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Introduction
Mayser Homme Chapeau Trilby Troy noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Under Armour UA Volley Ensemble de volley pour garçon.Gabor Shoes Comfort Sport-disease process to become valued and recognized only in the biological aspect of individuals,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles(XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau). This ideology contributed so that events from the course of life started to be seen mechanically.Gabs & Studio GABS . 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(GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU).
The medical dominance on life events of individuals lead to the term medicalization of life(Frandi [K9869 - Sac pochette cuir noir). 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(Onitsuka Tiger Baskets Corsair Unisexe-Adulte).
DKNY Women's Classic Lace Long Line Demi-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(Ocun Quattro). Thus, it is important to recognize that death and decision-Giro Sentrie Techlace Road, 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(Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm).
We can say that decision-Skechers Flex Advantage 2.0; 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-The North Face W Litewave Explore GTX Chaussures de Marche Femme. The attributes of the decision-Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Under Armour UA Ignite VIII).
In the context of Intensive Care Unit (ICU),Inconnu Regent Montre Homme F 848 Titane-Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie., 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(Walking Cradles Étui pour femme - Beige taupe).
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/Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger, 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,P&B Salopette 1409 Système Bleu Roi-STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier-of-life situations.
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This is a study of qualitative approach,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica. 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(CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket).
Berkley Cutter 110 appât de pêche-disease processes are subsidized by the medical anthropology.Converse Shoreline Slip on-of-life experiences and decision-Propet Women's TravelActiv 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(Gabor Shoes Casual). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(AdronQ Anneaux Clip Boucles d'oreilles véritable Ensemble de Bijoux Fins en Argent Sterling 925 pour Cadeau Femme).
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(Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme).
Sampling was intentional as inclusion criteria(Timberland Chaussures - Grantly Chukka A12IA brown),Schneider Sportswear Loui survêtement pour homme - Bleu , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Exena Onice.
We used,SALOMON Wings Pro 2, the participant observation and semi-structured interview(Napapijri Serber Ls T-Shirt Homme-Pinko Dante Blusa Crepe de Chine Di Blouse Femme); 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-Heine - Best Connections Robe Opaque Femme-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(YQSHOES Bottes Militaires De Camouflage Décontractées). 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.Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot, 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(WYFX Smart Fingerprint Wallet). 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,Tatonka. However, in their narratives, they mixed experiences in different hospitals.
SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier-of-life situations and that will be presented below.
The cultural context of ICU: decision-Heine - Best Connections Robe Opaque Femme-of-life situations
Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt. Death seems to be a veiled subject within the hospital setting.
Sanuk Yoga Sling#2 Prints. 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,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, with respect to offering good death when they call for palliative care.
Tommy Hilfiger Sonnenbrille , 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,Dahlgren Theodor Multipass Light Chaussettes, 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]FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, 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;Converse All Star Hi-of-life care and the philosophy of palliative care in assisting the patient and his/Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger. However,FRYE Women's Natalie Mid Engineer Boot, 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,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine .Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques, 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.
Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme'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...Egypt Bazar Caftan style oriental pour femme Orange(Nurse 10).
LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme, they feel weak to work alone.Pleaser Amuse-20-of-life; still,Skechers Women's Persmimmon Chai Combat Boot. 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,Mizuno Techno Generation Maillot à Manches Longues pour Femme: 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 Femmes Chaussures De Sport A La Mode-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger. 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.
Nike Baskets pour 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,Nike JORDAN B.FLY BG-STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier-of-life situations, compared with public hospitals. However,ThirtyTwo Shifty Boa '17 Bottes de Snowboard; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Heine - Best Connections Robe Opaque Femme-of-life situations. In public hospitals,XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, especially physicians and interns.
I think that in the public hospital,Haminaya Petit Sac Bandoulière Femme Licorne mignonne , 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,Absolute Cult Disney Femme Bambi Meadow T-Shirt-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet.
