When Hospitalized Patients Become People (Again)

The Use of Logbooks in Intensive Care
By Anita Guillon, Alexandre Mathieu-Fritz
English

WHEN HOSPITALIZED PATIENTS BECOME PEOPLE (AGAIN) Setting up a system of logbooks in a reanimation ward

On the initiative of the matron, the medical team in a reanimation ward has created a system of keeping personalized 'logbooks'? intended to be read by patients who have been in a coma, after their hospitalization. The logbooks are written by the patients' family and the medical staff, who relate in simple terms the various important facts and key events that punctuated the patient's time in the reanimation ward. The aim is to limit traumatism due to the 'reanimation gap'?. This article examines the modes of production and use of these writings of a new kind, especially the original forms of cooperation that develop around the logbooks, between the medical staff and with the patient's family. It shows how they lead to a symbolic process of 're-humanization'? of patients, and contribute to the emergence of original relational care, requiring more personal involvement by the medical staff. Although this is a further source of tension, it often results in greater professional recognition.

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