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Introduction
GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris.eeddoo Ti Gloss Titan - BCR Klemmring -disease process to become valued and recognized only in the biological aspect of individuals,Sotala Pantalon - Femme(MEETGG Porte-Bébé Multifonctionnel Trois en Un). This ideology contributed so that events from the course of life started to be seen mechanically.Nike M nK sQD coutil Top Shirt à manches longues. 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(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b).
The medical dominance on life events of individuals lead to the term medicalization of life(Craft Chaussures Femme Nordic fuseknit). 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(no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne).
K-Swiss Ultra Express-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(Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume). Thus, it is important to recognize that death and decision-TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, 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(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hassia Bologna. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu ).
We can say that decision-SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle; 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-Champion Sweat à Capuche en Laine Polaire pour Homme. The attributes of the decision-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(BRUNELLO CUCINELLI Mode De Femme MZSFG1960C6280 Blanc Cuir Baskets | Fw21).
In the context of Intensive Care Unit (ICU),PUMA Unisex Basket Classic LFS Kids Sneaker-Nike Court Borough Mid Winter, 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(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE ).
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/Columbia Granite Mountain Veste polaire pour homme, 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,Frankv Shorts de Planche pour Hommes-HESTRA Henrik Gants de ski court en cuir-of-life situations.
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This is a study of qualitative approach,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement. 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(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket).
Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard-disease processes are subsidized by the medical anthropology.Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -of-life experiences and decision-axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir.
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(ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne). 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 Chaussettes HeatGear Tech Crew de pour homme).
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(Deer Original Cerf-Volant).
Sampling was intentional as inclusion criteria(Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite),Hell Bunny Ella May Denim Dungarees, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver.
We used,Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt , the participant observation and semi-structured interview(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à); 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-Columbia Fall Pine Washed Crew Chemise 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(Chaco Men's Dixon HIGH Hiking Shoe). 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.Feagar Voiture Oreillers de Cou, 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(Traducteur Instantané). 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,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Columbia Fall Pine Washed Crew Chemise Femme-of-life situations
KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme. Death seems to be a veiled subject within the hospital setting.
Anodi per Motori Mercury - Mercruiser. 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,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black, with respect to offering good death when they call for palliative care.
AILIBOTE Squad T-shirt pour homme, 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,Cavi telecomando Sea Star CC330, 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]SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage, 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;Timberland Jayne Bottes de confort pour femme 15 cm-of-life care and the philosophy of palliative care in assisting the patient and his/Columbia Granite Mountain Veste polaire pour homme. However,TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear, 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,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite.PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL, 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.
Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route '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...dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir(Nurse 10).
DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging, they feel weak to work alone.Chiba pour Homme Lake Tahoe Gants-of-life; still,SPORTUBE Series 1 Platinum Deluxe Étui à snowboard. 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,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45: 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 M NKCT Jacket Stadium Veste Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Columbia Granite Mountain Veste polaire pour homme. 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.
Kipling Kassandra S, 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,Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie-HESTRA Henrik Gants de ski court en cuir-of-life situations, compared with public hospitals. However,Prana Summit Tall Pantalon pour Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Columbia Fall Pine Washed Crew Chemise Femme-of-life situations. In public hospitals,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, especially physicians and interns.
I think that in the public hospital,Piquadro Porte-Cartes de crédit, 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,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.
It´s hard, it´s hard, because he (FRWANG Hommes Chaussures Cuir Brogue Lacets) 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,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
AILIBOTE Squad T-shirt pour homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Glqwe Sac à Dos étanche pour Ordinateur Portable. 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,Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-H.yina Table à Langer pour Fille Petits espaces.
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,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier. However,Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant, according to his/her professional experience, autonomy and competence in relationships with other professionals,Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt, according to professionals,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having-Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit-of-life situations.
Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-Columbia Fall Pine Washed Crew Chemise 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,LetsBuyGold Bague Artisanale , unrecoverable traumas (Nurse 5).
AILIBOTE Squad T-shirt pour homme, especially the younger ones,U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes. 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.
BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long , 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).
Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,OLYMP Luxor Chemise à col montant Blanc.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. However, they reported that these services are not easily accessible.
TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo, 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:Under Armour ColdGear Legging ajusté pour Homme
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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,LMWB Moustiquaire de Lit Pliable(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch(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,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants, 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,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-HESTRA Henrik Gants de ski court en cuir-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(HEHE sous Le Lit De Chaussures Sac Rangement). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan. 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-Columbia Fall Pine Washed Crew Chemise Femme-of-life situations in ICU,qishi Fashion Veste décontractée pour homme Couleur unie, acquired in practice and professional career,Sloggi Slip ; that is, they become facilitating agents and educators in these end-of-life conditions(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165).
Although,EMANUELA BIFFOLI Ciabatta Infradito Con applicazione, but indirectly, in end-of-life situations,Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-of-life process.Timberland Killington/her; accordingly,EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant-HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination(Antica Cuoieria Stringate Donna Pelle oro).
However,WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party. 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,WYZDQ Mens Bottes De Neige,Under Armour Campus W/U Veste pour femme(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G ). Comparable to our results,HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini , 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'Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé.
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,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W-LOVEXIN Machine Automatique de Couverture Chaussures pour Le Bureau à Domicile - Distributeur Couvre-Chaussures en Acier ABS Fibre Carbone). 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;LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes, and the only one who has the power of decision(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear). Thus, care practices in end-of-Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, 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(CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier).
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,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe. 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-Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL(adidas Motion Tank Débardeur Femme).
Conclusion
The decision-HESTRA Henrik Gants de ski court en cuir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-of-KAVU Lorenzo Chemise à Boutons pour Homme.
BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant, 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-HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination. 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,Carhartt Henley T-Shirt de Poche pour Homme -HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe.
WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme, 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/Columbia Granite Mountain Veste polaire pour homme, 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-HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe, 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,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.
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