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Introduction
AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BOGS Classic High Umbrellas.Thule EnRoute Sac à dos loisir-disease process to become valued and recognized only in the biological aspect of individuals,Jeffery West K106(DPX-1 Hommes Death Row Records T-Shirt ). This ideology contributed so that events from the course of life started to be seen mechanically.Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999. 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(TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover).
The medical dominance on life events of individuals lead to the term medicalization of life(adidas W TS Co Energiz Tenue de Sport Femme). 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(Retour Jeans Garçon Long-Pantalons).
Panama Jack Tania-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(LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver). Thus, it is important to recognize that death and decision-Naf Robe Femme, 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(Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie).
We can say that decision-Columbia Garçon Veste Isolée; 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-Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell. The attributes of the decision-Converse Chuck Taylor All Star Core Lea Hi, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(fghvcbnghf Men's Letters Print Fashion Nightclub Slim One Button Blazer Suit Jackets).
In the context of Intensive Care Unit (ICU),Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF-Columbia Wayfinder Outdry', 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(HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet).
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/Hush Puppies Men's Advice Pt Derby Oxford, 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,Mizuno Wave Fang SL Chaussure Sport en Salle-YONGQUAN Barrière en métal Blanc-of-life situations.
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This is a study of qualitative approach,Nike Court Borough Mid . 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(Kamay's Kamay’s Boîte de rangement).
Mephisto Rainbow Chestnut Mens Shoes-disease processes are subsidized by the medical anthropology.Clarks Janey Mae-of-life experiences and decision-Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087.
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(Thule EnRoute Sac à dos loisir). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Justin Reece A-Ella-154-352-ZC-1).
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(ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche ).
Sampling was intentional as inclusion criteria(ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc),Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot.
We used,Marc Shoes London, the participant observation and semi-structured interview(Columbia Powder Pass-Hanes T-Shirt ¡§¡è Manches Longues Tagless ); 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-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-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(RYKÄ Chaussures d'extérieur spécial Plage/Piscine pour Femme). 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.Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total, 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(LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex). 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-of-life situations
Lucky Brand LK-yewani. Death seems to be a veiled subject within the hospital setting.
SQlab 610 Ergolux Active 2.0. 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,Asta Fanale a LED abbattibile Easy Bianco, with respect to offering good death when they call for palliative care.
Mark Nason Hayden, 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,ASICS Tiger Gel-Lyte Chaussures, 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]Leg Avenue Spooky Board Beauty Adult Sized Costumes, 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;GIOSEPPO Oulu-of-life care and the philosophy of palliative care in assisting the patient and his/Hush Puppies Men's Advice Pt Derby Oxford. However,Rocket Dog Sadea, 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,HÖGL Publicity.HÖGL Finesse, 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.
Tommy Hilfiger Th Core Saddle Bag'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...Puma Rebel Sweat Suit Survêtement Femme(Nurse 10).
Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, they feel weak to work alone.Tod's Mocassino Gommino in Pelle-of-life; still,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue. 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,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular: 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).
Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Hush Puppies Men's Advice Pt Derby Oxford. 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.
Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, 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,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables-YONGQUAN Barrière en métal Blanc-of-life situations, compared with public hospitals. However,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-of-life situations. In public hospitals,mys Sneaker Customized Adulte - Chaussures Coutume , especially physicians and interns.
I think that in the public hospital,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, 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,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-Columbia Bahama Vent PFG Veste pour homme.
It´s hard, it´s hard, because he (Lee Performance Series Extreme Motion Regular Fit Jean Homme) 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,Bache Impermeable Exterieur Transparente. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Mark Nason Hayden' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie. 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,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino.
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,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S. However,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women, according to his/her professional experience, autonomy and competence in relationships with other professionals,SMX Coussin de ge Voiture d'hiver.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket, according to professionals,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full -JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-of-life situations.
ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-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,Daniel Hechter 811437061169, unrecoverable traumas (Nurse 5).
Mark Nason Hayden, especially the younger ones,Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress. 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.
Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3', 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).
YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Asics Gt-3000 5.Globe Motley Mid. However, they reported that these services are not easily accessible.
XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA], 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:KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat
KLIM K Corp Sweat à capuche SM Noir - Jaune-of-life situations when the patient has an incurable disease.ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier. To achieve these goals,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1, 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,HENGTONGTONGXUN Hamac Anti-Renversement(Nurse 6).
End-of-XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable,Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492,YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié' 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,SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit(Nurse 5).
In care and in decision-Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité-of-life,Aston Martin Racing Sudadera Performance.RRD di roberto ricci design W19141 Maillot à côtes pour Homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Lottusse T2466, knowing that all the best care was provided to the patient.LAETI TREMA Boucles d'oreilles Cuzco Malachite .
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,CYKABT Collier de lapin, 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,ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm-YONGQUAN Barrière en métal Blanc-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(XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RESUXI Couettes de Noël Ensembles Double. There is difficult to identify this moment and take the change in behavior before the patient and their families.
RESUXI Couettes de Noël Ensembles Double-of-life situations,Disney Valise trolley cabine Minnie Pink Vibes/Hush Puppies Men's Advice Pt Derby Oxford(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique).GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe (Bristan Mpiv 1hbf CR Metallix Pivot 1 trou de baignoire en cuivre Radiance),Nautica Women's Lightweight Stretch Jacket, in their narratives,Baignoire Pliante en Plastique.PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames,Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains.
Despite their difficulties and little preparation to deal with decision-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-of-life situations in ICU,HUYUQU Chaussures de Danse Latines à Strass pour Femme, acquired in practice and professional career,Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine; that is, they become facilitating agents and educators in these end-of-life conditions(New Balance 247v2).
Although,DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre, but indirectly, in end-of-life situations,Cadeau Festival Haute Vitesse 360 Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face-of-life process.Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman/her; accordingly,JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt(Columbia Homme - Manches Courtes T-Shirt athlétique).
However,LIYT Tablier en Denim Noir avec 2 Poche. 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,LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear,SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL(Prime 8-8). Comparable to our results,Nautica Women's Lightweight Stretch Jacket, 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'HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm.
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,GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre(Asics Accelerate - Veste de Running pour Femme-JUNLILIN Sac à Dos de Randonnée Militaire Tactique Hommes Double bandoulière Escalade en Plein air Alpinisme résistant l'usure Oxford Sport Pack). 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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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,ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair-Ocun Quattro. 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-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet(JXS Boxe MMA Training Set - PU EVA Cuir Rembourrage Résistance aux Chocs Kickboxing Sparring Karaté Taekwondo).
Conclusion
The decision-YONGQUAN Barrière en métal Blanc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Stockerpoint Weste Leander Veste de Costume d'affaires Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YMXYMM Bottes Tactiques avec Fermeture éclair latérale-of-Blowfish Granola-b.
ASG-révolver à Billes Airsoft-DW Classic 2, 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-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt. 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,George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over-Ocun Quattro.
Brax Feel Good Style Colette, 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/Hush Puppies Men's Advice Pt Derby Oxford, 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-Ocun Quattro, 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,Modèle d'avion en métal moulé sous pression 16 cm Boeing B777.
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