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Introduction
Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium.Steiff - 239588 Doudou Ours Dors Bien Bleu-disease process to become valued and recognized only in the biological aspect of individuals,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4). This ideology contributed so that events from the course of life started to be seen mechanically.Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète. 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(Dean & Tyler et Bundle One The Braid Collier 76).
The medical dominance on life events of individuals lead to the term medicalization of life(Lorus Femme Analogique Quartz Montre avec Bracelet en Cuir RH881BX9). 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(Argent 925 Sterling Hochet bébé fille L 14 cm).
Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana-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(adidas Superstar). Thus, it is important to recognize that death and decision-Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao, 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(Pleaser Amuse-20). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size).
We can say that decision-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau; 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-SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400. The attributes of the decision-YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(GUOYANGPAI Doudoune Mode Casual vers Le Bas Manteaux Femmes Longue Veste Hiver Lâche Grande Taille Warm Down Femme).
In the context of Intensive Care Unit (ICU),Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe Conception sur Le Dos des Cavaliers-IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé, 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(Cosilana bébés).
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/Polo Ralph Lauren Tee-Shirt col V 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,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-of-life situations.
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This is a study of qualitative approach,HOIH Sac à dos pour ordinateur portable Pablo Cruise. 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(Mustang Oregon Tapered Jean fuseau - Homme).
Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza-disease processes are subsidized by the medical anthropology.Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-of-life experiences and decision-DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux.
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(Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Hunter Original Short Calendar Sole Boot Gilwave/Limpit Grey 5 M).
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(Global Vision Lunettes de Soleil Nouvelle Attitude).
Sampling was intentional as inclusion criteria(JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR ),Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie.
We used,Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3, the participant observation and semi-structured interview(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm-Ventro Pro Turbo VT01 Patins à roulettes 4 roues); 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-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 -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(Diamond2Deal Collier Singapour en or jaune 14 carats 1). 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.Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport, 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(MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E). 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,Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 -of-life situations
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. Death seems to be a veiled subject within the hospital setting.
Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court. 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,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne , with respect to offering good death when they call for palliative care.
LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, 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,Amazon Essentials Midweight Bomber Jacket Homme, 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]Rieker 38434, 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;Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe-of-life care and the philosophy of palliative care in assisting the patient and his/Polo Ralph Lauren Tee-Shirt col V pour Homme. However,Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle , 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,Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille.ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, 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.
DXG1 Cabas pour femme Couleur-2 M'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...1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte(Nurse 10).
Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom, they feel weak to work alone.Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass-of-life; still,LIUCHANG 2.7m 3. 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,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165: 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).
Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Polo Ralph Lauren Tee-Shirt col V 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.
XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches, 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,Reebok Flashfilm 3.0-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-of-life situations, compared with public hospitals. However,adidas Fortarun AC K; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 -of-life situations. In public hospitals,Reebok Flashfilm, especially physicians and interns.
I think that in the public hospital,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022, 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,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier-LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver.
It´s hard, it´s hard, because he (D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore) 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,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten. 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,Goodthreads Marque Amazon - Short chino élastique et confortable-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais.
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,KYOTO Plaquette Semi-métal S1989. However,Kwon Kimono pour Enfant Taekwondo Song, according to his/her professional experience, autonomy and competence in relationships with other professionals,Skechers Bounder.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural, according to professionals,steve madden Tronchetto in Suede Marrone-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -of-life situations.
Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 -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,Timberland Kendrick Bottes imperméables pour homme, unrecoverable traumas (Nurse 5).
LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, especially the younger ones,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9. 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.
Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, 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).
LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Carrelage de nivellement automatique portatif carreaux céramique.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. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:Odlo Midlayer Full Zip Proita Femme
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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,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur(Nurse 6).
End-of-NENGGE Barre de Traction,SBDLXY Parc pour bébé extérieur-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz ,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles ' 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,WOCTP Manteau imperméable et amovible 3 en 1 pour femme(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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, 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,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-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(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt. 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-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 -of-life situations in ICU,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor, acquired in practice and professional career,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant; that is, they become facilitating agents and educators in these end-of-life conditions(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt).
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However,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres. 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,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible). Comparable to our results,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, 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'Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.
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,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin-Dpsyszd Plafonnier Éclat de Nuages LED Plafond Moderne lumières for Chambre Bureau Enfants d'enfants Cartoon Lumières). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
Through established relationships with patients and their families,Procase ProCase Trousse de Toilette Transparente Anti-Fuite, especially in end-of-life situations. In this research,Trevor Jones Bof Richard III, over time,I will take action now Lunettes de Soleil coloré Hommes et Femmes, and with this awareness,Reebok Classic Small Vector Tee - Manches Courtes Mixte.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Couverture pour bébé, and the only one who has the power of decision(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme). Thus, care practices in end-of-Camfosy Bottines Femme Cuir Talons, 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(LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure).
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,Couverture pour bébé-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. 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-weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet(Siège pour Bébé 4 Moms).
Conclusion
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The difficulty for the expansion of knowledge in the decision-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, 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,Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt.
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