, 16 lessons<\/h2>\n\n<p>The course follows a logical progression: first understanding what is at stake and what the law says, then working on one's own posture, acquiring communication and negotiation techniques, and finally facing the most complex situations and anchoring the knowledge in the collective. The lessons are short: about eleven to twenty minutes each.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">1<\/div>\n    <h3 class=\"dyn-module__title\">Understanding the refusal of care \u2014 causes, meanings, and law<\/h3>\n  <\/div>\n  <ul>\n    <li>What is refusal of care really?<\/li>\n    <li>The causes of refusal of care<\/li>\n    <li>The legal framework \u2014 right to refuse and caregiver obligations<\/li>\n    <li>Refusal of care in individuals with cognitive disorders<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">2<\/div>\n    <h3 class=\"dyn-module__title\">The caregiver's posture in the face of refusal<\/h3>\n  <\/div>\n  <ul>\n    <li>Not experiencing refusal as a personal failure<\/li>\n    <li>Active listening as the first tool<\/li>\n    <li>Respecting the refusal while ensuring safety<\/li>\n    <li>Managing emotions in the face of repeated refusals<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">3<\/div>\n    <h3 class=\"dyn-module__title\">Communication and gentle negotiation techniques<\/h3>\n  <\/div>\n  <ul>\n    <li>Reformulating the care proposal<\/li>\n    <li>Building on the relationship and the person's preferences<\/li>\n    <li>The Montessori approach and techniques from person-centered care<\/li>\n    <li>When care is urgent and refusal persists<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">4<\/div>\n    <h3 class=\"dyn-module__title\">Complex situations, teamwork, and prevention<\/h3>\n  <\/div>\n  <ul>\n    <li>The most common refusal situations and how to approach them<\/li>\n    <li>Refusal of care at the end of life \u2014 a particular dimension<\/li>\n    <li>DYNSEO tools to reduce anxiety and rebuild trust<\/li>\n    <li>Building an institutional culture around refusal of care<\/li>\n  <\/ul>\n<\/div>\n\n<p>The course ends with a summary quiz that reviews the key points of the four modules, useful for verifying one's knowledge before receiving the certificate.<\/p>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Two lessons that teams mention most often<\/strong>\n  <p>\u201c&nbsp;<strong>Not experiencing refusal as a personal failure<\/strong>&nbsp;\u201d (module 2) and \u201c&nbsp;<strong>Reformulating the care proposal<\/strong>&nbsp;\u201d (module 3). The first changes the perspective: refusal stops being a defeat to become information. The second provides concrete words, immediately reusable at the bedside or at home, to transform a \u201c&nbsp;no&nbsp;\u201d into a possible negotiation.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Transform daily refusals into dialogue<\/h3>\n  <p>4 modules, 16 lessons, about 4 hours, unlimited access and personalized certificate. A gentle and ethical method, applicable from the next position taken.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">Discover the training \u2014 \u20ac90<\/a>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-format\">Format and organization<\/h2>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Criterion<\/th><th>Detail<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Format<\/td><td>100% online, short video lessons<\/td><\/tr>\n    <tr><td>Content<\/td><td>4 modules \u00b7 16 lessons \u00b7 1 quiz<\/td><\/tr>\n    <tr><td>Duration<\/td><td>About 4 hours in total<\/td><\/tr>\n    <tr><td>Pace<\/td><td>Free, no imposed end date<\/td><\/tr>\n    <tr><td>Support<\/td><td>Computer, tablet, smartphone<\/td><\/tr>\n    <tr><td>Access<\/td><td>Immediate after registration, unlimited over time<\/td><\/tr>\n    <tr><td>Required level<\/td><td>All levels, no prerequisites<\/td><\/tr>\n    <tr><td>Validation<\/td><td>Certificate of completion<\/td><\/tr>\n    <tr><td>Price<\/td><td>90 \u20ac per learner<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>The asynchronous format meets a specific constraint on the ground: you cannot immobilize an entire team for a whole day. The four hours are divided into sequences of fifteen to twenty minutes, during available times, without disrupting a schedule. Everyone progresses at their own pace, revisits a lesson when a situation arises, and picks up where they left off. The content remains accessible afterwards: it is a resource that can be drawn from over the months.