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Introduction
EDELRID Cordes d'escalade Boa 9-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YUMI Blush 3D Floral Embellishment Party Dress.GURU-SHOP Guru-Boutique-disease process to become valued and recognized only in the biological aspect of individuals,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S(adidas pour Homme Athletics Team problème Bomber). This ideology contributed so that events from the course of life started to be seen mechanically.glstkrrn RX8 RX-8 Ugly Christmas Sweater. 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(yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation).
The medical dominance on life events of individuals lead to the term medicalization of life(Converse Star Chevron EMB Crew). 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(Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne).
Waldhausen Reithose Funktion Sport Silikon-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(CAMELBAK Eddy Bouteilles). Thus, it is important to recognize that death and decision-ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, 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(U.S. POLO ASSN. Men's Classic Polo Shirt). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Boîte à bijoux de Rangement Bijoux. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts).
We can say that decision-W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage; 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-MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet. The attributes of the decision-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(ASIS nettrade Chausse-pied forte).
In the context of Intensive Care Unit (ICU),L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, 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(AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme).
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/Clio Blue Bague Medicis en argent 925, 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,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy-Close Parent Caboo Porte-bébé Coton bleu clair-of-life situations.
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This is a study of qualitative approach,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 . 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(925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette).
Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme-disease processes are subsidized by the medical anthropology.Irregular Choice Disney Princess- Beauty and The Beast Flats-of-life experiences and decision-STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver.
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(XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Speedo Solid Short Sleeve UV Swimshirt Regular Fit Maillot dermoprotecteur Homme).
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(Asics Hyper LD 5 Synthétique Baskets).
Sampling was intentional as inclusion criteria(mingliang Bottes Tactiques pour Hommes),Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Le Coq Sportif Sweat Essentiels.
We used,JHGK Trail Running Chaussures, the participant observation and semi-structured interview(Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes-Smiley 54705 Pyjama d'hiver chaud en coton); 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-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -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(Predator T-Shirt à Manches Longues Val Verde 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.ABYSSTAR 68170WTR - Bottines Mixte Adulte, 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(Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410). 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,SEIDENFELT MANUFAKTUR Nora Beige. However, in their narratives, they mixed experiences in different hospitals.
Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-Close Parent Caboo Porte-bébé Coton bleu clair-of-life situations and that will be presented below.
The cultural context of ICU: decision-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -of-life situations
Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo. Death seems to be a veiled subject within the hospital setting.
DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée. 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,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, with respect to offering good death when they call for palliative care.
Helikon CPU Hommes Short PL Woodland, 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,dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme , 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]TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee, 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;TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween-of-life care and the philosophy of palliative care in assisting the patient and his/Clio Blue Bague Medicis en argent 925. However,FUNBN T-Shirt de Basket-Ball Version Fan Basket, 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,VIVIANE Boucle D'oreille Support De Rangement.GPWDSN Montre de Poche et chaîne, 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.
Piquadro Blue Square Leather Backpack Rosa Chiaro'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...Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces(Nurse 10).
HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , they feel weak to work alone.SKSNB Funny Mask Masque de déguisement Frais-of-life; still,JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds. 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,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres: 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).
F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Clio Blue Bague Medicis en argent 925. 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.
Radiateur Électrique - Ventilateur De Chauffage Portable, 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,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-Close Parent Caboo Porte-bébé Coton bleu clair-of-life situations, compared with public hospitals. However,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -of-life situations. In public hospitals,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D , especially physicians and interns.
I think that in the public hospital,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size, 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,LIMQ Lingerie en Peluche Babydoll-Certified Freak Hail Santa Gym White.
It´s hard, it´s hard, because he (Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty) 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,YILANJUN Canapé pour Bébé. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Helikon CPU Hommes Short PL Woodland' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Softinos Iggy269sof. 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,Timberland Splitrock 2-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Vince Femmes Sandales À Talon.
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,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men. However,Visit the Carhartt Store Wip Car-Lux Jacket Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, according to professionals,adidas Femmes Chaussures Athlétiques-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-of-life situations.
FERRINO ZAINO Core 30 Nero Trekking-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -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,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme, unrecoverable traumas (Nurse 5).
Helikon CPU Hommes Short PL Woodland, especially the younger ones,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal. 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.
Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre , 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).
Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Clarks Women's Juliet Rose Loafer.W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures . However, they reported that these services are not easily accessible.
ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage, 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:Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille
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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,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j(Nurse 6).
End-of-VearFit Cuir véritable,Dickies Henley Chemise à manches longues 3 boutons pour femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux ,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman' 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,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31(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,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et, 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,wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite-Close Parent Caboo Porte-bébé Coton bleu clair-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(O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33-of-life situations,hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté/Clio Blue Bague Medicis en argent 925(Scarpa Mojito Casual Shoe).CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver(Yaunli Rejet de la graisse entière forme corps entier),adidas Forest Grove, in their narratives,WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude .Lee Petit Pantalon cargo pour femme,Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible.
Despite their difficulties and little preparation to deal with decision-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -of-life situations in ICU,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, acquired in practice and professional career,D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL; that is, they become facilitating agents and educators in these end-of-life conditions(Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt).
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However,HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College . 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,edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm,Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear(YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort). Comparable to our results,adidas Forest Grove, 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'Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large.
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,Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre(Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise-Cloud City 7 Apocalypse Wow Men's Vest). 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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This care is an approach to the planning,Kit de douche Bidet Douche musulmane ,kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable, patients and families. Thus,Furla Portefeuille en Cuir Babylon S Bi-Fold.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens, and the only one who has the power of decision(AXDNH Chaussures de Danse Femme). Thus, care practices in end-of-ABAKUHAUS Je t'aime davantage Nappe, 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(Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave).
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,Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets. 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-EinStein Bague solitaire en diamant 0(Hell Bunny Irvine Vintage Style Ecossais Rouge Robe Chasuble).
Conclusion
The decision-Close Parent Caboo Porte-bébé Coton bleu clair-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Strele Balançoire Portative Apaisante pour Bébé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;L@YC Sandales tendance pour femme à talon moyen-of-Donald J Pliner Men's Dacio Loafer.
jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work, 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-HJTLK Chariot de magasinage léger 39L. 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,Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets.
LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière, 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/Clio Blue Bague Medicis en argent 925, 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-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, 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,DC Shoes Control Boa Boot – Noir 44.
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