.dbi-art-b229ac50{margin:0;background:#f8f9fc}.dossier-back{padding:17px 24px;font:14px Arial;background:#edf0fa}.dbi-art-b229ac50 .dossier-back a{color:#41459b}.communication-article{--primary-blue:#5e5ed7;--dark-blue:#4456ac;--teal:#a9e2e4;--yellow:#ffeca7;--pink:#e73469;--light-gray:#f8f9fc;--text-color:#2f3b4b;--border-color:#dce3ed;font-family:'Poppins',Arial,sans-serif;line-height:1.7;color:var(--text-color);background:var(--light-gray);overflow-wrap:break-word;font-size:16px}
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.communication-article .article-hero-curve{position:absolute;bottom:-1px;width:100%;height:45px;background:var(--light-gray);clip-path:ellipse(100% 100% at 50% 100%)}.communication-article .article-body{background:white;margin:-29px auto 0;max-width:1200px;position:relative;border-radius:22px 22px 0 0;padding:42px 0 50px}.dbi-art-b229ac50 .communication-article .intro-block{background:linear-gradient(135deg,#f6f7fe,#f0f6f8);border-left:5px solid var(--primary-blue);padding:30px 34px;border-radius:18px}.communication-article .intro-block p:last-child{margin:0}.dbi-art-b229ac50 .communication-article .stats-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:19px;margin:32px 0}.communication-article .stat-card{padding:24px 18px;text-align:center;border-radius:16px;border:1px solid var(--border-color);box-shadow:0 9px 28px #4b4bb30b}.dbi-art-b229ac50 .communication-article .stat-card 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30px;background:#fff4cc;border:1px solid #eadba2;border-radius:17px;margin:30px 0}.communication-article .conseil-card p:last-child,.communication-article .tip-box p:last-child{margin-bottom:0}.dbi-art-b229ac50 .communication-article .product-card{display:grid;grid-template-columns:230px 1fr;align-items:center;gap:30px;padding:28px;border:1px solid #dde2f4;background:linear-gradient(130deg,#f6f6ff,#f3fbfc);border-radius:21px;margin:35px 0}.communication-article .product-card img{width:100%;height:auto;display:block;border-radius:15px;aspect-ratio:1;object-fit:contain}.dbi-art-b229ac50 .communication-article .product-card h3{margin-top:10px;font-size:1.5rem}.communication-article .small-label{text-transform:uppercase;letter-spacing:.07em;font-size:.73rem;font-weight:800;color:#4a55a8}.dbi-art-b229ac50 .communication-article .product-meta{font-size:.84rem;color:#526078}.communication-article .btn-purple{display:inline-block;padding:12px 23px;border-radius:30px;background:#5151ba;color:#fff;text-decoration:none;font-weight:700;font-size:.9rem}.dbi-art-b229ac50 .communication-article .table-scroll{overflow-x:auto;margin:25px 0}.communication-article table{border-collapse:collapse;width:100%;min-width:540px;font-size:.92rem}.dbi-art-b229ac50 .communication-article caption{text-align:left;font-weight:700;margin:0 0 12px;color:#424e6a}.communication-article th,.communication-article td{padding:17px 16px;text-align:left;vertical-align:top;border-bottom:1px solid #dce3ed}.dbi-art-b229ac50 .communication-article th{background:#ebecfc;color:#3e428e}.communication-article tr:nth-child(even){background:#f8fafc}.dbi-art-b229ac50 .communication-article .tip-box{background:#fff0f4;border:1px solid #efbfd0;padding:24px 28px;border-radius:16px;margin:28px 0}.communication-article .tip-box strong{color:#8c3154;display:block;margin-bottom:10px}.dbi-art-b229ac50 .communication-article .questions-card{border:1px solid #d5dfee;background:#f7f9fd;border-radius:16px;padding:20px 27px}.communication-article .questions-card li{padding:6px 0}.dbi-art-b229ac50 .communication-article .questions-card li::marker{font-weight:800;color:#5454bd}.communication-article .methods-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:18px;margin:28px 0}.dbi-art-b229ac50 .communication-article .method-card{padding:23px;background:#f4f6ff;border:1px solid #d9dff5;border-radius:16px}.communication-article .method-card h3{font-size:1.17rem;margin:16px 0}.dbi-art-b229ac50 .communication-article .method-card p{font-size:.94rem}.communication-article .method-number{display:inline-grid;place-items:center;width:38px;height:38px;background:#e0e2fb;color:#4b4bb2;border-radius:11px;font-weight:800}.dbi-art-b229ac50 .communication-article .evaluation-tools{padding:26px 30px;border:2px solid #b4dce0;border-radius:16px;margin:28px 0}.communication-article .training-card{display:grid;grid-template-columns:1fr 1.2fr;gap:28px;align-items:center;padding:28px;background:linear-gradient(135deg,#eef0ff,#e8f6f7);border-radius:22px;margin:55px 0}.dbi-art-b229ac50 .communication-article .training-card img{display:block;width:100%;height:auto;border-radius:15px}.communication-article .training-card h2{font-size:1.5rem;margin:12px 0 20px;border:0;padding:0}.dbi-art-b229ac50 .communication-article .training-card p{font-size:.94rem}.communication-article .faq-item{border:1px solid var(--border-color);border-radius:12px;margin:14px 0;overflow:hidden}.dbi-art-b229ac50 .communication-article .faq-item summary{cursor:pointer;padding:20px 23px;font-weight:700;color:#444b91}.communication-article .faq-item[open] summary{background:#f3f4fc;border-bottom:1px solid var(--border-color)}.dbi-art-b229ac50 .communication-article .faq-item>div{padding:22px 23px}.communication-article .faq-item p{margin:0}.dbi-art-b229ac50 .communication-article 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solid var(--border-color);padding-top:25px;margin-top:28px}.communication-article .article-tags span{background:#f0f1fb;color:#444ca3;padding:7px 13px;border-radius:25px;font-size:.8rem}
.dbi-art-b229ac50 .communication-article figure{margin:0}.communication-article figcaption{font-size:.8rem;line-height:1.6;color:#5d6881;text-align:center;padding:12px 8px 0}.dbi-art-b229ac50 .communication-article .souvenir-showcase{display:grid;grid-template-columns:1.08fr 1fr;gap:32px;align-items:center;background:linear-gradient(135deg,#f8f4ff,#f1f9f9);padding:27px;border:1px solid #e1e3f2;border-radius:20px;margin:35px 0}.communication-article .real-page img{display:block;width:100%;height:auto;border-radius:10px;box-shadow:0 10px 25px #30305d16}.dbi-art-b229ac50 .communication-article .souvenir-notes h3{font-size:1.5rem;margin-top:12px}.communication-article .exercise-showcase{max-width:780px;margin:35px auto}.dbi-art-b229ac50 .communication-article .exercise-showcase img{display:block;width:100%;height:auto;border-radius:16px;box-shadow:0 9px 28px #30305d17}.communication-article .series-showcase{max-width:500px;margin:30px auto 25px}.dbi-art-b229ac50 .communication-article .series-showcase img{display:block;width:100%;height:auto;border-radius:16px}
@media (max-width:760px){.dbi-art-b229ac50 .communication-article .container{padding:0 17px}.dbi-art-b229ac50 .communication-article .article-hero{padding:30px 0 75px}.dbi-art-b229ac50 .communication-article .article-body{padding:25px 0}.dbi-art-b229ac50 .communication-article .intro-block{padding:22px}.dbi-art-b229ac50 .communication-article h2{font-size:1.55rem;margin-top:40px}.dbi-art-b229ac50 .communication-article .stats-grid{grid-template-columns:1fr;gap:11px}.dbi-art-b229ac50 .communication-article .stat-card{padding:15px}.dbi-art-b229ac50 .communication-article .stat-card strong{font-size:1.3rem}.dbi-art-b229ac50 .communication-article .product-card, .dbi-art-b229ac50 .communication-article .training-card, .dbi-art-b229ac50 .communication-article .methods-grid, .dbi-art-b229ac50 .communication-article .souvenir-showcase{grid-template-columns:1fr}.dbi-art-b229ac50 .communication-article .product-card, .dbi-art-b229ac50 .communication-article .training-card, .dbi-art-b229ac50 .communication-article .souvenir-showcase{padding:21px}.dbi-art-b229ac50 .communication-article .product-card .product-visual{max-width:220px;margin:auto}.dbi-art-b229ac50 .communication-article .cta-box{padding:28px 20px}.dbi-art-b229ac50 .communication-article .cta-buttons{flex-direction:column;align-items:center}.dbi-art-b229ac50 .communication-article .article-meta{gap:10px;flex-direction:column}}.dbi-art-b229ac50 .communication-article a.btn-purple, .dbi-art-b229ac50 .communication-article a.btn-purple:link, .dbi-art-b229ac50 .communication-article a.btn-purple:visited, .dbi-art-b229ac50 .communication-article a.btn-purple:hover, .dbi-art-b229ac50 .communication-article a.btn-purple:focus, .dbi-art-b229ac50 .communication-article a.btn-purple:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #4d46b5 !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-purple:hover,
.communication-article a.btn-purple:focus-visible,
.communication-article a.btn-purple:active {
background: #39348c !important;
border-color: #39348c !important;
}.dbi-art-b229ac50 .communication-article a.btn-white, .dbi-art-b229ac50 .communication-article a.btn-white:link, .dbi-art-b229ac50 .communication-article a.btn-white:visited, .dbi-art-b229ac50 .communication-article a.btn-white:hover, .dbi-art-b229ac50 .communication-article a.btn-white:focus, .dbi-art-b229ac50 .communication-article a.btn-white:active{
color: #39348c !important;
-webkit-text-fill-color: #39348c !important;
background: #ffffff !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-white:hover,
.communication-article a.btn-white:focus-visible {
background: #f0f1ff !important;
border-color: #f0f1ff !important;
}.dbi-art-b229ac50 .communication-article a.btn-outline, .dbi-art-b229ac50 .communication-article a.btn-outline:link, .dbi-art-b229ac50 .communication-article a.btn-outline:visited, .dbi-art-b229ac50 .communication-article a.btn-outline:hover, .dbi-art-b229ac50 .communication-article a.btn-outline:focus, .dbi-art-b229ac50 .communication-article a.btn-outline:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-outline:hover,
.communication-article a.btn-outline:focus-visible,
.communication-article a.btn-outline:active {
background: #39348c !important;
}.dbi-art-b229ac50 .communication-article a.btn-purple *, .dbi-art-b229ac50 .communication-article a.btn-white *, .dbi-art-b229ac50 .communication-article a.btn-outline *{
color: inherit !important;
-webkit-text-fill-color: inherit !important;
opacity: 1 !important;
}
.communication-article a.btn-purple,
.communication-article a.btn-white,
.communication-article a.btn-outline {
display: inline-flex;
align-items: center;
justify-content: center;
max-width: 100%;
min-height: 44px;
white-space: normal;
text-align: center;
line-height: 1.5;
}
.dbi-art-b229ac50 .communication-article a.btn-purple:focus-visible, .dbi-art-b229ac50 .communication-article a.btn-white:focus-visible, .dbi-art-b229ac50 .communication-article a.btn-outline:focus-visible{
outline: 3px solid #232645 !important;
outline-offset: 4px;
}
.communication-article .cta-box a:focus-visible {
outline-color: #ffeca7 !important;
}.dbi-art-b229ac50 .communication-article .multi-products{display:grid;grid-template-columns:1fr 1fr;gap:18px;margin:30px 0}.communication-article .multi-products .product-card{display:block;margin:0;padding:24px}.dbi-art-b229ac50 .communication-article .multi-products .product-visual{display:block;max-width:175px;margin:0 auto 18px}.communication-article .visual-grid{display:grid;grid-template-columns:1fr 1fr;gap:22px;align-items:start;margin:35px 0}.dbi-art-b229ac50 .communication-article .visual-grid figure{padding:16px;background:#f5f7fc;border:1px solid #e0e5ef;border-radius:17px}.communication-article .visual-grid img{width:100%;height:auto;display:block;border-radius:10px}.dbi-art-b229ac50 .communication-article .support-links{display:flex;gap:9px;flex-wrap:wrap;margin:20px 0 