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-competences\">What you will be able to do at the end<\/h2>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd0e<\/span>\n    <h3>Decode a refusal<\/h3>\n    <p>Identify what lies behind a \"no\": pain, fear, modesty, fatigue, misunderstanding \u2014 and adapt the response accordingly.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u2696\ufe0f<\/span>\n    <h3>Situate the legal framework<\/h3>\n    <p>Understand the right to refuse and the caregiver's obligations, to act in respect of the person's rights.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udee7<\/span>\n    <h3>Maintain a proper posture<\/h3>\n    <p>Stop viewing refusal as a failure, regulate your own emotions and remain available even after several refusals.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcac<\/span>\n    <h3>Negotiate gently<\/h3>\n    <p>Rephrase a proposal, rely on the person's preferences, offer a choice rather than imposing care.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udea8<\/span>\n    <h3>React when care is urgent<\/h3>\n    <p>Distinguish what can wait from what cannot, apply the instructions and alert the healthcare professional at the right time.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc65<\/span>\n    <h3>Team up<\/h3>\n    <p>Share what has worked, build a coherent response and contribute to a calm establishment culture.<\/p>\n  <\/div>\n<\/div>\n\n<h3>Concrete words and gestures<\/h3>\n\n<p>The training does not just provide principles. It offers precise formulations and attitudes to adopt. For example, rather than insisting with \"you need to wash yourself,\" we learn to offer a choice: \"Would you prefer to start with your face or your hands?\". Instead of standing in front of the person, we learn to get to their level, to announce each gesture before doing it, and to allow time for a response.<\/p>\n<div class=\"dyn-alerte\">\n  <p><strong>\u274c To avoid&nbsp;:<\/strong> forcing, doing instead \"to go faster\", raising your voice, or speaking about the person in the third person in front of them (\"she never wants\"). These reactions, very human when we are in a hurry or tired, reinforce refusal and damage the trust relationship. The training helps to identify these automatism and replace them with more soothing responses.<\/p>\n<\/div>\n\n<p>In case of doubt about pain, a change in condition, or a persistent refusal regarding necessary care, the rule remains the same&nbsp;: observe, note, report, and refer to the healthcare professional, who is the only one authorized to make a diagnosis and decide on the course of action. In life-threatening situations, contact your country's emergency services without delay.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-qualiopi\">Qualiopi, certification, and funding<\/h2>\n\n<p>DYNSEO is a certified training organization <strong>Qualiopi<\/strong>, registered under the activity declaration number <strong>11757351875<\/strong>. The certification focuses on the quality of the process&nbsp;: defined educational objectives, adaptation to audiences, qualification of trainers, collection of feedback, and continuous improvement.<\/p>\n\n<p>Each learner receives a <strong>certificate of completion<\/strong> in their name, to be added to the individual file and usable within the quality approach of the establishment. It is neither a state diploma nor a regulated qualification&nbsp;: it is a certificate of participation in a training action.<\/p>\n\n<p>Regarding funding, the Qualiopi certification is the condition that allows an employer to consider coverage under the skills development plan or by their skills operator. The rules, ceilings, and procedures vary by country, branches, and operators&nbsp;: the only reliable approach is to have the quote and program validated by the HR service or the funding organization <em>before<\/em> the purchase. No amount of coverage can be guaranteed in advance.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-equipe\">Deploying training within a team<\/h2>\n\n<p>The online format facilitates collective deployment, provided that you do not just send a link. Refusal of care is a subject where team coherence matters as much as individual competence&nbsp;: if one forces where the other negotiates, the person being supported loses their bearings.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Set an observable objective.<\/strong> For example&nbsp;: reduce the bathing experiences perceived as confrontations in a specific area within three months. Without an objective, the training remains just a checkbox.<\/li>\n  <li><strong>Block time.<\/strong> Two slots of twenty minutes per week on the schedule are better than a directive of \"do it when you can\".<\/li>\n  <li><strong>Designate a referent.