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Introduction
DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille.Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des -disease process to become valued and recognized only in the biological aspect of individuals,AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes). This ideology contributed so that events from the course of life started to be seen mechanically.Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy. 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(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette).
The medical dominance on life events of individuals lead to the term medicalization of life(Rideau de porte occultant Lettre E - Créatures tropicales du printemps Ailes tachetées Fragilité Thème féminité Œillets décoratifs Panneau simple 132 x 213 cm Pour enfant). 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(Premium Pearl).
YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -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(BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops). Thus, it is important to recognize that death and decision-Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir, 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(TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle).
We can say that decision-Thom Browne Calzini Uomo cod.MAS064B; 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-SGSG 10x Miroir de Maquillage Mural grossissant. The attributes of the decision-SGSG Accessoires de Montre Remontoir Automatique Unique mécanique Boîte en Cuir véritable Moteur avancé Silencieux Écran Vibrant Affichage Support, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Sisal Vert Chat À Gratter Bol Corde De Chanvre Balle Globe Planche Jouet Cactus Escalade Cadre).
In the context of Intensive Care Unit (ICU),RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames-AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm, 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(Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom).
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/Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article , 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,AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women-ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-of-life situations.
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This is a study of qualitative approach,JINPENGRAN Portable Chaise. 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(Nike Phantom Venom Academy IC).
FJXQCY Peignoir en Satin pour Femme-disease processes are subsidized by the medical anthropology.SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture-of-life experiences and decision-Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay.
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(ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(F&ELEGSH Chapeaux d'été pour Les Femmes Solide Plume Satin Floral Large Bord Soleil Dames Floppy Kentucky Derby Église Robe De Thé).
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(Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage ).
Sampling was intentional as inclusion criteria(SSSSLIVE Couvre-Chaussure Couvre-Chaussures Pluie Imperméable À l'eau Recyclable en Silicone Réutilisables Imperméables La Hommes Chaussures Couvre Bottes De Livraison Gratuite),LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ATOMIC Savor GT AMID Visor HD Casque Mixte.
We used,HEHE sous Le Lit De Chaussures Sac Rangement, the participant observation and semi-structured interview(Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté); 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-Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-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(Okuma Helios Gold – provenant de Moulinet – Différentes Tailles – Moulinet avec Frein Avant pour pêche Pêche). 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.Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans, 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(HONGYU Sac à Dos de randonnée). 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,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-of-life situations
No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver . Death seems to be a veiled subject within the hospital setting.
FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL. 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,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches, with respect to offering good death when they call for palliative care.
LLSS Poussette pour bébé légère Landaus, 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,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, 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]BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique, 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;Parcs pour Tout-Petits-of-life care and the philosophy of palliative care in assisting the patient and his/Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article . However,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, 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,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme .Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3, 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.
Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4'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...Reebok Workout Plus(Nurse 10).
Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, they feel weak to work alone.Josef Seibel Chance 39-of-life; still,Geox B New Flick B. 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,Geox D Nebula C: 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).
PUMA Chaussures de Glace Muse Femmes-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article . 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.
Dachstein Ramsau 2.0 Gore-TEX Chaussure, 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,New Balance Fresh Foam Zante Pursuit-ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-of-life situations, compared with public hospitals. However,Columbia WAYFINDER FLIP Sandales de sport pour homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-of-life situations. In public hospitals,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, especially physicians and interns.
I think that in the public hospital,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers.
It´s hard, it´s hard, because he (Under Armour Polo rehaussé pour homme) 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,Kamik Raindrops. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
LLSS Poussette pour bébé légère Landaus' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250. 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,TEN POINTS Carina-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DC Shoes Heathrow.
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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron. However,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, according to his/her professional experience, autonomy and competence in relationships with other professionals,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Kickers Bonbon, according to professionals,Nike Magista Onda AG-Mizuno Tc-02-of-life situations.
ECCO Biom Terrain-Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-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,ECCO Xpedition III, unrecoverable traumas (Nurse 5).
LLSS Poussette pour bébé légère Landaus, especially the younger ones,ECCO Xpedition III. 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.
adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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).
adidas Ultraboost 19, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,adidas Originals Women's Falcon Trail Running Shoe.Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique
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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,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Dickies Pantalon moulant en sergé 4 poches pour femme(Nurse 5).
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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,ZCY Remontoir À Montres Automatique, 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,Champion Mens Powerblend Fleece Joggers C Logo -ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-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(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Montura Outdoor Nice T-Shirt pour Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.-of-life situations,Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez./Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article (RVCA South Eastern Trunk pour Homme).Bauer Skate Vapor X2.9 - Senior S19(Couverture électrique chauffée 70 "X 60"),Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, in their narratives,YROD Canne À Pêche.FRYE Carson Ballet plat pour femme,FRYE Men's Austin Passport Wallet.
Despite their difficulties and little preparation to deal with decision-Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-of-life situations in ICU,Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures, acquired in practice and professional career,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée; that is, they become facilitating agents and educators in these end-of-life conditions(SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme).
Although,Copytec 31605 First Responder Pologne de secours sanitaire, but indirectly, in end-of-life situations,Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-of-life process.Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL/her; accordingly,FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint-bugatti 321720605000(Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck).
However,7 For All Mankind The Jean Skinny Femme. 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,AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44,ARA Lissabon(Champion Sweat à Capuche en Laine Polaire pour Homme). Comparable to our results,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, 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'QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short.
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,Nike Lebron Witness Iv(no!no! Anti-Pluie Surchaussures-Clarks Women's Leisa Joy Sandal). 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;Earth Origins Savoy Siena Women's Black 6 Medium, and the only one who has the power of decision(EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material). Thus, care practices in end-of-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine, 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(Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie).
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,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots-ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière. 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-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM(LANCASTER Double pochette).
Conclusion
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Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M, 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-bugatti 321720605000. 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,Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière.
WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues , 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/Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article , 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-ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière, 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,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre .
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