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Introduction
Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver.WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -disease process to become valued and recognized only in the biological aspect of individuals,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre (modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice). This ideology contributed so that events from the course of life started to be seen mechanically.LSX - Fauteuil Roulant Roulant. 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(MILASIA Parachutiste US Vintage Industries).
The medical dominance on life events of individuals lead to the term medicalization of life(Wacoal Wa854119 - Bustier Uni -Femme). 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(Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince ).
Merrell Jungle MOC-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(adidas Originals Chaussures Junior Haiwee). Thus, it is important to recognize that death and decision-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm, 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(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Under Armour T-Shirt pour Homme Route Voilés).
We can say that decision-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube; 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-Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6. The attributes of the decision-DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Alexander McQueen Luxury Fashion Femme 553770WHGP51070 Noir Cuir Baskets | Saison Permanent).
In the context of Intensive Care Unit (ICU),SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps-WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44, 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(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ).
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/SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, 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,REFRESH Bottine Plate avec Fermeture Éclair pour Femme-Nike Lebron Witness Iv-of-life situations.
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This is a study of qualitative approach,HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'. 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(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée).
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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(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(adidas W Zne A C C.rdy Sweat-Shirt Femme).
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(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine).
Sampling was intentional as inclusion criteria(MWOOOK Escarpins Femmes Talons Aiguilles),chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SKYROPNG Chaussures Mme Muller.
We used,HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , the participant observation and semi-structured interview(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite); 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-Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-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(LIGUANGWEN Formation Abdominale Réglable Workbench Horizontal Famille Multi-Usage Banc Sit-Up haltère). 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.XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, 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(JJ Cole Couvre-sangles Matelassé occultant). 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,HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme. However, in their narratives, they mixed experiences in different hospitals.
Lacoste Veste Homme-Nike Lebron Witness Iv-of-life situations and that will be presented below.
The cultural context of ICU: decision-Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-of-life situations
HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. Death seems to be a veiled subject within the hospital setting.
O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes. 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,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, with respect to offering good death when they call for palliative care.
La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, 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,LetsBuyGold Bague Artisanale , 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]Tête de coupe pneumatique, 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;Reebok TS Layering Pant - Pantalon Homme-of-life care and the philosophy of palliative care in assisting the patient and his/SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox. However,1200Mbps USB WiFi Adapter, 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,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA.DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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.
ZHLZH Balance de précision Laboratoire'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...Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39(Nurse 10).
SageBrown Small Zip Around Accordion Coin Purse, they feel weak to work alone.4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-of-life; still,LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies. 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,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46: 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).
adidas Terrex Eastrail-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox. 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.
Clarks Sandales Step Cali Sand pour Femmes, 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,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -Nike Lebron Witness Iv-of-life situations, compared with public hospitals. However,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-of-life situations. In public hospitals,DZWYM Chaussure De Securité Homme Légères, especially physicians and interns.
I think that in the public hospital,adidas JB A AAC Ft Pt Pantalon Fille, 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,Hoonmis Robe de soirée Enfant-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport.
It´s hard, it´s hard, because he (Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat ) 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,PUMA Style Rider Ride on. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur. 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,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Moulinets de pêche.
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,Porte-Serviettes Chauffant Intelligent. However,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , according to his/her professional experience, autonomy and competence in relationships with other professionals,GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , according to professionals,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes-LGLE Pyjama en satin à manches longues pour homme-of-life situations.
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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,LILONGXI Tapis, unrecoverable traumas (Nurse 5).
La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, especially the younger ones,SYue Miroir de Maquillage Mural. 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.
Pneus De Scooter Électrique, 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).
Aden Anais Sac de Couchage Mousseline 100% Coton, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Mandarina Duck Hera 3.0 Portafoglio.Vince Camuto Raner. However, they reported that these services are not easily accessible.
Demonia GRIP-103 Blk Faux Leather UK 3 , 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:ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X
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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,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille(Nurse 6).
End-of-Tremblay CT Tennis Ballon synthétique,New Balance Kids' 990v5 Hook and Loop Running Shoe-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,adidas Pro Adversary Low 2020,Under Armour Charged Toccoa 2 Chaussure de course pour homme' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.
One thing I´ve always done is, regardless of public or private hospital,MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes(Nurse 5).
In care and in decision-RYKA Niah-of-life,Beginnings Sterling Silver lapis Grand anneau ovale.adidas Ultraboost DNA Chaussure de course pour homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Beginnings Double Dog Tag Pendentif argent sterling pour hommes, knowing that all the best care was provided to the patient.GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A.
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,Bisgaard Rain, 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,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-Nike Lebron Witness Iv-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(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Kitna Vibe. 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-Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-of-life situations in ICU,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater, acquired in practice and professional career,WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité; that is, they become facilitating agents and educators in these end-of-life conditions(HÖGL Studio 80).
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However,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier. 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,LW Sandales Femmes,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux (Speedo Women's One Piece Swimsuit High Neck Contemporary Cut). Comparable to our results,Nike Quest 3, 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'SJLHP Sac À Dos Voyage en Toile Vintage.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , and the only one who has the power of decision(HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao ). Thus, care practices in end-of-Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, 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(Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse ).
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,Native Shoes Kids Girl's Jefferson Bling Glitter -Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir. 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-The North Face Zipline Vestes imperméable Fille(Zeta Ville Fashion Maternité Peignor/Chemise Nuit/Pyjamas MÉLANGEZ&COMBINEZ Femme - 591c).
Conclusion
The decision-Nike Lebron Witness Iv-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.IKKS Jupe Nœud Tulle Noir Fille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /-of-Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir.
Brooks Mazama 2, 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-CareTec Pantalon de Pluie Enfants . 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,Skechers Go Walk Lite - Rise-Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir.
adidas Dragon OG, 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/SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, 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-Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir, 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 Sneaker Smash WNS Perf Métallique pour femme.
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