<\/strong> A person who advances a module in advance and leads a five-minute recap in the team meeting.<\/li>\n  <li><strong>Ground each module in reality.<\/strong> After module 2, discuss a refusal situation experienced as a failure. After module 3, test a rephrasing together on a concrete case.<\/li>\n  <li><strong>Archive the certificates<\/strong> as you go, in the training file, with the completion date.<\/li>\n  <li><strong>Plan a follow-up in three months.<\/strong> What has really changed in practices&nbsp;? This distinguishes useful training from consumed training.<\/li>\n<\/ol>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-tarif\">Pricing and registration<\/h2>\n\n<p>The training is offered at <strong>90 \u20ac<\/strong> per learner. The price is displayed in the visitor's currency according to the country of connection. Access is immediate and unlimited over time.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li>Open the <a href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">training page<\/a> and add it to the cart.<\/li>\n  <li>Create the learner account, or log in, then confirm the payment.<\/li>\n  <li>Access is immediate&nbsp;: the training appears in the learner's space and the first lesson starts right away.<\/li>\n<\/ol>\n\n<p>For deployment across multiple positions or a quote for an establishment, the contact page of the site allows obtaining a tailored proposal. The <a href=\"https:\/\/www.dynseo.com\/nos-formations\/\">DYNSEO training catalog<\/a> also includes other courses for healthcare and medico-social professionals.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-limites\">What this training is not<\/h2>\n\n<ul>\n  <li><strong>It does not teach technical care gestures.<\/strong> It focuses on the relationship, posture, and communication around refusal, not on the execution of the care itself.<\/li>\n  <li><strong>It does not replace medical advice.<\/strong> Diagnosis, pain assessment, and any therapeutic decision \u2014 including any protective measures \u2014 fall under the healthcare professional's responsibility.<\/li>\n  <li><strong>It does not offer any prescriptive protocol.<\/strong> No dosage, no imposed texture, no restraint technique&nbsp;: the training teaches to observe, report, and apply instructions.<\/li>\n  <li><strong>It is not a diploma.<\/strong> The certificate attests to participation, not to a regulated qualification.<\/li>\n  <li><strong>It is not an in-person training.<\/strong> There is no live trainer or group exchanges&nbsp;: it is an asynchronous video course.<\/li>\n<\/ul>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 S\u00c9RIE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2>To go further<\/h2>\n<div class=\"dyn-serie\">\n  <a href=\"#dyn-guide-refus-de-soins\"><span>Background Guide<\/span>Refusal of care: the complete guide to understanding what is at stake<\/a>\n  <a href=\"#dyn-situations-refus-de-soins\"><span>Everyday Situations<\/span>Refusal of care: 10 difficult situations and how to respond<\/a>\n  <a href=\"#dyn-outils-refus-de-soins\"><span>Toolbox<\/span>Refusal of care: activities, resources, and concrete arrangements<\/a>\n  <a href=\"#dyn-posture-refus-de-soins\"><span>Professional Stance<\/span>Refusal of care: posture, teamwork, and skill development<\/a>\n<\/div>\n\n<p>Several free DYNSEO tools directly complement this training to restore dialogue and reduce anxiety: the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/thermometre-des-emotions\/\">emotion thermometer<\/a> and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/decodeur-dexpressions-faciales\/\">facial expression decoder<\/a> to better read what the person feels, the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/roue-des-choix\/\">wheel of choices<\/a> and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/cartes-de-conversation\/\">conversation cards<\/a> to suggest rather than impose, and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/echelle-de-la-voix\/\">voice scale<\/a> to adjust one's tone. The <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">complete catalog<\/a> is freely accessible, just like the <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">cognitive tests<\/a>. Finally, the cognitive stimulation applications <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a> (seniors, Alzheimer's disease, Parkinson's) and <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a> (adults) serve as concrete supports to recreate moments of shared pleasure and soothe the relationship.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\">\n\n  <h3>How long does it take to complete the training&nbsp;?