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Master Thesis

Comment les médecins généralistes sont-ils attentifs à la religion de leurs patients en phase palliative symptomatique et terminale de leur maladie ?

Abstract : Introduction: the attention to spiritual needs – including religious aspects – has been an integral part of palliative medicine since Cicely Saunders introduced the notion of “total pain”. The Generalist Practician (GP) has an important role to play in end of life home care. This study looks at how GPs address religious matters with their patients at the end of life. Material and method: twelve GPs working in Hautes-Pyrenees, France, were interrogated in semi-directive interviews. The interviews were recorded with a Dictaphone, then transcribed in verbatims and analysed with a coding sheet. New indicators that emerged during the study were integrated into the coding sheet. Results and Discussion: spiritual and religious needs are rarely mentioned by GPs when it comes to listing the needs of an ill patient. Physical and moral needs are the most quoted, while religion is considered as taboo and generates a certain discomfort for GPs. Some will prefer turning to a resource person to address this matter. Other factors preventing GPs from addressing the religious issue include lack of experience, fear of proselytism, lack of time or secularism. Two new indicators emerged: the need for it to be a patient-led request and GPs’ personal convictions. Religious aspects that are the most cited include life after death, funerary rites and clergy. Conclusion: this study found that the spiritual and religious needs are rarely discussed with patients at the end of life. The causes are multiple. Respecting their patients’ convictions, showing empathy and the privileged role they play are considered as important for the interviewed GPs. Religious matters are approached in a restricted way.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02461725
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Submitted on : Thursday, January 30, 2020 - 6:57:26 PM
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Valérie-Anne Salez. Comment les médecins généralistes sont-ils attentifs à la religion de leurs patients en phase palliative symptomatique et terminale de leur maladie ?. Médecine humaine et pathologie. 2019. ⟨dumas-02461725⟩

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