Glossary entry

French term or phrase:

la personne de confiance

English translation:

health care proxy

Added to glossary by Rachel Fell
Nov 10, 2009 20:16
14 yrs ago
42 viewers *
French term

la personne de confiance

French to English Medical Medical (general) ethics committee, clinical trial, France
lettre d’information destinée aux membres de la famille ou la
personne de confiance

information letter addressed to a family member or trusted friend -?

Discussion

Rachel Fell (asker) Nov 10, 2009:
It's correspondence about a clinical trial concerning patients with traumatic brain injury
Michael Lotz Nov 10, 2009:
Health care proxy It does seem to be preferred in many publications in both UK and US, although variations are always possible.
Michael Lotz Nov 10, 2009:
UK Sources: additional info Please also see the additional UK sources I just added.
There may also be other terms to the standard "health care proxy" such as legal representative in some jurisdictions or regions. It might do no harm to use one and the other in parentheses as a synonym for such places.
Dr Lofthouse Nov 10, 2009:
The term 'health care proxy' is only used in Scotland. 'Trustworthy person' isnt a term used in the UK, which leaves 'Carer': the problem there is that 'carers' have no legal standing.
This reference is guidance on consent for clinical trials for adults who cannot make decisions themselves:
www.nres.npsa.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=321

it uses the phrase 'legal representative'...
" Ethical review of CTIMPs
2.7 The main REC undertaking the review of a trial involving adults unable to consent for themselves is required to consider whether the research is justified having regard to the conditions and principles specified in Part 5 of Schedule 1 to the Clinical Trials Regulations. These include provisions for informed consent to be given by the subject’s legal representative. A definition of “legal representative” for this purpose is given in Part 1 of Schedule 1."

I'm assuming this trial document is for an incapacitated adult, because why else would they be sending information to a family member, rather than the patient????

Proposed translations

+6
10 mins
Selected

health care proxy

The term in French is very specific and with a legal connotation. See reference below.
In English, the current terminology is "health care proxy". It is much more than the non-specific word meaning of a person who has the trust of the patient.
"La personne de confiance est une notion de droit français de la santé. Elle a été créée initialement pour favoriser le consentement des personnes hors d'état de s'exprimer, suivant ainsi l'avis n° 58, 12 juin 1998 du CCNE, le Comité consultatif national d'éthique."

" Another form authorizes a specific type of power of attorney or health care proxy, where someone is appointed by the individual to make decisions on their behalf when they are incapacitated. People may also have a combination of both."

http://www.droit.univ-paris5.fr/cddm/modules.php?name=News&f...

http://fr.wikipedia.org/wiki/Personne_de_confiance

http://en.wikipedia.org/wiki/Advance_health_care_directive

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Note added at 1 heure (2009-11-10 21:39:59 GMT)
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UK legal situation

In the UK, people may appoint a health care proxy under the Mental Capacity Act 2005, but it is referred to as a lasting power of attorney. [8]
ref: Johnston, Carolyn; Liddle, Jane (2007). "The Mental Capacity Act 2005: a new framework for healthcare decision making". Journal Medical Ethics 33: 94–97. doi:10.1136/jme.2006.016972.
quoted by "http://en.wikipedia.org/wiki/Health_care_proxy"

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Note added at 1 heure (2009-11-10 21:41:16 GMT)
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"Health Care Proxy
As well as detailing specific future instructions for medical treatment, a Living Will can also appoint a Health Care Proxy. This may be a close friend or member of the family who will make decisions on their loved one's behalf, should the need arise."
from a UK source:
http://www.thecarer.co.uk/LivingWills.html
.
Note from asker:
Thank you Michael:-)
Peer comment(s):

agree liz askew : Hi, if they use it in Scotland, then I am all for it! Nay bother....
14 mins
thanks Liz !
agree SJLD
17 mins
thanks S !
agree Cetacea
49 mins
thank you Cetacea
neutral Dr Lofthouse : NB :I dont know who the translation is for, but there are differences between the US and UK medico-legal systems regarding 'consent' for clinical trials on people who cannot make decisions for themselves-England and Scotland NHS are different too!!
1 hr
Interesting point, legal representative may be another term, but look also at the additional notes from UK sources I just added. Thanks.
agree Anne Pietrasik
1 hr
thanks Anne !
agree Drmanu49
1 hr
thanks drmanu !
agree cezara lucas
6 days
thanks cezara
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4 KudoZ points awarded for this answer. Comment: "Thank you Michael, and thanks to others for useful contribs. - seemed to fit best"
2 mins

carer/care person

...
Peer comment(s):

neutral liz askew : carer = soignant
2 mins
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3 mins

Trustworthy person

°
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3 mins

trustworthy person

..

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Note added at 4 mins (2009-11-10 20:20:58 GMT)
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FHA - [Nurses, customs and families. 2/8--the trustworthy person ...
[Nurses, customs and families. 2/8--the trustworthy person]. (Soignants, usagers et families. 2/8--la personne de confiance.) Full Abstract ...
www.find-health-articles.com/rec_pub_18975646-nurses-custom... - Similar

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Note added at 4 mins (2009-11-10 20:21:16 GMT)
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#
Example of HTML generated by the above database - John Bleau ...
181 personne digne de confiance trustworthy person. Act, s 31 (2) says responsible person, but up to page 52, I've been saying "trustworthy person". ...
www.johnbleau.com/Rosetta/Codex.htm - Cached - Similar
#
CDBI_2008_29 Andorno e
système de santé) enables individuals to appoint a “trustworthy person”. (personne de confiance) as a health care proxy, who must be consulted about ...
www.coe.int/t/dg3/.../09.../CDBI_2008_29 Andorno e.pdf - Similar

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Note added at 24 mins (2009-11-10 20:40:47 GMT)
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[PDF]
The DNR Bracelet To Withdraw a DNR Order Health Care Proxy
File Format: PDF/Adobe Acrobat - Quick View
Health Care Proxy. New York State's Health Care Proxy Law allows a person to appoint a trusted friend or family member to decide about medical treatment if ...
www.health.state.ny.us/publications/4182.pdf - Similar

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Note added at 25 mins (2009-11-10 20:42:36 GMT)
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Strange though
I thought there would be another French "legal" expression for "health care proxy"

as trusted friend/trustworth person can = personne de confiance

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Note added at 28 mins (2009-11-10 20:45:33 GMT)
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hmm
out of interest only:

here, they translate "proxy" as "mandataire"..

http://docs.google.com/gview?a=v&q=cache:IM4NEzhE2dUJ:www.go...
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+1
1 hr

Legal Representative

see discussion entry

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Note added at 1 hr (2009-11-10 21:41:45 GMT)
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May vary from US legislation??
Peer comment(s):

agree liz askew : Well, I think you have a point. End of Life Decision Making | Health Care Proxy Forms Boston ... A Health Care Proxy (called a Living Will in some states) allows you to designate a legal representative to make medical decisions in the event that you ... w
12 hrs
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1 hr

next of kin

I work for the NHS and have had a lot of experience of French hospitals when my father was ill.
Note from asker:
Hello Ségolène - but wouldn't that be covered under the "family member" bit?
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