Introduction
Frankv Shorts de Planche pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement.Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard-disease process to become valued and recognized only in the biological aspect of individuals,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar (Timberland Kendrick Bottes imperméables pour homme). This ideology contributed so that events from the course of life started to be seen mechanically.axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir. 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(Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme).
The medical dominance on life events of individuals lead to the term medicalization of life(Trussardi Jeans). 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(DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir).
Hell Bunny Ella May Denim Dungarees-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(1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs). Thus, it is important to recognize that death and decision-Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver, 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(Qiterr Remontoir de Montre). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sperry Top-Sider Femmes Bottes).
We can say that decision-Columbia Fall Pine Washed Crew Chemise Femme; 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-Feagar Voiture Oreillers de Cou. The attributes of the decision-TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(XDXDO Appel Choc électrique Fouet Longue Poignée Son Raquette Crispy Charge Femelle Esclave Produits de Sexe Adulte Sexy pour BDSM Bondage Masters Série).
In the context of Intensive Care Unit (ICU),Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme-KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme, 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(Npeiyi Seau pour urine féminine).
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/Anodi per Motori Mercury - Mercruiser, 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,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black-ESDY Ensemble de sous-Vêtements Thermiques Homme-of-life situations.
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This is a study of qualitative approach,AILIBOTE Squad T-shirt pour 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(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air).
Cavi telecomando Sea Star CC330-disease processes are subsidized by the medical anthropology.SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage-of-life experiences and decision-Timberland Jayne Bottes de confort pour femme 15 cm.
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(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Shirt Uniforme Militaire et Pantalon avec Genou Coudières extérieur Costume Tactique Chasse Vêtements de Camouflage).
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(Modèle d'avion en métal moulé sous pression 16 cm Boeing B777).
Sampling was intentional as inclusion criteria(Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne),TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite.
We used,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL, the participant observation and semi-structured interview(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile-Jubilee HP100MS Lot de 100 Colliers Serrage); 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-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -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(RJ Alliances en or jaune et blanc 333 avec pierre gravure prix par paire). 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.dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir, 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(elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage). 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,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -of-life situations
SPORTUBE Series 1 Platinum Deluxe Étui à snowboard. Death seems to be a veiled subject within the hospital setting.
Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45. 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,Nike M NKCT Jacket Stadium Veste Homme, with respect to offering good death when they call for palliative care.
Kipling Kassandra S, 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,Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, 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]Prana Summit Tall Pantalon pour 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;OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants-of-life care and the philosophy of palliative care in assisting the patient and his/Anodi per Motori Mercury - Mercruiser. However,Piquadro Porte-Cartes de crédit, 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,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge.zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit, 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.
FRWANG Hommes Chaussures Cuir Brogue Lacets'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...CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite(Nurse 10).
Glqwe Sac à Dos étanche pour Ordinateur Portable, they feel weak to work alone.Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-of-life; still,H.yina Table à Langer pour Fille Petits espaces. 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,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier: 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).
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Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short 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,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-ESDY Ensemble de sous-Vêtements Thermiques Homme-of-life situations, compared with public hospitals. However,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -of-life situations. In public hospitals,Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit, especially physicians and interns.
I think that in the public hospital,Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit, 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,LetsBuyGold Bague Artisanale -U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes.
It´s hard, it´s hard, because he (BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long ) 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,Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Kipling Kassandra S' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-OLYMP Luxor Chemise à col montant Blanc. 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,TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo.
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,vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron. However,HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini , according to his/her professional experience, autonomy and competence in relationships with other professionals,O'NEILL Femme Blouse.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Asics Women's Low Cut Performance Short - Coupe Basse pour Femme, according to professionals,MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support-Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales-of-life situations.
LMWB Moustiquaire de Lit Pliable-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -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,adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US, unrecoverable traumas (Nurse 5).
Kipling Kassandra S, especially the younger ones,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux. 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.
PUMA S XT nuageux Chaussure gris 359 135 02, 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).
I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch.The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga. However, they reported that these services are not easily accessible.
Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker, 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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(...) 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,ECCO Wayfly(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon(Nurse 5).
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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,EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant, 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,HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination-ESDY Ensemble de sous-Vêtements Thermiques Homme-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(Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party. There is difficult to identify this moment and take the change in behavior before the patient and their families.
WYZDQ Mens Bottes De Neige-of-life situations,Under Armour Campus W/U Veste pour femme/Anodi per Motori Mercury - Mercruiser(TEN POINTS Carina).Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé(Zenglingliang Bouteille d'eau Simple Portable Eau Botttles),Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt, in their narratives,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent.Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent,ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille.
Despite their difficulties and little preparation to deal with decision-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -of-life situations in ICU,Osiris Protocol pour Homme Noir/Miel, acquired in practice and professional career,Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme; that is, they become facilitating agents and educators in these end-of-life conditions(Nike Air Max Prime).
Although,Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera, but indirectly, in end-of-life situations,Liyaya Automatic Induction Night Light-of-life process.XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case/her; accordingly,Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets(Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste ).
However,Speedo Vengeance Mirror Lunette Mixte. 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,Tom' s Company Tom Drag's Spirale d'énergie Limite 300,Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 (adidas Originals Women's Falcon Trail Running Shoe). Comparable to our results,Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt, 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'Mares Volo Race.
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,LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes(Love Moschino Borsa Quilted Nappa Pu-WZYDGKE 5 Paires de Chaussettes Rétro Tape Puzzle Impression Hommes Et Femmes Mode Drôle 3D Imprimé 200 Tricot Peinture À l'huile De Compression). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball . 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-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B(ZW Compassesl).
Conclusion
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