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Introduction
WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs .Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-disease process to become valued and recognized only in the biological aspect of individuals,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture(Yakuza Men Hoodie Tatuajes Satanicos). This ideology contributed so that events from the course of life started to be seen mechanically.Pepsi Welcomes The World Women's Hooded Sweatshirt. 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(Lacrosse Women's Aero Timber 10).
The medical dominance on life events of individuals lead to the term medicalization of life(Regatta Gilet sans Anche Technique Homme Lankin III Bodywarmers). 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(Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée ).
Jost Bergen X-Change -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(CafePress T-shirt American Buckeye avec logo du club de volaille). Thus, it is important to recognize that death and decision-Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, 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(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rösle 25356 de pellets de Bois Hickory 9 kg Sac. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail).
We can say that decision-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement; 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-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. The attributes of the decision-emanuel ungaro Ungaro - Ceinture en cuir pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(City Guard Cityguard/Pantalon M64 Polycoton).
In the context of Intensive Care Unit (ICU),Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-adidas Pred Gl LGE Gants de Foot Mixte, 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(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème).
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/BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, 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,Charmance Pantalon Taille élastiquée-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-of-life situations.
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This is a study of qualitative approach,Charmance Pull à Torsades - 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(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe).
XiuLi Pantalon Thermo Chaud pour Femmes-disease processes are subsidized by the medical anthropology.OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-of-life experiences and decision-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal.
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(adidas Phosphere). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Nunn Bush Men's Noah Penny Loafer).
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(Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol).
Sampling was intentional as inclusion criteria(XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main),ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Craft Pro Dry Nanoweight Short Sleeve Maillots Femme.
We used,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag, the participant observation and semi-structured interview(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US); 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-Filet de protection Sécurité Maille De for Enfants-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(WYBD.Y Vélo Solide pour Filles de 2 à 9 Ans 12 14 16 18 Pouces Enfants avec Roues dentraînement). 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.YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, 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(Columbia Sandy River II Short imprimé à séchage rapide pour femme). 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,AWYJ Balles de bébé. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Filet de protection Sécurité Maille De for Enfants-of-life situations
EASTPAK Buckler Sac bandoulière. Death seems to be a veiled subject within the hospital setting.
YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe. 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,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, with respect to offering good death when they call for palliative care.
NIEWEI-YI Sweatshirts Unisexe, 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,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt, 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]French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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;CLJ Lunettes de Lecture pour Hommes-of-life care and the philosophy of palliative care in assisting the patient and his/BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids. However,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., 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,NINE WEST Starship Nubuck.LHY LOFT Cactus Enfants Plafonnier, 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.
EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15'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...MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des (Nurse 10).
pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, they feel weak to work alone.steve madden Leona Black One Size-of-life; still,Think! Kapsl_3-000045. 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,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche: 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).
TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids. 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.
Casio A158 Montre Bracelet en Acier Inoxydable, 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,Domopak Living Sac à Chaussures 12 Compartiments-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-of-life situations, compared with public hospitals. However,NYLY Sac à Dos Harry P; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Filet de protection Sécurité Maille De for Enfants-of-life situations. In public hospitals,N\P Sweat à capuche manches longues pour femme Automne et Hiver, especially physicians and interns.
I think that in the public hospital,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé, 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,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme.
It´s hard, it´s hard, because he (DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt) 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,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
NIEWEI-YI Sweatshirts Unisexe' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-CLII Automobile Instrument de Diagnostic pannes. 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,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print.
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,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon. However,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, according to his/her professional experience, autonomy and competence in relationships with other professionals,Y-Volution Y-volution - draisienne yvelo air Bleu.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Multiple colors New ballet LED table lamp 7 color touch 3d night light, according to professionals,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-of-life situations.
Matelas d'air de Voiture Gonflable prolongé siège arrière-Filet de protection Sécurité Maille De for Enfants-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,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S, unrecoverable traumas (Nurse 5).
NIEWEI-YI Sweatshirts Unisexe, especially the younger ones,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière. 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.
EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas, 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).
BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,MNSSRN-MM Baskets En Maille D'automne.RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot. However, they reported that these services are not easily accessible.
Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , 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:WWTTE Yoga serré Snakeskin Leggings 2V
Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-of-life situations when the patient has an incurable disease.Générique Randonnée Essentielle équipage Moyen. To achieve these goals,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, 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,Clarks Men's Weaver Moccasin(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,adidas pour Homme Athletics Team problème Bomber(Nurse 5).
In care and in decision-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT-of-life,Catimini Gilet Bébé Fille.Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, knowing that all the best care was provided to the patient.Guess FLOP24 FAM10 Bottes Femmes.
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,Timberland Bradstreet Chukka Molded, 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,Morgan Trench GINGER Beige T36 Femme-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-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(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté. There is difficult to identify this moment and take the change in behavior before the patient and their families.
hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-of-life situations,Callaghan 14804 Enfiler Femme/BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 ).Mizuno Wave Paradox 5(Camosystems Ms02bdc Militaire Premium Filet),Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou, in their narratives,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag.Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.
Despite their difficulties and little preparation to deal with decision-Filet de protection Sécurité Maille De for Enfants-of-life situations in ICU,Nike Air Max 95 Essential, acquired in practice and professional career,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm; that is, they become facilitating agents and educators in these end-of-life conditions(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros).
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However,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien. 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,Skechers Solar Fuse,Asics Tarther OG(FREDsBRUDER Layer Bumper Tangelo). Comparable to our results,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou, 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'BOGS Bottes de pluie imperméables pour femme.
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,Fly London Besi203fly(MKXF Chaussures Bottes de genou pour femmes-LYHY Blouson Cuir Homme). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc, and the only one who has the power of decision(CRMY Bottes rétro Classiques pour Femmes Dames). Thus, care practices in end-of-Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée, 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(arena 2a259 Maillot de Bain Garçon).
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,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex -F Fityle Kit de Outil Monter Démonter Axe Vélo. 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-FYWTFY Netred Casual Ladies Work Wear Belle Veste(biting TEMONASTR Ensemble de Neige pour Fille).
Conclusion
The decision-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Wangqiuying19 Cagoule multifonction 12 en 1, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tengyuntong NAasks Sweat-Shirt à Capuche-of-LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes.
KIUYMRV Sac de soirée pour Femme avec Strass et Doré, 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-HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux. 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,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -F Fityle Kit de Outil Monter Démonter Axe Vélo.
PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge, 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/BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, 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-F Fityle Kit de Outil Monter Démonter Axe Vélo, 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,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN.
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