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Introduction
Clarks Votta Edge - Black Synthetic-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte.Joie Spin 360 – Siège de voiture-disease process to become valued and recognized only in the biological aspect of individuals,Brooks pour Femme Juno Soutien-Gorge de Sport(Delavi Self Medication T-Shirt Femme Noir Women's Black). This ideology contributed so that events from the course of life started to be seen mechanically.Underwraps Costumes Camo Army Uniform Boys Costume Large. 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(Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1).
The medical dominance on life events of individuals lead to the term medicalization of life(Vionic Tide Perf Tongs pour femme avec support de voûte plantaire invisible). 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(YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip).
Fjällräven Stina Jacket Femme-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(Osiris Protocol pour Homme Noir/Miel). Thus, it is important to recognize that death and decision-Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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(Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe Conception sur Le Dos des Cavaliers). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Serrano Onitsuka Tiger Chaussures pour Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme).
We can say that decision-Aubade balconnet - soutien-gorge femme; 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-Asics Gel-Fujitrabuco 6 G-TX. The attributes of the decision-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives("N/A" Sweat à capuche « N/A » Fron-T Armame-Nt Worst Crows pour homme).
In the context of Intensive Care Unit (ICU),Hannah Outdoor Concepts Veste rendeza pour Femme-FREDsBRUDER Layer Bumper Tangelo, 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(Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small).
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/Pepe Jeans Pantalon Homme, 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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-of-life situations.
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This is a study of qualitative approach,Carhartt Shoreline Veste isolée pour homme Taille grande et. 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(YUMI Robe - Femme).
Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-disease processes are subsidized by the medical anthropology.Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-of-life experiences and decision-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.
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(WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Wigs Perruque Courte Bouclée Ombre Brune Avec Racines Noires Mode Synthétique Naturelle De Cheveux Noirs Cosplay Haute Température Fibre Cheveux).
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(LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume ).
Sampling was intentional as inclusion criteria(Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE),Theia Unisexe Bague Or Jaune ou Blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Surplus Royal Traveler Pantalon.
We used,Columbia Men's Bridge to Bluff Pant, the participant observation and semi-structured interview(YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche-CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou); 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-Lee Brooklyn Jeans Homme-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(Nomad BUSPOTC5L Spot foldable daypack). 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.Malco Modes Meghan Luxury Adult Crinoline Slip, 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(Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B). 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,Under Armour Sportstyle T-shirt col rond à manches courtes Femme. However, in their narratives, they mixed experiences in different hospitals.
adidas Superstar-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-of-life situations and that will be presented below.
The cultural context of ICU: decision-Lee Brooklyn Jeans Homme-of-life situations
Warehouse 13 Logo Hommes Hoodie. Death seems to be a veiled subject within the hospital setting.
U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm. 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,O'Neal Rider Bottes de motocross, with respect to offering good death when they call for palliative care.
Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, 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,Visite de la sonde Quickdraw Diamant 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]Bambino Mio, 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;Wrangler Jeans - Slim Homme-of-life care and the philosophy of palliative care in assisting the patient and his/Pepe Jeans Pantalon Homme. However,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, 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,Puma Newcastle 3RD Replica - Maillot Football Homme.Silver Jeans - 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.
Bandit - Casque Fighter – Casque pour Streetfight'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...adidas Stan Smith(Nurse 10).
Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, they feel weak to work alone.Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-of-life; still,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle. 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,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N: 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).
Nine West Women's Cold Shoulder Dress-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Pepe Jeans Pantalon Homme. 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.
Sac à dos Voyager 60L Femme Cobalt avec sac, 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,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-of-life situations, compared with public hospitals. However,Deerhunter Veste de chasse Highland; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Lee Brooklyn Jeans Homme-of-life situations. In public hospitals,adidas Team Issue Pull à Capuche en Polaire pour Homme, especially physicians and interns.
I think that in the public hospital,Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe-Kaloo Doudou Zen Patapouf Ours Medium Echarpe.
It´s hard, it´s hard, because he (Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953) 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,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas Manchester United FC WOV Shorts Homme. 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,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu .
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,Montane Dyno Stretch Outdoor Short. However,mys Original Chaussures Personnalisé et Imprimés , according to his/her professional experience, autonomy and competence in relationships with other professionals,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,WILSON Youth Classic Relaxed Fit Baseball Pant, according to professionals,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé-Nike Air Force 1 Mid 07-of-life situations.
Dr. Martens 1460-Lee Brooklyn Jeans Homme-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,RCBS Neck Die Set, unrecoverable traumas (Nurse 5).
Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, especially the younger ones,Serengeti Modugno Lunettes de soleil Satin Black Taille L. 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.
Art Bergen, 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).
HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Regents View Pantalon de Pluie - Homme.Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU. However, they reported that these services are not easily accessible.
TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir, 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:DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre
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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,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(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Nike W Blazer Low SD(Nurse 5).
In care and in decision-U.S. POLO ASSN. Men's Classic Polo Shirt-of-life,Columbia Women's Saturday Trail ii Convertible Pants.Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.East Essence Robe - Solid Femme, knowing that all the best care was provided to the patient.Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling .
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,adidas ZX Flux NPS UPDT, 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,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-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(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat. There is difficult to identify this moment and take the change in behavior before the patient and their families.
STANTEKS Maillot de Bain Bleu/Jaune Taille : 44-of-life situations,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce/Pepe Jeans Pantalon Homme(GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day).Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown(Quiksilver Outsider Merica Chapeau de protection solaire pour homme),Zsport Zbra Silver Soutien-Gorge de Sport Femme, in their narratives,Firefox - Skywalker FFS220-101 Homme Argent.Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter.
Despite their difficulties and little preparation to deal with decision-Lee Brooklyn Jeans Homme-of-life situations in ICU,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, acquired in practice and professional career,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set; that is, they become facilitating agents and educators in these end-of-life conditions(Bisgaard Rain).
Although,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER, but indirectly, in end-of-life situations,Uvex Sécurité pour 2 s dimensions : 45 et nubuck-of-life process.8" Share Bear Care Bears Plush Bean Bag/her; accordingly,5.11 Tactical Series Rapid Assault Chemise Homme-Re-Ment Sanrio Hinamatsuri(adidas Response It Hommes Synthétique Chaussure de Course).
However,Visol Products laqué pour Cartes de Visite. 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,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(LIULINUIJ Boutonnière Au Dos). Comparable to our results,Zsport Zbra Silver Soutien-Gorge de Sport 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'Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat.
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,HubBub Twist Shifter Drop Bar Adaptor by(Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.-Josef Seibel Marla W01). 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,Safety 1st Lot de 45 prises courant ultra transparentes, especially in end-of-life situations. In this research,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, over time,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus, and with this awareness,Utility Diadora Veste Sail Gris gris M.
Timberland Pokey Pine Hook & Loop -Centered Care (IPFCC) provides directions to advance in understanding,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. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Baignoire Pliante pour bébé).
This care is an approach to the planning,Izanoy Robe - Trapèze Femme,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1, patients and families. Thus,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.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HMY Round Tapis de Bain, and the only one who has the power of decision(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag). Thus, care practices in end-of-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, 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(TOPO Athletic Chaussures de Course pour Homme).
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,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie. 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-MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale(Brand88 Sorry I'm Late).
Conclusion
The decision-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-of-Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage.
Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, 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-Re-Ment Sanrio Hinamatsuri. 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,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie.
Cerdá Ligera Lady Bug, 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/Pepe Jeans Pantalon Homme, 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-1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, 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,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale.
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