.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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Begeleidingssituaties
Aan het einde van het leven: de aanwezigheid en de uitdrukking van voorkeuren ondersteunen
Wanneer het spreken zeldzaam of afwezig wordt aan het einde van het leven, kunnen naasten zoeken naar manieren om aanwezig en nuttig te blijven. Het is niet nodig om een doorlopende conversatie te voeren. Aandacht voor voorkeuren, comfort en al bekende communicatiemiddelen kan helpen om de ontmoeting met het team voor te bereiden.
Het DYNSEO-programma gaat in op deze situaties. Visuele hulpmiddelen zoals MON DICO moeten alleen overwogen worden als ze een echte nut hebben voor de persoon en geschikt zijn voor het moment, zonder haar een nieuwe leerinspanning op te leggen.
Vraag het team wat de persoon helpt
Informeer naar de bekende communicatiemiddelen, de bezoekvoorkeuren en de comfortvoorwaarden. De behoeften kunnen snel veranderen. De professionals die de situatie begeleiden, kunnen de naasten adviseren over hoe ze een passende aanwezigheid kunnen bieden.
Je kunt jezelf voorstellen, je aanwezigheid aankondigen en ruimte laten voor een reactie, zonder noodzakelijkerwijs op woorden te wachten. De persoon moet het centrum van de uitwisseling blijven, zelfs wanneer de naasten met het team willen praten.
Houd de vertrouwde middelen vast wanneer ze nuttig zijn
Een object, een foto of een al gebruikt hulpmiddel kan soms helpen om een voorkeur uit te drukken. De interesse wordt in de situatie bevestigd. Het kan ook beter zijn om het hulpmiddel terzijde te laten als het gebruik ervan te veel inspanning lijkt te vergen of niet meer bij de persoon past.
MON DICO wordt hier genoemd als een mogelijkheid onder de bekende middelen, niet als een activiteit die moet worden uitgevoerd. Het doel is om een nuttig bericht te vergemakkelijken, met de juiste bevestigingsmodaliteiten.
Bewaar een plek voor stilte en pauze
Een ontmoeting kan stilte bevatten. De naasten kunnen eenvoudig aankondigen dat ze een moment blijven, afhankelijk van wat geschikt is voor de persoon en de organisatie van de begeleiding. Het is niet nodig om elke pauze te vullen met een nieuwe verzoek.
Een vraag om met het team voor te bereiden
Hoe kan de persoon aangeven dat hij of zij een aanwezigheid, een pauze of een verandering wenst? De antwoorden hangen af van de bekende middelen; ze kunnen niet worden afgeleid uit een geïsoleerd gebaar of het ontbreken van een reactie.
Ontvang de observaties zonder ze meer te laten zeggen
Een verandering van houding, een uitdrukking of een geluid kan het waard zijn om opgemerkt te worden. Beschrijf wat je observeert en in welke context. De professionals kunnen de vragen over comfort of gezondheid onderzoeken; de omgeving hoeft niet alleen de klinische betekenis van de reactie vast te stellen.
Fysiek contact is niet automatisch gewenst. De bekende voorkeuren en de situatiegebonden verificatie moeten leiden wat er wordt voorgesteld, samen met het team. Een aanwezigheid kan ook via de stem of de eenvoudige nabijheid plaatsvinden wanneer dit passend is.
De naasten ondersteunen in hun rol
De naasten kunnen referentiepunten bieden over het verhaal, de voorkeuren en de communicatiemiddelen van de persoon. Ze kunnen ook hun eigen vragen aan het team uiten, zonder de verantwoordelijkheid te hebben om alle reacties te ontcijferen.
De DYNSEO-training biedt professionals de mogelijkheid om te werken aan houding en situaties aan het einde van het leven. Het kan een reflectie op begeleiding ondersteunen die blijft aansluiten bij het zorgproject en de voorkeuren van de persoon.
Veelgestelde vragen
Moet er tijdens elk bezoek een visuele activiteit worden voorgesteld?
De ondersteuning is alleen nuttig als deze past bij de persoon en het moment. Een aangekondigde en aangepaste aanwezigheid kan ook zonder activiteit of verwachte reactie plaatsvinden.
Kunnen we een reactie interpreteren als een zekere wens?
Een geïsoleerde reactie kan ambigu blijven. Beschrijf deze en steun op de bekende middelen en het team om te verifiëren wat mogelijk is.
Is aanraking altijd rustgevend?
De voorkeuren en situaties variëren. Contact moet niet als gewenst worden aangenomen; het team helpt bij het zoeken naar wat geschikt is voor de persoon.
Bereid uw volgende communicatiesituatie voor
Kies een concrete situatie, en vervolgens de referentiepunten voor houding en de middelen die passen bij de persoon. De training en MON DICO kunnen deze voorbereiding ondersteunen.
Voor verdieping
- HAS — Begeleiding van personen aan het einde van het leven en hun naasten : referentiemateriaal over begeleiding of communicatie.
- Officiële pagina MON DICO : functionaliteiten en presentatie van de middelen.
- Programma van de DYNSEO-training : inhoud en modaliteiten van het traject.
De voorgestelde situaties en voorbeelden zijn voorbereidingspistes die moeten worden aangepast met de persoon en zijn communicatiepartners.
Heeft deze inhoud u geholpen? Steun DYNSEO 💙
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