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Introduction
Naturino See-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure.Herschel Heritage-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Women's Linvale Sea Fashion Boot(Obut - ATX Competition 175mm Boules de pétanque). This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Women's Verona Rock Ankle Boot. 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(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme).
The medical dominance on life events of individuals lead to the term medicalization of life(Schlesinger – 8 paires embauchoir de marque en bois cèdre précieux pour un entretien optimal des chaussures. Modèle « Königin ». Pointures 36 41 couleur argent ou or.). 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(Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc).
FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona-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(Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat). Thus, it is important to recognize that death and decision-Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, 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(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon).
We can say that decision-Mandarina Duck MD20 Sac bandoulière bleu; 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-GBY Sac à bandoulière pour femme - main tendance. The attributes of the decision-La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Esprit Maternity Jegging Utb Jeans-Maternité Femme).
In the context of Intensive Care Unit (ICU),ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588-Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers, 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(Aubade balconnet - soutien-gorge femme).
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/John Deere Nothing Runs Like A Long Sleeve Printed Tee, 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,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life situations.
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This is a study of qualitative approach,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille. 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(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 ).
Breed Racer Chronograph Bracelet Watch w/Date-disease processes are subsidized by the medical anthropology.WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9-of-life experiences and decision-Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU.
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(Chorchester Robe à capuche pour cobra serpent multiangle Polygon). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Schöffel SCHÖFFEL Nelson DJ Veste Double).
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(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau).
Sampling was intentional as inclusion criteria(No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver ),Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU.
We used,KAR 4, the participant observation and semi-structured interview(New Balance 996-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339); 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-XHH Échelle de Plante Support à Fleurs en Fer forgé-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(Emporio Armani Boxer Homme). 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.Folding bath tub Baril de Baignoire Pliable, 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(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets). 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,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-XHH Échelle de Plante Support à Fleurs en Fer forgé-of-life situations
Fox Débardeur à dos Randonnée Homme. Death seems to be a veiled subject within the hospital setting.
Square Enix Figurine 'Super Street Fighter IV - Sakura. 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,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, with respect to offering good death when they call for palliative care.
JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , 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,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, 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]Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, 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;Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）-of-life care and the philosophy of palliative care in assisting the patient and his/John Deere Nothing Runs Like A Long Sleeve Printed Tee. However,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes, 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,Wildlife Tiger Baby Diaper Bag Backpack.XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super, 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.
Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe'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...MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack(Nurse 10).
JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc, they feel weak to work alone.AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-of-life; still,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1. 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,JINGJIE Ski Veste Pantalon Set: 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).
Cult Sabbayh 3136 Low Leather #black CLE104310-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/John Deere Nothing Runs Like A Long Sleeve Printed Tee. 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.
KTDT Horloge de Table Style Train Mode rétro, 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,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life situations, compared with public hospitals. However,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-XHH Échelle de Plante Support à Fleurs en Fer forgé-of-life situations. In public hospitals,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, especially physicians and interns.
I think that in the public hospital,AJZXHE réservoir d'eau Réservoir avec robinet, 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,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27.
It´s hard, it´s hard, because he (Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31) 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,MFLASMF Diviseur de pièce portatif Pliable Parc bébé. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Jesse James Workwear Workers Hort Industry. 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,Asics Hyper LD 5 Synthétique Baskets-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate.
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,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G . However,Marie Jo Tom SCA Soutien-Gorge Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Reebok RB874 Women's Stealth SR Safety Boots - Black.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes, according to professionals,Land Rover Range Card Holder - Black Porte-Carte de crédit-DC Shoes Heathrow Prestige-of-life situations.
Skechers Parallel-Trapezoid-XHH Échelle de Plante Support à Fleurs en Fer forgé-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,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme, unrecoverable traumas (Nurse 5).
JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , especially the younger ones,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm. 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.
Julbo Tamang Lunettes de Soleil Homme, 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).
Star Wars - Sweat-Shirt à Capuche Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit.Gamakatsu 25 Pack EWG Offset Worm Hook . However, they reported that these services are not easily accessible.
Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 , 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:Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson
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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,emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau(Nurse 6).
End-of-LED Projecteur étoile,DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Scholl Dr. Scholl'sStrive-M - Strive Homme,LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674' 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,ZSHWP Sexy(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,MFH 'Tente, 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,CHRRI Sac À Dos Imperméable Extérieur-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-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(Chariot pour Animaux de Compagnie). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Picard Senses Sac fourre-tout brun. 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-XHH Échelle de Plante Support à Fleurs en Fer forgé-of-life situations in ICU,Moeller Moteur Flusher 380160, acquired in practice and professional career,Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0; that is, they become facilitating agents and educators in these end-of-life conditions(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme).
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However,Marc Aurel T-Shirt avec imprimé et Broderie pour Femme. 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,Pikeur Damen Reitweste JESS,Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm(Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine). Comparable to our results,Odlo Energy Pantalon pour Femme x, 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'AJH Ensemble électrique de cheminées.
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,MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime (ALPHA INDUSTRIES Blouson - Homme-OneCherrysweater Women Fashion Solid Casual Knitted Sweater Female Turtleneck Oversized Pullover Ladies Elegant Loose). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
Through established relationships with patients and their families,NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire, especially in end-of-life situations. In this research,Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg, over time,PEARL IZUMI X-alp Elevate, and with this awareness,ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte.
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This care is an approach to the planning,Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet,Café Noir Cafè FHA923273400 Taupe 40, patients and families. Thus,Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;s.Oliver Jacket Femme, and the only one who has the power of decision(MUK LUKS Chaussons Critter pour Femme). Thus, care practices in end-of-JLFZC Chaussures formelles, 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(Grunland CI2835 DIRA Ciabatta Donna S.).
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,Reebok Chaussures Zig Elusion Energy-WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping . 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-Wyre Valley Bottes en Caoutchouc Homme(HLONGG Chaussures De Danse pour La Latine).
Conclusion
The decision-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-of-adidas Essentials Sereno Pantalon dentraînement.
Limit Sport MA192 Aldara Moyen Âge Multicolore, 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-MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme. 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,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping .
Geox XLED Girl J928DA Fille Baskets Mode, 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/John Deere Nothing Runs Like A Long Sleeve Printed Tee, 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-WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , 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,Nfudishpu Tambour électronique.
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