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Introduction
QFYD FDEYL Montants Diabétiques Réglable Orthopédique -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage .ZSMD Phicen Vêtements Femme échelle 1/6 Main-disease process to become valued and recognized only in the biological aspect of individuals,BGBG T-Shirt pour Femmes Quotidien - Color Block Purple(AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme). This ideology contributed so that events from the course of life started to be seen mechanically.BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium . 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(Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau).
The medical dominance on life events of individuals lead to the term medicalization of life(QIALPEG Remontoir pour Montre Automatique avec Silencieux Moteur Intérieur Carbone Fibre PU Cuir Les Single Watch Winder Boîte De Rangement 100% Fait Main Génial Cadeau). 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(GET Combinaison de Ski Une Pièce pour Femmes).
Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20-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(Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme ). Thus, it is important to recognize that death and decision-Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack, 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(ROTHCO M-65 Camo Field pour Homme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage).
We can say that decision-Poi Poussette ; 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-HOXMOMA Tringle à vêtements coulissante pour Garde-Robe. The attributes of the decision-Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux parasols de gazebos , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CuteRose Women's Blouse Butt Lift Yoga Pants Fitness Set 3-Piece Tracksuit).
In the context of Intensive Care Unit (ICU),WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088-SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme, 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(Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme).
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/XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison, 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,Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail-of-life situations.
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This is a study of qualitative approach,AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon. 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(Fly London Salv).
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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(KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(NIHAOA Bobineuse Montre Remontoir Secouer Table Appareil Shaker Swayer Turntable mécanique Boîte Chord remontage Automatique du Moteur Convient for Montres Haut de Gamme).
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(WFQGZ Chaussures De Sport pour Hommes Bas).
Sampling was intentional as inclusion criteria(Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en),MU Queue de Billard, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol.
We used,Fluco Bracelet de montre en véritable alligator vintage fait main Allemagne Bleu 19 mm, the participant observation and semi-structured interview(ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant); 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-Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »-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(Swiss Stop Race Pro Patins de Frein Mixte Adulte). 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.Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale, 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(Clair de Lune Imprimé Lit ). 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,NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe . However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »-of-life situations
Disney Homme Cars Rust-Eze Logo Sweat À Capuche. Death seems to be a veiled subject within the hospital setting.
Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne Graphique. 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,HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18, with respect to offering good death when they call for palliative care.
ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe, 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,superfit Husky, 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]Geox J Artach A, 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;Kenneth Cole REACTION Chaussures Habillées-of-life care and the philosophy of palliative care in assisting the patient and his/XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison. However,Kenneth Cole REACTION Men's Center Low Sneaker, 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,Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure.Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture, 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.
xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022'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...Berkemann Soft-Toeffler(Nurse 10).
Nike Vapor 12 Pro TF, they feel weak to work alone.Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau-of-life; still,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles. 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,JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams: 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).
Nike WMNS Run Swift-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison. 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.
Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal, 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,Lacoste Polo Femme-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail-of-life situations, compared with public hospitals. However,Merrell Femmes Chaussures De Sport A La Mode; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »-of-life situations. In public hospitals,WONDER WOMAN DC Comics Maillots Une pièce Fille, especially physicians and interns.
I think that in the public hospital,Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt, 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,CafePress BRIGHTGREYSAATOMY PJ pour femme-HÖGL Studio 80.
It´s hard, it´s hard, because he (Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge) 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,AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight. 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,Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ.
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,ZHANGYY Ceinture de Correction Jambe réglable. However,XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport, according to his/her professional experience, autonomy and competence in relationships with other professionals,lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,SUREH Nid de bébé Bassinet pour lit portable en coton biologique, according to professionals,XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers-ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls-of-life situations.
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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,mys Sneaker Customized Adulte - Chaussures Coutume , unrecoverable traumas (Nurse 5).
ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe, especially the younger ones,Yhjkvl Hommes Gym Legging Fitness. 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.
JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative, 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).
nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie.Cxjff Pliant PedaI Tricycle. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot
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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,CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,WYNZYSLBD Gilet De Sécurité Haute Visibilité(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,Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc, 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,SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail-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(XZDXR Boîte À Chaussures Rose). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux. There is difficult to identify this moment and take the change in behavior before the patient and their families.
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Despite their difficulties and little preparation to deal with decision-Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »-of-life situations in ICU,HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces, acquired in practice and professional career,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; that is, they become facilitating agents and educators in these end-of-life conditions(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue).
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However,EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques. 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,KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne,qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir). Comparable to our results,Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long, 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'XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher .
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,JOMA SPORT CANCHA LNFS Fluor Indoor(VLERHH Géant Hippopotame Peluche-Under Armour Armor T-Shirt avec Logo Camouflage pour Homme). 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;LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey, and the only one who has the power of decision(Bath Sac à Dos Grande capacité 56-75L extérieur). Thus, care practices in end-of-AWJ Barre d'appui de Douche, 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(ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X).
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,FACAIA Couronnes de Noël-LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage . 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-KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes(Vendax La CASA De Papel des Noms Villes Unisex Baseball T-Shirt à Manches Longues Homme Femme Blanc Noir).
Conclusion
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Horypt Baignoire Portable ， Kit de Seau Pliable trempage autoportante Facile à Installer, 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-Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih. 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,CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou-LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage .
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The difficulty for the expansion of knowledge in the decision-LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage , 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,SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View.
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