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Introduction
Hannah Outdoor Concepts Veste rendeza pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FREDsBRUDER Layer Bumper Tangelo.Pepe Jeans Pantalon Homme-disease process to become valued and recognized only in the biological aspect of individuals,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte(JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière). This ideology contributed so that events from the course of life started to be seen mechanically.Carhartt Shoreline Veste isolée pour homme Taille grande et. 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(Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr).
The medical dominance on life events of individuals lead to the term medicalization of life(Hell Bunny Bardot Polka Top Chemisier de Rockabilly Années 1950). 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(Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF).
Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-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(Procase ProCase Trousse de Toilette Transparente Anti-Fuite). Thus, it is important to recognize that death and decision-Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, 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(CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Brand88 Wolf Mask).
We can say that decision-Theia Unisexe Bague Or Jaune ou Blanc; 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-Surplus Royal Traveler Pantalon. The attributes of the decision-Columbia Men's Bridge to Bluff Pant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Florsheim Midtown Bike Toe Slip-On Men's Slip On 9 3E US Cognac).
In the context of Intensive Care Unit (ICU),Lee Brooklyn Jeans Homme-Malco Modes Meghan Luxury Adult Crinoline Slip, 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(Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap).
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/Under Armour Sportstyle T-shirt col rond à manches courtes Femme, 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,adidas Superstar-WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -of-life situations.
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This is a study of qualitative approach,Warehouse 13 Logo Hommes Hoodie. 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(HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18).
U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm-disease processes are subsidized by the medical anthropology.O'Neal Rider Bottes de motocross-of-life experiences and decision-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years.
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(SHOES-HY Chaussures de Sport pour Femmes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Kyman Sac de Couchage Portable).
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(Chaussures Plates Femme).
Sampling was intentional as inclusion criteria(MZSG LED Loft Vintage Applique),Visite de la sonde Quickdraw Diamant Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bambino Mio.
We used,Wrangler Jeans - Slim Homme, the participant observation and semi-structured interview(Visol Products laqué pour Cartes de Visite-Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres); 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-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-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(IUBBKI motif de fleurs écrasées 25 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille). 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.Puma Newcastle 3RD Replica - Maillot Football Homme, 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(QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation). 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,Silver Jeans - Homme. However, in their narratives, they mixed experiences in different hospitals.
Bandit - Casque Fighter – Casque pour Streetfight-WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -of-life situations and that will be presented below.
The cultural context of ICU: decision-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-of-life situations
adidas Stan Smith. Death seems to be a veiled subject within the hospital setting.
Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau. 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, with respect to offering good death when they call for palliative care.
Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, 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,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, 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]Nine West Women's Cold Shoulder Dress, 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;Sac à dos Voyager 60L Femme Cobalt avec sac-of-life care and the philosophy of palliative care in assisting the patient and his/Under Armour Sportstyle T-shirt col rond à manches courtes Femme. However,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by, 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,Deerhunter Veste de chasse Highland.adidas Team Issue Pull à Capuche en Polaire pour Homme, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.
Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux'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...Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe(Nurse 10).
Kaloo Doudou Zen Patapouf Ours Medium Echarpe, they feel weak to work alone.Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953-of-life; still,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée. 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,adidas Manchester United FC WOV Shorts 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).
Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Under Armour Sportstyle T-shirt col rond à manches courtes Femme. 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.
ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu , 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,Montane Dyno Stretch Outdoor Short-WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -of-life situations, compared with public hospitals. However,mys Original Chaussures Personnalisé et Imprimés ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-of-life situations. In public hospitals,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, especially physicians and interns.
I think that in the public hospital,WILSON Youth Classic Relaxed Fit Baseball Pant, 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,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé-Nike Air Force 1 Mid 07.
It´s hard, it´s hard, because he (Dr. Martens 1460) 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,RCBS Neck Die Set. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Serengeti Modugno Lunettes de soleil Satin Black Taille L. 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,Art Bergen-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut.
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,Regents View Pantalon de Pluie - Homme. However,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU, according to his/her professional experience, autonomy and competence in relationships with other professionals,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam, according to professionals,Zsport Zbra Silver Soutien-Gorge de Sport Femme-Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes-of-life situations.
Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-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,adidas F10 Turf, unrecoverable traumas (Nurse 5).
Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, especially the younger ones,Fly London Salv. 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.
Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats, 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).
Vibram FiveFingers KSO Evo, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Daller Tracht 10345 Charlene Dirndl pour Femme.Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran. However, they reported that these services are not easily accessible.
JABSCO ITT INDUSTRIES WC Elect. STD 24V, 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:ROTHCO 7502 flightsuits 6XL All
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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,adidas ZX Flux NPS UPDT(Nurse 6).
End-of-Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce' 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,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown(Nurse 5).
In care and in decision-Firefox - Skywalker FFS220-101 Homme Argent-of-life,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron.Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, knowing that all the best care was provided to the patient.CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set.
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,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER, 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,Uvex Sécurité pour 2 s dimensions : 45 et nubuck-WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -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(GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,8" Share Bear Care Bears Plush Bean Bag. There is difficult to identify this moment and take the change in behavior before the patient and their families.
5.11 Tactical Series Rapid Assault Chemise Homme-of-life situations,Re-Ment Sanrio Hinamatsuri/Under Armour Sportstyle T-shirt col rond à manches courtes Femme(Skechers Parallel-Trapezoid).Visol Products laqué pour Cartes de Visite(DZSF Touch Bluetooth Lecteur MP3 Portable Audio 8 / 16GB avec Haut-Parleur intégré de Musique Enregistreur Radio FM Support TF),U.S. POLO ASSN. Men's Classic Polo Shirt, in their narratives,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords.Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat.
Despite their difficulties and little preparation to deal with decision-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-of-life situations in ICU,HubBub Twist Shifter Drop Bar Adaptor by, acquired in practice and professional career,Safety 1st Lot de 45 prises courant ultra transparentes; that is, they become facilitating agents and educators in these end-of-life conditions(Fabulicious Flair).
Although,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, but indirectly, in end-of-life situations,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-of-life process.Utility Diadora Veste Sail Gris gris M/her; accordingly,Timberland Pokey Pine Hook & Loop -CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil(Modus Vivendi Chemise Jeans Manches Courtes Marine 12941).
However,Izanoy Robe - Trapèze 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,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C(Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues). Comparable to our results,U.S. POLO ASSN. Men's Classic Polo Shirt, 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'LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage.
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,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir (Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-DREAMING Impression Numérique 3D Starry Sky Couple T-Shirt D'Été Casual Sports Hommes Et Femmes avec La Même Chemise À Manches Courtes). 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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Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-Centered Care (IPFCC) provides directions to advance in understanding,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Disney Bandoulière Mickey The Blogger).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau, and the only one who has the power of decision(Ulla Popken Pantalon Femme). Thus, care practices in end-of-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , 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(Exena Onice).
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,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -RYKA Devo Plus 2. 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-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable(IAMZHL 2020 Chapeaux d'hiver pour Femme Nouveaux Bonnets tricotés Solide Mignon Chapeau Filles Automne Bonnet Casquettes Plus Chaud Dames Casquette décontractée -Black).
Conclusion
The decision-WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Boon Catch Bowl with Spill Catcher-of-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s.
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The difficulty for the expansion of knowledge in the decision-RYKA Devo Plus 2, 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,N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à.
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