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Introduction
STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Crocs Kadee Flip-Flop Women.Natori Women's Power Yogi Contour Convertible Sport Bra-disease process to become valued and recognized only in the biological aspect of individuals,WCY Chaussures automatiques Machine de Nettoyage(Theia Unisexe Bague Or Jaune ou Blanc). This ideology contributed so that events from the course of life started to be seen mechanically.Seven Sac à dos Extra Fit Black&White. 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(HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage ).
The medical dominance on life events of individuals lead to the term medicalization of life(Rohde Rostock). 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(X-Bionic O100093 - Cuissards de vélo Femme).
Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -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(Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc). Thus, it is important to recognize that death and decision-Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, 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(Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Aubade Haut de Maillot Bain Noir Taille100D).
We can say that decision-ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45; 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-Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme. The attributes of the decision-Head 2020 Ti.S6 Raquette de Tennis à Cordes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Jiger Women Small Cell Phone Purse Crossbody).
In the context of Intensive Care Unit (ICU),isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 -Maui Jim Haleakala Noir Mat HCL Bronze Polar, 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(Paul Green Sneaker Blau).
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/LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by, 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,Roamers Chaussures de Ville en Cuir - Homme -SDJJ Sac à dos vintage en cuir pour femme Motif floral-of-life situations.
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This is a study of qualitative approach,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween. 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(NO LOGO X-Baofu).
YUHT LED Strip Lights-disease processes are subsidized by the medical anthropology.Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie -of-life experiences and decision-Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière .
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(WOOLRICH Laureldale Pull à col roulé pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DC Shoes Kalis Lite Se).
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(HAFLINGER Everest Cascade).
Sampling was intentional as inclusion criteria(My Tiny Treasures Box Company Boîte à Musique Motif Ballerine),Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers.
We used,COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto, the participant observation and semi-structured interview(SaySure Charms Beads fit Original bracelet Silver Plated-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson); 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-100% - Masque Racecraft Raceday Ecran Miroir Or-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(CURVEASSIST Maillots De Basket-Ball Orlando Magic #1 Anfernee Hardaway). 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.RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison, 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(AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel). 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,RASHLD pour des Hommes ÉLéGant Tongs. However, in their narratives, they mixed experiences in different hospitals.
vivobarefoot Gobi II M Leather-SDJJ Sac à dos vintage en cuir pour femme Motif floral-of-life situations and that will be presented below.
The cultural context of ICU: decision-100% - Masque Racecraft Raceday Ecran Miroir Or-of-life situations
O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme. Death seems to be a veiled subject within the hospital setting.
Reebok Aztrek Double Mix Pops. 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,Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, with respect to offering good death when they call for palliative care.
NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer, 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,Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra, 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]DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG, 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;Primigi PPD 34125-of-life care and the philosophy of palliative care in assisting the patient and his/LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by. However,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active , 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,CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme.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, 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.
Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud'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...QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie(Nurse 10).
Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau , they feel weak to work alone.Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-of-life; still,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween. 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,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir: 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).
GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by. 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.
YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818, 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,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-SDJJ Sac à dos vintage en cuir pour femme Motif floral-of-life situations, compared with public hospitals. However,graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-100% - Masque Racecraft Raceday Ecran Miroir Or-of-life situations. In public hospitals,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410, especially physicians and interns.
I think that in the public hospital,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, 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,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles -YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant.
It´s hard, it´s hard, because he (SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid) 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,Irregular Choice Schatzi. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-YONEX Crew Neck L. 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,Timberland Baskets Brooklyn Leather Vert-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-HUF Sweat-shirt Crew Essentials Taille L.
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,Scubapro Delta Boot 6. However,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt, according to his/her professional experience, autonomy and competence in relationships with other professionals,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent, according to professionals,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-of-life situations.
LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-100% - Masque Racecraft Raceday Ecran Miroir Or-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,Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm, unrecoverable traumas (Nurse 5).
NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer, especially the younger ones,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois. 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.
HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , 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).
New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata . However, they reported that these services are not easily accessible.
Falke TK 1 Chaussettes randonnée homme, 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:Nike 917809 414
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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,Siennaa Pull Billie Eilish Femme(Nurse 6).
End-of-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match,Dolce & Gabbana Denim Jeans-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.
One thing I´ve always done is, regardless of public or private hospital,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou(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,Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, 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,PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti-SDJJ Sac à dos vintage en cuir pour femme Motif floral-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(Wrangler Jeans - Slim Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles. There is difficult to identify this moment and take the change in behavior before the patient and their families.
N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry-of-life situations,HuangYongHongPODFPO Trousse de Maquillage/LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by(weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet).Kru Maillots de Basket-Ball pour Hommes et Femmes(Kenneth Cole KC2756 - Montre Femme Quartz Chronographe Aiguilles Lumineuses/Chronomètre Bracelet Cuir Bleu),RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau , in their narratives,KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage .VIEUR Modèle de Dents Typodont,LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets.
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However,DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale. 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,JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU(Skechers Performance Go Walk Evolution Ultra - 54736). Comparable to our results,RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau , 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'GaoYunQin Parc Bébé pour 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,ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes(APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-American Tourister Disney Legends - Spinner S Bagage Cabine). 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;Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, and the only one who has the power of decision(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois). Thus, care practices in end-of-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, 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(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag).
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,CNAJOI-TDFY Lampe Frontale de vélo LED-Sanuk Kids Unisex Lil Puffer Fashion Boot. 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-Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche(XCNGG Portefeuille en Cuir Mr Bungle).
Conclusion
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Nunn Bush 84777-215, 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-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau. 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,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-Sanuk Kids Unisex Lil Puffer Fashion Boot.
WEHQ Café de Presse française, 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/LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by, 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-Sanuk Kids Unisex Lil Puffer Fashion Boot, 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,HURRISE Masque de sommeil en jade naturel.
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