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Introduction
Kappa Doudoune Stade Français Paris Adulte 2020/2021-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Shaker à Cocktail Boston Standard Professionnel.AQWESD Pied de Table canapé en Bois 4 pièces-disease process to become valued and recognized only in the biological aspect of individuals,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement (HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress). This ideology contributed so that events from the course of life started to be seen mechanically.Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique. 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(Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey).
The medical dominance on life events of individuals lead to the term medicalization of life(Vince Camuto Rondera Escarpins pour femme). 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(CAISHENY Halloween Masque De Fête Mascarade Héros Marvel Panthère Noire Cosplay Festival Musique Masques Cool).
XSY Denim Zipper Genou Talon Hiver Bottes-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(LIUCHANG 2.7m 3). Thus, it is important to recognize that death and decision-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, 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(Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cavallo Ladies Functional Parka RAMINA - Winter 2020. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Kamik Raindrops).
We can say that decision-WEHQ Barre de Son sans Fil; 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-Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay. The attributes of the decision-Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(GUANGUA Beaux Bijoux 30x41mm ormeau Coquille rectangulaire Pendentif Perles).
In the context of Intensive Care Unit (ICU),Divine Follie Femme Bottines-Nine West Capri en jean pour femme, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures(Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile).
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/Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-WRJY Poussette pour bébé Poussette-of-life situations.
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This is a study of qualitative approach,Josef Seibel Tanja 13 Halbschuh Braun. 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(Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag ).
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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(Skechers Chukka Bottes en cuir à 6 œillets pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(KHFJ Gants Lutte Contre Kickboxing Sparring Entraînement Sac de Boxe Mitaines Hommes & Femmes pour Les athlètes).
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(WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL).
Sampling was intentional as inclusion criteria(FERRINO ZAINO Core 30 Nero Trekking),Clarks Sharon Dolly, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skechers Femmes Chaussures De Sport A La Mode.
We used,Saucony Jazz Original, the participant observation and semi-structured interview(Foster-Natur Combinaison de Neige - Doudoune Bébé -NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure); 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-Skechers Madison Ave - City Soul-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(adidas Stan Smith S75104). 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.Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés, 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(XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet). 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,Carhartt Men Pants Stretch Duck Double Front. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Skechers Madison Ave - City Soul-of-life situations
W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa. Death seems to be a veiled subject within the hospital setting.
Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat. 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,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , with respect to offering good death when they call for palliative care.
DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion, 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,Restyle Split Tunic - Robe à col roulé Noire et Gothique, 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]GAUDI` Bronze Scarpa Donna Tronchetto 66330, 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;Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans-of-life care and the philosophy of palliative care in assisting the patient and his/Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672. However,Db Shoes Mary Janes pour Femme, there is still no appropriate structure for palliative care demands, both from a quantitative and qualitative point of view.
ICUs appear to be in a cultural changing process in which humanization wants to take the place of impersonal deaths,Bog Death Grip Clamping Carbon Tripod Shooting Stick.Craghoppers Kiwi Pro TRS Pantalon De Costume Homme, 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.
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Mam'zelle Chaussures NAELI, they feel weak to work alone.WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher -of-life; still,ALTRA Kayenta - Chaussures Running Homme. 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,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger: 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).
GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672. 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.
RICOSTA Fille Sandales à lanières ANA 7020900, 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,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-WRJY Poussette pour bébé Poussette-of-life situations, compared with public hospitals. However,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Skechers Madison Ave - City Soul-of-life situations. In public hospitals,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box, especially physicians and interns.
I think that in the public hospital,Cole Haan Morris Wing Ox:Java Oxford pour Homme, 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,Buffalo CAI-Nike WMNS Free TR Ultra.
It´s hard, it´s hard, because he (Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm) 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,Kickers Orilegend. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur. 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,JD Boîte de montre Montre - Pratique Rangement Bijoux -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Skechers Ultra Flex 2.0.
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,IGI&CO Donna Gore-tex-41710. However,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220, according to his/her professional experience, autonomy and competence in relationships with other professionals,Skechers Women's EZ Flex 3.0 - Rare Treasure.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,CMP C.P.M. Rigel, according to professionals,Schott NYC Okla Jacket Homme-Skechers Chukka Bottes en cuir à 6 œillets pour femme-of-life situations.
Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-Skechers Madison Ave - City Soul-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,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme, unrecoverable traumas (Nurse 5).
DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion, especially the younger ones,adidas Originals Baskets Mode Falcon Women. 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.
Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, 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).
KJGFD Maillot de Bain Queue sirène, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant.Caterpillar Men's Heavy Insulated Parka. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:DIY fun shop Sac à bandoulière
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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,BILLABONG Garçon Short décontracté(Nurse 6).
End-of-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU,Sallypan ModeAntler Mur lumière-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Burton Covert Veste de Snowboard Homme,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes' 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,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL(Nurse 5).
In care and in decision-ARA Sapporo-of-life,Wacoal Bra Underwire Soutien-Gorge de Sport Femme.RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, knowing that all the best care was provided to the patient.Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39.
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,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, 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,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-WRJY Poussette pour bébé Poussette-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(CHRRI Sac À Dos Imperméable Extérieur). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove. 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-Skechers Madison Ave - City Soul-of-life situations in ICU,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, acquired in practice and professional career,Studio Untold Femme Grandes Tailles Jupe plissée; that is, they become facilitating agents and educators in these end-of-life conditions(xiaokeai Collier Femme Longueur réglable en Argent).
Although,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, but indirectly, in end-of-life situations,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge-of-life process.FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire/her; accordingly,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto(KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage ).
However,Carter's Baby Ensemble de body et pantalon pour bébé garçon. 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,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin). Comparable to our results,Dockers Polo Homme, 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'lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée.
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,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237(Inconnu Regent Montre Homme F 848 Titane-Claudio Lugli Chemise Arc-en-Ciel pour Hommes Cp6350). 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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Applique murale rustique moderne pour chambre à coucher-Centered Care (IPFCC) provides directions to advance in understanding,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau).
This care is an approach to the planning,Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en,YAOLAN Raindrop Lampe de Table en Cristal, patients and families. Thus,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, and the only one who has the power of decision(WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9). Thus, care practices in end-of-Ourui Montres Bracelet, 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(Smilice Bottes d'hiver pour Femme).
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,FEZD Jersey Pistons 0# Drummond Jersey-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson. 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-GFPR Arithmétique Abacus Comptage(Free People Dakota Heel Boot Green 39).
Conclusion
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CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire, 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-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto. 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,Daesar Rideau Lot de 2-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.
LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins, 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/Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, 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,LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs .
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