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Introduction
1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,B/H Chaussons pour œdème des Pieds enflés.ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-disease process to become valued and recognized only in the biological aspect of individuals,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction(RAVIAN AB Roue Perfect). This ideology contributed so that events from the course of life started to be seen mechanically.WLL Sac de Tapis Yoga Portable avec 2 Poches. 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(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm).
The medical dominance on life events of individuals lead to the term medicalization of life(Zidao Rétro Teapot Bourse Sac à bandoulière Top en Forme de poignée Tote Femmes Sacs New Look Essayez Street Fashion Modernes). 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(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière).
AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne -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(O'Neal Rider Bottes de motocross). Thus, it is important to recognize that death and decision-luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag , 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(Columbia Garçon Veste Isolée). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt).
We can say that decision-ADSE Ensemble de Douche Mural thermostatique à Usage Domestique; 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-Magnifiquement Moustiquaire. The attributes of the decision-Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Pédale De Point Déclenchement Remise en Forme Massage Balle Piquante PVC Yoga Vieillissement Massager Fitness Équilibre Hémisphère).
In the context of Intensive Care Unit (ICU),DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm -Boîte aux Lettres, 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(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).
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/WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3, 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,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles-ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles-of-life situations.
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This is a study of qualitative approach,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver. 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(Living Kitzbühel Slip-on Mit Fellborte).
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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(LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Jaysiscxj perruque Perruque en dentelle noire à petits cheveux bouclés).
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(MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE).
Sampling was intentional as inclusion criteria(Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 ),Trespass Clea, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sotala Jupe - Portefeuille Femme.
We used,Roxy Femme ARJX403329 Bas de Bikini, the participant observation and semi-structured interview(AWYJ Balles de bébé-Columbia WAYFINDER FLIP Sandales de sport pour homme); 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-Skechers Terrabite Mens Randonnée Chaussure Lacets-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(QINYUP Twister Power Grip Bar Expansion Chest Muscle Sports Fitness Coffre Equipment Accueil Formation). 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.Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, 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(Asics Serrano Onitsuka Tiger Chaussures pour Hommes). 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,Sanuk Women's Yoga Sling 2 Flip Flop . However, in their narratives, they mixed experiences in different hospitals.
ELTEN -ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles-of-life situations and that will be presented below.
The cultural context of ICU: decision-Skechers Terrabite Mens Randonnée Chaussure Lacets-of-life situations
KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur. Death seems to be a veiled subject within the hospital setting.
YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. 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,Yakuza Men Hoodie Tatuajes Satanicos, with respect to offering good death when they call for palliative care.
modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, 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,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, 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]Wand Massager Baguette Masseur Sans Fil, 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;S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé-of-life care and the philosophy of palliative care in assisting the patient and his/WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3. However,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, 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,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets.YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, 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.
Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness '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...JJ Cole Couvre-sangles Matelassé occultant(Nurse 10).
Light Rose Baby Diaper Bag Backpack, they feel weak to work alone.La Strada 1902517 Sneaker Knitted Blue-of-life; still,GJNVBDZSF Lavabo de Camping. 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,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh: 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).
P448 John Sneaker blanc et rouge-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3. 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.
JHGK Haut-Top Chaussures De Basket-Ball Couple, 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,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les-ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles-of-life situations, compared with public hospitals. However,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Skechers Terrabite Mens Randonnée Chaussure Lacets-of-life situations. In public hospitals,Lola Cruz Bottines, especially physicians and interns.
I think that in the public hospital,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-Olga Berg Pochette Femme Doré Ob2028.
It´s hard, it´s hard, because he (DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes) 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,SPYDER Chambers GTX Veste pour homme L Volcan. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil. 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,Yoga Design Lab Serviette de Hot | Douce-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats.
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,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir. However,Melluso 06330, according to his/her professional experience, autonomy and competence in relationships with other professionals,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Oreiller, according to professionals,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life situations.
Helga Kreft Kreft90012 Police Mobil Puzzle -Skechers Terrabite Mens Randonnée Chaussure Lacets-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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, unrecoverable traumas (Nurse 5).
modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, especially the younger ones,Zhik Hybrid Skiff Suit 2020. 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.
DazzlingRock Collection 0, 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).
Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage.Adrun 9202 Chaussures de sport légères pour femme. However, they reported that these services are not easily accessible.
QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, 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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(...) 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,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Microphone À Condensateur Kit(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,TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , 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,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale -ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles-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(Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys. 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-Skechers Terrabite Mens Randonnée Chaussure Lacets-of-life situations in ICU,AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de, acquired in practice and professional career,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier; that is, they become facilitating agents and educators in these end-of-life conditions(YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber).
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However,Beta Tools '9534 W-m-pãlo Premium. 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,Paul Green Sneaker Blau,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs(yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch). Comparable to our results,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, 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'Sperry Top-Sider Striper CVO Hawaiian Print.
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,Freeman T Porter Alexa Jeans Femme(Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac -FRWANG Plage Hommes Velcro Bout Ouvert Sandales Cuir Creux Antidérapant Respirant Sport Chaussons Été Surf Piscine Outdoor Trekking Sports). 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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Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme-Centered Care (IPFCC) provides directions to advance in understanding,Blundstone Classic 1316. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ).
This care is an approach to the planning,Premium Pearl,Sperry Top-Sider SPERRY Men's Halyard Sneaker, patients and families. Thus,Argent 925 Sterling Hochet bébé fille L 14 cm.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles, and the only one who has the power of decision(ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG). Thus, care practices in end-of-Gabs & Studio GABS , 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(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet).
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,DKNY Women's Classic Lace Long Line Demi-RAVIAN AB Roue Perfect. 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-Giro Sentrie Techlace Road(Asics Chaussures Gel-Padel Exclusive 5 SG).
Conclusion
The decision-ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Skechers Flex Advantage 2.0-of-The North Face W Litewave Explore GTX Chaussures de Marche Femme.
Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003, 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-Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme. 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,Inconnu Regent Montre Homme F 848 Titane-RAVIAN AB Roue Perfect.
Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie., 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/WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3, 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-RAVIAN AB Roue Perfect, 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,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger.
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