Cognitive impairment in older adults: between autonomy and safety

Cognitive impairment in older adults: between autonomy and safety

2024-06-25 10:00:00

This 12 months, the fifth Estivales de la Fondation Partage et vie occasion was held in Paris on June 19, with View. This matter is essential, and for good cause. On the coronary heart of this 12 months’s debate is the reminiscence impairment that impacts our aged. In keeping with the French Public Well being Company, practically a million individuals in France presently undergo from Alzheimer’s illness and different dementias. This quantity has been rising through the years, significantly as a result of growing old inhabitants.

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Confronted with this actuality, moral questions are multiplying for family members and caregivers, in addition to for nursing properties and public coverage. 57% of readers View In keeping with a survey performed for the primary time earlier than the occasion, supporting the aged is even thought of one of many priorities for the approaching years. Through the roundtable, caregivers, psychologists, nurses, neurologists and even public sector stakeholders have been in a position to work collectively to mirror and discover the perfect options to finest help individuals with reminiscence issues.

Create a relaxed setting

As a result of if there’s one factor to know regarding these ailments, it is that they’re characterised at the beginning by a lack of inside and exterior reference factors. “It is an data administration illness,” explains Colette Roumanoff, a author, director and speaker who has been together with her husband for a decade. “For many of us, stress makes it tough to course of even the only data. With this illness, it is even worse, the whole lot appears complicated. »

Additionally learn Alzheimer’s illness: It might begin earlier than beginningThe one actual drawback, the creator believes, is giving these individuals a way of safety. Amongst different issues, this consists of staying in an excellent temper. Smiling, catching your eye, and talking softly are all methods to reassure and construct a trusting relationship. “My voice is my working instrument,” sums up Laurence Ah-Sang, a nurse on the Jacques-Bonvoisin nursing dwelling in Dieppe (Seine-Maritime). “My residents instantly detect my temper. They’re actual sponges.” At work, the well-known mirror neurons hearth following we carry out an motion and following we see another person carry out the identical motion.

Different methods to settle down: Play desk tennis, learn aloud, or make the setting extra legible with colours and pictograms so everybody can transfer round freely with out restrictions. As a result of finally, the key phrase appears to be autonomy, profiting from what can nonetheless be accomplished moderately than looking for issues that may not be accomplished. Aurélie Daireaux, a psychologist on the L’Abbaye sanatorium in Cerisy (Manche), explains that it is a means of “offering them with an important psychological security”.

Autonomy and collective life

Nonetheless, it’s typically tough to offer residents with a free and customized tempo of life as schedules, lack of assets, and lack of workers create the alternative consequence. “For instance, I am offended regarding our tradition that requires everybody to take a bathe at midday,” fumed Laurence Assan. However the nurse’s actual drawback is not the resident, it is the household.

Additionally learn What philosophy teaches us regarding reminiscence “It’s crucial to determine a dialogue with them and clarify to them that for his or her family members the rhythm has modified they usually should be given a sure freedom. » “We typically discover ourselves round individuals who can solely eat with their fingers,” Serisi says Marie-Ange Cozette, gerontological nursing assistant at L’Abbaye nursing dwelling. “It might typically be stunning to have them do that, however what now we have to recollect is that at the very least they’re consuming alone. »

Nursing workers and their skills

“Often the whole lot goes effectively. We’re speaking a couple of small variety of very anxious households who foresee issues and worry that issues shall be hidden from them.” Zoé Bocquet, former civil service employee on the Jacques-Bonvoisin nursing dwelling in Dieppe, continues: “These worries It comes rapidly as a result of so long as now we have two issues we really feel like they’re all the time there. ” “Households and professionals alike care concerning the well-being of our residents, so we will need to have a dialogue and present that we share the identical objectives. »

Explorers, inventors, detectives… caregivers are in direct contact with each resident. Trusting them is essential, particularly in the event that they belief the help they supply. “Everyone seems to be completely different and has their very own sensitivities,” feedback Aurélie Daireaux. “These professionals do not know the way a lot they know. But, they’re with residents every single day. Instinctively, they typically react effectively to the conditions they encounter. »

“Over time, I understood that, for instance, when somebody in my care saved repeating a sentence, it was as a result of there was an issue that they might not put into phrases,” confirms Laurence Assan. “Then I turned myself into an actual detective and it gave me consolation to see what my actions had accomplished to others. »

The function of public coverage

Past nursing properties and caregivers, public coverage additionally has a job to play. Particularly, it is very important re-evaluate the nursing occupation and interact the estimated 100,000 individuals presently lacking to help the rising variety of dependent older individuals, significantly these with reminiscence impairment.

For Geneviève Mannarino, advisor to the President of the Council of Nationwide Autonomous Solidarity Funds, crucial factor at present is “to vary the way in which we take into consideration this sector”, each from caregivers and seniors From a human perspective, and “change affords”. Create jobs, increase wages and enhance coaching, but in addition hearken to older individuals and supply them with alternate options to nursing properties.

As a result of options exist, like Henri-Emmanuelli Landes Village, which welcomes Alzheimer’s sufferers in an open setting and even intergenerational housing to stimulate and cease isolation. The issue is: the administration is just too cumbersome and customarily unimaginable to place into observe. “If there’s a revolution, it’s simplification. We should dare to make this transformation,” protested Geneviève Mannarino.

Feedback supported by François Bayrou, Excessive Commissioner for Planning, additionally attended the occasion. “The reply at present is not ‘go to a sanatorium or don’t have anything in any respect’. There are in-between formulation, and now we have to make them simpler to know. » In the end, these questions are as a lot concerning the coronary heart as they’re regarding cause, and they’re regarding us as effectively. Everybody. From the person to the primary route of the nation, it is a collective reflection that we should proceed.

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