La personne de confiance : la dérive d’une institution conçue pour de bonnes raisons. Tentative d’explication d’un insuccès
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摘要
The proposition to designate a person as trustee is mandatory for all patients hospitalized in France (Law of 04 March 2002 and the implementation of the Article L.1111-6 of the Public Health Code). We have noticed in our study that the concept is not well known yet, even in an oncology recovery unit, where patients have already experienced one or more hospital stays since the beginning of their disease and are in a situation that is often already serious (palliative stage of the disease).

Most patients designate their spouse or one of their children. Many worrisome questions are raised because the role of the trustee is not well understood.

We consequently decided to undertake action in order to: 1) explain the concept to unit staffs, 2) have physicians and nurses introduce the trustee appointment procedure and its mission to patients in the early days of their visits. We offer to meet with the patient and his-her trustee.

This will help to improve the prevention of psychological stress of full patient management while respecting current regulations.div>div>r>ref="http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B8JFN-4SK03RV-4-1&_cdi=43647&_user=10&_orig=article&_coverDate=12%2F31%2F2007&_sk=999929957&view=c&wchp=dGLbVtb-zSkzk&md5=4884c905e6f9be92075787d653a80e01&ie=/sdarticle.pdf">df" style="vertical-align:absmiddle;" border="0" src="http://www.sciencedirect.com/scidirimg/icon_pdf.gif" alt=""> Purchase PDF (268 K)d>r>div>div><div class="infobubble-container"><div class="mlktLink" id="mlktLink_2">

