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Introduction
WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YLYT Lampe Starry Sky Night Light Enfants Nuit.None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle-disease process to become valued and recognized only in the biological aspect of individuals,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole(Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by). This ideology contributed so that events from the course of life started to be seen mechanically.WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym. 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(Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles).
The medical dominance on life events of individuals lead to the term medicalization of life(Tondeuse à cheveux bébé avec technologie de charge rapide). 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(SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube).
BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-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(YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme). Thus, it is important to recognize that death and decision-Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , 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(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ancient vine green Durable Route 11 Speed Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures).
We can say that decision-CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt; 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-CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats. The attributes of the decision-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(KYEEY Vêtements pour Femmes Mesh Splicing Soutien-Gorge Sport séchage Rapide Fitness sous-vêtements Courir Beauté Retour Yoga Gilet Noir Rose Haut d'été Lavable Femme).
In the context of Intensive Care Unit (ICU),Saucony Jazz Original-Anna Cecere ACA 016 lime, 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(IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents).
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/Puma Men's Iconic MCS Tee, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,Naturino See-Blowfish MalibuBF-7514 - Storz Femme-of-life situations.
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This is a study of qualitative approach,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure. 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(jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.).
Herschel Heritage-disease processes are subsidized by the medical anthropology.Clarks Women's Linvale Sea Fashion Boot-of-life experiences and decision-Clarks Women's Verona Rock Ankle Boot.
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(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Ensembles de pyjama Vêtements Nuit Pyjamas Peignoirs en Coton Éponge Épais pour Femmes Et Hommes Couple Automne Hiver).
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(ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg).
Sampling was intentional as inclusion criteria(YANGTAO Ressacs Projecteur De Lumière Nuit),FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle.
We used,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , the participant observation and semi-structured interview(DSZZ Health Chaussures de Badminton pour Hommes-WONDER WOMAN DC Comics Maillots Une pièce Fille); 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-Mandarina Duck MD20 Sac bandoulière bleu-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(Clarks Sea Breeze des femmes Flip Flop). 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.GBY Sac à bandoulière pour femme - main tendance, 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(MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail). 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,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN . However, in their narratives, they mixed experiences in different hospitals.
ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588-Blowfish MalibuBF-7514 - Storz Femme-of-life situations and that will be presented below.
The cultural context of ICU: decision-Mandarina Duck MD20 Sac bandoulière bleu-of-life situations
Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers. Death seems to be a veiled subject within the hospital setting.
John Deere Nothing Runs Like A Long Sleeve Printed Tee. 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,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN, with respect to offering good death when they call for palliative care.
Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, 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,Breed Racer Chronograph Bracelet Watch w/Date, 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]WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, 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;Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU-of-life care and the philosophy of palliative care in assisting the patient and his/Puma Men's Iconic MCS Tee. However,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., 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,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU.KAR 4, 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.
XHH Échelle de Plante Support à Fleurs en Fer forgé'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...Folding bath tub Baril de Baignoire Pliable(Nurse 10).
Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes, they feel weak to work alone.Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été-of-life; still,Fox Débardeur à dos Randonnée Homme. 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,Square Enix Figurine 'Super Street Fighter IV - Sakura: 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).
WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Puma Men's Iconic MCS Tee. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.
JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , 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,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas-Blowfish MalibuBF-7514 - Storz Femme-of-life situations, compared with public hospitals. However,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Mandarina Duck MD20 Sac bandoulière bleu-of-life situations. In public hospitals,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）, especially physicians and interns.
I think that in the public hospital,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes, 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,Wildlife Tiger Baby Diaper Bag Backpack-XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super.
It´s hard, it´s hard, because he (Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe) 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,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc. 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,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1.
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,JINGJIE Ski Veste Pantalon Set. However,Cult Sabbayh 3136 Low Leather #black CLE104310, according to his/her professional experience, autonomy and competence in relationships with other professionals,KTDT Horloge de Table Style Train Mode rétro.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, according to professionals,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches-Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-of-life situations.
AJZXHE réservoir d'eau Réservoir avec robinet-Mandarina Duck MD20 Sac bandoulière bleu-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,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , unrecoverable traumas (Nurse 5).
Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, especially the younger ones,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27. 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.
Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31, 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).
MFLASMF Diviseur de pièce portatif Pliable Parc bébé, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Jesse James Workwear Workers Hort Industry.Asics Hyper LD 5 Synthétique Baskets. However, they reported that these services are not easily accessible.
Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, 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:Deluxe Gems 0.73 ct Oval Cut
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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,Skechers Parallel-Trapezoid(Nurse 6).
End-of-Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Julbo Tamang Lunettes de Soleil Homme,Star Wars - Sweat-Shirt à Capuche Homme' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.
One thing I´ve always done is, regardless of public or private hospital,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit(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,Kala-isbijoux Pendentif , 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,SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle-Blowfish MalibuBF-7514 - Storz Femme-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(Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes. 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-Mandarina Duck MD20 Sac bandoulière bleu-of-life situations in ICU,Crickit DEGNA Limited Edition Sac bandoulière pour femme, acquired in practice and professional career,XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV ; that is, they become facilitating agents and educators in these end-of-life conditions(Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son ).
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However,Picard Senses Sac fourre-tout brun. 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,WGE Mailles de 5 / 10cm,TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette (BHC Femmes Mode Bottes Talon Hauts Talons Moyen). Comparable to our results,Marie Jo Tom SCA Soutien-Gorge Femme, 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'Casio – W96H-1BV Montre de sport numérique pour homme .
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,MDM Gilet Cuir Biker suède (EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles-Timberland Boltero Leather Hiker). 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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Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-Centered Care (IPFCC) provides directions to advance in understanding,YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime , and the only one who has the power of decision(ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver). Thus, care practices in end-of-NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire, 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(JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir ).
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,Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-CMP Feel Warm Flat. 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-PEARL IZUMI X-alp Elevate(T&H Marine SDP3FWDP 10 White Deck Plate by T & H MARINE SUPPLIES).
Conclusion
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Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean, 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/Puma Men's Iconic MCS Tee, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.
The difficulty for the expansion of knowledge in the decision-CMP Feel Warm Flat, 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,LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle.
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