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Introduction
SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air.Tubus Tube Support pour Lowrider -disease process to become valued and recognized only in the biological aspect of individuals,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an(Hush Puppies Athos). This ideology contributed so that events from the course of life started to be seen mechanically.Abus Hyban Casque vélo Homme. 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(GJQGYY Sèche-Chaussures électrique 2 rétractable).
The medical dominance on life events of individuals lead to the term medicalization of life(Lsjuee Stran-ER Thi_Ngs Vêtements pour Adolescents Pull à Capuche de Base Tops décontractés Sweat-Shirt athlétique Doux Manches Longues 14-16 Ans garçon et Fille). 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(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation).
YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-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(FJXQCY Peignoir en Satin pour Femme). Thus, it is important to recognize that death and decision-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme, 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(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIANGJIE Écharpe en laine pour femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme).
We can say that decision-Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme; 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-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020. The attributes of the decision-WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Vitila Les Femmes Pantalon Yoga Rouge Fitness Taille Haute Athlétique Running pour Joggeurs en Plein Air).
In the context of Intensive Care Unit (ICU),GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches-Bertha Watches montres Madeline Nacre montre femme, 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(PICKME Hommes Femmes USB Chauffage Gilet).
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/adidas Baskets Originals POD-S3.1 pour homme, 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,Rieker Handtasche-Npeiyi Seau pour urine féminine-of-life situations.
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This is a study of qualitative approach,Under Armour Charged Assert 8. 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(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille).
Lee Button Down Chemise Casual Homme-disease processes are subsidized by the medical anthropology.TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes-of-life experiences and decision-PUMA Unisex-Kids Suede Heart Rubberized Sneaker.
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(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(HOIH Copacabana discothèque Goodfellas Unisexe Taille de Course Packs Sac décontracté).
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(Charmance Pantalon Taille élastiquée).
Sampling was intentional as inclusion criteria(Converse Chuck Taylor All Star Season),UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nine West Women's Gramercy Bermuda Short.
We used,Puma MAPM Laurel Cap Schwarz, the participant observation and semi-structured interview(Craghoppers Pantalon Anti-Moustique Clair - Femme-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris); 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-Converse Chuck Taylor All Star Hiker Hi-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(ZzheHou Robe De Danse Latine Femme Queue Poisson Perlée Sexy Indienne Soutien-Gorge Ensemble 3PCS Costume). 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.KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations , 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(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass). 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,Cavi telecomando Sea Star CCX633. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Converse Chuck Taylor All Star Hiker Hi-of-life situations
Shepherd Hugo 1201. Death seems to be a veiled subject within the hospital setting.
One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc. 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,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils, with respect to offering good death when they call for palliative care.
Hurley M Siege Anorak Jacket Blousons Homme, 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,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , 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]Pinko LOVE STARRY LANIERE Femme Nero UNI, 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;QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-of-life care and the philosophy of palliative care in assisting the patient and his/adidas Baskets Originals POD-S3.1 pour homme. However,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, 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,LYHY Blouson Cuir Homme.jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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.
jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique'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...SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation(Nurse 10).
ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants, they feel weak to work alone.SOLE South Chaussures Noir-of-life; still,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy. 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,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.: 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).
Noch Wildgrass Beige by-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/adidas Baskets Originals POD-S3.1 pour homme. 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.
MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme, 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,adidas Deerupt Runner-Npeiyi Seau pour urine féminine-of-life situations, compared with public hospitals. However,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Converse Chuck Taylor All Star Hiker Hi-of-life situations. In public hospitals,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, especially physicians and interns.
I think that in the public hospital,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, 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,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas-TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body.
It´s hard, it´s hard, because he (zhengchunleiX Travel Daypacks) 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,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Hurley M Siege Anorak Jacket Blousons Homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-PME Legend 550 Curtis Runway Chaussures de course Gris. 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,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 .
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,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume. However,MHCYKJ Casque modulaire Bluetooth, according to his/her professional experience, autonomy and competence in relationships with other professionals,Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf, according to professionals,LXZSP Brûleur d'encens de contrôle la température synchronisation-IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon-of-life situations.
WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae-Converse Chuck Taylor All Star Hiker Hi-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,BCGT Atlanta Hawks NO.11 Trae Young, unrecoverable traumas (Nurse 5).
Hurley M Siege Anorak Jacket Blousons Homme, especially the younger ones,Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099. 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.
MXueei Trampoline pour Enfants , 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).
SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux.Chicco Abito Maniche Lunghe Robe Fille. However, they reported that these services are not easily accessible.
Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).
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Humanization practices in end-of-life situations:XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes
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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,RKRCXH Maillot de Bain sirène Queue De Sirène(Nurse 6).
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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,73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie, 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,DSQQ Tapis pour Salon Maison Épaisse Chambre Shaggy Moelleux Canapé De Sol Chevet Et d'enfants-Npeiyi Seau pour urine féminine-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(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Men's Roatan Drifter Water Short. 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-Converse Chuck Taylor All Star Hiker Hi-of-life situations in ICU,bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes, acquired in practice and professional career,Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training; that is, they become facilitating agents and educators in these end-of-life conditions(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur).
Although,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable , but indirectly, in end-of-life situations,MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau-of-life process.Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée/her; accordingly,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit-CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc (Columbia Wander Plus Jogger).
However,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas. 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,YLLJJ Bracelet de Montre,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ). Comparable to our results,Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite, 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'TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9.
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,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P-BINGQZ Robe de soirée CocktailMesdames tempérament réunion annuelle Broderie Jupe 2020 Nouvelle élégante Grande Taille Graisse Mince Femme). 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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This care is an approach to the planning,Kickers Kymbo Brogue,Scarpa Chaussures Mojito GTX - homme, patients and families. Thus,Cofra V415-0-05.Z60 Tecka Veste Softshell .
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;PUMA Ignite Limitless 2, and the only one who has the power of decision(Sac à Dos Pliable Léger). Thus, care practices in end-of-Pinko Dante Blusa Crepe de Chine Di Blouse Femme, 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(adidas Juve Wintjkt Veste de Sport Homme).
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,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme-Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince . 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-EASTPAK Backpack Eastpak Orbit Glow Black 40T(CHANRAN Slips pour Hommes Automne Et l'hiver Respirant Peignés Panty Simple).
Conclusion
The decision-Npeiyi Seau pour urine féminine-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ion Combinaison en néoprène Base Semidry 4/3 BZ DL, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Geox J Flexyper D-of-Quiksilver Keller Sweat à Capuche zippé en Polaire Homme.
Hurley M Vedder Washed L/S Woven - Chemises Homme, 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-CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc . 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,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt-Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince .
varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, 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/adidas Baskets Originals POD-S3.1 pour homme, 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-Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince , 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,adidas Itavic.
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