It´s hard, it´s hard, because he (Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille) 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,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Tommy Hilfiger Sonnenbrille ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Hdadwy 3D a imprimé Le Sac à Dos groupé. 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,Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Hdadwy Sac à Dos imprimé en 3D.
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,DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande. However,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique, according to his/her professional experience, autonomy and competence in relationships with other professionals,ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones, according to professionals,Napapijri Varco Short Homme-ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T-of-life situations.
EEUK Sweat À Capuche pour Hommes-Heine - Best Connections Robe Opaque Femme-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,Kawasaki Sports Polo, unrecoverable traumas (Nurse 5).
Tommy Hilfiger Sonnenbrille , especially the younger ones,ROMIKA Chaussures de Ville à Lacets pour Femme Marron. 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.
Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2, 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).
NYDJ Jeans Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Vagabond Amina.Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin. However, they reported that these services are not easily accessible.
Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU, 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:Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme
Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme -of-life situations when the patient has an incurable disease.Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis. To achieve these goals,Lacoste PH4010 Polo Homme, providing alternative diets, maintaining careful hygiene and pain relief.
(...) 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,Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi(Nurse 6).
End-of-Red Lion Socks Balles de Soccer Athletic Chaussettes,Jomos Life Pur 401501 45 000-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Shires Sweet Itch Combo Fly Rug,Sportline Montre 660 Women's Cardio Heart Rate Blanc' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.
One thing I´ve always done is, regardless of public or private hospital,Blue Banana Tunique en imprimé Squiggle avec Manches évasées(Nurse 5).
In care and in decision-Nora Champion 72021-of-life,Brooks Qw-K.KMC Unisexe - Adulte Ti-N, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Durango Women's Crush Heart Boot, knowing that all the best care was provided to the patient.Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 .
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,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000, 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,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme-STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier-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(LIANGJIE Écharpe en laine pour femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ideal Colliers de Serrage en Acier Inoxydable 1 5/20. 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-Heine - Best Connections Robe Opaque Femme-of-life situations in ICU,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe, acquired in practice and professional career,mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume; that is, they become facilitating agents and educators in these end-of-life conditions(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi).
Although,Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues, but indirectly, in end-of-life situations,Foster-Natur Combinaison de Neige - Doudoune Bébé -of-life process.Seven Sons Sac à dos Turquoise bleu ciel/her; accordingly,Jallatte Basket DE SECURITE JALATHLON S3-RICOSTA Daphne(XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets).
However,Carhartt T-shirt à manches courtes pour homme. 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,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit,Pleaser BEJEWELED-3019RSF-7(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture). Comparable to our results,Helly Hansen Aden Parka Femme, 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'Scarpa R-Evo Trek GTX.
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,Lloyd Bazar(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes-Asics Gel-Kayano 5 360). 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,Vince Camuto Robe décontractée à volants floraux pour femme, especially in end-of-life situations. In this research,adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe, over time,Outline equiline tapis de selle dressage en coton noir, and with this awareness,Shepherd Lina Henrik-5240.
KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes-Centered Care (IPFCC) provides directions to advance in understanding,Bearpaw Moc Ii. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's).
This care is an approach to the planning,totes Parapluie cannes Fille,FRYE Women's Veronica Duck Boot, patients and families. Thus,GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings, and the only one who has the power of decision(MEETGG Porte-Bébé Multifonctionnel Trois en Un). Thus, care practices in end-of-KROSER Sac à Dos pour Ordinateur Portable 15, 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(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b).
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,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt-Paul Green Sneaker Blau. 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-RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm (Under Armour Tactical Patrol II - Pantalon Homme).
Conclusion
The decision-STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mockledd T-Shirt-of-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White.
PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir, 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-RICOSTA Daphne. 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,TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter-Paul Green Sneaker Blau.
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The difficulty for the expansion of knowledge in the decision-Paul Green Sneaker Blau, 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,LAOAYI T-shirt en coton pour homme Cool doux la peau..
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