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      Droit au risque ou prise de risque ? Quelle liberté reste-t-il aux aînés en temps de COVID ? Translated title: Right to risk, or risk taking? What freedom is left to elders in times of COVID?

      review-article
      a , b , * , c
      Npg
      Elsevier Masson SAS.
      Risques, Personnes âgées, Autonomie, Choix, Droit au risque, Risks, Elderly, Autonomy, Choice, Right to risk

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          Abstract

          La vie est une prise de risques ! Et comme vieillir c’est toujours vivre, vieillir est aussi une prise de risques. Pourtant la notion de risque semble de moins en moins acceptée pour des personnes vieillissantes, supposées fragiles et vulnérables, plus souvent du point de vue de tiers professionnels ou familiers que des personnes âgées elles-mêmes. L’épidémie COVID-19 a renforcé et justifié différentes approches sanitaires et sécuritaires autour des plus âgés. Ce qui peut être légitime en termes de santé publique et de choix sociétaux a dans le même temps pu altérer les possibilités de choisir, de décider pour soi-même et atteindre à l’autonomie des aînés. Malgré tout, un droit au risque demeure une liberté propre à chacun, même âgé, inaliénable par la seule invocation de la sécurité. Entre volonté de protéger et excès d’attention, un ajustement permanent des offres et surtout de la prise en compte de la parole des aînés reste primordial.

          Translated abstract

          Life is risk taking! And as ageing is always living, ageing is also about taking risks. However, the notion of risk seems to be less and less accepted for supposedly frail and vulnerable elders, more often from the point of view of professional or familiar third parties than for the elderly themselves. The COVID-19 epidemic has reinforced and justified different health and safety approaches around the elderly. What may be legitimate in terms of public health and societal choices, has at the same time been able to alter the possibilities of choosing, of deciding for themselves and of consequently affect the autonomy of elders. However, a right to risk remains a freedom specific to everyone, even the elderly, inalienable by the sole invocation of security. Between the desire to protect and excess of attention, a permanent adjustment of the offers and especially the taking into account of the voices of the elders remains essential.

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          Petits risques grands effets : à quoi pensent les personnes âgées quand « elles n’en font qu’à leur tête » ?

          C. Morgny (2018)
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            Epidémiologie de la Covid-19, focus sur le pôle de gériatrie des Hôpitaux Universitaires de Strasbourg Translated title: COVID 19 epidemiology, focus on Strasbourg University Hospital’s geriatrics department

            Dans cet article, les auteurs proposent une synthèse concernant l’épidémiologie de la Covid-19, maladie responsable d’une pandémie mondiale depuis son émergence en décembre 2019. L’objectif est d’évoquer les personnes âgées, particulièrement impactées, étant donné que l’âge supérieur à 65 ans et les comorbidités sont des facteurs de risque de formes graves. En France, 90 % des décès ont touché la population âgée. Il s’agit également de faire un focus sur la situation du pôle de gériatrie des Hôpitaux Universitaires de Strasbourg où, lors de la première vague épidémique, la mortalité a été de 35 % en gériatrie aiguë et de 25 % en USLD. Après la survenue de 100 000 décès en France, l’espoir est grand de contrôler l’épidémie grâce à la stratégie vaccinale. In this article, the authors provide a synthetic overview on Covid-19 epidemiology. This disease has been the cause of a worldwide pandemic since it appeared in December 2019. The article sets out to discuss the case of elderly people, more particularly affected because age over 65 and comorbidities are known to be risk factors for developing a severe illness. In France, elderly people account for 90 % of COVID deaths. This article also focuses more particularly on the situation in Strasbourg University Hospital geriatrics department. During the first epidemic wave, mortality was 35 % in short-term geriatric department and 25 % in long-term facilities. After 100 000 deaths in France, hopes are high that we have the epidemic under control thanks to the vaccination strategy.
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              Réflexions sur l’emprise et la possessivité dans la relation de soin en gérontologie

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                Author and article information

                Journal
                Npg
                Elsevier Masson SAS.
                1627-4830
                2214-0913
                1 September 2021
                1 September 2021
                Affiliations
                [a ]Unité d’Addictologie, CH les Chanaux, boulevard Louis-Escande, 71018 Mâcon cedex, France
                [b ]Université Lyon 2, Équipe de recherche DIPHE
                [c ]Service de Gériatrie, CH M. Poizat, 01190 Pont-de-Vaux, France
                Author notes
                [* ]Auteur correspondant.
                Article
                S1627-4830(21)00128-8
                10.1016/j.npg.2021.08.001
                8408651
                9bba217c-aaf5-4bb9-90e7-5caf39668b05
                © 2021 Elsevier Masson SAS. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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                Réflexion Éthique

                risques,personnes âgées,autonomie,choix,droit au risque,risks,elderly,autonomy,choice,right to risk

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