"Our Care System Mistreats Caregivers and Patients"

[Tribune] Infernal cycles, toxic management, precarious work conditions ... Nurses, doctors and health professionals denounce the excesses of our care system that causes suffering and abuse. For Valérie Sugg, psycho-oncologist and author of L'Hôpital: Without taboo trumpets (Editions Kawa), there is an urgent need to give caregivers the means to do their work for their good, as for patients ... and it's not just about money!

Our health care system has come a long way in thirty years. The leaders have gargled this world-renowned French medicine, its innovative doctors, but here, the caregivers are not only doctors but teams composed of different trades that try to sound the impasse in which we enter , dangerously.

A system of aging care and management of another time

It was necessary, of course, to put in place a strategy to curb the hospital financial haemorrhage that failed to take the problem at its own expense. base, which wanted to cure the causes but not the disease. Because it is the care system itself that is sick. Too many administrators, chiefs, sous-chefs and not enough caregivers, enough, many were thanked or disgusted. Poorly managed financial investments, equipment more and more obsolete. But also a management by the depreciation, the guilt, the progressive dehumanization of the care.

Caregivers refuse to become cost-effective caregivers and they suffer

It may be a mentality problem and not just health . The hospital management has chosen to "manage" the nursing staff mainly by the pressure, the guilt, the blackmail to the patient ("stay still, the poor patient otherwise he will not have ..." his soup, his treatment etc.), the depreciation, repression through, for example, the annual rating that should be used to establish a common project, stimulate, encourage, value but which, most often, only allow or block the evolution of the salary. This policy of profitability, which did not want to take into account the peculiarities of the environment of care, makes suffer those who work there face to the sick people or residents.

The caregivers are abused and, as a result, sometimes become abusive

This seems exaggerated but it is not the case, they are the caregivers who express it best. It is a form of abuse that occurs when a surgeon is stopped in the operating room because he is not going fast enough and the next patient is already asleep and is asked to accelerate, in full surgery.It is a form of maltreatment when one asks a nursing assistant to provide a toilet for twelve to fifteen people in the morning or to be the only nursing assistant present at night. fifty residents. It is a form of maltreatment to require a nurse to stay an extra hour because Ms. D.'s chemo is not over and the evening nurse is already overwhelmed. It is also a form of abuse to fill in consultation appointments making it impossible to catch people on time or while doing "Express" consultations that no longer take the time to listen to the peculiarities of each. As a result, caregivers become abusive because their time with the patient, the resident, is almost timed. The recommendation of a toilet in 6, 66 minutes in early 2017 is a reflection of what is happening in hospitals, nursing homes, retirement homes and we are all concerned. Because in this bed, to hope a shower that carers sometimes have time to do only once a month; this meal served cold because there is only one caregiver for fifty residents; this pee for which she is called but who will not wait for her arrival, all these "small" things make the daily of the treated painful. And it could be me, you, your father, your mother, a loved one.

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