30px}.communication-article .support-links a{padding:7px 13px;border-radius:22px;background:#eef1fa;text-decoration:none;font-size:.84rem;font-weight:600;color:#3b428e}.dbi-art-b229ac50 .communication-article .sources-mini{margin:35px 0 0;font-size:.85rem;color:#59667c}.communication-article .sources-mini h2{font-size:1.1rem;border:0;padding:0;margin:15px 0}.dbi-art-b229ac50 .communication-article .sources-mini p{font-size:.85rem}.communication-article .product-card p{font-size:.93rem}.dbi-art-b229ac50 .communication-article .article-body{padding-bottom:40px}.communication-article .ideas-list li{margin-bottom:18px}@media (max-width:760px){.dbi-art-b229ac50 .communication-article .multi-products, .dbi-art-b229ac50 .communication-article .visual-grid{grid-template-columns:1fr}.dbi-art-b229ac50 .communication-article .visual-grid{gap:17px}}.dbi-art-b229ac50 .communication-article .product-card{grid-template-columns:minmax(250px,.9fr) 1.2fr}
.communication-article .product-card .product-visual{display:block;padding:10px;background:#fff;border-radius:16px}
.dbi-art-b229ac50 .communication-article .product-card img{aspect-ratio:auto;max-height:390px;object-fit:contain}
.communication-article .sequence-showcase{margin:38px 0;padding:23px;border:1px solid #dbe2ef;background:#f5f8fc;border-radius:20px}
.dbi-art-b229ac50 .communication-article .sequence-showcase img{display:block;width:100%;max-height:540px;object-fit:contain;height:auto;border-radius:12px}
.communication-article .sequence-showcase figcaption{max-width:800px;margin:auto}
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.communication-article .sources-mini{margin-top:32px;padding-top:16px;border-top:1px solid #dce3ed}
.dbi-art-b229ac50 .communication-article .sources-mini h2{border:0;font-size:1.12rem;padding:0;margin:16px 0}
.communication-article .sources-mini p,.communication-article .sources-mini li{font-size:.84rem;line-height:1.75}
.dbi-art-b229ac50 .communication-article .sources-mini li{margin:7px 0}
.communication-article .intro-block+.contents{margin-top:26px}
@media (max-width:760px){.dbi-art-b229ac50 .communication-article .product-card{grid-template-columns:1fr}.dbi-art-b229ac50 .communication-article .product-card .product-visual{max-width:450px;width:100%}.dbi-art-b229ac50 .communication-article .sequence-showcase{padding:16px}}
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section[id]{scroll-margin-top:30px}.dbi-art-b229ac50 .communication-article .article-hero{background:linear-gradient(135deg,#5e5ed7,#5268c9);color:white;padding:48px 0 100px;position:relative;overflow:hidden}.communication-article .article-breadcrumb{display:flex;gap:11px;flex-wrap:wrap;font-size:.8rem;margin-bottom:27px}.dbi-art-b229ac50 .communication-article .article-breadcrumb a{color:white}.communication-article .article-category{display:inline-block;background:var(--teal);color:#253e78;padding:8px 17px;border-radius:30px;font-size:.83rem;font-weight:700}.dbi-art-b229ac50 .communication-article h1{font-size:clamp(2rem,4.6vw,3.25rem);font-weight:800;margin:23px 0 25px;color:white;max-width:1010px}.communication-article .hl{color:var(--yellow)}.dbi-art-b229ac50 .communication-article .hero-intro{font-size:1.1rem;max-width:860px;line-height:1.8}.communication-article .article-meta{display:flex;gap:20px;flex-wrap:wrap;font-size:.8rem;opacity:.95;margin-top:24px}.dbi-art-b229ac50 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Situaciones de acompañamiento
Al final de la vida: apoyar la presencia y la expresión de las preferencias
Cuando la palabra se vuelve rara o ausente al final de la vida, los seres queridos pueden buscar cómo permanecer presentes y útiles. No es necesario mantener una conversación continua. La atención a las preferencias, al confort y a los medios de comunicación ya conocidos puede ayudar a preparar el encuentro con el equipo.