<\/h3>\n  <p>About four hours in total for the 4 modules and the 16 lessons, plus a summary quiz. The lessons being short, from eleven to twenty minutes each, most learners spread the course over two to four weeks, with two short slots per week. Access remains open indefinitely&nbsp;: you can return to a specific lesson when a refusal situation arises in the field, making it a sustainable resource and not just a one-time training.<\/p>\n\n  <h3>Does the training provide unlimited access and a certificate&nbsp;?<\/h3>\n  <p>Yes. Access is immediate after registration and unlimited in time&nbsp;: the content remains available as long as you wish, on computer, tablet, or smartphone. At the end of the course, each learner receives a personalized training completion certificate. This is a certificate of participation in a training action, usable in the individual file and the quality approach of the establishment, and not a state diploma or a regulated qualification.<\/p>\n\n  <h3>Can the training be covered by the employer&nbsp;?<\/h3>\n  <p>This is possible&nbsp;: DYNSEO is a training organization certified Qualiopi (N\u00b0 11757351875), a condition generally required for coverage under the skills development plan or by a skills operator. The rules, ceilings, and procedures vary by country, sector, and funders, and no amount can be guaranteed in advance. The reliable approach&nbsp;: have the program and the quote validated by your HR department or your funding organization before purchase.<\/p>\n\n  <h3>Can an entire team be registered&nbsp;?<\/h3>\n  <p>Yes. Each professional has their own learner account and their personalized certificate, which allows for submitting the documents to individual files. This is even the recommended practice for this subject&nbsp;: in the face of refusal of care, the coherence of the entire team matters as much as the competence of each individual. For deployment across multiple positions or a quote at the scale of an establishment, go through the contact page of the site&nbsp;: a proposal adapted to the number of learners can be established.<\/p>\n\n  <h3>What support is available in case of questions&nbsp;?<\/h3>\n  <p>The training is an online course to be followed independently, but you are not left to your own devices&nbsp;: the DYNSEO team remains reachable via the contact page of the site for any technical or administrative questions related to access, the learner account, or the certificate. For clinical questions encountered in the field \u2014 pain, health status, care decision \u2014 the training systematically refers to the referring healthcare professional, who is the only one authorized to make a diagnosis and decide on the course of action.<\/p>\n\n<\/div>\n\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f General information<\/strong>\n  <p>This page describes the content of a training action. The financing conditions and training obligations vary by country and employers&nbsp;: check with your HR department or your funding organization. This content does not constitute medical advice&nbsp;: in case of doubt about a person's health status, consult a healthcare professional, and in case of a vital emergency, contact the emergency services in your country.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Responding differently to refusal of care<\/h3>\n  <p>The <strong>refusal of care training<\/strong> from DYNSEO: 4 modules, 16 lessons, approximately 4 hours, unlimited access and a personalized certificate for each professional. A gentle and ethical approach, to understand, negotiate and respect.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">Discover the training \u2014 90 \u20ac<\/a>\n<\/div>\n\n\n\n<\/div>\n\n<\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[2915],"tags":[],"class_list":["post-759542","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-conseils-des-coachs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Training &#039;Refusal of Care: Understanding, Negotiating, and Respecting - A Gentle and Ethical Approach&#039;: Program, Content, and Who It Is For - DYNSEO - Educational apps &amp; brain training apps for all<\/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.dynseo.com\/en\/training-refusal-of-care-understanding-negotiating-respecting-gentle-ethical-approach-program-content-who-it-is-for\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Training &#039;Refusal of Care: Understanding, Negotiating, and Respecting - A Gentle and Ethical Approach&#039;: Program, Content, and Who It Is For - DYNSEO - Educational apps &amp; 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