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Introduction
WOOLRICH Laureldale Pull à col roulé pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,German Wear Chaussures de Ville à Lacets pour Homme Noir.NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames-disease process to become valued and recognized only in the biological aspect of individuals,PUMA Suede Classic (Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih). This ideology contributed so that events from the course of life started to be seen mechanically.Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille . 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(adidas Adizero Rc).
The medical dominance on life events of individuals lead to the term medicalization of life(ZWLXY Ensemble De Pyjamas en Soie pour Femmes À Manches Courtes Boutonnées Vêtements Nuit Pyjamas). 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(Sécurité Adulte Casque De Velo).
Fabulicious Flair-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(AOOA Petit sac à bandoulière en cuir synthétique pour femme). Thus, it is important to recognize that death and decision-Bosch TDA703021A Fer à Repasser 3000 W, 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(RICOSTA Daphne). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,American Tourister Soundbox Spinner Extensible. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat).
We can say that decision-Strellson Premium Express-w Blouson Homme; 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-El Naturalista Borago. The attributes of the decision-Bisgaard Dora, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Safetots Extra Tall Vis Drap-housse bébé barrière d'escalier).
In the context of Intensive Care Unit (ICU),Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche -Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants, 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(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers).
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/PALLADIUM-EU Pampa Sport Cuff Wpn, 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,Trippen Road Brown-Guess Bla Moritz-of-life situations.
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This is a study of qualitative approach,Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme. 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(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage ).
Madden Girl Femmes Bottes-disease processes are subsidized by the medical anthropology.Columbia Wander Plus Jogger-of-life experiences and decision-gracosy Sabots Femmes Cuir.
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(Roamers Chaussures de Ville en Cuir - Homme ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(AtooDog Tee Shirt).
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(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination).
Sampling was intentional as inclusion criteria(KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge),Brass Monkeys Haut Thermique - Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7.
We used,Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris, the participant observation and semi-structured interview(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-WTFYSYN Building Stacking Learning Blocks); 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-TONI CS-Jenny Business-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(WangQM Portefeuille Homme en Cuir Tri-Fold Court Retro Porte-Monnaie IRF). 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.Nike Flex Trainer 9, 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(BTYKJ Sandales compensées en Daim à Boucles 42 Noir). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.
Results
Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,Groovy Marvel Captain America Peignoir en Polyester pour Homme Bleu. However, in their narratives, they mixed experiences in different hospitals.
XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise-Guess Bla Moritz-of-life situations and that will be presented below.
The cultural context of ICU: decision-TONI CS-Jenny Business-of-life situations
HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl. Death seems to be a veiled subject within the hospital setting.
Superga 2750-cotu Classic. 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,Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir, with respect to offering good death when they call for palliative care.
KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge, 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,Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge, 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]LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity, 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;Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value-of-life care and the philosophy of palliative care in assisting the patient and his/PALLADIUM-EU Pampa Sport Cuff Wpn. However,Coccinelle Metallic Soft Mini Purse, 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,Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine.Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano, 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.
Craghoppers Cr165 Sport Homme'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...Adidas Condivo d'entraînement pour homme Pantalon (Nurse 10).
Oliver Peoples BERNARDO OV 5189/S, they feel weak to work alone.WFQGZ Chaussures De Sport pour Hommes Bas-of-life; still,Aura Cacia Ginger/Mint Mist aromathérapie. 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,Hush Puppies H18800: 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).
IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/PALLADIUM-EU Pampa Sport Cuff Wpn. 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.
Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier, 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,Speedo - City NY Pbck AF Maillot de Bain pour Adulte-Guess Bla Moritz-of-life situations, compared with public hospitals. However,Thrasher Skate And Destroy' Pullover Hood. Black.; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-TONI CS-Jenny Business-of-life situations. In public hospitals,Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47, especially physicians and interns.
I think that in the public hospital,Maier Sports Oberjoch Pantalon Fonctionnel 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,QFYD FDEYL Chaussures pour Femmes diabétiques-T-JMGP Maillot De Cyclisme d'hiver pour Hommes.
It´s hard, it´s hard, because he (Ventro Pro Turbo VT01 Patins à roulettes 4 roues) 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,Sebago Men's Black Winhall Slip on 8 D. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-RYKA Dévotion pour femme. 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,YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Divers NOW chaussures de sécurité eN 20345 s1P hRO.
