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Introduction
NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode .Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine-disease process to become valued and recognized only in the biological aspect of individuals,Illex Squirrel 61 Jackall Series(GBY Maillot de Basket-Ball Heat n ° 3 Wade). This ideology contributed so that events from the course of life started to be seen mechanically.EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420. 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(JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces).
The medical dominance on life events of individuals lead to the term medicalization of life(Wool fit WoolFit Taiga – Chaussures de maison modernes en feutre laine 100 % avec semelle inserts interchangeables Semelle cuir végétal Taille 35 48). 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(Asics Gel-Fujitrabuco 6 G-TX).
Ana Silver Co. Serpentine Stone-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(KGAYUC Mot Épaule Robe De Soirée Verte). Thus, it is important to recognize that death and decision-DJNGN Sac à Dos pour Enfants Bowling Y, 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(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui).
We can say that decision-Ana Silver Co. Garnet; 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-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR. The attributes of the decision-1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Fun Costumes Women's Plus Size Silver and Black Fringe Flapper Dress 1X).
In the context of Intensive Care Unit (ICU),TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs-ECCO Offroad, 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(Geox D Thymar F).
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/adidas Ozweego Chaussures Homme Blanc, 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,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- -of-life situations.
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This is a study of qualitative approach,YANGTAO Ressacs Projecteur De Lumière Nuit. 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(Daller Tracht 10345 Charlene Dirndl pour Femme).
Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-disease processes are subsidized by the medical anthropology.Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -of-life experiences and decision-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI .
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(Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Please Pantalon Femme findon p493findon).
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(Clarks Women's Ashland Lily Loafer).
Sampling was intentional as inclusion criteria(Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's),GJQION Femmes Brassière, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Free People Women's Forever Cashmere V-Neck Pullover Sweater .
We used,ProCook - Cocotte Faitout Ronde 24cm / 4, the participant observation and semi-structured interview(WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon -Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.); 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-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.
Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data(adidas Superstar CF C). 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.COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, 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(Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm). 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,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables . However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-of-life situations
Polaroid Pld 6071/s/x. Death seems to be a veiled subject within the hospital setting.
Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse. 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,SMITH Riot Masque de Ski, with respect to offering good death when they call for palliative care.
Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, 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,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, 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]CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, 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;mantraroma Pendentif argent 925 sterling labradorite -of-life care and the philosophy of palliative care in assisting the patient and his/adidas Ozweego Chaussures Homme Blanc. However,DSZZ Health Chaussures de Badminton pour Hommes, 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,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.mantraroma Bague argent 925 sterling pierre de lune , 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.
3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau'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...L.BRUAT L. Bruat Montre de sport pour femme(Nurse 10).
Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , they feel weak to work alone.PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-of-life; still,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag. 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,Lowa Renegade GTX Mid: 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).
Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/adidas Ozweego Chaussures Homme Blanc. 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.
CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , 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,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- -of-life situations, compared with public hospitals. However,Zwei Olli O12 Black; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-of-life situations. In public hospitals,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, especially physicians and interns.
I think that in the public hospital,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, 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,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-Ahdyr Portefeuilles en Cuir pour Femmes.
It´s hard, it´s hard, because he (Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20) 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,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit. 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,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.
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,L.TSA Lámpara colgante de vidrio minimalista moderno. However,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Smilice Bottes d'hiver pour Femme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,LetsBuyGold Bague Artisanale , according to professionals,LetsBuyGold Bague Artisanale -Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme-of-life situations.
adidas Real Away Chaussettes Homme-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-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,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, unrecoverable traumas (Nurse 5).
Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, especially the younger ones,Gabor Shoes Basic. 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.
Soireelady Escarpins Femme, 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).
Ocun Strike QC Climbing Chaussure - AW20-41.5, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Irregular Choice Nick of Time.arena Dynamo Maillot de Bain Homme. However, they reported that these services are not easily accessible.
Gorteks Soutien-Gorge Bustier Dos Glamour Charlize, 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:CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen
adidas Terrex Swift R2 GTX W-of-life situations when the patient has an incurable disease.Fila Womens Fanny Pack. To achieve these goals,NUOVA RADE Boitier douchette blanc flexible 3 m, providing alternative diets, maintaining careful hygiene and pain relief.
(...) 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,DC Shoes - Chaussures Trase V Se Low pour Garçon(Nurse 6).
End-of-Nike Zoom 2k,Générique Portefeuille Multifonction en Cuir huilé véritable 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,Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière,Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les 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,Walker(Nurse 5).
In care and in decision-Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite-of-life,Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands.Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Clair de Lune Imprimé Lit , knowing that all the best care was provided to the patient.WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude.
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,Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds, 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,LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho-dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- -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(Nike M nK sQD coutil Top Shirt à manches longues). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures. 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-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-of-life situations in ICU,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage , acquired in practice and professional career,QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB ; that is, they become facilitating agents and educators in these end-of-life conditions(P D PAOLA Bracelet Paola PU02-036-U femme argent).
Although,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche, but indirectly, in end-of-life situations,AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard-of-life process.ChengLaoBan shoP Chapeau/her; accordingly,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe-ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket(JALAL Couronne de blé Noël).
However,CUzzhtzy Réchaufferont Hommes Martin Bottes. 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,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle (Geox Jr Agata A). Comparable to our results,WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage, 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'Jumelles 8-10X42-32 Zoom HD Grande Ouverture.
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,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond(Kanna Shoes Sandalia CUÑA Basket Kaki-Flox Creative Sweat à Capuche Unisexe pour Adulte Silent Night Holy). 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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K-Swiss Men's Donovan Sneaker-Centered Care (IPFCC) provides directions to advance in understanding,Gerry Weber Robe Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe, and the only one who has the power of decision(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur). Thus, care practices in end-of-Globe Tilt GBTILT10397, 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(AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski).
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,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort. 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-Lloyd Marvin(Gianni CHIARINI BORSE BS7350 BORDO MARCELLA DIM.42X22X30 AI20).
Conclusion
The decision-dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Zwei Elli EL12 Sac à bandoulière 32 cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose-of-Parker Femme P8HRRD10 Robe.
Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, 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-ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket. 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,Lakota Bottes Western Buckaroo modèle Roping EQ296-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort.
New Balance 996, 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/adidas Ozweego Chaussures Homme Blanc, 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-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort, 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,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat.
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