dding=0 cellspacing=0 border=0>r>d valign="top" style="padding: 5px 5px 0px 5px">src="/scidirimg/bullet_square.gif" alt="">d>d>ref="/science?_ob=ArticleURL&_udi=B8JFJ-4R299FV-5&_user=10&_origUdi=B6VMM-4S08X77-1&_fmt=high&_coverDate=11%2F30%2F2005&_rdoc=1&_orig=article&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=42285059af8c04855a8643eb108ba47b" onMouseOver="InfoBubble.show('infobubble_2','mlktLink_2')" onMouseOut="InfoBubble.timeout()">La personne de confiance : emergence, evolution et enje...r>Ethique & Santer>d>r>div>
<div class="infobubble" id="infobubble_2" onMouseOver="InfoBubble.show('infobubble_2','mlktLink_2')" onMouseOut="InfoBubble.timeout()">dding=0 cellspacing=0 width=100%>r>d><div style="float:right; padding-left:5px">de()">src="/scidirimg/btn_xclose.gif" alt="Close" title="Close" onmouseover="javascript:this.src='/scidirimg/btn_xclose_hov.gif';" onmouseout="javascript:this.src='/scidirimg/btn_xclose.gif';">div>rder=0 src="/scidirimg/jrn_nsub.gif" alt="You are not entitled to access the full text of this document" title="You are not entitled to access the full text of this document" width=12 height=14"> ref="http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B8JFJ-4R299FV-5&_user=10&_coverDate=11%2F30%2F2005&_rdoc=1&_fmt=high&_orig=article&_cdi=43644&_sort=v&_docanchor=&view=c&_ct=616&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=033dc0b51a356ee611a440219316e4c6">La personne de confiance : &#xe9;mergence, &#xe9;volution et enjeux &#xe9;thiquesr>Éthique & Sant&#xe9;Volume 2, Issue 4November 2005, Pages 191-198r>C. Manaouil, G. Moutel, I. Callies, N. Duchange, O. Jard&#xe9;, C. Herv&#xe9;r>r>Abstractr><div class="mlktScroll"><div style="line-height:150%">La loi fran&#xe7;aise du 4 mars 2002 a instaur&#xe9; la possibilit&#xe9; pour toute personne majeure de d&#xe9;signer une personne de confiance. Celle-ci peut accompagner le patient dans ses d&#xe9;marches de soins et devenir en cas de besoin, un interm&#xe9;diaire privil&#xe9;gi&#xe9; pour repr&#xe9;senter l’avis du patient et &#xe0; ce titre, elle peut &#xea;tre consult&#xe9;e sans toutefois aller jusqu’&#xe0; se substituer au consentement du patient.div>div>r>ref="http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B8JFJ-4R299FV-5-1&_cdi=43644&_user=10&_orig=article&_coverDate=11%2F30%2F2005&_sk=999979995&view=c&wchp=dGLbVtb-zSkzk&md5=42d190a0d3d8e18dbfaf4e1d6f5cd4e1&ie=/sdarticle.pdf">df" style="vertical-align:absmiddle;" border="0" src="http://www.sciencedirect.com/scidirimg/icon_pdf.gif" alt=""> Purchase PDF (100 K)d>r>
div>div><div class="infobubble-container"><div class="mlktLink" id="mlktLink_3">dding=0 cellspacing=0 border=0>r>d valign="top" style="padding: 5px 5px 0px 5px">src="/scidirimg/bullet_square.gif" alt="">d>d>ref="/science?_ob=ArticleURL&_udi=B8JG0-4PYH5S1-5&_user=10&_origUdi=B6VMM-4S08X77-1&_fmt=high&_coverDate=04%2F30%2F2007&_rdoc=1&_orig=article&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=679f414af33a2a85310b6e23cbf70b92" onMouseOver="InfoBubble.show('infobubble_3','mlktLink_3')" onMouseOut="InfoBubble.timeout()">La personne de confiancer>La Revue Sage-Femmer>d>r>div>
<div class="infobubble" id="infobubble_3" onMouseOver="InfoBubble.show('infobubble_3','mlktLink_3')" onMouseOut="InfoBubble.timeout()">dding=0 cellspacing=0 width=100%>r>d><div style="float:right; padding-left:5px">de()">src="/scidirimg/btn_xclose.gif" alt="Close" title="Close" onmouseover="javascript:this.src='/scidirimg/btn_xclose_hov.gif';" onmouseout="javascript:this.src='/scidirimg/btn_xclose.gif';">div>rder=0 src="/scidirimg/jrn_nsub.gif" alt="You are not entitled to access the full text of this document" title="You are not entitled to access the full text of this document" width=12 height=14"> ref="http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B8JG0-4PYH5S1-5&_user=10&_coverDate=04%2F30%2F2007&_rdoc=1&_fmt=high&_orig=article&_cdi=43656&_sort=v&_docanchor=&view=c&_ct=616&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=b663c7b822eebd9da9a6d81fc8c3106d">La personne de confiancer>La Revue Sage-FemmeVolume 6, Issue 1April 2007, Pages 32-35r>D. Dibie-Krajcmanr>r>ref="http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B8JG0-4PYH5S1-5-1&_cdi=43656&_user=10&_orig=article&_coverDate=04%2F30%2F2007&_sk=999939998&view=c&wchp=dGLbVtb-zSkzk&md5=77cad5cb02c5f70efcd6f1cdf61e1d1a&ie=/sdarticle.pdf">df" style="vertical-align:absmiddle;" border="0" src="http://www.sciencedirect.com/scidirimg/icon_pdf.gif" alt=""> Purchase PDF (125 K)d>r>
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ss="h4">Protection de la personne

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La personne de confiance : la d&#xe9;rive d’une institution con&#xe7;ue pour de bonnes raisons. Tentative d’explication d’un insucc&#xe8;sref="http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VMM-4S08X77-1&_user=10&_coverDate=04%2F30%2F2008&_rdoc=3&_fmt=full&_orig=browse&_srch=doc-info(%23toc%236154%232008%23979919910%23690244%23FLA%23display%23Volume)&_cdi=6154&_sort=d&_docanchor=&_ct=14&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=bc865820512932596a5d7c16646f89d9#afn1"><sup>src="http://www.sciencedirect.com/scidirimg/entities/2606.gif" alt="star, open" title="star, open" border="0">sup>

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