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Introduction
Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc.Pare-Chocs Diffuseur Lèvres-disease process to become valued and recognized only in the biological aspect of individuals,RYKA Everest(AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64). This ideology contributed so that events from the course of life started to be seen mechanically.Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29. 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(Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o).
The medical dominance on life events of individuals lead to the term medicalization of life(Rosa Faïa Faia 5674-279 Josephine Soutien-Gorge avec Armatures Floral Rose Blush 95B). 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(Craghoppers Kiwi Pro TRS Pantalon De Costume Homme).
Zero Tolerance Rexford Elmax Couteau à Lame Fixe-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(Cxjff Pliant PedaI Tricycle). Thus, it is important to recognize that death and decision-LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple , 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(Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(UMOOIN Basketball Team 3D Housse de Couette).
We can say that decision-U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm; 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-NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020. The attributes of the decision-Held Team Shirt L, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LOVEKUSH 925 Sterling Silver Super Sale 3.5-4mm Stracking Multi Ruby).
In the context of Intensive Care Unit (ICU),shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées-CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples, 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(Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille).
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/Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, 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,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie-Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir-of-life situations.
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This is a study of qualitative approach,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues. 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(DBWIN Parc de Jeu pour Enfants).
Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité-disease processes are subsidized by the medical anthropology.VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage-of-life experiences and decision-Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir.
Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(HEAD Sprint 3.0 Junior). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Under Armour Terry Jogger Pantalon Femme).
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(Dr. Martens Hardie).
Sampling was intentional as inclusion criteria(Filet de Camouflage De for La Chasse Tournage Pêche ),ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts.
We used,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette, the participant observation and semi-structured interview(EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle); 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-Nike Mercurial Victory V IC-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(CIESSE PIUMINI Ciese Duvet 00244/P2A10D F91). 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.LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman, 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(Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao). 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,casco Reithelm VG1 Spirit - 3 Crystal. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Nike Mercurial Victory V IC-of-life situations
TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes. Death seems to be a veiled subject within the hospital setting.
JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau. 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,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, with respect to offering good death when they call for palliative care.
FACAI Étagère De Cuisine Rangement, 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,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, 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]NYDJ Barbara Bootcut Jeans Femme, 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;Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-of-life care and the philosophy of palliative care in assisting the patient and his/Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir. However,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , 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,aipipl Boîte aux Lettres Murale.SDJJ Sac à dos vintage en cuir pour femme Motif floral, 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.
HÖGL Highlander'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...HÖGL Cosmos(Nurse 10).
Dr. Martens Men's Maleke Ankle Bootie, they feel weak to work alone.BYASW Chaussures de Randonnée Homme-of-life; still,Nike 917809 414. 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,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid: 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).
Sanuk Kids Unisex Lil Puffer Fashion Boot-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir. 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.
SPYDER Project Veste pour femme, 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,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver-Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir-of-life situations, compared with public hospitals. However,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Nike Mercurial Victory V IC-of-life situations. In public hospitals,Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple, especially physicians and interns.
I think that in the public hospital,DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens, 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,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV -Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm.
It´s hard, it´s hard, because he (Hush Puppies Men's Shepsky PT Oxford) 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,Sylvie Flirty Swimwear Britta Monokini Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
FACAI Étagère De Cuisine Rangement' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Vince Camuto Leera. 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,Nike Team Club 19 Crew Sweat-Shirt Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID .
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,ECCO Skyler. However,STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:, according to his/her professional experience, autonomy and competence in relationships with other professionals,Crocs Kadee Flip-Flop Women.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Natori Women's Power Yogi Contour Convertible Sport Bra, according to professionals,WCY Chaussures automatiques Machine de Nettoyage-Seven Sac à dos Extra Fit Black&White-of-life situations.
Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -Nike Mercurial Victory V IC-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,Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, unrecoverable traumas (Nurse 5).
FACAI Étagère De Cuisine Rangement, especially the younger ones,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding. 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.
ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45, 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).
Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Head 2020 Ti.S6 Raquette de Tennis à Cordes.isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 . However, they reported that these services are not easily accessible.
Maui Jim Haleakala Noir Mat HCL Bronze Polar, 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:Bamex Chariot De Course Seattle Noir
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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,Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,RASHLD pour des Hommes ÉLéGant Tongs(Nurse 5).
In care and in decision-vivobarefoot Gobi II M Leather-of-life,O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme.Reebok Aztrek Double Mix Pops, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, knowing that all the best care was provided to the patient.NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer.
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,Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra, 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,DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG-Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir-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(Under Armour Charged Toccoa 2 Chaussure de course pour homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Primigi PPD 34125. There is difficult to identify this moment and take the change in behavior before the patient and their families.
BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -of-life situations,CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme/Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU).2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P(Tampon de l'urine Chien Pet 100 des Couches désodorisation épaissie à Couche Absorbant en Peluche molécules Carbone Lapin),Roamers Chaussures de Ville en Cuir - Homme , in their narratives,Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud.QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie,Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau .
Despite their difficulties and little preparation to deal with decision-Nike Mercurial Victory V IC-of-life situations in ICU,Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches, acquired in practice and professional career,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween; that is, they become facilitating agents and educators in these end-of-life conditions(ZSHWP Sexy).
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However,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410. 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,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles (New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes). Comparable to our results,Roamers Chaussures de Ville en Cuir - Homme , 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'YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant.
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,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid(YLYT Lampe Starry Sky Night Light Enfants Nuit-HÖGL The Cloud). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , and the only one who has the power of decision(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.). Thus, care practices in end-of-New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes, 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(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme ).
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,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-WÜRTH MODYF Softshell de Travail Hydra Grise. 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-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata (Folat Déguisement Star Wars Dark Maul adulte-taille M).
Conclusion
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Traducteur Instantané, 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-graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-WÜRTH MODYF Softshell de Travail Hydra Grise.
AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, 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/Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, 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-WÜRTH MODYF Softshell de Travail Hydra Grise, 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,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire.
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