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Master Thesis

Évaluation de la compréhension orale en unité de soins palliatifs : validation d'un test (TCV)

Abstract : When in palliative and end-of-life care, patients may present with a reduced capacity for comprehension for many reasons and it is essential to be able to evaluate efficiently what a patient truly understands when spoken to as part of the care itself and for ethical reasons. Our objective was to test the validity of a verbal comprehension test (VCT, Tison, 2002), which was designed for the elderly. We assessed 47 patients in a palliative care unit and showed that gender, age, educational level and imminence of death do not influence the results. The qualitative analysis carried out on 8 patients does not show any observer bias. Results are strongly correlated with the receptive index of the LAST (Flamand-Roze, 2001) and with the subjective rating scale completed by the care team. For some of the patients, the VCT also reveals comprehension impairments otherwise undetected or under-estimated by the LAST and by the professional team. Our study shows that the VCT is reliable and suitable for patients in a palliative care unit so as to provide them with relevant information and to develop communication.
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https://dumas.ccsd.cnrs.fr/dumas-01212911
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Submitted on : Monday, October 26, 2015 - 4:54:05 PM
Last modification on : Thursday, March 14, 2019 - 9:06:06 PM
Long-term archiving on: : Wednesday, January 27, 2016 - 10:41:38 AM

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  • HAL Id : dumas-01212911, version 1

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Marie-Sobeyrane Pons. Évaluation de la compréhension orale en unité de soins palliatifs : validation d'un test (TCV). Sciences cognitives. 2015. ⟨dumas-01212911⟩

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