Ergothérapie et prévention primaire : qu’en est-il de la participation sociale de nos aînés ?

En France, le vieillissement de la population engage de nouvelles préoccupations pour les instances politiques et celles de Santé publique. Les Français souhaitent vivre le plus longtemps possible à leur domicile. Ainsi, la prévention de la perte d’autonomie représente un enjeu national en faveur du « bien vieillir » à domicile. Actuellement, les ergothérapeutes sont reconnus comme acteur de prévention, notamment dans la prévention des chutes par l’aménagement du domicile principalement. Cependant, au-delà d’un environnement physique adapté, le soutien à domicile implique que la personne conserve un rôle social et des activités à l’extérieur du domicile. L’isolement social constitue un facteur sous-estimé de dégradation de la santé et d’institutionnalisation des personnes vieillissantes.
Ainsi, dans notre expérimentation inductive, nous cherchons à connaitre le rôle de l’ergothérapeute dans la prévention primaire en faveur de la participation sociale des personnes vieillissantes.
Pour cela nous avons interviewé cinq ergothérapeutes menant des actions de prévention en faveur du maintien à domicile des personnes vieillissantes.
Il apparait que les ergothérapeutes ont un rôle dans la prévention de l’isolement social principalement au travers de la prévention des chutes, de la coordination et de la collaboration pluridisciplinaire. Pour autant, la temporalité de leurs interventions préventives n’est pas uniquement primaire.

  • CAMILLE JOUHANNEL
  • 2019
  • Soutien à domicile-Vieillissement- Prévention primaire- Participation sociale
  • In France, the ageing of the population brings new concerns to the political and public health authorities. The French, especially, wish to live as long as possible at home. Thus, prevention of the loss of autonomy represents a national stake in favor of "aging well" at home. Currently, occupational therapists are recognized as prevention actors, especially in the prevention of falls through home improvement. However, beyond a suitable physical environment, home support implies that the person retains a social role and activities outside the home. Social isolation is an underestimated factor in the deterioration of health and the institutionalization of aging people. Therefore, in our inductive experiment, we seek to know what the role of the occupational therapist is in the primary prevention in favor of the social participation of aging people. That’s why we interviewed five occupational therapists carrying out preventive actions in favor of home care for aging people. It appears that occupational therapists have a role in preventing social isolation mainly through falls prevention, coordination and multidisciplinary collaboration. However, the timing of their preventive interventions is not only primary.
  • In France, the ageing of the population brings new concerns to the political and public health authorities. The French, especially, wish to live as long as possible at home. Thus, prevention of the loss of autonomy represents a national stake in favor of "aging well" at home. Currently, occupational therapists are recognized as prevention actors, especially in the prevention of falls through home improvement. However, beyond a suitable physical environment, home support implies that the person retains a social role and activities outside the home. Social isolation is an underestimated factor in the deterioration of health and the institutionalization of aging people.
    Therefore, in our inductive experiment, we seek to know what the role of the occupational therapist is in the primary prevention in favor of the social participation of aging people.
    That’s why we interviewed five occupational therapists carrying out preventive actions in favor of home care for aging people.
    It appears that occupational therapists have a role in preventing social isolation mainly through falls prevention, coordination and multidisciplinary collaboration. However, the timing of their preventive interventions is not only primary.

  • IFE – IFPVPS (PACA)