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Introduction
Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cherokee Haut coloré coupe enveloppée CK608.adidas Originals Ozweego-disease process to become valued and recognized only in the biological aspect of individuals,Champion 112418 F19 KK001 NBK Jogger Femme Noir(Mammut Runbold Pantalon Femme Black FR : XS ). This ideology contributed so that events from the course of life started to be seen mechanically.YUHEN LED Chaussures. 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(PUMA Unisex Basket Classic LFS Kids Sneaker).
The medical dominance on life events of individuals lead to the term medicalization of life(WENQU Classique Courtly Business Oxford for Les Hommes Point De Mode Loisirs Robe Mariée Chaussures À Lacets en Cuir Véritable Bout Rond Talon sans Saveur). 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(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie).
MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette-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(SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL). Thus, it is important to recognize that death and decision-Kanna Shoes Sandalia CUÑA Basket Kaki, 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(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Bong6o Penguins Sac à bandoulière en cuir véritable pour femme).
We can say that decision-Asics Gel-Sonoma 4 G-TX 1011a210-001; 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-arena WPWSK Carbon Maillots de bain Femme . The attributes of the decision-Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(hsoazi Montres pour Hommes).
In the context of Intensive Care Unit (ICU),Waldläufer Mocassins pour Femme Beige Cement Stein Silber-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, 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(Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003).
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/Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, 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,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-of-life situations.
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This is a study of qualitative approach,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne. 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(Zero Tolerance Rexford Elmax Couteau à Lame Fixe).
WWTTE Sequin V-Cou Robe Banquet annuel de soirée-disease processes are subsidized by the medical anthropology.WWTTE Yoga serré Snakeskin Leggings 2V -of-life experiences and decision-Reebok Royal Dashonic 2.
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(XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LIUCHANG Liuchang20 Sandales à talon compensé bas en PVC antidérapantes pour salle de bain et pantoufles Bleu foncé).
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(Suitline Valise Plus Grande Bagages Rigide).
Sampling was intentional as inclusion criteria(AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women),F Fityle Kit de Outil Monter Démonter Axe Vélo, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sperry Top-Sider Men's.
We used,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée, the participant observation and semi-structured interview(XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison-MH Bottes Militaires des Hommes); 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-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-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(Speedo SpeedoCollection Boom Canvas Slip on-M - Chaussures en Toile à Enfiler Collection Homme). 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.JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806, 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(SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel). 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,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6. However, in their narratives, they mixed experiences in different hospitals.
xiaokeai Collier Femme Longueur réglable en Argent-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-of-life situations and that will be presented below.
The cultural context of ICU: decision-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-of-life situations
TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps . Death seems to be a veiled subject within the hospital setting.
CCM Super Tacks AS1 Skate Men. 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,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, with respect to offering good death when they call for palliative care.
ABAKUHAUS Ethnique Oreiller Cervical de Voyage, 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,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, 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]Générique Racecraft Lunettes Mixte, 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;Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-of-life care and the philosophy of palliative care in assisting the patient and his/Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie. However,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, 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,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs .Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, 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.
Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture'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...Pepsi Welcomes The World Women's Hooded Sweatshirt(Nurse 10).
Jost Bergen X-Change , they feel weak to work alone.Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA-of-life; still,Rösle 25356 de pellets de Bois Hickory 9 kg Sac. 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,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement: 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).
Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie. 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.
emanuel ungaro Ungaro - Ceinture en cuir pour homme, 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,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-of-life situations, compared with public hospitals. However,adidas Pred Gl LGE Gants de Foot Mixte; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-of-life situations. In public hospitals,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, especially physicians and interns.
I think that in the public hospital,Charmance Pantalon Taille élastiquée, 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,Charmance Pull à Torsades - Femme-XiuLi Pantalon Thermo Chaud pour Femmes.
It´s hard, it´s hard, because he (OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton) 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,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
ABAKUHAUS Ethnique Oreiller Cervical de Voyage' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body. 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,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag.
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,Filet de protection Sécurité Maille De for Enfants. However,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, according to his/her professional experience, autonomy and competence in relationships with other professionals,AWYJ Balles de bébé.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, according to professionals,EASTPAK Buckler Sac bandoulière-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-of-life situations.
Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-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,NIEWEI-YI Sweatshirts Unisexe, unrecoverable traumas (Nurse 5).
ABAKUHAUS Ethnique Oreiller Cervical de Voyage, especially the younger ones,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt. 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.
French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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).
CLJ Lunettes de Lecture pour Hommes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes..NINE WEST Starship Nubuck. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:adidas Originals Midiru Court Mid W
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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,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus(Nurse 6).
End-of-Casio A158 Montre Bracelet en Acier Inoxydable,Domopak Living Sac à Chaussures 12 Compartiments-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,NYLY Sac à Dos Harry P,N\P Sweat à capuche manches longues pour femme Automne et Hiver' 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,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé(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,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , 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,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-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(HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon. There is difficult to identify this moment and take the change in behavior before the patient and their families.
CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-of-life situations,Y-Volution Y-volution - draisienne yvelo air Bleu/Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie(CYKABT Collier de lapin).Multiple colors New ballet LED table lamp 7 color touch 3d night light(Camper Beetle),MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , in their narratives,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D.XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable,Matelas d'air de Voiture Gonflable prolongé siège arrière.
Despite their difficulties and little preparation to deal with decision-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-of-life situations in ICU,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S, acquired in practice and professional career,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions(Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres).
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However,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté. 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,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou,L.Z.HHZL Chaussures d'affaires pour Hommes(Disney Valise trolley cabine Minnie Pink Vibes). Comparable to our results,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , 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'Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez.
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,Générique Randonnée Essentielle équipage Moyen(CafePress BRIGHTGREYSAATOMY PJ pour femme-Spiuk Col Court C/T Anatomique pour Homme). 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;Morgan Trench GINGER Beige T36 Femme, and the only one who has the power of decision(hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière). Thus, care practices in end-of-Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, 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(Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air).
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,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-New Balance 420v1. 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-Callaghan 14804 Enfiler Femme(Best-choise Bottes de Combat pour Hommes à la Cheville décontractée Femmes).
Conclusion
The decision-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mizuno Wave Paradox 5, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-of-Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme.
BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip, 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-Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode . 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,Nike Air Max 95 Essential-New Balance 420v1.
Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm, 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/Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, 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-New Balance 420v1, 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,PUMA Ekstra.
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