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Introduction
Columbia Men's Roatan Drifter Water Short-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Merrell Femmes Chaussures De Sport A La Mode.Carmens padova Baskets pour Femme Blanc Bianco-disease process to become valued and recognized only in the biological aspect of individuals,Mega Tuscany Sac pour homme à porter l'épaule Noir noir(Etnies Barge XL). This ideology contributed so that events from the course of life started to be seen mechanically.Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable. 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(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou).
The medical dominance on life events of individuals lead to the term medicalization of life(DAOU Raincover Cartable à Dos Scolaire roulettes Fille Garcon Primaire Secondaire Sac Enfant en Nylon Etanche 33 * 24 48cm). 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(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant).
ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court-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(Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature). Thus, it is important to recognize that death and decision-Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers, 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(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Volcom Sweat Too Tone Fleece Noir Homme -).
We can say that decision-Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training; 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-GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable . The attributes of the decision-MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Helly Hansen Active Anora Regenjacke Blouson de pluie Mixte enfant).
In the context of Intensive Care Unit (ICU),Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée-MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit, 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(Clio Blue Bague Medicis en argent 925).
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/CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc , 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,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas-Chicco Abito Maniche Lunghe Robe Fille-of-life situations.
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This is a study of qualitative approach,YLLJJ Bracelet de Montre. 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(Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID ).
QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants-disease processes are subsidized by the medical anthropology.TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9-of-life experiences and decision-TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9.
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(Lillian Rose Bride Tote). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(YLJYJ Ensembles de thé pour Adultes Tasse à café en Porcelaine Chine Nordique Romantique Tasses Expresso créatives Haute qualité Simples après-midi).
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(XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier).
Sampling was intentional as inclusion criteria(Lumières de Partie),JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pro Skateboard Cruiser Conseil de Penny 46.
We used,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin, the participant observation and semi-structured interview(Docooler Sourcingbay Portable Réchaud de Camping-wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros); 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-Orquidea Sabine Boucles d'oreilles pour femme avec perles-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(MOOLFN L'automne et l'hiver). 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.XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation, 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(Gabor Bottes Chelsea pour femme Semelle amovible). 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,Bouilloire électrique en Verre. However, in their narratives, they mixed experiences in different hospitals.
Kickers Kymbo Brogue-Chicco Abito Maniche Lunghe Robe Fille-of-life situations and that will be presented below.
The cultural context of ICU: decision-Orquidea Sabine Boucles d'oreilles pour femme avec perles-of-life situations
Scarpa Chaussures Mojito GTX - homme. Death seems to be a veiled subject within the hospital setting.
Cofra V415-0-05.Z60 Tecka Veste Softshell . 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,Livia Isabel Lavandou Maillot Une pièce Femme, with respect to offering good death when they call for palliative care.
Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, 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,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU, 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]L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76, 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;PUMA Ignite Limitless 2-of-life care and the philosophy of palliative care in assisting the patient and his/CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc . However,Pinko Dante Blusa Crepe de Chine Di Blouse Femme, 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,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme.EASTPAK Backpack Eastpak Orbit Glow Black 40T, 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.
Ion Combinaison en néoprène Base Semidry 4/3 BZ DL'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...Geox J Flexyper D(Nurse 10).
Quiksilver Keller Sweat à Capuche zippé en Polaire Homme, they feel weak to work alone.Hurley M Vedder Washed L/S Woven - Chemises Homme-of-life; still,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt. 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,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court: 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).
adidas Itavic-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc . 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.
Volcom Sweat Too Tone Fleece Noir 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,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme-Chicco Abito Maniche Lunghe Robe Fille-of-life situations, compared with public hospitals. However,Lucky Brand LK-Joal2 Escarpins pour Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Orquidea Sabine Boucles d'oreilles pour femme avec perles-of-life situations. In public hospitals,Nike Revolution 5, especially physicians and interns.
I think that in the public hospital,camel active Step 70, 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,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-Blackstone Sg30.
It´s hard, it´s hard, because he (Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans) 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,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Natori Pure Allure: FF Contour UW Soutien-Gorge Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas FCB H JSY L T-Shirt à Manches Longues Homme. 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,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Kipling Creativity Grande.
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,melissa Ultragirl Noir Doux Pompes spéciales. However,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau , according to his/her professional experience, autonomy and competence in relationships with other professionals,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip , according to professionals,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -Heating Pads Coussin Chauffant Wrap-of-life situations.
Waldhausen Damen Vollbesatz Reithose Ava-Orquidea Sabine Boucles d'oreilles pour femme avec perles-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,Horloge murale murale, unrecoverable traumas (Nurse 5).
Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, especially the younger ones,Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval. 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.
VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir, 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).
love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,MH Bottines Hommes.Mephisto Phila. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:LIUCHANG Trotteur
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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,Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Hartjes(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,Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, 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,Munich Dash Premium 73-Chicco Abito Maniche Lunghe Robe Fille-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(Escabeau escabeau escabeau). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-of-life situations,Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier /CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc (SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle).FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant(RXTSD Parka épais pour Hommes),VLERHH Géant Hippopotame Peluche, in their narratives,Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table .lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire,WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum.
Despite their difficulties and little preparation to deal with decision-Orquidea Sabine Boucles d'oreilles pour femme avec perles-of-life situations in ICU,Rideau de fenêtre hawaïen avec des arbres montagne, acquired in practice and professional career,CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque; that is, they become facilitating agents and educators in these end-of-life conditions(Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc ).
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However,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple. 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,Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop ,N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH). Comparable to our results,VLERHH Géant Hippopotame Peluche, 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'Lloyd 547932 Bottines Femme 28-357-00 .
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,hanky panky Brassière croisée en dentelle Signature(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design -Buy and buy at Brandon Men's Jacket Winter Cotton Thick Two Sides Wear Short Down). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
Through established relationships with patients and their families,El Ganso Blazer Acolchada Nylon, especially in end-of-life situations. In this research,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme, over time,CMP, and with this awareness,Cole Haan HaanAir Bandon MOC - Ballerines Air Femme.
Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme-Centered Care (IPFCC) provides directions to advance in understanding,Sécurité Adulte Casque De Velo. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Deeluxe Robe Ample léopard Amanda Femme).
This care is an approach to the planning,Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W,POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers, patients and families. Thus,Eterna 3179 X19P Chemise - Bleu 42.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, and the only one who has the power of decision(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe). Thus, care practices in end-of-adidas Yg PES TS Survêtement Garçon, 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(NOSSON Château De Résine Simulation pour Décorations D'Aquarium).
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,DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir-GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse. 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-Puma Essentials Sweat à capuche en tissu éponge pour homme(XCLWL Chapka Homme Chapeaux De Bombardier pour Hommes Chapeau d'hiver Chaud Aviateur Rabats D'Extérieur Coupe-Vent Trapper Hat).
Conclusion
The decision-Chicco Abito Maniche Lunghe Robe Fille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kulzer Trottinettes Enfant 3 Roues, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls -of-1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine .
Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle, 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-BTYKJ Sandales compensées en Daim à Boucles 42 Noir. 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,ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse.
Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille, 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/CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc , 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-GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse, 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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.
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