{"id":1180,"date":"2026-09-29T21:44:36","date_gmt":"2026-09-29T19:44:36","guid":{"rendered":"https:\/\/www.infirmieres-lepontet.fr\/?p=1180"},"modified":"2026-10-01T11:37:40","modified_gmt":"2026-10-01T09:37:40","slug":"les-soins-psychiatriques-a-domicile","status":"publish","type":"post","link":"https:\/\/www.infirmieres-lepontet.fr\/index.php\/2026\/09\/29\/les-soins-psychiatriques-a-domicile\/","title":{"rendered":"Les soins psychiatriques \u00e0 domicile"},"content":{"rendered":"<p>Les soins psychiatriques peuvent \u00eatre organis\u00e9s de diff\u00e9rentes fa\u00e7ons : consultations, centre m\u00e9dico-psychologique (CMP), h\u00f4pital de jour, hospitalisation ou soins ambulatoires, parfois avec des interventions au domicile. La prise en charge d\u00e9pend du trouble, de l\u2019\u00e9tat clinique du patient et du projet d\u00e9fini avec l\u2019\u00e9quipe de sant\u00e9 mentale.<\/p>\n<p>Les soins libres, avec le consentement du patient, restent la r\u00e8gle. Les soins sans consentement existent dans des situations strictement encadr\u00e9es par la loi et rel\u00e8vent d\u2019un dispositif psychiatrique sp\u00e9cifique.<\/p>\n<h2>Quelle place pour les soins \u00e0 domicile ?<\/h2>\n<p>Le domicile peut permettre de maintenir les rep\u00e8res habituels du patient et de poursuivre certains soins sans hospitalisation compl\u00e8te. Selon l\u2019organisation retenue, les interventions peuvent relever d\u2019une \u00e9quipe de psychiatrie, d\u2019un CMP ou d\u2019autres professionnels de proximit\u00e9.<\/p>\n<h2>Quel r\u00f4le pour l\u2019infirmi\u00e8re lib\u00e9rale ?<\/h2>\n<p>Une IDEL peut intervenir \u00e0 domicile lorsqu\u2019un acte infirmier est prescrit et adapt\u00e9 \u00e0 la situation. Cela peut notamment concerner l\u2019administration de certains traitements, leur surveillance, des injections, le suivi de param\u00e8tres cliniques utiles ou d\u2019autres soins somatiques associ\u00e9s.<\/p>\n<p>Lors de passages r\u00e9guliers, l\u2019infirmi\u00e8re peut aussi rep\u00e9rer des changements importants : rupture de traitement, repli inhabituel, agitation, confusion, troubles du sommeil marqu\u00e9s ou d\u00e9gradation de l\u2019\u00e9tat g\u00e9n\u00e9ral. Ces observations peuvent \u00eatre transmises au m\u00e9decin traitant, au psychiatre ou \u00e0 l\u2019\u00e9quipe qui suit le patient, dans le respect du secret professionnel.<\/p>\n<h2>L\u2019IDEL ne remplace pas l\u2019\u00e9quipe psychiatrique<\/h2>\n<p>Le suivi d\u2019un trouble psychiatrique repose sur une prise en charge m\u00e9dicale et, selon les besoins, psychologique et sociale. L\u2019infirmi\u00e8re lib\u00e9rale n\u2019\u00e9tablit pas seule un diagnostic psychiatrique et ne modifie pas un traitement prescrit. Son r\u00f4le est compl\u00e9mentaire : r\u00e9aliser les soins relevant de ses comp\u00e9tences, observer, transmettre et contribuer \u00e0 la continuit\u00e9 de la prise en charge.<\/p>\n<h2>En cas de crise<\/h2>\n<p>Une crise psychiatrique aigu\u00eb, un comportement dangereux, une agitation incontr\u00f4lable, une confusion s\u00e9v\u00e8re ou une situation faisant craindre un passage \u00e0 l\u2019acte n\u00e9cessitent une \u00e9valuation urgente. En cas de danger imm\u00e9diat, appelez le 15 ou le 112. En cas d\u2019id\u00e9es suicidaires ou de risque suicidaire, le 3114 est le num\u00e9ro national de pr\u00e9vention du suicide, accessible 24 h\/24 et 7 j\/7.<\/p>\n<h2>Notre cabinet<\/h2>\n<p>Notre cabinet peut assurer les <a href=\"https:\/\/www.infirmieres-lepontet.fr\/index.php\/services\/soins-a-domicile\/\">soins infirmiers \u00e0 domicile<\/a> prescrits pour un patient suivi en psychiatrie lorsque ceux-ci rel\u00e8vent de notre champ d\u2019exercice et peuvent \u00eatre int\u00e9gr\u00e9s \u00e0 nos tourn\u00e9es au Pontet ou dans les secteurs limitrophes. Nous faisons le lien avec les professionnels qui suivent le patient lorsque la situation le n\u00e9cessite.<\/p>\n<p><strong>Source :<\/strong> <a href=\"https:\/\/sante.gouv.fr\/prevention-en-sante\/sante-mentale\/prendre-soin-de-sa-sante-mentale-accompagnement-et-parcours-de-prise-en-charge\/article\/les-droits-des-patients-en-psychiatrie\" target=\"_blank\" rel=\"noopener noreferrer\">Droits des patients en psychiatrie \u2013 minist\u00e8re de la Sant\u00e9<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Soins psychiatriques ambulatoires et \u00e0 domicile : cadre g\u00e9n\u00e9ral, place de l\u2019IDEL, coordination et conduite \u00e0 tenir en cas de crise.<\/p>\n","protected":false},"author":1,"featured_media":1329,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"categories":[20,19],"tags":[29,28,25],"class_list":["post-1180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-manuels-sante-domicile","category-soins-a-domicile","tag-cabinet-infirmier","tag-soins-de-sante","tag-soutient"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Soins psychiatriques \u00e0 domicile : r\u00f4le infirmier<\/title>\n<meta name=\"description\" content=\"Pr\u00e9sentation des soins psychiatriques \u00e0 domicile et du r\u00f4le infirmier dans le suivi, l\u2019accompagnement et la coordination avec les autres professionnels.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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