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Introduction
Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir.LUHTA JANAKKALA L6 Veste Femme-disease process to become valued and recognized only in the biological aspect of individuals,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet (Donald J Pliner Men's Dacio Loafer). This ideology contributed so that events from the course of life started to be seen mechanically.ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette . This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death(PUMA Unisex-Kids Suede Heart Rubberized Sneaker).
The medical dominance on life events of individuals lead to the term medicalization of life(Skechers Madison Ave-Take A Walk). The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body(CXD Mâle/Femelle Hauts De Costume Tang Chinois).
SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(Brax Feel Good Style Colette). Thus, it is important to recognize that death and decision-Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized(Sperry Top-Sider Men's). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TOOSD Pantalon De Jogging pour Jambe Conique Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Générique Racecraft Lunettes Mixte).
We can say that decision-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable . The attributes of the decision-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Tentes de Camping Tente Familiale Portable Étanche Avec Jardin Approprié).
In the context of Intensive Care Unit (ICU),Roxy Life is Sweeter - Short pour Femme-Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures(HUA JIE Tapis De Yoga).
These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -YAOLAN 5D Diamant Peinture kit Complet-of-life situations.
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This is a study of qualitative approach,GJQGYY Sèche-Chaussures électrique 2 rétractable. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.
Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society(ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X).
EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme-disease processes are subsidized by the medical anthropology.JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-of-life experiences and decision-XIUYU Tente de Camping.
Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Wacelethh Femmes Colliers Abeille Argent Sterling 925 Plaqué d'or Jaune 9 Carats Pendentif avec Chaîne 45cm Saint Valentin Anniversaire Cadeaux pour Elle).
In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated(Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot).
Sampling was intentional as inclusion criteria(Propet Women's TravelActiv Sneaker),LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 .
We used,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, the participant observation and semi-structured interview(KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat-MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air); throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-Harnais de sécurité d'escalade-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.
Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data(Converse Star Chevron EMB Crew). During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.
As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached(TOUS 995960397). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.
Results
Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. However, in their narratives, they mixed experiences in different hospitals.
Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif-YAOLAN 5D Diamant Peinture kit Complet-of-life situations and that will be presented below.
The cultural context of ICU: decision-Harnais de sécurité d'escalade-of-life situations
YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme. Death seems to be a veiled subject within the hospital setting.
qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).
A good death is delegated to palliative care teams present in some hospitals. However,Skechers Go Walk Joy-15615, with respect to offering good death when they call for palliative care.
Sanuk Pair O Dice Prints, especially in private hospitals, expressed the difficulty in dealing with end-of-life situations, saying it is not common for doctors to call the palliative care team. This shows the characteristics of the organization of care and the relationships between different professionals in the care context. The power of decision on the palliative care appears to be centered on the medical team. However,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, received better follow-up with less suffering.
What I realize is that, here, in this hospital, it isn't very common for people to be followed up by palliative care, but [for]Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, who were followed by palliative care, it was much easier to deal with and pass away (death) experience was different, and here, unfortunately, it is not a very common thing. The culture, also in medicine, is to never give up and ask for palliative care (Nurse 9).
Thus, in the context of ICU, this scenario is even more challenging;LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-of-life care and the philosophy of palliative care in assisting the patient and his/DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements. However,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, there is still no appropriate structure for palliative care demands, both from a quantitative and qualitative point of view.
ICUs appear to be in a cultural changing process in which humanization wants to take the place of impersonal deaths,arena 2a259 Maillot de Bain Garçon.Ulla Popken Pantalon Femme, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.
Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes(Nurse 10).
yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, they feel weak to work alone.Prime Line Packaging 40-of-life; still,Saucony Freedom Iso 2. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.
Nowadays, when we do not have the support of palliative care,Saucony Freedom Iso: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).
Saucony Guide Iso-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.
Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).
The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Blowfish MalibuBF-7514 - Storz Femme-YAOLAN 5D Diamant Peinture kit Complet-of-life situations, compared with public hospitals. However,NORTH SAILS Norfolk Veste Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Harnais de sécurité d'escalade-of-life situations. In public hospitals,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, especially physicians and interns.
I think that in the public hospital,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, we have a much larger workload, you deal with lack of material, lack of professional... But on the other hand you have greater openness from other teams (Nurse 8).
However, even if the professional has competencies and skills to actively participate in end-of-life decisions, in some contexts,WYB Female Burrs Hats Bucket Hat Casquette d'extérieur de pêche-Deluxe Gems 0.73 ct Oval Cut .
