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Douleur et Analgésie

, Volume 14, Issue 3, pp 169–174 | Cite as

Prise en charge graduée du syndrome douloureux chronique

  • A. Bioy
  • I. Nègre
Article

Résumé

La douleur est l’expression symptomatique d’un ressenti où se mêlent des données à la fois somatiques et psychologiques. Lorsque la douleur devient chronique, elle va également s’ancrer hors du patient, imposant durablement une réorganisation de son environnement relationnel. Les relations familiales, professionnelles, sociales et amicales vont être investies différemment par le patient. Ces relations vont être à nouveau modifiées lors du soulagement de la douleur car leur équilibre se nouait autour d’une situation qui tend à s’estomper. Si un nouvel équilibre ne se met pas en place de façon concomitante au soulagement de la douleur, des résistances à la prise en charge apparaissent et/ou l’organisation affective et contingente de l’environnement du patient s’effondre. Cet article se propose d’exposer une approche particulière du soin au patient douloureux, issue de la pratique, tenant compte de cette donnée environnementale et qui vise à ce que le patient trouve progressivement un nouvel équuilibre de vie, en accord avec sa nouvelle situation, moins ou non douloureuse.

Mots-clés

Syndrome douloureux chronique prise en charge entourage soulagement 

Summary

Pain is the symptomatic expression of one felt where get involved at the same moment somatic and psychological data. When the pain becomes chronic, it is also going to anchor outside the patient, imposing durably a reorganization of his relational environment. The domestic, professional, social and friendly relations are going to be invested differently by the patient. These relations will be modified again during the relief of the pain because their balance was formed around a situation which tends to become blurred. If a new balance is not set up in a concomitant way in the relief of pain, resistances in the coverage appear and/or the emotional and contingent organization of the environment of the patient collapses. This article exposes a particular approach of the care to the painful patient, stemming from the practice, taking into account this environmental datum and which aims that the patient finds gradually a new balance of life, in agreement with his new situation, less or not painful.

Key-words

Chronic Pain Medical care model significant others ajustement to pain decrease 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  1. 1.Unité Douleur, Département Anesthésie-RéanimationCentre Hospitalier Universitaire BicêtreLe Kremlin-Bicêtre Cedex

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