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Introduction
Clarks Kitna Vibe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress.arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back-disease process to become valued and recognized only in the biological aspect of individuals,CAPRICE Femme Bottines 26365-23(Vans Sk8-Hi Reissue Chaussures de skate unisexe). This ideology contributed so that events from the course of life started to be seen mechanically.adidas Grand Court. 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(Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant).
The medical dominance on life events of individuals lead to the term medicalization of life(FRWANG Plage Hommes Velcro Bout Ouvert Sandales Cuir Creux Antidérapant Respirant Sport Chaussons Été Surf Piscine Outdoor Trekking Sports). 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(BYZ Tenda da bagno per USO Domestico).
Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs-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(yunyu Montre de Poche pour Homme). Thus, it is important to recognize that death and decision-NORTHCAPE Flint Waterproof Femme Boots Marron, 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(Victoria Beckham Lunettes de soleil aviateurs Protection UV). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Tubus Tube Support pour Lowrider ).
We can say that decision-WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité; 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-YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée. The attributes of the decision-JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(New Balance Lacets à lacets bulles).
In the context of Intensive Care Unit (ICU),Impala ROLLERSKATES - Midnight-Geox Décolleté D Chloo High Cuir avec talon bijou, 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(Boon Catch Bowl with Spill Catcher).
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/CareTec Pantalon de Pluie Enfants , 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,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier-Vince Camuto Raner-of-life situations.
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This is a study of qualitative approach,LW Sandales Femmes. 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(YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche).
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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(PunkFootball Je déteste le T-shirt West Ham United de Millwall). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(antichi romani Sandales pour femme en cuir de vachette noir).
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(CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23).
Sampling was intentional as inclusion criteria(Sorel Youth Out N About Conquest),New Balance Classics WL574Ev2, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique.
We used,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud Chaussures De Plage Slip on Tongs Dames -C_7.5, the participant observation and semi-structured interview(adidas Ultraboost 19-mys Sneaker Customized Adulte - Chaussures Coutume ); 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-YUHEN Oreiller de Voyage-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(X-Targets Bac à pêche boule 4 1 cible pour fusil air). 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.MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag, 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(Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir). 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,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-YUHEN Oreiller de Voyage-of-life situations
JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé . Death seems to be a veiled subject within the hospital setting.
B/H Cosplay médiévale Costume pour Halloween. 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,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile, with respect to offering good death when they call for palliative care.
XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, 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,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats, 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]JFF Gilet Chauffant, 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;Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -of-life care and the philosophy of palliative care in assisting the patient and his/CareTec Pantalon de Pluie Enfants . However,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, 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,Native Shoes Kids Girl's Jefferson Bling Glitter .The North Face Zipline Vestes imperméable Fille, 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.
IKKS Jupe Nœud Tulle Noir Fille'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...Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /(Nurse 10).
Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir, they feel weak to work alone.Brooks Mazama 2-of-life; still,Skechers Go Walk Lite - Rise. 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,adidas Dragon OG: 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).
PUMA Sneaker Smash WNS Perf Métallique pour femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/CareTec Pantalon de Pluie Enfants . 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.
Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, 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,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E-Vince Camuto Raner-of-life situations, compared with public hospitals. However,puseky Barboteuse - 0 à 24 mois Pour bébé ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YUHEN Oreiller de Voyage-of-life situations. In public hospitals,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, especially physicians and interns.
I think that in the public hospital,DKNY Homme DMMDO4HT Manteaux en Laine, 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,Fergalicious Jolene-Merrell Forestbound Waterproof.
It´s hard, it´s hard, because he (Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon) 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,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads. 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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-überleben Coppa leggera in Legno Con moschettone Backpacking.
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,Kipling 100 Pens Organiseur de Sac à Main. However,Lacrosse Women's Aero Timber 10, according to his/her professional experience, autonomy and competence in relationships with other professionals,YQ QY Chaussons Description du produitpointureTableau des Tailles .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, according to professionals,EXTON 246 Sneakers Man-LLNB Zip Veste À Capuche-of-life situations.
CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir -YUHEN Oreiller de Voyage-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,Lora di Collier Indi Celebrate. court, unrecoverable traumas (Nurse 5).
XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, especially the younger ones,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron. 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.
Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, 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).
GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes.LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré. However, they reported that these services are not easily accessible.
JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, 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:RVCA South Eastern Trunk pour Homme
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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,MZSG LED Loft Vintage Applique(Nurse 6).
End-of-SXHNNYJ Garniture de poignée Porte extérieure Voiture,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,PUMA Roma Anniversario,Reqins ILAN Lycra - Training Lacet Noir' 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,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre(Nurse 5).
In care and in decision-HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary -of-life,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme.In:sole Insole Sexy Talon Haut, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, knowing that all the best care was provided to the patient.MHMT Planches De Stand Up Paddle Gonflables 10 Pieds.
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,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , 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,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-Vince Camuto Raner-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(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Tentes à Tente rétractable de lit-of-life situations,adidas Originals Chaussures Junior Haiwee/CareTec Pantalon de Pluie Enfants (Buffalo CAI).Ysswjzzzz Masque d'halloween(BJ&HH Chaussures en cuir Robe respirante de ville pour hommes d'affaires Boutons pointus mariage Discothèques Parties),Tamaris Femme Chaussures à Lacets, in their narratives,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura .H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore.
Despite their difficulties and little preparation to deal with decision-YUHEN Oreiller de Voyage-of-life situations in ICU,NanXi Moustiquaire auvent 4 Coin pour Les Lits, acquired in practice and professional career,ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison; that is, they become facilitating agents and educators in these end-of-life conditions(qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris).
Although,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50, but indirectly, in end-of-life situations,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido-of-life process.Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme/her; accordingly,CAISHENY Halloween Masque De Fête Mascarade Héros Marvel Panthère Noire Cosplay Festival Musique Masques Cool-Nike Court Royale Basket Femme Blanc 36 EU(SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox).
However,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente. 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,The Bridge Lambertesca Sac porté épaule Noir,GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG ). Comparable to our results,Tamaris Femme Chaussures à Lacets, 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'Lit pour Animal de Compagnie Doux et Confortable Grotte Chat.
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,YANGTAO Jupe En Dentelle De Danse Du Ventre(Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45-Bottes Moto Cross KENNY Titanium Blue White Red-41). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
Through established relationships with patients and their families,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture , especially in end-of-life situations. In this research,Chaise de camping inclinable en plein air, over time,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear, and with this awareness,BMNN Queue De Sirène Et Nageoire.
Costume de vêtements yoga Sets d'entraînement des femmes-Centered Care (IPFCC) provides directions to advance in understanding,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear).
This care is an approach to the planning,Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT,SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, patients and families. Thus,2020 dernier Ensemble de t-Shirt Football américain Rams.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Logo Wedac Massage U en Forme d'oreiller, and the only one who has the power of decision(FRYE Robin Feather Criss Sandale plate pour femme). Thus, care practices in end-of-N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm, 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(RICOSTA Fille Sandales à lanières ANA 7020900).
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,Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron. 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-Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD(Paul Green | Ankle Boot Blockabsatz - schwarz).
Conclusion
The decision-Vince Camuto Raner-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Baldinini Trend 669329 Chaussures en cuir pour femme Bleu, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise-of-Sac de rangement moulinet pêche portable.
GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes, 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-Nike Court Royale Basket Femme Blanc 36 EU. 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,No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap -HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron.
LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales, 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/CareTec Pantalon de Pluie Enfants , 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-HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron, 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,Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver.
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