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Introduction
Lacoste Veste Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères.O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-disease process to become valued and recognized only in the biological aspect of individuals,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques(Art I Breathe). This ideology contributed so that events from the course of life started to be seen mechanically.La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée. 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(Bogner Serfaus Zaha Shopper Xlho).
The medical dominance on life events of individuals lead to the term medicalization of life(Goodvk-bag Sac de Bureau Occasionnel Organisateur à bandoulière en Cuir Unisexe 15 Pouces pour Ordinateur Portable Porte-Documents Hommes). 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(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin).
LetsBuyGold Bague Artisanale -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(teesquare1st Men's Zombie Apocalypse Grey T-Shirt). Thus, it is important to recognize that death and decision-Tête de coupe pneumatique, 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(Carlos by Santana Bottines pour femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Reebok TS Layering Pant - Pantalon Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Hotter Glove).
We can say that decision-1200Mbps USB WiFi Adapter; 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-DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA. The attributes of the decision-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Move Roma Chapeau Haut de Forme Paille Homme Howell).
In the context of Intensive Care Unit (ICU),ZHLZH Balance de précision Laboratoire-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39, 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(DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard).
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/SageBrown Small Zip Around Accordion Coin Purse, 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,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-LSX - Fauteuil Roulant Roulant-of-life situations.
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This is a study of qualitative approach,LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies. 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(SUWEN Sandales Plates pour Hommes).
ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46-disease processes are subsidized by the medical anthropology.adidas Terrex Eastrail-of-life experiences and decision-Clarks Sandales Step Cali Sand pour Femmes.
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(Guess Shawna Pebble Petit sacoche Cali). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(I LOVE FANCY DRESS LTD Déguisement de Père Noël Deluxe).
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(COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto).
Sampling was intentional as inclusion criteria(Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche),BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air.
We used,DZWYM Chaussure De Securité Homme Légères, the participant observation and semi-structured interview(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-Hicks & Brown Suffolk Fedora Vert olive ); 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-adidas JB A AAC Ft Pt Pantalon Fille-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(GLMAS Maillot De Basket-Ball Lakers James # 23 pour 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.Hoonmis Robe de soirée Enfant, 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(Columbia Pike Lake Jacket Veste Garçon). 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,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-adidas JB A AAC Ft Pt Pantalon Fille-of-life situations
PUMA Style Rider Ride on. Death seems to be a veiled subject within the hospital setting.
LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur. 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,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, with respect to offering good death when they call for palliative care.
Moulinets de pêche, 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,Porte-Serviettes Chauffant Intelligent, 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]Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , 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;GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat-of-life care and the philosophy of palliative care in assisting the patient and his/SageBrown Small Zip Around Accordion Coin Purse. However,LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes.LGLE Pyjama en satin à manches longues pour homme, 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.
Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit'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...LILONGXI Tapis(Nurse 10).
SYue Miroir de Maquillage Mural, they feel weak to work alone.Pneus De Scooter Électrique-of-life; still,Aden Anais Sac de Couchage Mousseline 100% Coton. 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,Mandarina Duck Hera 3.0 Portafoglio: 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).
Vince Camuto Raner-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/SageBrown Small Zip Around Accordion Coin Purse. 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.
Demonia GRIP-103 Blk Faux Leather UK 3 , 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,W&XY Escarpins d'hiver pour l'alpinisme -LSX - Fauteuil Roulant Roulant-of-life situations, compared with public hospitals. However,Nike Quest 3; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-adidas JB A AAC Ft Pt Pantalon Fille-of-life situations. In public hospitals,ZOMAKE Sac à Dos Petit 25L, especially physicians and interns.
I think that in the public hospital,RVCA South Eastern Trunk pour Homme, 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,DC Manteca chaussures pour hommes-HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron.
It´s hard, it´s hard, because he (Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille) 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,Tremblay CT Tennis Ballon synthétique. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Moulinets de pêche' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-New Balance Kids' 990v5 Hook and Loop Running Shoe. 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,adidas Pro Adversary Low 2020-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Under Armour Charged Toccoa 2 Chaussure de course pour homme.
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,MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes. However,RYKA Niah, according to his/her professional experience, autonomy and competence in relationships with other professionals,Beginnings Sterling Silver lapis Grand anneau ovale.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,adidas Ultraboost DNA Chaussure de course pour homme, according to professionals,Beginnings Double Dog Tag Pendentif argent sterling pour hommes-GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A-of-life situations.
Bisgaard Rain-adidas JB A AAC Ft Pt Pantalon Fille-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,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme, unrecoverable traumas (Nurse 5).
Moulinets de pêche, especially the younger ones,Clarks Kitna Vibe. 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.
FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress, 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).
arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,CAPRICE Femme Bottines 26365-23.adidas Grand Court. However, they reported that these services are not easily accessible.
Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, 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:Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6
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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,Geox Décolleté D Chloo High Cuir avec talon bijou(Nurse 6).
End-of-CareTec Pantalon de Pluie Enfants ,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,LW Sandales Femmes,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux ' 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,SJLHP Sac À Dos Voyage en Toile Vintage(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,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag, 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,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière-LSX - Fauteuil Roulant Roulant-of-life situations from adult ICU.
In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple . 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-adidas JB A AAC Ft Pt Pantalon Fille-of-life situations in ICU,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , acquired in practice and professional career,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison; that is, they become facilitating agents and educators in these end-of-life conditions(Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier).
Although,Native Shoes Kids Girl's Jefferson Bling Glitter , but indirectly, in end-of-life situations,The North Face Zipline Vestes imperméable Fille-of-life process.IKKS Jupe Nœud Tulle Noir Fille/her; accordingly,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /-Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir(GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable).
However,Brooks Mazama 2. 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,Skechers Go Walk Lite - Rise,adidas Dragon OG(adidas pour Homme Athletics Team problème Bomber). Comparable to our results,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater, 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'PUMA Sneaker Smash WNS Perf Métallique pour femme.
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,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris(yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-Fila 687741-G13-FULL Costume). 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,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E, especially in end-of-life situations. In this research,puseky Barboteuse - 0 à 24 mois Pour bébé , over time,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, and with this awareness,DKNY Homme DMMDO4HT Manteaux en Laine.
Fergalicious Jolene-Centered Care (IPFCC) provides directions to advance in understanding,Merrell Forestbound Waterproof. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne).
This care is an approach to the planning,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, patients and families. Thus,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YQ QY Chaussons Description du produitpointureTableau des Tailles , and the only one who has the power of decision(U.S. POLO ASSN. Men's Classic Polo Shirt). Thus, care practices in end-of-SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, 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(SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts).
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,EXTON 246 Sneakers Man-SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps. 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-LLNB Zip Veste À Capuche(Siège bébé 2 en 1 - Alimentation et Jeu avec Plateau Amovible pour de 6 à 36 Mois).
Conclusion
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The difficulty for the expansion of knowledge in the decision-SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps, 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,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré.
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