De la réanimation à l’accompagnement de la fin de vie : les répertoires pluriels de la prise en charge en médecine intensive-réanimation

Based on an ethnographic survey conducted between 2012 and 2018, this article aims to report on the hospitalization and end-of-life trajectories in intensive care medicine. We show that the trajectory of the disease is divided into three distinct phases – a curative phase, a waiting phase, and a pal...

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Bibliographic Details
Main Author: Thomas Denise
Format: Article
Language:fra
Published: Association Anthropologie Médicale Appliquée au Développement et à la Santé 2022-05-01
Series:Anthropologie & Santé
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Online Access:https://journals.openedition.org/anthropologiesante/11453
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Summary:Based on an ethnographic survey conducted between 2012 and 2018, this article aims to report on the hospitalization and end-of-life trajectories in intensive care medicine. We show that the trajectory of the disease is divided into three distinct phases – a curative phase, a waiting phase, and a palliative phase – during which the caregivers mobilize significantly different repertoires of action. Oscillating between resuscitative medicine, palliative practices and informal knowledge, these repertoires produce ontological changes that redefine the status of the patient. The passage from the status of curable patient to that of incurable patient leads to a redefinition of the arc of end-of-life work in which the caregivers work towards a definition of the “good death”. The work undertaken with and close to the patient and his or her family shows that end-of-life care remains subject to the appreciation of the teams, while at the same time constituting a privileged space for exchange where the relatives can become involved.
ISSN:2111-5028