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Introduction
Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Goodthreads Marque Amazon - Short chino élastique et confortable.HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-disease process to become valued and recognized only in the biological aspect of individuals,KYOTO Plaquette Semi-métal S1989(Square Enix Figurine 'Super Street Fighter IV - Sakura). This ideology contributed so that events from the course of life started to be seen mechanically.Kwon Kimono pour Enfant Taekwondo Song. 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(Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage ).
The medical dominance on life events of individuals lead to the term medicalization of life(DFV mobile - Housse Professionnelle Brassard Néoprène Sport Marche Courir Fitness Cyclisme Gym pour HTC U11 Dual TD-LTE U-3u). 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(Hexagona Sacoche en cuir de vachette RÉPUBLIQUE).
Skechers Bounder-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(JLFZC Chaussures formelles). Thus, it is important to recognize that death and decision-HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural, 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(SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,steve madden Tronchetto in Suede Marrone. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sanita Saskia Sport Flex Sandale).
We can say that decision-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE ; 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-Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir. The attributes of the decision-Timberland Kendrick Bottes imperméables pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(adidas Tubular Runner K W chaussures 6).
In the context of Intensive Care Unit (ICU),IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, 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(Nine West Womens Printed Formal Dress Pants Blue 14).
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/LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, 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,Carrelage de nivellement automatique portatif carreaux céramique-Rieker 38434-of-life situations.
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This is a study of qualitative approach,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée. 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(Jiger Women Small Cell Phone Purse Crossbody).
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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(YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(YUHT Trépied en Bois Massif Croquis Ensemble de chevalet Planche à Dessin Support d'affichage Pliable rétractable Portable Peinture l'huile R / 2).
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(WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral).
Sampling was intentional as inclusion criteria(STAR TREK Sweat à Capuche Jeunesse Tos Episode 31),Pulp Fiction Tee Shirt Homme Pomme Rouge, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo.
We used,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, the participant observation and semi-structured interview(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche ); 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-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-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(Geox Jr New Jocker B). 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.GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur, 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(SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle). 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,NENGGE Barre de Traction. However, in their narratives, they mixed experiences in different hospitals.
SBDLXY Parc pour bébé extérieur-Rieker 38434-of-life situations and that will be presented below.
The cultural context of ICU: decision-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-of-life situations
Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz . Death seems to be a veiled subject within the hospital setting.
SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles . 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,WOCTP Manteau imperméable et amovible 3 en 1 pour femme, with respect to offering good death when they call for palliative care.
Hoonmis Robe de soirée Enfant, 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,LED night light, 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]YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, 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;Hatley Swimsuits Maillot Une pièce Garçon-of-life care and the philosophy of palliative care in assisting the patient and his/LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher. However,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1, 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.
teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt'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...Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket(Nurse 10).
Mephisto Mocassins pour Homme, they feel weak to work alone.Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-of-life; still,Fossil Portefeuille à Trois Volets Jesse Cognac. 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,Saucony Shadow Original: 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).
XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher. 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.
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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-Rieker 38434-of-life situations, compared with public hospitals. However,Dare 2b pour femme PREMISS Veste imperméable isolée; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-of-life situations. In public hospitals,Piquadro Pierre Sac de Sport Grand Format, especially physicians and interns.
I think that in the public hospital,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, 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,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage.
It´s hard, it´s hard, because he (Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres) 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,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Hoonmis Robe de soirée Enfant' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon. 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,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020.
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,Procase ProCase Trousse de Toilette Transparente Anti-Fuite. However,Trevor Jones Bof Richard III, according to his/her professional experience, autonomy and competence in relationships with other professionals,I will take action now Lunettes de Soleil coloré Hommes et Femmes.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Reebok Classic Small Vector Tee - Manches Courtes Mixte, according to professionals,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC-Little Me Bébés Filles Foot-of-life situations.
My Tiny Treasures Box Company Boîte à Musique Motif Ballerine-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-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,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen, unrecoverable traumas (Nurse 5).
Hoonmis Robe de soirée Enfant, especially the younger ones,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword. 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.
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AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight.S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15. However, they reported that these services are not easily accessible.
Couverture pour bébé, 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:DXG1 Cabas pour femme Couleur-2 M
Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-of-life situations when the patient has an incurable disease.XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm . To achieve these goals,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde, providing alternative diets, maintaining careful hygiene and pain relief.
(...) 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,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,XFQ Sandales pour Dames en Plein air(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,AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe , 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,JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces-Rieker 38434-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(WRJY Poussette pour bébé). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-. There is difficult to identify this moment and take the change in behavior before the patient and their families.
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However,AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large. 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,FRWANG Tongs Plage Homme,TAZAN Oxford Chaussures Habillées Pour Hommes New 2020(STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier). Comparable to our results,Couverture pour bébé, 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'Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt.
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,FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles(Nisdsgd Men's Hoodies Sweatershirt-HZP Manuscrite I Love My Sibérie Husky Casquette de baseball réglable Noir). 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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DLYDSSZZ Élastique Balance Ball-Centered Care (IPFCC) provides directions to advance in understanding,Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Lowa Renegade GTX Mid).
This care is an approach to the planning,CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM,MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme, patients and families. Thus,D555 Hommes - Pantalon Max Xtenda grande taille .
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Fuliya Men's Hoodies Sweatshirts, and the only one who has the power of decision(Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine). Thus, care practices in end-of-HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D, 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(NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air).
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,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable-Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom. 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-Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm(WMZQW Hommes Cuir Loafer Conduite Chaussures Casual Slip-on Oxford Bateau Mocassins de Mode Appartements Marche Sneaker 38-46).
Conclusion
The decision-Rieker 38434-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel-of-Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée .
RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes, 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-LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville. 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,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M-Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom.
Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux, 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/LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, 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-Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom, 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,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme.
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