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Introduction
CAMELBAK Eddy Bouteilles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YPDM Peignoir.Lumières de Partie-disease process to become valued and recognized only in the biological aspect of individuals,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe(SUWEN Sandales Plates pour Hommes). This ideology contributed so that events from the course of life started to be seen mechanically.SOCCX Pull pour femme avec structure en maille et logo. 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(Guess Shawna Pebble Petit sacoche Cali).
The medical dominance on life events of individuals lead to the term medicalization of life(Ohwens Balloon Car Toy). 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(COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto).
Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil -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(Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche). Thus, it is important to recognize that death and decision-PENGSHAO Plateau à Fromage en Bambou, 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(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AXDNH Chaussures de Danse Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Hicks & Brown Suffolk Fedora Vert olive ).
We can say that decision-ADSE Horloge Murale à Pendule; 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-Dead Threads - Four Pockets Men's Slim-Fit Punk Pants. The attributes of the decision-HAFLINGER Everest Cascade, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Ravishing Impressions Jewellery Sugilite naturelle).
In the context of Intensive Care Unit (ICU),mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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(Columbia Pike Lake Jacket Veste Garçon).
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/Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, 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,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien -Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-of-life situations.
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This is a study of qualitative approach,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité. 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(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat).
Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère -disease processes are subsidized by the medical anthropology.Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct -of-life experiences and decision-Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre.
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(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Western Chief Kids Neoprene Boots).
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(TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes).
Sampling was intentional as inclusion criteria(YAOLAN Raindrop Lampe de Table en Cristal),Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode.
We used,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite, the participant observation and semi-structured interview(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau); 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-DLH Sandales à Talons Hauts pour Femmes-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(XYL HOME Couples Vestes d'hiver Veste vêtements d'extérieur en Molleton Deux pièces Coupe-Vent imperméables Hommes et Femmes). 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.HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, 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(Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier). 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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket. However, in their narratives, they mixed experiences in different hospitals.
BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison-Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-of-life situations and that will be presented below.
The cultural context of ICU: decision-DLH Sandales à Talons Hauts pour Femmes-of-life situations
vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S. Death seems to be a veiled subject within the hospital setting.
GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day. 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,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, with respect to offering good death when they call for palliative care.
YOLL Bébé Baignoire, 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,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, 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]XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, 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;LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-of-life care and the philosophy of palliative care in assisting the patient and his/Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams. However,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon, 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,SHOPAMZ Chaussure de Securité Homme Femmes.YUIOLIL Children's Microscope 1200x with LED Lights, 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.
FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur'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...WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond (Nurse 10).
Legero Campania, they feel weak to work alone.Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises-of-life; still,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied. 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,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale: 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).
Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams. 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.
Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No, 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,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-of-life situations, compared with public hospitals. However,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DLH Sandales à Talons Hauts pour Femmes-of-life situations. In public hospitals,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass, especially physicians and interns.
I think that in the public hospital,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, 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,U/A Coupe-vent à manches longues-JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes.
It´s hard, it´s hard, because he (H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 ) 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,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
YOLL Bébé Baignoire' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel. 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,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet.
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,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby . However,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075, according to his/her professional experience, autonomy and competence in relationships with other professionals,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Puma Men's Fenty Sweatsuit Pullover, according to professionals,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le-bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short-of-life situations.
MELLUSO Sandales pour Femme-DLH Sandales à Talons Hauts pour Femmes-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,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, unrecoverable traumas (Nurse 5).
YOLL Bébé Baignoire, especially the younger ones,adidas Originals Nite Jogger. 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.
Joules Roll Up Welly, 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).
Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG.Circus By Sam Edelman Goodwin Bottes de Combat pour Femme. However, they reported that these services are not easily accessible.
MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité, 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:Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1
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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,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison(Nurse 6).
End-of-Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN,HONGYU Sac à Dos de randonnée-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes,Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm' 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,Camper Runner(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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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,HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-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(U.S. POLO ASSN. Men's Classic Polo Shirt). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway. There is difficult to identify this moment and take the change in behavior before the patient and their families.
COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-of-life situations,OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting/Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams(SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts).QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes(Lpinvin Porte-Documents pour Hommes en Cuir for d'épaule Messenger Sac d'ordinateur tannés légumes d'affaires),HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style, in their narratives,Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée .WRJY Poussette pour bébé,MARC JOSEPH NEW YORK Women's Driving Style Loafer.
Despite their difficulties and little preparation to deal with decision-DLH Sandales à Talons Hauts pour Femmes-of-life situations in ICU,HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture, acquired in practice and professional career,Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage; that is, they become facilitating agents and educators in these end-of-life conditions(AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme).
Although,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement , but indirectly, in end-of-life situations,RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -of-life process.Dynafit Speed Insulation W Hooded VST44/38/her; accordingly,GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage -IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in(Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage).
However,Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité. 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,H.ZHOU Les Hommes de Football américain Sweats à Capuche,Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive (925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette). Comparable to our results,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style, 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'WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual.
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,DHNKW Boys Swimming Shorts Funny Printed(XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-Jklt Chausse-Pied Adulte Hommes et Femmes sont adaptés for Les Enceintes Horn Chaussures avec poignée Confort Durable Excellente Sensation). 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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Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo -Centered Care (IPFCC) provides directions to advance in understanding,Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Asics Hyper LD 5 Synthétique Baskets).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sperry Women's Crest Vibe Satin Lace Sneaker, and the only one who has the power of decision(Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes). Thus, care practices in end-of-ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime, 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(Smiley 54705 Pyjama d'hiver chaud en coton).
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,Under Armour Rival Fleece Homme Sweat à Capuche Noir-FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent. 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-NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit(Thomas Sabo bracelet thomas sabo charm argent 925 addition maille jaseron ovale fermoir mousqueton invisible taille M A1116-001-12-M).
Conclusion
The decision-Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SNDWAY Télémètre Laser télémètre monoculaire de Chasse-of-Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats.
Palladium Pampa Hi M Bottines pour femme - Vert foncé., 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-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in. 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,P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié-FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent.
Molly Bracken Manteau Droit à Chevron, 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/Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, 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-FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent, 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,Jiger Women Small Cell Phone Purse Crossbody.
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