El programa DYNSEO aborda estas situaciones. Los soportes visuales como MON DICO solo deben considerarse si tienen una utilidad real para la persona y son adecuados para el momento, sin imponerle un nuevo esfuerzo de aprendizaje.
Preguntar al equipo qué ayuda a la persona
Infórmese sobre los medios de comunicación conocidos, las preferencias de visita y las condiciones de confort. Las necesidades pueden evolucionar rápidamente. Los profesionales que acompañan la situación pueden guiar a los seres queridos sobre cómo proponer una presencia adecuada.
Puede presentarse, anunciar su presencia y dejar espacio para una reacción, sin esperar necesariamente palabras. La persona debe seguir siendo el centro del intercambio, incluso cuando los seres queridos necesitan hablar con el equipo.
Mantener los medios familiares cuando son útiles
Un objeto, una foto o un soporte ya utilizado pueden a veces ayudar a expresar una preferencia. El interés se verifica en la situación. También puede ser preferible dejar el soporte de lado si su uso parece requerir demasiado esfuerzo o ya no corresponde a la persona.
MON DICO se menciona aquí como una posibilidad entre los medios conocidos, no como una actividad a realizar. El objetivo es facilitar un mensaje útil, con las modalidades de confirmación apropiadas.
Preservar un lugar para el silencio y la pausa
Un encuentro puede incluir silencio. Los seres queridos pueden simplemente anunciar que se quedan un momento, según lo que convenga a la persona y a la organización del acompañamiento. No es necesario llenar cada pausa con una nueva solicitud.
Una pregunta para preparar con el equipo
¿Cómo puede la persona indicar que desea una presencia, una pausa o un cambio? Las respuestas dependen de sus medios conocidos; no se deducen de un gesto aislado ni de la ausencia de reacción.
Acoger las observaciones sin hacerles decir más
Un cambio de postura, una expresión o un sonido puede merecer ser señalado. Describa lo que observa y en qué contexto. Los profesionales podrán examinar las cuestiones de confort o salud; el entorno no tiene que establecer solo el sentido clínico de la reacción.
El contacto físico no es automáticamente deseado. Las preferencias conocidas y la verificación adecuada a la situación deben guiar lo que se propone, con el equipo. Una presencia también puede pasar por la voz o la simple proximidad cuando es apropiada.
Apoyar a los seres queridos en su papel
Los seres queridos pueden aportar referencias sobre la historia, los gustos y los medios de comunicación de la persona. También pueden expresar sus propias preguntas al equipo, sin estar encargados de decodificar todas las reacciones.
La formación DYNSEO ofrece a los profesionales un trabajo sobre la postura y las situaciones de fin de vida. Puede apoyar una reflexión de acompañamiento que se mantenga articulada al proyecto de cuidados y a las preferencias de la persona.
Preguntas frecuentes
¿Se debe proponer una actividad visual durante cada visita?
El soporte solo es útil si es adecuado para la persona y el momento. Una presencia anunciada y adaptada también puede hacerse sin actividad ni respuesta esperada.
¿Se puede interpretar una reacción como un deseo cierto?
Una reacción aislada puede seguir siendo ambigua. Descríbala y apóyese en los medios conocidos y el equipo para verificar lo que se puede.
¿El tacto siempre es reconfortante?
Las preferencias y las situaciones varían. El contacto no debe ser supuesto como deseado; el equipo ayuda a buscar lo que es adecuado para la persona.
Preparar su próxima situación de comunicación
Elija una situación concreta, luego las referencias de postura y los soportes adecuados para la persona. La formación y MON DICO pueden acompañar esta preparación.
Para profundizar
- HAS — Acompañamiento de personas en fin de vida y de sus seres queridos : recurso de referencia sobre el acompañamiento o la comunicación.
- Página oficial MON DICO : funcionalidades y presentación de los soportes.
- Programa de la formación DYNSEO : contenido y modalidades del curso.
Las situaciones y los ejemplos propuestos son pistas de preparación a adaptar con la persona y sus socios de comunicación.
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