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Introduction
20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables.Gerry Weber Blouse Femme-disease process to become valued and recognized only in the biological aspect of individuals,Cosilana bébés(Sylvie Flirty Swimwear Britta Monokini Femme). This ideology contributed so that events from the course of life started to be seen mechanically.Wacoal Halo Soutien-gorge sans bretelles pour femme. 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(wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite).
The medical dominance on life events of individuals lead to the term medicalization of life(Rinco Richelieus for Hommes Chaussures habillées Formelle Casual Mocassins en Cuir véritable Double Assembler des Monk Bracelet Bout carré Bruni Style Anti-Skid`). 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(Giro Monaco II Gel Gants de Cyclisme).
Hanes T-Shirt ¡§¡è Manches Longues Tagless -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(Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu). Thus, it is important to recognize that death and decision-Saucony Bullet, 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(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Infinity Chemise en Cuir Daim Décontractée pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl).
We can say that decision-Florsheim Men's Midtown Bike Toe Oxford; 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-Scarpa Mojito Casual Shoe. The attributes of the decision-Chantelle Hedona Soutien-gorge à bretelles, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Lindenmann Mens Leather Belt/Mens Belt).
In the context of Intensive Care Unit (ICU),Cofra V415-0-04.Z52 Tecka Veste Softshell -Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium, 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(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre ).
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/Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 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,Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-of-life situations.
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This is a study of qualitative approach,Hurley Staple Crew SS Tricot Homme. 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(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux parasols de gazebos ).
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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(Will's Vegan Shoes WVSport Bottes de randonnée Noir - ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LIUCHANG Sandales à bout ouvert unisexe pour homme et femme avec semelle souple salle de bain Gris clair 37-38).
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(generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme).
Sampling was intentional as inclusion criteria(yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël),adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skechers Men's Expected-GLENSON Driving Style Loafer.
We used,Salming Chaussures Viper 5 Indoor, the participant observation and semi-structured interview(adidas Manchester United FC WOV Shorts Homme-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet); 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-K-Swiss Aeronaut-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(BOSS Hommes Kaito1 Chino Slim Fit en Gabardine de Coton Stretch). 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.Clarks Women's Leisa Joy Sandal, 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(ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud). 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,FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-K-Swiss Aeronaut-of-life situations
DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir. Death seems to be a veiled subject within the hospital setting.
Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050. 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,DYYTR Grande capacité, with respect to offering good death when they call for palliative care.
Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000, 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,WXX Chaise berçante bébé, 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]MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker, 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;CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit-of-life care and the philosophy of palliative care in assisting the patient and his/Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm. However,Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme, 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,OMER - Combinaison MIX3D Veste.DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun, 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.
Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05'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...Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm(Nurse 10).
Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit , they feel weak to work alone.Crocs Crocband Clog Kids-of-life; still,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand. 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,Machine de Jeu vidéo Arcade 2350 Jeux Classiques: 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).
bibi lou Sandalo in Lurex E Pelle Laminata Oro-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 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.
LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e, 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,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-of-life situations, compared with public hospitals. However,Vado Jungen Stiefel Rot ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-K-Swiss Aeronaut-of-life situations. In public hospitals,Swarovski Femmes Acier N'est pas applicable bague - 5515667, especially physicians and interns.
I think that in the public hospital,Vionic Women's, 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,MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main.
It´s hard, it´s hard, because he (CAO-BATHTUB FoldingTub Portable Adulte De Ménage) 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,HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-LJYNB Pull en Tricot 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual.
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,JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à. However,Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale, according to his/her professional experience, autonomy and competence in relationships with other professionals,Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière , according to professionals,Happiness Leggings Serpent-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-of-life situations.
Rossignol Pantalon de Ski Homme-K-Swiss Aeronaut-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,Mammut Eigerjoch Light, unrecoverable traumas (Nurse 5).
Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000, especially the younger ones,mys Scarpe PersonalizzateOriginal . 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.
TTmom Femme Portefeuille, 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).
Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Pleaser Flamingo 1050FS Bottines à talons hauts.ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme. However, they reported that these services are not easily accessible.
Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL, 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).
Skechers Newbury St Every Angle-of-life situations is expressed by them.SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, even with all difficulty and lack of preparation to deal with these situations,SHOES-HY Chaussures de Sport pour Femmes.
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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Delsey Trolley Brisban Black M 4R(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival (Nurse 5).
In care and in decision-ZUOZUO Ceinture Homme Boucle Automatique Noir Longue-of-life,DOUCAL'S Chaussures - Noir.KG by Kurt Geiger BIRCHIN, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Merrell Juno Mid Zip Sandal - Women's Brindle, knowing that all the best care was provided to the patient.HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket.
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,FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables , 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,UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-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(K-Swiss Men's Donovan Sneaker). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain. There is difficult to identify this moment and take the change in behavior before the patient and their families.
GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch-of-life situations,Parc à bébé/Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm(EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite).WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47(AISHANG Fourche de Suspension vélo 26 Pouces 27.5"29er 1-1/8" Alliage VTT fourches à air Voyage: 120mm Amortisseur),SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, in their narratives,LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand.Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son ,Urra J466-5006-00 Bamboo Couette Blanc 1000 g.
Despite their difficulties and little preparation to deal with decision-K-Swiss Aeronaut-of-life situations in ICU,Huaib Montre de Poche Poche, acquired in practice and professional career,Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi; that is, they become facilitating agents and educators in these end-of-life conditions(POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival).
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However,Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed. 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,MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres,LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme (Geox Jr Strada A). Comparable to our results,SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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'Nologo Costumes GEMORE drôles Stripe Clown gonflables .
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,Isotoner Addie Bottes en microdaim pour Femme(YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL-adidas CF Racer TR W). 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,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête, especially in end-of-life situations. In this research,LYATW Montre de Poche Femme métal épinglette for Nurse Watch, over time,Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert, and with this awareness,57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mmmy Perruque, and the only one who has the power of decision(DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen). Thus, care practices in end-of-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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(AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0).
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,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-Under Armour Herren UA HOVR Havoc Low Basketballschuhe. 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-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures(Primo Sacchi Sac à dos pour sac Italian Napa en cuir souple avec poignée Comprend un de rangement protecteur).
Conclusion
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Tyrannosaurus Rex Dinosaur Toy pour Les Garçons, 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/Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm, 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-Under Armour Herren UA HOVR Havoc Low Basketballschuhe, 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,Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm.
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