.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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Situazioni di accompagnamento
Alla fine della vita: sostenere la presenza e l’espressione delle preferenze
Quando la parola diventa rara o assente alla fine della vita, i familiari possono cercare come rimanere presenti e utili. Non è necessario produrre una conversazione continua. L'attenzione alle preferenze, al comfort e ai mezzi di comunicazione già noti può aiutare a preparare l'incontro con il team.
Il programma DYNSEO affronta queste situazioni. I supporti visivi come MON DICO devono essere considerati solo se hanno un'utilità reale per la persona e sono adatti al momento, senza imporre un nuovo sforzo di apprendimento.
Chiedere al team cosa aiuta la persona
Informatevi sui mezzi di comunicazione noti, le preferenze di visita e le condizioni di comfort. I bisogni possono evolvere rapidamente. I professionisti che accompagnano la situazione possono guidare i familiari su come proporre una presenza adeguata.
Potete presentarvi, annunciare la vostra presenza e lasciare spazio a una reazione, senza necessariamente aspettarvi delle parole. La persona deve rimanere al centro dello scambio, anche quando i familiari hanno bisogno di parlare con il team.
Mantenere i mezzi familiari quando sono utili
Un oggetto, una foto o un supporto già utilizzato possono talvolta aiutare a esprimere una preferenza. L'interesse si verifica nella situazione. Può anche essere preferibile lasciare da parte il supporto se il suo utilizzo sembra richiedere troppo sforzo o non corrisponde più alla persona.
MON DICO è menzionato qui come una possibilità tra i mezzi noti, non come un'attività da realizzare. L'obiettivo è facilitare un messaggio utile, con le modalità di conferma appropriate.
Preservare uno spazio per il silenzio e la pausa
Un incontro può comportare silenzio. I familiari possono semplicemente annunciare che rimangono un momento, a seconda di ciò che è adatto alla persona e all'organizzazione dell'accompagnamento. Non è necessario riempire ogni pausa con una nuova sollecitazione.
Una domanda da preparare con il team
Come può la persona indicare che desidera una presenza, una pausa o un cambiamento? Le risposte dipendono dai suoi mezzi noti; non si deducono da un gesto isolato né dall'assenza di reazione.
Accogliere le osservazioni senza farle dire di più
Un cambiamento di postura, un'espressione o un suono possono meritare di essere segnalati. Descrivete ciò che osservate e in quale contesto. I professionisti potranno esaminare le questioni di comfort o di salute; l'entourage non deve stabilire da solo il significato clinico della reazione.
Il contatto fisico non è automaticamente desiderato. Le preferenze conosciute e la verifica adatta alla situazione devono guidare ciò che viene proposto, con il team. Una presenza può anche passare attraverso la voce o la semplice prossimità quando è appropriata.
Sostenere i familiari nel loro ruolo
I familiari possono fornire riferimenti sulla storia, i gusti e i mezzi di comunicazione della persona. Possono anche esprimere le proprie domande al team, senza essere incaricati di decodificare tutte le reazioni.
La formazione DYNSEO propone ai professionisti un lavoro sulla postura e le situazioni di fine vita. Può sostenere una riflessione di accompagnamento che rimane articolata al progetto di cura e alle preferenze della persona.
Domande frequenti
È necessario proporre un'attività visiva durante ogni visita?
Il supporto è utile solo se è adatto alla persona e al momento. Una presenza annunciata e adeguata può anche avvenire senza attività né risposta attesa.
Si può interpretare una reazione come un desiderio certo?
Una reazione isolata può rimanere ambigua. Descrivila e appoggiati sui mezzi conosciuti e il team per verificare ciò che può esserlo.
Il tocco è sempre rassicurante?
Le preferenze e le situazioni variano. Il contatto non deve essere supposto desiderato; il team aiuta a cercare ciò che è adatto alla persona.
Preparare la vostra prossima situazione di comunicazione
Scegliete una situazione concreta, poi i riferimenti di postura e i supporti adatti alla persona. La formazione e MON DICO possono accompagnare questa preparazione.
Per approfondire
- HAS — Accompagnamento delle persone in fine vita e dei loro familiari : risorsa di riferimento sull'accompagnamento o la comunicazione.
- Pagina ufficiale MON DICO : funzionalità e presentazione dei supporti.
- Programma della formazione DYNSEO : contenuti e modalità del percorso.
Le situazioni e gli esempi proposti sono piste di preparazione da adattare con la persona e i suoi partner di comunicazione.
Questo contenuto ti è stato utile? Sostieni DYNSEO 💙
Siamo una piccola squadra di 14 persone con sede a Parigi. Da 13 anni creiamo contenuti gratuiti per aiutare famiglie, logopedisti, case di riposo e professionisti della cura.
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