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Master Thesis

La communication avec les patients en état végétatif ou en état pauci-relationnel

Abstract : Patients in chronic vegetative or pauci-relational state are often regarded in the literature as non-communicant. However, this observation is questioned by patients’ families and careers. Indeed, despite the diagnosis, they observe many reactions to which they attribute meaning. This divergence of viewpoint has given rise to the following working hypothesis : there are issues in the observation of the patient in an altered state of consciousness’ communication. Having precise guidelines would optimize this communication. Based on the French survey "La vie au quotidien des personnes en état végétatif chronique ou en état pauci-relationnel dans les unités dédiées" (Daily life of people in a chronic vegetative state or in a poorly relational state in dedicated units) conducted by Anne Boissel (Senior Lecturer in Clinical Psychology) since 2012, this paper analyses the families’ and caregivers’ responses on their perception of communication with patients in an altered state of consciousness. The analysis of statistics and testimonials highlighted the relational skills of patients in altered states of consciousness. Communication is mainly non-verbal and limited to each patient's abilities. Then, the role of the speech and language therapist is to sensitize families and caregivers to identify these new communicative possibilities in order to make them more functional. Conversely, the speech and language therapist may rely on the observations of families and caregivers of the patient's communicative behaviors. This work in partnership seems to be particularly relevant in developing the interactional possibilities of these patients.
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Submitted on : Monday, September 7, 2020 - 9:31:39 AM
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  • HAL Id : dumas-02931590, version 1


Pauline Viseur. La communication avec les patients en état végétatif ou en état pauci-relationnel. Médecine humaine et pathologie. 2020. ⟨dumas-02931590⟩



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