Abstract：
Supporting a cancer patient up until the end of life and then mourning the loss represents a long, and emotionally marking period that is potentially problematic for health professionals. In addition to individual and environmental characteristics-and related to death or to the relationship prior to death-the communication established between the doctor, patient, family members and other health professionals in the team, seems to determine how an individual experiences the loss and mourning process. Acknowledging the suffering of the bereavement without always being able to respond is neither easy nor trivial, requiring modified/appropriate knowledge and skills. The opportunity to share their experiences within a healthcare team and with external health care professionals guarantees an ethical approach, professional enrichment and limits the risk of burnouts. In order to offer guidance and potential solutions, the references specific to cancerology are regularly updated in France by the AFSOS (\"French Association of Supportive Cancer Care\"). This multidisciplinary effort, including professionals from different professional societies (AFSOS, SFFPO, SFAP) and coordinated by the cancerology network of Nouvelle Aquitaine (Onco-Nouvelle-Aquitaine), has resulted in the recent publication of two complementary resources that address bereavement. The first report provides theoretical guidelines, while the second proposes a more clinical approach on how to support a mourning individual. Thus, with regards to the clinical situation and contextualization of the aforementioned references, this article considers the dimensions of separation, bereavement, and supportive care and further discusses tools to help health professionals protect themselves when affronting these situations.
摘要：
支持癌症患者直到生命结束，然后哀悼损失代表了一个漫长的过程，和情感标记时期，这对卫生专业人员来说可能是有问题的。除了个人和环境特征-与死亡或死亡前的关系有关-医生之间建立的沟通，病人,团队中的家庭成员和其他健康专业人员，似乎决定了一个人如何经历失去和哀悼的过程。承认丧亲的痛苦而不总是能够回应既不容易也不琐碎，需要修改/适当的知识和技能。有机会在医疗保健团队和外部医疗保健专业人员中分享他们的经验，保证了道德方法，专业充实并限制倦怠的风险。为了提供指导和潜在的解决方案，AFSOS(“法国癌症支持协会”)在法国定期更新针对癌症的参考文献.这种多学科的努力，包括来自不同专业协会的专业人士(AFSOS，SFFPO,SFAP）并由NouvelleAquitaine（Onco-Nouvelle-Aquitaine）的癌症网络协调，导致最近出版了两个解决丧亲问题的补充资源。第一份报告提供了理论指导，而第二篇则提出了一种更临床的方法来支持哀悼者。因此，关于上述参考文献的临床情况和语境，这篇文章考虑了分离的维度，丧亲,和支持性护理，并进一步讨论了在冒犯这些情况时帮助卫生专业人员保护自己的工具。
