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Introduction
Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto.NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles-disease process to become valued and recognized only in the biological aspect of individuals,GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée). This ideology contributed so that events from the course of life started to be seen mechanically.Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche. 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(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme).
The medical dominance on life events of individuals lead to the term medicalization of life(GJHT Veilleuse De Chambre à Coucher Enfants Star Night projecteur de lumière Fille Toy Constellation Rotation Cadeau pour d'enfant). 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(Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant).
XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple -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(Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket). Thus, it is important to recognize that death and decision-TIEON Uniforme de Baseball Phillies # 3 Bryce, 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(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon ).
We can say that decision-ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm; 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-TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches. The attributes of the decision-CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(xinmier 3D Photo Wallpaper Luxury Jewelry Black Flower Living Room TV Background Wall Mural Wallpapers Home Decor-250 * 436cm).
In the context of Intensive Care Unit (ICU),CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme, 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(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles).
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/Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women, 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,HJJH Roulement de Roue Joint Removal Tool-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35-of-life situations.
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This is a study of qualitative approach,no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud . 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(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M).
Suitline Valise Plus Grande Bagages Rigide-disease processes are subsidized by the medical anthropology.PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276-of-life experiences and decision-Daniel Wellington Montre.
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(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Asics Gel-nimbus 19 Chaussures de Running).
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(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte).
Sampling was intentional as inclusion criteria(Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore Pull Occasionnel),AXDNH Chaussures de Sport Danse des Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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.
We used,CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13, the participant observation and semi-structured interview(FB Fashion Boots 14902-JD Boîte de montre Montre - Pratique Rangement Bijoux ); 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-Nero Giardini E033771M Sneakers Garçon-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(KOMOO Haltères 7 / 10Lbs Paire). 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.IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi, 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(S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15). 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,Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0. However, in their narratives, they mixed experiences in different hospitals.
Genuins Sandales Bio deux boucles réglables réalisées en serrure-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35-of-life situations and that will be presented below.
The cultural context of ICU: decision-Nero Giardini E033771M Sneakers Garçon-of-life situations
AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural. Death seems to be a veiled subject within the hospital setting.
HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress. 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,Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant, with respect to offering good death when they call for palliative care.
OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm , 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,Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique, 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]HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , 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;KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 -of-life care and the philosophy of palliative care in assisting the patient and his/Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women. However,New Rock M.NEWMILI083 S6 Noir, 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,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes.CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant, 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.
liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm'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...DC Shoes Court Graffik Sq(Nurse 10).
Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh, they feel weak to work alone.RICOSTA Mike-of-life; still,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue. 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,Camper Match 18824-042 Sandales Homme: 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).
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New Balance 247v2, 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,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35-of-life situations, compared with public hospitals. However,Skechers Stamina-classy Trail; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Nero Giardini E033771M Sneakers Garçon-of-life situations. In public hospitals,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, especially physicians and interns.
I think that in the public hospital,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size, 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,RefrigiWear Mead Jacket Veste de Sport Femme-NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull .
It´s hard, it´s hard, because he (Enval 4226711 Polonais pour Homme) is absolutely sure that the patient will be discharged, that the patient will go home and we are absolutely sure that he will not. It is a great responsibility... Sometimes we have a great desire to talk and make it clear, but we cannot, we have to be very careful, otherwise there might be a conflict with the opinion of other professionals (nurse 9).
Beliefs and subjectivity in care in end-of-life situations
Personal beliefs are their own values,Helen vi Sac à Dos pour Enfants Fille. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes. 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,adidas Nizza Hi RF Chaussures FTWR White/Off White-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Betsey Johnson Verona.
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,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032. However,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Victoria Beckham Lunettes de soleil aviateurs Protection UV, according to professionals,WDAYI Manteau de Laine Femme-Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme-of-life situations.
Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs -Nero Giardini E033771M Sneakers Garçon-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,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star, unrecoverable traumas (Nurse 5).
OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm , especially the younger ones,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures. 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.
Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani., 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).
I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies.Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs. However, they reported that these services are not easily accessible.
dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, 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:Clarks Pawley Rilee
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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,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Prime 8-8(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,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, 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,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35-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(El Ganso Blazer Acolchada Nylon). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Baseline. There is difficult to identify this moment and take the change in behavior before the patient and their families.
werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste-of-life situations,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture/Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women(Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo).MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture(Uioy Les Femmes Enceintes Robe modèles de Mode Printemps et en Automne Nouvelle Jupe Coton lâche),ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black, in their narratives,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée.XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif.
Despite their difficulties and little preparation to deal with decision-Nero Giardini E033771M Sneakers Garçon-of-life situations in ICU,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, acquired in practice and professional career,Geox D Thymar F; that is, they become facilitating agents and educators in these end-of-life conditions(adidas Gazelle).
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However,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal. 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,Casque Activ 2 – Casque de vélo,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme(Clarks Women's Verona Rock Ankle Boot). Comparable to our results,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black, 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'kentucky Bandes de Repos Repellent Bleu.
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,KesVir Kes-Vir Incontinence Wrapshorts Boy(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-MOOLFN Automne et Hiver Taille Plus Robe Pyjama Hommes Peignoir Chemise de Nuit Velours épais Service la Maison Corail). 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;Clarks Kaylin 60 Sling, and the only one who has the power of decision(AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats). Thus, care practices in end-of-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine, 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(H.ZHOU Les Hommes de Football américain Sweats à Capuche).
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,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet. 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-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix(LiangDa Cadre Photo Empreinte Nouveau-né Handprint Kit bébé et du Album for Douche Registre Box Décorations Keepsake Cadeau pour Les Nouveaux Parents).
Conclusion
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Bewinch Moustiquaire pour lit, 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-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64. 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,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet.
HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, 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/Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women, 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-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet, 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,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc.
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