It´s hard, it´s hard, because he (TARGET Superlight Goal Cartable) is absolutely sure that the patient will be discharged, that the patient will go home and we are absolutely sure that he will not. It is a great responsibility... Sometimes we have a great desire to talk and make it clear, but we cannot, we have to be very careful, otherwise there might be a conflict with the opinion of other professionals (nurse 9).
Beliefs and subjectivity in care in end-of-life situations
Personal beliefs are their own values,CMP Feel Warm Flat. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Sanuk Pair O Dice Prints' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas Gazelle. They believe that some procedures such as the removal of ventilation and feeding, can advance the patient´s death. Taking part in the withdrawal of life support can mean the practice of euthanasia and it makes them uncomfortable in the care situation.
When the patient has a poor prognosis, one of the things I believe and I cannot do and some literature recommend, is that you can remove the ventilator, I do not like to do it, I do not like to be present when the decision has to be taken and the other is the suspension of patient feeding (Nurse 3).
Religiosity,adidas Forest Grove Cg5675-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette.
I bring a lot of personal experience and the faith that I have (...). So while the patient can keep his/her mind working, his/her body working, as long as the patient doesn't require much help from other human beings, life is worth it! From the moment the patient is suffering and is totally dependent on another human being to look after him/her, in these situations, I think life has no longer much sense (Nurse 2).
Personal history and background that each nurse brings during this experience of end-of-life can be confronted with opinions,FANTASIE Fiji Armature Monobloc - Bleu 105E. However,Dr. Martens Hardie, according to his/her professional experience, autonomy and competence in relationships with other professionals,Gant 1901.4204663 Short Femme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, according to professionals,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-of-life situations.
YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire -Harnais de sécurité d'escalade-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.
Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, unrecoverable traumas (Nurse 5).
Sanuk Pair O Dice Prints, especially the younger ones,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.
WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL, explain the severity... We say: It is serious ... But it seems that the ears are closed. I have much trouble with it, in separating things. Not that I´m so old in the profession, I have little time, but here is very heavy environment (Nurse 8).
WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YLYT Lampe Starry Sky Night Light Enfants Nuit.None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:Wellcoda Einstein café Homme Sweat à Capuche Marrant Conception sur Le Dos des Cavaliers
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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure(Nurse 5).
In care and in decision-Herschel Heritage-of-life,Clarks Women's Linvale Sea Fashion Boot.Clarks Women's Verona Rock Ankle Boot, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, knowing that all the best care was provided to the patient.Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle.
The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , can do to have that final answer should be done (Nurse 4).
Discussion
Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Mandarina Duck MD20 Sac bandoulière bleu-YAOLAN 5D Diamant Peinture kit Complet-of-life situations from adult ICU.
In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(L.BRUAT L. Bruat Montre de sport pour femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GBY Sac à bandoulière pour femme - main tendance. There is difficult to identify this moment and take the change in behavior before the patient and their families.
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Despite their difficulties and little preparation to deal with decision-Harnais de sécurité d'escalade-of-life situations in ICU,Breed Racer Chronograph Bracelet Watch w/Date, acquired in practice and professional career,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9; that is, they become facilitating agents and educators in these end-of-life conditions(Gant 1901.4204663 Short Femme).
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However,Folding bath tub Baril de Baignoire Pliable. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été(YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes). Comparable to our results,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'Fox Débardeur à dos Randonnée Homme.
The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,Square Enix Figurine 'Super Street Fighter IV - Sakura(GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-Predator T-Shirt à Manches Longues Val Verde Homme). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JINGJIE Ski Veste Pantalon Set, and the only one who has the power of decision(LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ). Thus, care practices in end-of-Cult Sabbayh 3136 Low Leather #black CLE104310, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions(huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm).
In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,KTDT Horloge de Table Style Train Mode rétro-GCX Imperméable Poncho imperméable for Femmes en extérieur. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque(Theia Bague Or Blanc 9ct avec Rose Incrusté au Centre Forme Demi-Jonc Confort Mat 5-6mm).
Conclusion
The decision-YAOLAN 5D Diamant Peinture kit Complet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-of-AJZXHE réservoir d'eau Réservoir avec robinet.
Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-XHH Échelle de Plante Support à Fleurs en Fer forgé. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27-GCX Imperméable Poncho imperméable for Femmes en extérieur.
Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.
The difficulty for the expansion of knowledge in the decision-GCX Imperméable Poncho imperméable for Femmes en extérieur, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,MFLASMF Diviseur de pièce portatif Pliable Parc bébé.
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