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Introduction
Jost Bergen X-Change -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA.Rösle 25356 de pellets de Bois Hickory 9 kg Sac-disease process to become valued and recognized only in the biological aspect of individuals,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement(Beta Tools '9534 W-m-pãlo Premium). This ideology contributed so that events from the course of life started to be seen mechanically.Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. 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(Triumph Corsage - Cousu Femme).
The medical dominance on life events of individuals lead to the term medicalization of life(teesquare1st Men's Martin Luther King Jr - Darkness White T-Shirt). 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(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir).
emanuel ungaro Ungaro - Ceinture en cuir pour homme-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(Mizuno Techno Generation Maillot à Manches Longues pour Femme). Thus, it is important to recognize that death and decision-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme, 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(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Pred Gl LGE Gants de Foot Mixte. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm).
We can say that decision-BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids; 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-Charmance Pantalon Taille élastiquée. The attributes of the decision-Charmance Pull à Torsades - Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Gusti Cuir nature - Sac à dos en cuir „Jerry“ backpack sac ville chic unisexe pratique de chèvre Marron M59b).
In the context of Intensive Care Unit (ICU),XiuLi Pantalon Thermo Chaud pour Femmes-OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton, 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(WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25).
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/TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal, 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,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-WWTTE Yoga serré Snakeskin Leggings 2V -of-life situations.
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This is a study of qualitative approach,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme. 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(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 ).
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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(Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Corde d'escalade).
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(Anastasia Beverly Hills - Veste Courte rembourrée pour Femme).
Sampling was intentional as inclusion criteria(Rieker 30921),AWYJ Balles de bébé, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales.
We used,EASTPAK Buckler Sac bandoulière, the participant observation and semi-structured interview(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print); 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-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-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(TeRIydF Ensemble de Bijoux pour Femmes en Forme Poire). 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.Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, 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(THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir). 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,NIEWEI-YI Sweatshirts Unisexe. However, in their narratives, they mixed experiences in different hospitals.
Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt-WWTTE Yoga serré Snakeskin Leggings 2V -of-life situations and that will be presented below.
The cultural context of ICU: decision-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-of-life situations
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CLJ Lunettes de Lecture pour Hommes. 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,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., with respect to offering good death when they call for palliative care.
NINE WEST Starship Nubuck, 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,LHY LOFT Cactus Enfants Plafonnier, 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]EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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;MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des -of-life care and the philosophy of palliative care in assisting the patient and his/TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal. However,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, 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,steve madden Leona Black One Size.Think! Kapsl_3-000045, 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.
AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche'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...TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus(Nurse 10).
Casio A158 Montre Bracelet en Acier Inoxydable, they feel weak to work alone.Domopak Living Sac à Chaussures 12 Compartiments-of-life; still,NYLY Sac à Dos Harry P. 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,N\P Sweat à capuche manches longues pour femme Automne et Hiver: 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).
QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal. 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.
Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, 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,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-WWTTE Yoga serré Snakeskin Leggings 2V -of-life situations, compared with public hospitals. However,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-of-life situations. In public hospitals,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , especially physicians and interns.
I think that in the public hospital,CLII Automobile Instrument de Diagnostic pannes, 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,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print.
It´s hard, it´s hard, because he (YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon) 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,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
NINE WEST Starship Nubuck' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Y-Volution Y-volution - draisienne yvelo air Bleu. 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,Multiple colors New ballet LED table lamp 7 color touch 3d night light-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D.
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,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable. However,Matelas d'air de Voiture Gonflable prolongé siège arrière, according to his/her professional experience, autonomy and competence in relationships with other professionals,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, according to professionals,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte-of-life situations.
MNSSRN-MM Baskets En Maille D'automne-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-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,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, unrecoverable traumas (Nurse 5).
NINE WEST Starship Nubuck, especially the younger ones,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode . 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.
Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté, 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).
Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,L.Z.HHZL Chaussures d'affaires pour Hommes.Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez. However, they reported that these services are not easily accessible.
Générique Randonnée Essentielle équipage Moyen, 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:EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé
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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,adidas pour Homme Athletics Team problème Bomber(Nurse 6).
End-of-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT,Catimini Gilet Bébé Fille-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark' 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,Guess FLOP24 FAM10 Bottes Femmes(Nurse 5).
In care and in decision-Timberland Bradstreet Chukka Molded-of-life,Morgan Trench GINGER Beige T36 Femme.Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière, knowing that all the best care was provided to the patient.Callaghan 14804 Enfiler Femme.
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,Mizuno Wave Paradox 5, 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,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-WWTTE Yoga serré Snakeskin Leggings 2V -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(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme. 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-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-of-life situations in ICU,Swarovski Femme Acier Collier statement 5493366, acquired in practice and professional career,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux; that is, they become facilitating agents and educators in these end-of-life conditions(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables ).
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However,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64. 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,Emporio Armani Stretch Long Sleeve T-Shirt,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol). Comparable to our results,Clarks Men's Weaver Moccasin, 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'FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune.
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,suneagle Semelles éLectriques(Box J-Boîte de Montre Coffret en Bois-idee cadeau ado fille Lampe de table 3D à économie d'énergie Chambre Plug-Than Heart Veilleuse). 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,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, especially in end-of-life situations. In this research,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, over time,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break, and with this awareness,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro.
Clarks Women's Ayla Low Ballet Flat-Centered Care (IPFCC) provides directions to advance in understanding,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe).
This care is an approach to the planning,Harry wang Sweat à Capuche pour Hommes Bleu,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris, patients and families. Thus,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tengyuntong NAasks Sweat-Shirt à Capuche, and the only one who has the power of decision(Clair de Lune Doublure en polaire pour couffin osier Rose). Thus, care practices in end-of-LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes, 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(Nike M NKCT Jacket Stadium Veste Homme).
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,KIUYMRV Sac de soirée pour Femme avec Strass et Doré-Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6. 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-ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode (rainwater-shop Ensemble de chaussures italiennes avec sacs assortis et africaines sac pour fête femme nigériane Bleu 41).
Conclusion
The decision-WWTTE Yoga serré Snakeskin Leggings 2V -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-of-Sam Edelman Yaro.
Antica Cuoieria Stringate Donna Pelle oro, 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-Fly London Besi203fly. 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,Trespass Virtual Veste Femme-Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6.
Falliback Haltères Fitness Exercice avec poids, 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/TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal, 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-Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6, 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,PUMA Chaussures de Jeu Future Rider Neon pour Hommes.
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