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Master Thesis

Étude de l’ empowerment du patient en oncogériatrie : quels sont les besoins des personnes âgées atteintes d’un cancer ?

Abstract : Patient empowerment emerges in a context of health democracy, encouraged by health policies, and developed through the horizontalization of the doctor-patient relationship and expert patients. It is a process based on the awareness of integrated relationships of domination and the struggle to free oneself from them. Oncogeriatrics is a medical discipline specialised in the care of patients over 75 years of age with cancer. This population presents several risk factors of vulnerability when facing cancer that require adapted management. In oncogeriatrics, the patient may feel subject to the doctor, the cancer and society.
We used the grounded theory method to conduct a qualitative study of people over 75 years of age with cancer to explore the relevance of the concept of empowerment in this population.
Six of the seven participants stated that they would submit to the doctor's advice because of an ingrained habit of patriarchy and a lack of alternatives. One patient described hierarchical relationships as structuring and enabling survival. Awareness of dominance in the doctor-patient relationship was not, for the most participants, accompanied by a need to free oneself from it. Patients expressed the need for positive relationships with the health care team, the wish not to suffer, and to maintain their life as it is (keeping their activities and their home). Finally, ageing as a gradual withdrawal from social life to domestic life runs counter to the community dimension of empowerment.
In conclusion, our results suggest that patient empowerment is not a framework for studying the cancer experience that corresponds to the needs of the elderly. We prefer to use the patient's experience as an indicator of the needs of this population to develop tools to improve their care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03231941
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Submitted on : Tuesday, May 25, 2021 - 1:54:32 PM
Last modification on : Monday, November 29, 2021 - 10:10:01 AM

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  • HAL Id : dumas-03231941, version 1

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Cynthia Denis. Étude de l’ empowerment du patient en oncogériatrie : quels sont les besoins des personnes âgées atteintes d’un cancer ?. Ethique. 2020. ⟨dumas-03231941⟩

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