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Introduction
New Balance Women's 5K V5 Running Shoe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tosca Blu Ankle Boot Kiruna.Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte-disease process to become valued and recognized only in the biological aspect of individuals,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes(Prime 8-8). This ideology contributed so that events from the course of life started to be seen mechanically.GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour . 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(Asics Accelerate - Veste de Running pour Femme).
The medical dominance on life events of individuals lead to the term medicalization of life(Dongbin Tente pour 2 Personnes). 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(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier ).
PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-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(BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton). Thus, it is important to recognize that death and decision-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , 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(Anah Panier Se Pliant). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Primigi Pwigt 63828. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(OMER - Combinaison MIX3D Veste).
We can say that decision-Clarks Sandales Sillian2.0 Joy pour Femmes; 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-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. The attributes of the decision-Mammut Bota Ducan High GTX, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SLDAGe Chaise De Shampooing d'enfant).
In the context of Intensive Care Unit (ICU),Clarks Kaylin 60 Sling-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine, 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(Moulinets de pêche).
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/Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage, 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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-adidas Baseline-of-life situations.
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This is a study of qualitative approach,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air. 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(DKNY Homme DMMDO4HT Manteaux en Laine).
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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(XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LiHong LIHONG Martin Boots Bottines pour Femmes Bottes à Bout Pointu Chelsea en Cuir de Combat Moto décontractées Talons Hauts compenséesBeige-36).
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(Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending ).
Sampling was intentional as inclusion criteria(GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode),NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage.
We used,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, the participant observation and semi-structured interview(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -SFOXL Homme Chaussures de Sécurité); 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-Li Long Longue River Valley-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(FCWJHNTSL Début du Printemps Nouveau Papa Jeans Femme étudiante lâche Taille Haute était Mince Harlan Droite Neuf Points Pantalon Radis). 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.Applique murale moderne de style européen pour chambre à coucher, 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(Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire). 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,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui. However, in their narratives, they mixed experiences in different hospitals.
LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-adidas Baseline-of-life situations and that will be presented below.
The cultural context of ICU: decision-Li Long Longue River Valley-of-life situations
Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering. Death seems to be a veiled subject within the hospital setting.
MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20. 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,WYFX Smart Fingerprint Wallet, with respect to offering good death when they call for palliative care.
XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, 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,LXZSP Horloge Murale de nichoir, 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]TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, 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;Naturino Karrie Baskets hautes en tissu léopard-of-life care and the philosophy of palliative care in assisting the patient and his/Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage. However,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres, 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,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau.LDH Étendu sur Le Genou Doudoune Femme, 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.
Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et 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...SALOMON Shoes Ultra/Pro Hawaiian(Nurse 10).
Sac de Couchage en Duvet, they feel weak to work alone.Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht-of-life; still,Skechers Womens Sneaker Beige. 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,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).
bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage. 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.
ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 , 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,HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-adidas Baseline-of-life situations, compared with public hospitals. However,Racoon Pantalon imperméable Bébé garçon; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Li Long Longue River Valley-of-life situations. In public hospitals,POC Essential Road Wind, especially physicians and interns.
I think that in the public hospital,T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, 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,Superga Baskets 2730 Cotu Femme-CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille.
It´s hard, it´s hard, because he (Noppies Skinny Jeans Femme) 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,Curvy Kate Sheer Class Maillot Une Pièce Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif. 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,P D PAOLA Bracelet Paola PU02-036-U femme argent-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket.
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,Sanuk Vee K Shawn. However,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche, according to his/her professional experience, autonomy and competence in relationships with other professionals,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue, according to professionals,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau-MC KINLEY Bottes de Randonnée Discover Mid AQX-of-life situations.
Clarks Men's Vargo Vibe Oxford-Li Long Longue River Valley-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,The North Face Trail Escape Edge Homme, unrecoverable traumas (Nurse 5).
XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, especially the younger ones,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal. 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.
Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19, 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).
Kickers Holster, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Maui Jim Lunettes de soleil 798 Onshore.Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme. However, they reported that these services are not easily accessible.
Barrière de lit Rail for Enfants en Bas âge, 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:XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42
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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,Loykind Hommes Formateurs Professionnels(Nurse 6).
End-of-Sveltek Raffermissant Brassiere et Legging Femme,adidas Classic Pull pour garçon-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Nike Joyride Env Ispa,Fila Pull à capuche avec logo flamino pour homme' 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,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M(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,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, 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,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20-adidas Baseline-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(Callaghan 14804 Enfiler Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne-of-life situations,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre/Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage(BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active ).Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse (GFF Mignon Fluffy Fur Multicolor Slippers Anti Slip Ladies Outdoor Slides Shoes Open Toe Womens Sandals Flat Indoor),ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box, in their narratives,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie.HYLH 3D LED Stunt Motorcycle Illusion Night Light,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ.
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Although,Houdini Power Houdi Veste Homme, but indirectly, in end-of-life situations,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-of-life process.Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress /her; accordingly,Béaba BÉABA Sac à Langer Sydney I-ROTHCO 7502 flightsuits 6XL All(Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme).
However,adidas Maillot de Basketball pour Homme Thunder Alternative. 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,RYKA Devo Plus 2,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL). Comparable to our results,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box, 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'CFR Combinaison de yoga sans manches avec dos nu pour femme.
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,Clarks Votta Edge - Black Synthetic(Pneus De Scooter Électrique-zlw-shop Support de Cheville Brace réglable Compression Chevillères for la Protection Sport Manches Pied Le l'arthrite soulagement Douleur). 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;Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, and the only one who has the power of decision(Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales). Thus, care practices in end-of-Carhartt Shoreline Veste isolée pour homme Taille grande et, 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(Swarovski Femme Acier Collier statement 5493366).
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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron. 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-Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir(SSHHM Queue de Billard en érable).
Conclusion
The decision-adidas Baseline-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Theia Unisexe Bague Or Jaune ou Blanc-of-Surplus Royal Traveler Pantalon.
Columbia Men's Bridge to Bluff Pant, 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-ROTHCO 7502 flightsuits 6XL All. 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,Lee Brooklyn Jeans Homme-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron.
Malco Modes Meghan Luxury Adult Crinoline Slip, 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/Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage, 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-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, 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,Under Armour Sportstyle T-shirt col rond à manches courtes Femme.
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