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The use of computers in care and accommodation facilities for dependent elderly people is nowadays a matter of course and the recent computer attacks against hospital structures have demonstrated, if it were necessary, the importance of having access to information concerning patients. However, far from being a simple means of recording and communicating data, the computerization of patient records is changing the way we look at people in hospital or in residential care. It also contributes to a quiet change in team relationships and professional practices in geriatrics. Based on an observation carried out during the introduction of a new software in a hospital, the authors, clinical psychologists in a health service and in a Nursing Home, question in what way the massive use of the computer tool leads to a paradigm shift. After resituating the context and the stakes of the computerization in progress since about fifty years in the hospital, the authors focus on the relations between the use of data processing, representations of the nursing work and professional practices. They question the risk of an impoverishment of thought and of the links already damaged by the various hospital reforms aimed at management.