Introduction
Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Prana Summit Tall Pantalon pour Femme.OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants-disease process to become valued and recognized only in the biological aspect of individuals,Piquadro Porte-Cartes de crédit(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam). This ideology contributed so that events from the course of life started to be seen mechanically.LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge. 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(YXZQ Lanterne Murale extérieure Traditionnelle).
The medical dominance on life events of individuals lead to the term medicalization of life(QianXuJi Équipement de Protection pour Casque Motocross Moto Course Vintage). 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(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans).
zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit-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(POSEIDON Bobbin KNOTTER Gold Black). Thus, it is important to recognize that death and decision-FRWANG Hommes Chaussures Cuir Brogue Lacets, 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(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités).
We can say that decision-Glqwe Sac à Dos étanche pour Ordinateur Portable; 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-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage. The attributes of the decision-H.yina Table à Langer pour Fille Petits espaces, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(GPF-fei Chaussures pour Homme).
In the context of Intensive Care Unit (ICU),Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant, 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(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans).
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/Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, 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,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-Feagar Voiture Oreillers de Cou-of-life situations.
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This is a study of qualitative approach,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having. 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(Head Ultimate Power 2020 Raquette de padel Verte).
Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit-disease processes are subsidized by the medical anthropology.Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-of-life experiences and decision-LetsBuyGold Bague Artisanale .
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(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Härkila Gilet de chasse pour homme Orange Lynx Safety AXIS MSP® Blaze).
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(Pleaser Flamingo 1050FS Bottines à talons hauts).
Sampling was intentional as inclusion criteria(KG by Kurt Geiger BIRCHIN),U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long .
We used,Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme, the participant observation and semi-structured interview(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture); 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-OLYMP Luxor Chemise à col montant Blanc-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(Bowfkgjk Beyblade Doux et épais Coton molletonné Pull Crew Neck Grand Trendy de Base Airy Outwear). 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.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, 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(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small). 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,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-OLYMP Luxor Chemise à col montant Blanc-of-life situations
HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini . Death seems to be a veiled subject within the hospital setting.
O'NEILL Femme Blouse. 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,Asics Women's Low Cut Performance Short - Coupe Basse pour Femme, with respect to offering good death when they call for palliative care.
MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support, 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,Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales, 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]LMWB Moustiquaire de Lit Pliable, 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;adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US-of-life care and the philosophy of palliative care in assisting the patient and his/Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme. However,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux, 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,PUMA S XT nuageux Chaussure gris 359 135 02.I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais, 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.
Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch'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...The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga(Nurse 10).
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Nowadays, when we do not have the support of palliative care,MPOQZI Couvre-Volant de Voiture en Cuir Bricolage: 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).
fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme. 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.
LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne, 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,DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan-Feagar Voiture Oreillers de Cou-of-life situations, compared with public hospitals. However,ECCO Wayfly; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-OLYMP Luxor Chemise à col montant Blanc-of-life situations. In public hospitals,Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme, especially physicians and interns.
I think that in the public hospital,Wellcoda Einstein café Homme Sweat à Capuche Marrant décontracté, 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,Berkemann Tec-Pro Toivo-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc.
It´s hard, it´s hard, because he (Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon) 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,qishi Fashion Veste décontractée pour homme Couleur unie. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Sloggi Slip . 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,EMANUELA BIFFOLI Ciabatta Infradito Con applicazione-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes.
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,Timberland Killington. However,EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant, according to his/her professional experience, autonomy and competence in relationships with other professionals,HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party, according to professionals,WYZDQ Mens Bottes De Neige-Under Armour Campus W/U Veste pour femme-of-life situations.
Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé-OLYMP Luxor Chemise à col montant Blanc-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,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, unrecoverable traumas (Nurse 5).
MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support, especially the younger ones,Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent. 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.
ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille, 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).
Osiris Protocol pour Homme Noir/Miel, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme.Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera. However, they reported that these services are not easily accessible.
Liyaya Automatic Induction Night Light, 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:DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black
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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,Mares Volo Race(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver(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,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-Feagar Voiture Oreillers de Cou-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(Fjällräven Leisure Backpack Greenland Zip 13" Polyester). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D. 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-OLYMP Luxor Chemise à col montant Blanc-of-life situations in ICU,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, acquired in practice and professional career,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil; that is, they become facilitating agents and educators in these end-of-life conditions(Hammer Folding Panier).
Although,DPX-1 Hommes Death Row Records T-Shirt , but indirectly, in end-of-life situations,Disney Femme Alice In Wonderland Retro Poster T-shirt-of-life process.Columbia Sportswear Veste légère pour Homme/her; accordingly,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini(Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere).
However,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente. 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,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser,INVICTA Aviator 33292 Montre Homme - 51.5mm(Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme). Comparable to our results,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, 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'Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille.
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,WENZHEN Sac à Dos Langer bébé(ALTRA Escalante 2.0 Black-YATTYUG Women's Hoodies Tops). 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;TOUS 995960397, and the only one who has the power of decision(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation). Thus, care practices in end-of-CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, 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(LIUCHANG Trotteur).
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,ROXY Snow Junior's Amy 3N1 Jacket-Cavi telecomando Sea Star CC330. 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-Napapijri Sweatshirt à Capuche Homme(Naturalizer Sonia).
Conclusion
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HR Chevalière en forme de cœur gravé or jaune 7 mm, 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/Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, 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-Cavi telecomando Sea Star CC330, 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,Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet.