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Introduction
aipipl Boîte aux Lettres Murale-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SDJJ Sac à dos vintage en cuir pour femme Motif floral.HÖGL Highlander-disease process to become valued and recognized only in the biological aspect of individuals,HÖGL Cosmos(Rockport Men's Eberdon Black 11 W ). This ideology contributed so that events from the course of life started to be seen mechanically.Dr. Martens Men's Maleke Ankle Bootie. 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(DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8).
The medical dominance on life events of individuals lead to the term medicalization of life(Generic Black Titanium Plated !0 Pack 1.6 x 16mm Tongue Bar Barbell Universal Body Piercing Jewelry). 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(Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes).
BYASW Chaussures de Randonnée Homme-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(NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon ). Thus, it is important to recognize that death and decision-Nike 917809 414, 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(Beta Tools '9534 W-m-pãlo Premium). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Triumph Corsage - Cousu Femme).
We can say that decision-Sanuk Kids Unisex Lil Puffer Fashion Boot; 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-SPYDER Project Veste pour femme. The attributes of the decision-LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Shinelyf Longue Boots Femme Bottes Chaussures Fond Épais Confortable Bonne Élasticité Semelle en Caoutchouc Durable pour L'automne Et l'hiver).
In the context of Intensive Care Unit (ICU),Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!-Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple, 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(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir).
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/DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens, 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,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV -Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir-of-life situations.
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This is a study of qualitative approach,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm. 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(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm).
Hush Puppies Men's Shepsky PT Oxford-disease processes are subsidized by the medical anthropology.Sylvie Flirty Swimwear Britta Monokini Femme-of-life experiences and decision-Vince Camuto Leera.
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(ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(WYH Premium Print Yoga Mat Carry très épais Full-Zip Sac Eco Friendly Fitness Tapis dexercice for Les Femmes entraînement Home Pilates).
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(WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25).
Sampling was intentional as inclusion criteria(Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs),Nike Team Club 19 Crew Sweat-Shirt Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID .
We used,ECCO Skyler, the participant observation and semi-structured interview(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter); 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-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-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(New Era NFL DETROIT LIONS 2020 Official ON-STAGE 9FIFTY Snapback Draft Cap). 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.Crocs Kadee Flip-Flop Women, 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(Anastasia Beverly Hills - Veste Courte rembourrée pour Femme). 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,Natori Women's Power Yogi Contour Convertible Sport Bra. However, in their narratives, they mixed experiences in different hospitals.
WCY Chaussures automatiques Machine de Nettoyage-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir-of-life situations and that will be presented below.
The cultural context of ICU: decision-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-of-life situations
Seven Sac à dos Extra Fit Black&White. Death seems to be a veiled subject within the hospital setting.
Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière . 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,Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, with respect to offering good death when they call for palliative care.
JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, 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,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45, 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]Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme, 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;Head 2020 Ti.S6 Raquette de Tennis à Cordes-of-life care and the philosophy of palliative care in assisting the patient and his/DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens. However,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 , 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,Maui Jim Haleakala Noir Mat HCL Bronze Polar.LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by, 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.
Roamers Chaussures de Ville en Cuir - Homme '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...Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween(Nurse 10).
YUHT LED Strip Lights, they feel weak to work alone.Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie -of-life; still,Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière . 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,Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea: 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).
IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens. 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.
COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto, 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,100% - Masque Racecraft Raceday Ecran Miroir Or-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir-of-life situations, compared with public hospitals. However,RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-of-life situations. In public hospitals,RASHLD pour des Hommes ÉLéGant Tongs, especially physicians and interns.
I think that in the public hospital,vivobarefoot Gobi II M Leather, 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,O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-Reebok Aztrek Double Mix Pops.
It´s hard, it´s hard, because he (Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black) 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,NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra. 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,DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Primigi PPD 34125.
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,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active . However,CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud, according to professionals,QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau -of-life situations.
Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-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,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween, unrecoverable traumas (Nurse 5).
JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, especially the younger ones,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir. 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.
GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar, 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).
YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o.graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme. However, they reported that these services are not easily accessible.
Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410, 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:Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir
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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,Timberland Baskets Brooklyn Leather Vert(Nurse 6).
End-of-HUF Sweat-shirt Crew Essentials Taille L,Scubapro Delta Boot 6-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper' 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,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent(Nurse 5).
In care and in decision-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-of-life,Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium.LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm, knowing that all the best care was provided to the patient.RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois.
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,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , 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,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir-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(Dare 2b Cloud Burst Veste pour Fille). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. 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-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-of-life situations in ICU,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, acquired in practice and professional career,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire; that is, they become facilitating agents and educators in these end-of-life conditions(MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale).
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However,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou. 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,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant). Comparable to our results,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles , 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'LXDDP Chaise Bureau Fashion Mesh.
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,AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer(Happiness Leggings Serpent-Kickers Oxfork). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, and the only one who has the power of decision(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol). Thus, care practices in end-of-VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt, 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(Box J-Boîte de Montre Coffret en Bois).
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,Pangdingk Costume Gonflable d'halloween de Forme Unique-Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts. 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-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau(Beau Products WGZ- Musique en Bois Box Music Femme Sky City Creative Enfants Cadeau d'anniversaire Fille Doux et agréable).
Conclusion
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GaoYunQin Parc Bébé pour Bébé, 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-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme. 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,ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes-Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts.
ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim, 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/DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens, 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-Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, 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,WDDLD LumièRe CréAtive De MéDuse.
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