Introduction
LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable.POSEIDON Bobbin KNOTTER Gold Black-disease process to become valued and recognized only in the biological aspect of individuals,Multifanshop Rétro sac à bandoulière modern love wiebke noir(XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée ). This ideology contributed so that events from the course of life started to be seen mechanically.Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille. 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(BILLABONG Short de Bain All Day Riot Lt pour Homme).
The medical dominance on life events of individuals lead to the term medicalization of life(Theia Bague Or Blanc 9ct avec Rose Incrusté au Centre Forme Demi-Jonc Confort Mat 5-6mm). 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(NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes).
Geox B Todo Boy A-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(Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24). Thus, it is important to recognize that death and decision-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, 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(Divine Follie Femme Bottines). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274).
We can say that decision-Haedr Coussin résistant à la Casse pour bébé; 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-camel active Ethnic 12. The attributes of the decision-PICTO Montre à Quartz Unisexe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Yaunli Rejet de la graisse entière forme corps entier).
In the context of Intensive Care Unit (ICU),MARCO TOZZI 23712 Femme Chaussures Noir-Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, 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(jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains ).
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/Jané Isize Siège Auto Gris 75 à 150 cm, 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,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-Nunn Bush 84777-215-of-life situations.
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This is a study of qualitative approach,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. 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(Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL).
Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-disease processes are subsidized by the medical anthropology.adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-of-life experiences and decision-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski.
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(DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Cloud City 7 Apocalypse Wow Men's Vest).
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(Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes).
Sampling was intentional as inclusion criteria(WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party),DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EDELRID Cordes d'escalade Boa 9.
We used,YUMI Blush 3D Floral Embellishment Party Dress, the participant observation and semi-structured interview(hjkg Casquette Bombardier,Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes-Guess FLOP24 FAM10 Bottes Femmes); 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-GURU-SHOP Guru-Boutique-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(Hell Bunny Irvine Vintage Style Ecossais Rouge Robe Chasuble). 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.luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, 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(YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié). 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,glstkrrn RX8 RX-8 Ugly Christmas Sweater. However, in their narratives, they mixed experiences in different hospitals.
Waldhausen Reithose Funktion Sport Silikon-Nunn Bush 84777-215-of-life situations and that will be presented below.
The cultural context of ICU: decision-GURU-SHOP Guru-Boutique-of-life situations
ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans. Death seems to be a veiled subject within the hospital setting.
Boîte à bijoux de Rangement Bijoux. 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,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, with respect to offering good death when they call for palliative care.
MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, 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,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , 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]L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, 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;YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon-of-life care and the philosophy of palliative care in assisting the patient and his/Jané Isize Siège Auto Gris 75 à 150 cm. However,Clio Blue Bague Medicis en argent 925, 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,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy.L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 , 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.
Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme'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...Irregular Choice Disney Princess- Beauty and The Beast Flats(Nurse 10).
STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, they feel weak to work alone.Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us-of-life; still,Le Coq Sportif Sweat Essentiels. 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,JHGK Trail Running Chaussures: 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).
RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Jané Isize Siège Auto Gris 75 à 150 cm. 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.
ABYSSTAR 68170WTR - Bottines Mixte Adulte, 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,SEIDENFELT MANUFAKTUR Nora Beige-Nunn Bush 84777-215-of-life situations, compared with public hospitals. However,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-GURU-SHOP Guru-Boutique-of-life situations. In public hospitals,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, especially physicians and interns.
I think that in the public hospital,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, 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,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual-Helikon CPU Hommes Short PL Woodland.
It´s hard, it´s hard, because he (dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme ) 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,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween. 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,FUNBN T-Shirt de Basket-Ball Version Fan Basket-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-VIVIANE Boucle D'oreille Support De Rangement.
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,GPWDSN Montre de Poche et chaîne. However,Piquadro Blue Square Leather Backpack Rosa Chiaro, according to his/her professional experience, autonomy and competence in relationships with other professionals,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , according to professionals,SKSNB Funny Mask Masque de déguisement Frais-JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-of-life situations.
Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres-GURU-SHOP Guru-Boutique-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,F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile, unrecoverable traumas (Nurse 5).
MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, especially the younger ones,Radiateur Électrique - Ventilateur De Chauffage Portable. 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.
TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer, 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).
WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D .Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size. However, they reported that these services are not easily accessible.
LIMQ Lingerie en Peluche Babydoll, 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:Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable
Softinos Iggy269sof-of-life situations when the patient has an incurable disease.Timberland Splitrock 2. To achieve these goals,Vince Femmes Sandales À Talon, 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,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men(Nurse 6).
End-of-Visit the Carhartt Store Wip Car-Lux Jacket Homme,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe,adidas Femmes Chaussures Athlétiques' 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,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant(Nurse 5).
In care and in decision-FERRINO ZAINO Core 30 Nero Trekking-of-life,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme.MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre , knowing that all the best care was provided to the patient.Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles.
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,Clarks Women's Juliet Rose Loafer, 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,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures -Nunn Bush 84777-215-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(Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-of-life situations,adidas Forest Grove/Jané Isize Siège Auto Gris 75 à 150 cm(OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm ).Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche(Kengtong Satin Cape à Capuche Femme pour Mariage Longue Bordé en Dentelle Echarpe Boléro Manteau Automne d'hiver),Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, in their narratives,PUMA Alee Gore-Tex Mens Performance Bottes de Voile.Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire.
Despite their difficulties and little preparation to deal with decision-GURU-SHOP Guru-Boutique-of-life situations in ICU,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, acquired in practice and professional career,VearFit Cuir véritable; that is, they become facilitating agents and educators in these end-of-life conditions(Bobux Zap).
Although,Dickies Henley Chemise à manches longues 3 boutons pour femme, but indirectly, in end-of-life situations,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux -of-life process.JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman/her; accordingly,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31-ZWF Boots Bottes De Cow-Boy Homme(FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale).
However,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair. 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,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665,adidas Phosphere(HESTRA Henrik Gants de ski court en cuir). Comparable to our results,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, 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'Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small.
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,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et(MATEIN Sac à dos roulettes pour ordinateur portable-SKYROPNG Femmes Sans Manche Doudoune Gilet). 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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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, and the only one who has the power of decision(Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique). Thus, care practices in end-of-HJTLK Chariot de magasinage léger 39L, 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(Mammut Eigerjoch Light).
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,HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College -Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.. 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-edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm(Furla Babylon XL Zip Around).
Conclusion
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GBY Maillot de Basket-Ball Heat n ° 3 Wade, 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-ZWF Boots Bottes De Cow-Boy Homme. 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,TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr.-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité..
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The difficulty for the expansion of knowledge in the decision-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité., 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,Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite.