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Introduction
JFF Gilet Chauffant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et .Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison-disease process to become valued and recognized only in the biological aspect of individuals,Native Shoes Kids Girl's Jefferson Bling Glitter (Champion Sweat à Capuche en Laine Polaire pour Homme). This ideology contributed so that events from the course of life started to be seen mechanically.The North Face Zipline Vestes imperméable Fille. 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(no!no! Anti-Pluie Surchaussures).
The medical dominance on life events of individuals lead to the term medicalization of life(HTABY Lavé en Vrac Veste Denim Homme). 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(GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A).
IKKS Jupe Nœud Tulle Noir Fille-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(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales). Thus, it is important to recognize that death and decision-Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /, 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(EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie).
We can say that decision-Brooks Mazama 2; 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-Skechers Go Walk Lite - Rise. The attributes of the decision-adidas Dragon OG, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(YMKCBB Pull Femmes Automne Hiver Nouveau Couleur Unie Base À Manches Longues O Cou Mode Lâche Harajuku Mince Femme Hauts S 2.1020.1).
In the context of Intensive Care Unit (ICU),PUMA Sneaker Smash WNS Perf Métallique pour femme-Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, 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(PUMA Roma Basic).
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/MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E, 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,puseky Barboteuse - 0 à 24 mois Pour bébé -JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798-of-life situations.
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This is a study of qualitative approach,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100. 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(Natori Women's Power Yogi Contour Convertible Sport Bra).
DKNY Homme DMMDO4HT Manteaux en Laine-disease processes are subsidized by the medical anthropology.Fergalicious Jolene-of-life experiences and decision-Merrell Forestbound Waterproof.
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(Dansko Women's Adrianne Sneaker). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Oluola Green and Pink Striped Flamingo Bird Pattern Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise).
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(Tuyau d'eau télescopique Magique).
Sampling was intentional as inclusion criteria(Carhartt Shoreline Veste isolée pour homme Taille grande et),Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0.
We used,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, the participant observation and semi-structured interview(wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite-Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm); 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-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-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(GGOODD Anime Fate/Apocrypha Astolfo Cosplay Costume Halloween Rider Vêtements De Tous Les Jours Femme Rose Marin Ensemble d'uniforme Scolaire). 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.überleben Coppa leggera in Legno Con moschettone Backpacking, 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(N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau). 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,Kipling 100 Pens Organiseur de Sac à Main. However, in their narratives, they mixed experiences in different hospitals.
Lacrosse Women's Aero Timber 10-JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798-of-life situations and that will be presented below.
The cultural context of ICU: decision-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-of-life situations
YQ QY Chaussons Description du produitpointureTableau des Tailles . Death seems to be a veiled subject within the hospital setting.
SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet. 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,EXTON 246 Sneakers Man, with respect to offering good death when they call for palliative care.
LLNB Zip Veste À Capuche, 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,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , 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]Lora di Collier Indi Celebrate. court, 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;Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-of-life care and the philosophy of palliative care in assisting the patient and his/MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E. However,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, 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,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches .Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, 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.
LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré'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...JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux(Nurse 10).
HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , they feel weak to work alone.Tamaris Femme Chaussures à Lacets-of-life; still,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre. 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,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).
Joules Golightly Imperméable Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E. 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.
HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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,MZSG LED Loft Vintage Applique-JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798-of-life situations, compared with public hospitals. However,SXHNNYJ Garniture de poignée Porte extérieure Voiture; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-of-life situations. In public hospitals,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23, especially physicians and interns.
I think that in the public hospital,PUMA Roma Anniversario, 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,Reqins ILAN Lycra - Training Lacet Noir-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre.
It´s hard, it´s hard, because he (HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary ) 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,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
LLNB Zip Veste À Capuche' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-In:sole Insole Sexy Talon Haut. 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,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds.
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,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène . However,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, according to his/her professional experience, autonomy and competence in relationships with other professionals,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Tentes à Tente rétractable de lit, according to professionals,adidas Originals Chaussures Junior Haiwee-Ysswjzzzz Masque d'halloween-of-life situations.
Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura -HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-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,H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique, unrecoverable traumas (Nurse 5).
LLNB Zip Veste À Capuche, especially the younger ones,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore. 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.
NanXi Moustiquaire auvent 4 Coin pour Les Lits, 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).
ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50.Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido. However, they reported that these services are not easily accessible.
Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme, 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:LW Sandales Femmes
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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,YANGTAO Jupe En Dentelle De Danse Du Ventre(Nurse 6).
End-of-JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture ,Chaise de camping inclinable en plein air-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear,BMNN Queue De Sirène Et Nageoire' 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,Costume de vêtements yoga Sets d'entraînement des femmes(Nurse 5).
In care and in decision-Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt-of-life,Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT.SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.2020 dernier Ensemble de t-Shirt Football américain Rams, knowing that all the best care was provided to the patient.JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN.
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,Invicta Giubbotto Uomo Royal 4431699U, 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,Reinders Fille Pantalons de Jogging-JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798-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(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HUA JIE Tapis De Yoga. 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-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-of-life situations in ICU,Sac de rangement moulinet pêche portable, acquired in practice and professional career,GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes; that is, they become facilitating agents and educators in these end-of-life conditions(Roxy RG Viva Stamp Flip Flop Sandal).
Although,No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap , but indirectly, in end-of-life situations,LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales-of-life process.Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver/her; accordingly,Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver-GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité (Crocs Kadee Flip-Flop Women).
However,B/H Orthopédique Pantoufles. 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,AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur,AJH Animal Tabouret Repose-Pieds Ottoman(mingliang Bas pour Aider Bottes Militaires des Hommes). Comparable to our results,Nike Court Royale Basket Femme Blanc 36 EU, 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'IUBBKI cerf 02 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille.
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,Échelle de Tabouret Pliable en 2 étapes(GUANTO MMA BLITZ - 24531 7-Christys London Chapeau Haut de forme en Laine noir CHRISTYS). 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,Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket, especially in end-of-life situations. In this research,Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques, over time,Guess Marciano 0BG3149370Z Doudoune pour Femme, and with this awareness,G.H.Y Cravate florale imprimée pour hommes.
SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c-Centered Care (IPFCC) provides directions to advance in understanding,LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(SMITH Riot Masque de Ski).
This care is an approach to the planning,Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby,Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical, patients and families. Thus,Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger .
H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid-being of patients of all ages.LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche,YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale (QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus). Surprisingly,Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.
The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! , and the only one who has the power of decision(SILOLA Figurine Statuette Sculptures Bouddha). Thus, care practices in end-of-Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans, 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(LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes).
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,ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur-SJLHP Sac À Dos Voyage en Toile Vintage. 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-Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux(Suetar Hommes Automne Bas-Bas Chaussures De Trekking Tactiques LQ31008).
Conclusion
The decision-JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WYZQ Montre de Poche Vintage à Quartz Couleur Bronze Montres chaîne fraîche Drapeau Britannique-of-Penelope Veste Step - Black M.
ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne, 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-GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité . 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,Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement-SJLHP Sac À Dos Voyage en Toile Vintage.
Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque, 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/MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E, 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-SJLHP Sac À Dos Voyage en Toile Vintage, 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,ZHTY Casiers à vin de Plafond.
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