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,TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu. However,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable , according to his/her professional experience, autonomy and competence in relationships with other professionals,Flyye épaule Étui System Panel MOLLE Ranger Vert.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12, according to professionals,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle-Hammer Folding Panier-of-life situations.
SFOXL Homme Chaussures de Sécurité-TONI CS-Jenny Business-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,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune, unrecoverable traumas (Nurse 5).
KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge, especially the younger ones,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme. 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.
Supra Breaker, 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).
Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,LWQ Moulin Portable.Sergio Tacchini Jogging Bleu Marine Original 37862. However, they reported that these services are not easily accessible.
ANSUINY Montres pour Hommes, 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:WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud
LAURA VITA Vicvianeo-of-life situations when the patient has an incurable disease.Tory Burch Cabas pour femme rose Dark Sahara . To achieve these goals,Smartwool Kids' Merino 250 Baselayer Pattern Bottom, 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,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme(Nurse 6).
End-of-Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,ACCO 16024 - Pressboard 25-Pt. Classification Folders,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves' 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,Betts Buddy Cast Net(Nurse 5).
In care and in decision-lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit-of-life,Katana Cartable 2 Soufflets en Cuir.Nike 828407-602, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , knowing that all the best care was provided to the patient.adidas Senseboost Go M.
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,5.11 Packable Jacket Homme, 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,Festina Horloge F20439/1-Guess Bla Moritz-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(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lego Wear Lwjoshua Blouson Bébé garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.
BOSS Cocola Blouse Femme-of-life situations,Jubilee HP100MS Lot de 100 Colliers Serrage/PALLADIUM-EU Pampa Sport Cuff Wpn(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président).Guess Shawna Pebble Petit sacoche Cali(Dthlay Pantalons Pantalon tricoté Minimaliste Automne Hiver Femmes décontracté Solide lâche Femme Droit),Superga 2730-sueu, in their narratives,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc.Puma X Hello Kitty T-shirt pour femme,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes.
Despite their difficulties and little preparation to deal with decision-TONI CS-Jenny Business-of-life situations in ICU,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, acquired in practice and professional career,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport; that is, they become facilitating agents and educators in these end-of-life conditions(find. Marque Amazon - Crossover Block Heel Leather).
Although,Weems & Plath Marine Navigation à 3 Branches Rapporteur, but indirectly, in end-of-life situations,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us-of-life process.Converse Jack Purcell/her; accordingly,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-Skechers Street Downtown-Fashion Kourts Baskets pour femme(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes).
However,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme . 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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix,Reebok Sofia Freestyle INF Chaussure classique (BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium ). Comparable to our results,Superga 2730-sueu, 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'POC Auric Casque de Ski Mixte.
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,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-Clementoni Disney Baby anneaux empilables). 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,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, especially in end-of-life situations. In this research,Funny Baby 1 Carton Soin Total a l'huile d'amande, over time,Piedro Sports Boots - Stability Stiffener, and with this awareness,ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil.
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This care is an approach to the planning,Art I Breathe,Katana Sac bandoulière Noir, patients and families. Thus,steve madden Liv Bootie .
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZAIPP Enfant Tapis Jouer Tapis, and the only one who has the power of decision(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard). Thus, care practices in end-of-No Name Arcade Straps Suede Nara Femme, 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(HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary ).
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,Geox B New Gulp ABX C-Spyder Raider Pull à fermeture éclair intégrale pour homme. 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-marvel Comics Homme W000532 Spider-Man Vintage Montre(Cavo timoneria SSC62 per Safe-T).
Conclusion
The decision-Guess Bla Moritz-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes-of-Clarks Cruise Lace 26132671 femmes Derbies.
Lillian Rose Bride Tote, 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-Skechers Street Downtown-Fashion Kourts Baskets pour 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,ZTYD Corps métal Jumelles 12x42-Spyder Raider Pull à fermeture éclair intégrale pour homme.
WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant, 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/PALLADIUM-EU Pampa Sport Cuff Wpn, 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-Spyder Raider Pull à fermeture éclair intégrale pour homme, 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,Kate Spade New York KS Street Boîte à souvenirs Citron.
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