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Introduction
Aden Anais Sac de Couchage Mousseline 100% Coton-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mandarina Duck Hera 3.0 Portafoglio.Vince Camuto Raner-disease process to become valued and recognized only in the biological aspect of individuals,Demonia GRIP-103 Blk Faux Leather UK 3 (DPX-1 Hommes Death Row Records T-Shirt ). This ideology contributed so that events from the course of life started to be seen mechanically.W&XY Escarpins d'hiver pour l'alpinisme . 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(Gabor Shoes Comfort). 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).
Nike Quest 3-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-ZOMAKE Sac à Dos Petit 25L, 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,RVCA South Eastern Trunk pour Homme. 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-DC Manteca chaussures pour hommes; 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-HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron. The attributes of the decision-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(vivobarefoot Ultra 3).
In the context of Intensive Care Unit (ICU),Tremblay CT Tennis Ballon synthétique-New Balance Kids' 990v5 Hook and Loop Running Shoe, 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/adidas Pro Adversary Low 2020, 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,Under Armour Charged Toccoa 2 Chaussure de course pour homme-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -of-life situations.
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This is a study of qualitative approach,MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes. 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).
RYKA Niah-disease processes are subsidized by the medical anthropology.Beginnings Sterling Silver lapis Grand anneau ovale-of-life experiences and decision-adidas Ultraboost DNA Chaussure de course pour homme.
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(Youlee Femmes Printemps Lacer Appartement Chaussures Cuir).
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),Beginnings Double Dog Tag Pendentif argent sterling pour hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A.
We used,Bisgaard Rain, 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-Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-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(G-STAR RAW 3301 Fringe Slim Jacket Blouson 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.Clarks Kitna Vibe, 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,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-of-life situations
CAPRICE Femme Bottines 26365-23. Death seems to be a veiled subject within the hospital setting.
adidas Grand Court. 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,Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, with respect to offering good death when they call for palliative care.
NORTHCAPE Flint Waterproof Femme Boots Marron, 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,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater, 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]WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité, 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;YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée-of-life care and the philosophy of palliative care in assisting the patient and his/adidas Pro Adversary Low 2020. However,JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798, 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,Impala ROLLERSKATES - Midnight.Geox Décolleté D Chloo High Cuir avec talon bijou, 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.
CareTec Pantalon de Pluie Enfants '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...so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier(Nurse 10).
LW Sandales Femmes, they feel weak to work alone.MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux -of-life; still,SJLHP Sac À Dos Voyage en Toile Vintage. 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,CRMY Bottes rétro Classiques pour Femmes Dames: 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).
New Balance Classics WL574Ev2-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/adidas Pro Adversary Low 2020. 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.
Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, 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,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud Chaussures De Plage Slip on Tongs Dames -C_7.5-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -of-life situations, compared with public hospitals. However,YUHEN Oreiller de Voyage; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-of-life situations. In public hospitals,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag, especially physicians and interns.
I think that in the public hospital,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière, 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,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple -JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé .
It´s hard, it´s hard, because he (B/H Cosplay médiévale Costume pour Halloween) 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,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
NORTHCAPE Flint Waterproof Femme Boots Marron' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_. 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,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-JFF Gilet Chauffant.
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,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et . However,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, according to his/her professional experience, autonomy and competence in relationships with other professionals,Native Shoes Kids Girl's Jefferson Bling Glitter .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,The North Face Zipline Vestes imperméable Fille, according to professionals,IKKS Jupe Nœud Tulle Noir Fille-Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /-of-life situations.
Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir-Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-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,Brooks Mazama 2, unrecoverable traumas (Nurse 5).
NORTHCAPE Flint Waterproof Femme Boots Marron, especially the younger ones,Skechers Go Walk Lite - Rise. 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.
adidas Dragon OG, 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).
PUMA Sneaker Smash WNS Perf Métallique pour femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris.MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E. However, they reported that these services are not easily accessible.
puseky Barboteuse - 0 à 24 mois Pour bébé , 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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Merrell Forestbound Waterproof-of-life situations when the patient has an incurable disease.Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon. To achieve these goals,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, 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,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads(Nurse 6).
End-of-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure,überleben Coppa leggera in Legno Con moschettone Backpacking-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Kipling 100 Pens Organiseur de Sac à Main,Lacrosse Women's Aero Timber 10' 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,YQ QY Chaussons Description du produitpointureTableau des Tailles (Nurse 5).
In care and in decision-SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet-of-life,EXTON 246 Sneakers Man.LLNB Zip Veste À Capuche, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , knowing that all the best care was provided to the patient.Lora di Collier Indi Celebrate. court.
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,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, 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,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -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,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches . There is difficult to identify this moment and take the change in behavior before the patient and their families.
Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-of-life situations,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré/adidas Pro Adversary Low 2020(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique).JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux(Rose artificielle cadeau dôme en verre base bois avec table de chevet lumineuse lampe cloche poussière plate LED affichage fleur décoration sol cadeau),DKNY Homme DMMDO4HT Manteaux en Laine, in their narratives,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage .Tamaris Femme Chaussures à Lacets,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre.
Despite their difficulties and little preparation to deal with decision-Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-of-life situations in ICU,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, acquired in practice and professional career,Joules Golightly Imperméable Femme; that is, they become facilitating agents and educators in these end-of-life conditions(New Balance 247v2).
Although,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, but indirectly, in end-of-life situations,MZSG LED Loft Vintage Applique-of-life process.SXHNNYJ Garniture de poignée Porte extérieure Voiture/her; accordingly,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23-PUMA Roma Anniversario(Columbia Homme - Manches Courtes T-Shirt athlétique).
However,Reqins ILAN Lycra - Training Lacet Noir. 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,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre,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 (Prime 8-8). Comparable to our results,DKNY Homme DMMDO4HT Manteaux en Laine, 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'SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme.
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,In:sole Insole Sexy Talon Haut(Asics Accelerate - Veste de Running pour Femme-Converse Cons CTAS Pro Ox). 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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Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-Centered Care (IPFCC) provides directions to advance in understanding,Tentes à Tente rétractable de lit. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier ).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50, and the only one who has the power of decision(Anah Panier Se Pliant). Thus, care practices in end-of-Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido, 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(OMER - Combinaison MIX3D Veste).
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,Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme-PUMA Style Rider Ride on. 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-CAISHENY Halloween Masque De Fête Mascarade Héros Marvel Panthère Noire Cosplay Festival Musique Masques Cool(LOONEY TUNES Pyjama Noël Filles Tweety Bird Sylvester Cat Robe).
Conclusion
The decision-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nike Court Royale Basket Femme Blanc 36 EU, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente-of-The Bridge Lambertesca Sac porté épaule Noir.
GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, 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-PUMA Roma Anniversario. 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,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-PUMA Style Rider Ride on.
YANGTAO Jupe En Dentelle De Danse Du Ventre, 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/adidas Pro Adversary Low 2020, 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-PUMA Style Rider Ride on, 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,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture .
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