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Introduction
HEHE sous Le Lit De Chaussures Sac Rangement-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39.Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans-disease process to become valued and recognized only in the biological aspect of individuals,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant(Pandora Femme Argent Boutons d'oreilles - 290721CZ). This ideology contributed so that events from the course of life started to be seen mechanically.Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore. 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(American Tourister Soundbox Spinner Extensible).
The medical dominance on life events of individuals lead to the term medicalization of life(Huaib Montre de Poche Pocket). 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(LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces).
No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver -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(HUYUQU Chaussures de Danse Latines à Strass pour Femme). Thus, it is important to recognize that death and decision-FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL, 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(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens).
We can say that decision-LLSS Poussette pour bébé légère Landaus; 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-NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air. The attributes of the decision-BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux).
In the context of Intensive Care Unit (ICU),Parcs pour Tout-Petits-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, 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(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides).
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/Trespass Qikpac Female Jacket Vestes coupe-pluie Femme , 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,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3-DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-of-life situations.
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This is a study of qualitative approach,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4. 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(Lodi Pauli).
Reebok Workout Plus-disease processes are subsidized by the medical anthropology.Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-of-life experiences and decision-Josef Seibel Chance 39.
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(steve madden Leona Black One Size). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Kickers Babysun).
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(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière).
Sampling was intentional as inclusion criteria(Kate Spade New York KS Street Boîte à souvenirs Citron),Geox B New Flick B, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Geox D Nebula C.
We used,PUMA Chaussures de Glace Muse Femmes, the participant observation and semi-structured interview(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-Hudson baby Long Sleeve Bodysuits); 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-Dachstein Ramsau 2.0 Gore-TEX Chaussure-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(nihiug Bottes Martin Hommes Adultes Cuir Classique Haut-Haut Chaussures en Coton Bottines Rétro Daim Occasionnels). 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.New Balance Fresh Foam Zante Pursuit, 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(Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal). 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,Columbia WAYFINDER FLIP Sandales de sport pour homme. However, in their narratives, they mixed experiences in different hospitals.
Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique-DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-of-life situations and that will be presented below.
The cultural context of ICU: decision-Dachstein Ramsau 2.0 Gore-TEX Chaussure-of-life situations
nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques. Death seems to be a veiled subject within the hospital setting.
nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air. 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,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, with respect to offering good death when they call for palliative care.
Under Armour Polo rehaussé pour 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,Kamik Raindrops, 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]Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, 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;TEN POINTS Carina-of-life care and the philosophy of palliative care in assisting the patient and his/Trespass Qikpac Female Jacket Vestes coupe-pluie Femme . However,DC Shoes Heathrow, 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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron.Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, 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.
Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme'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...Kickers Bonbon(Nurse 10).
Nike Magista Onda AG, they feel weak to work alone.Mizuno Tc-02-of-life; still,ECCO Biom Terrain. 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,ECCO Xpedition III: 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).
ECCO Xpedition III-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Trespass Qikpac Female Jacket Vestes coupe-pluie Femme . 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.
adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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 Ultraboost 19-DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-of-life situations, compared with public hospitals. However,adidas Originals Women's Falcon Trail Running Shoe; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Dachstein Ramsau 2.0 Gore-TEX Chaussure-of-life situations. In public hospitals,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., especially physicians and interns.
I think that in the public hospital,Fjällräven Leisure Backpack Greenland Zip 13" Polyester, 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,FREDsBRUDER WXD Easy Peasy Caramel-Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S.
It´s hard, it´s hard, because he (Under Armour Sportstyle Tricot - Pantalon Homme) is absolutely sure that the patient will be discharged, that the patient will go home and we are absolutely sure that he will not. It is a great responsibility... Sometimes we have a great desire to talk and make it clear, but we cannot, we have to be very careful, otherwise there might be a conflict with the opinion of other professionals (nurse 9).
Beliefs and subjectivity in care in end-of-life situations
Personal beliefs are their own values,HR Bague en or jaune pour homme 3 pierres. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Under Armour Polo rehaussé pour homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité. 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,Teva Tira-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose.
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,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau. However,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, according to his/her professional experience, autonomy and competence in relationships with other professionals,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, according to professionals,Dickies Pantalon moulant en sergé 4 poches pour femme-Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.-of-life situations.
FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil-Dachstein Ramsau 2.0 Gore-TEX Chaussure-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,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe, unrecoverable traumas (Nurse 5).
Under Armour Polo rehaussé pour homme, especially the younger ones,FRYE Robin Feather Criss Sandale plate pour femme. 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.
Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, 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).
ZCY Remontoir À Montres Automatique, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Champion Mens Powerblend Fleece Joggers C Logo .Montura Outdoor Nice T-Shirt pour Femme. However, they reported that these services are not easily accessible.
Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece., 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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FRYE Carson Ballet plat pour femme-of-life situations when the patient has an incurable disease.FRYE Men's Austin Passport Wallet. To achieve these goals,Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures, 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,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée(Nurse 6).
End-of-Copytec 31605 First Responder Pologne de secours sanitaire,Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL,FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint' 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,bugatti 321720605000(Nurse 5).
In care and in decision-7 For All Mankind The Jean Skinny Femme-of-life,AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44.ARA Lissabon, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short, knowing that all the best care was provided to the patient.Nike Lebron Witness Iv.
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,Nike Aa8018-010, 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,Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc-DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-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(Hush Puppies Athos). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women. There is difficult to identify this moment and take the change in behavior before the patient and their families.
MC Davidian Barrette matic 11cm Dentelles dentelle Full -of-life situations,ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X/Trespass Qikpac Female Jacket Vestes coupe-pluie Femme (GJQGYY Sèche-Chaussures électrique 2 rétractable).BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme(Silvernshine Jewels Bijoux 3/4 ct Diamant Coupe Princesse Bague de fiançailles Or blanc 14 K FN Argent 925),Bauer Skate Vapor X2.9 - Senior S19, in their narratives,Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir.Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme,BYZ Tenda da bagno per USO Domestico.
Despite their difficulties and little preparation to deal with decision-Dachstein Ramsau 2.0 Gore-TEX Chaussure-of-life situations in ICU,25L Daysack - Sac à dos résistant l'eau, acquired in practice and professional career,Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections; that is, they become facilitating agents and educators in these end-of-life conditions(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation).
Although,Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet, but indirectly, in end-of-life situations,Earth Origins Lyndon Leah Women's Black 9 Medium-of-life process.Earth Origins Savoy Siena Women's Black 6 Medium/her; accordingly,Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots(FJXQCY Peignoir en Satin pour Femme).
However,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM. 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,ARMADA Baxter Insulated Snow Jacket,Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm (BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière). Comparable to our results,Bauer Skate Vapor X2.9 - Senior S19, 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'GALLDEALS Queue de Sirène pour Nager Monopalme Filles.
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,Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-EXTON 335 Sneakers Man). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;REFRESH Bottine Plate avec Fermeture Éclair pour Femme, and the only one who has the power of decision(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille). Thus, care practices in end-of-HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d', 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(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en).
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,Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages. 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-YZT QUEEN Bottes Cuissardes Femmes(LCFF Tongs Tongues Womens Flip Flops d'été Chaussons Roman Wedges Beach Pool Chaussures Ouvertes Sandales Cheville Toe Shoes Accueil intérieur extérieur).
Conclusion
The decision-DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Andrea Conti Chaussures basses en cuir à lacets pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest-of-SKYROPNG Chaussures Mme Muller.
HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , 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-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots. 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,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages.
XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, 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/Trespass Qikpac Female Jacket Vestes coupe-pluie Femme , 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-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, 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,HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme.
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