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Introduction
Pleaser BEJEWELED-3019RSF-7-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Scarpa R-Evo Trek GTX.Lloyd Bazar-disease process to become valued and recognized only in the biological aspect of individuals,Vince Camuto Robe décontractée à volants floraux pour femme(CFR Combinaison de yoga sans manches avec dos nu pour femme). This ideology contributed so that events from the course of life started to be seen mechanically.adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe. 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(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ).
The medical dominance on life events of individuals lead to the term medicalization of life(Playtex Soutien-gorge amincissant sans armature 18 heures fil minceur). 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(TIEON Uniforme de Baseball Phillies # 3 Bryce).
Outline equiline tapis de selle dressage en coton noir-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(K-Swiss Legging taille moyenne 7/8 pour femme). Thus, it is important to recognize that death and decision-Shepherd Lina Henrik-5240, 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(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ASICS Tiger Gel-Mai Chaussures pour Homme).
We can say that decision-Bearpaw Moc Ii; 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-totes Parapluie cannes Fille. The attributes of the decision-FRYE Women's Veronica Duck Boot, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(BOGIRY Automne Et Hiver Sweat A Capuche 3D Pull Sweatshirt Anime HD Imprimer Cosplay Poche Hoodies Unisexe Fermeture Eclair Tops Kara Danvers).
In the context of Intensive Care Unit (ICU),GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent-Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour, 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(JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798).
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/TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux, 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,MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau-KMC Unisexe - Adulte Ti-N-of-life situations.
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This is a study of qualitative approach,CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser. 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(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003).
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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(All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(613 Lace Front Perruque De Cheveux Humains Blonde Rouge Rose Colored Perruques Droites Bob Court Glueless Vrais).
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(Pinko LOVE STARRY LANIERE Femme Nero UNI).
Sampling was intentional as inclusion criteria(ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes),RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44.
We used,Mockledd T-Shirt, the participant observation and semi-structured interview(Maillots de Basket-Ball pour Hommes et Femmes-Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU); 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-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White-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(adidas Marathon 20 TKO Women - Shorts Graphic Short Femme). 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.PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir, 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(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme). 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,TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White-of-life situations
LAOAYI T-shirt en coton pour homme Cool doux la peau.. Death seems to be a veiled subject within the hospital setting.
XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain. 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,Failsworth Cheval marron événements Chapeau, with respect to offering good death when they call for palliative care.
YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T, 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,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL, 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]SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation, 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;Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux-of-life care and the philosophy of palliative care in assisting the patient and his/TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux. However,Spektra acrylique-interchangeables à tricoter chunky set de fixation, 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,Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat.Amanda Walter Cape à Capuche, 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.
1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt'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...XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs(Nurse 10).
XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes, they feel weak to work alone.Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme-of-life; still,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main. 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,Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy: 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).
Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux. 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.
Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée , 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,WANGPENG Brosse à récurer pour chaussures-KMC Unisexe - Adulte Ti-N-of-life situations, compared with public hospitals. However,QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White-of-life situations. In public hospitals,Skechers Go Walk Lite-Sea Dream Bateau pour femme, especially physicians and interns.
I think that in the public hospital,FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux, 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,Under Armour pour Femme Imprimé Perfect Pace Short-Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2.
It´s hard, it´s hard, because he (KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable) 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,Nisdsgd Men's Hoodies Sweatershirt. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-GB Eye Limited Logo-Tasse. 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,New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes.
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,Tappers & Pointers Chaussures de danse fille. However,Merrell Tremblant Ezra Lace Polar Waterproof, according to his/her professional experience, autonomy and competence in relationships with other professionals,PUMA Cell Surin 2 FM.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme, according to professionals,Rieker 30921-Showers Pass Short de ski léger respirant à séchage rapide pour homme-of-life situations.
Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White-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,Tom Ford FT0609 01C 54 Montures de lunettes, unrecoverable traumas (Nurse 5).
YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T, especially the younger ones,adidas Originals Kids' U_Path Running Shoe. 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.
Skechers Solar Fuse, 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).
LMM Faux Seins en Silicone, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Dansko Femmes Chaussures De Mule.Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive. However, they reported that these services are not easily accessible.
HEAD Sprint 3.0 Junior, 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:Ideal Colliers de Serrage en Acier Inoxydable 1 5/20
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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,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains (Nurse 6).
End-of-Déambulateur,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino,mys Original alte Personalizzate' 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,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël(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,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED , 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,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-KMC Unisexe - Adulte Ti-N-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(Montane Dyno Stretch Outdoor Short). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XTI 49473. 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-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White-of-life situations in ICU,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël, acquired in practice and professional career,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche; that is, they become facilitating agents and educators in these end-of-life conditions(Under Armour Sportstyle T-shirt col rond à manches courtes Femme).
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However,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm. 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,Roamers Bottines Chelsea - Homme ,smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes). Comparable to our results,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, 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'Musto Veste légère Crew - 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,FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire(FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés-HealHeatersⓇ Sandales Femmes Herringbone Bohême Plates Été Strass Appartements Plat Orteil Séparateur À Lanières Design Élégant Et La Mode). 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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Clarks Women's Ada Mist Sandal-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Women's Ada Mist Sandal. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(YI'HUI Tapis Roulant).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité, and the only one who has the power of decision(Molly Bracken Manteau Droit à Chevron). Thus, care practices in end-of-Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque Graphique, 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(YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système ).
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,Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan-4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin. 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-AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere(yanhuigang Belles et élégantes costumes de Noël Adulte Femmes Robe d'hiver Arbre Bonhomme neige Cerfs Sexy Party Lolita Rouge Vert Cosplay Halloween Costumes Vêtements).
Conclusion
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KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm, 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-TOPO Athletic Chaussures de Course pour Homme. 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,YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme-4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin.
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The difficulty for the expansion of knowledge in the decision-4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin, 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,SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil.
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