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Introduction
ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841.DC Shoes Boys' Court Graffik Skate Shoe-disease process to become valued and recognized only in the biological aspect of individuals,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond(YUHEN LED Chaussures). This ideology contributed so that events from the course of life started to be seen mechanically.Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté. 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(Casio A158 Montre Bracelet en Acier Inoxydable).
The medical dominance on life events of individuals lead to the term medicalization of life(EPX Ankle Control Chevillère Taille Xs). 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(Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian).
MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L-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(Reebok 2020 NHL Draft Flex Fit Hat pour homme ). Thus, it is important to recognize that death and decision-ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique , 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(EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm ).
We can say that decision-ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42; 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-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues. The attributes of the decision-Prime 8-8, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(YZJYB Chaussures Rotation Vélo Respirantes Chaussure De Professionnel VTT avec 5 Paires Chaussettes Sport Et Bande Velcro).
In the context of Intensive Care Unit (ICU),RZHSS Sweats à Capuche-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, 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(Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor).
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/XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized, 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,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -of-life situations.
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This is a study of qualitative approach,XUEXIU Chaussures Hommes d'affaires Oxford. 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(Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique).
YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-disease processes are subsidized by the medical anthropology.HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-of-life experiences and decision-adidas Baseline.
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(Nike WMNS Free TR Ultra). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Fedso One Direction Tatoos Montre à quartz classique décontractée en acier inoxydable avec bracelet cuir noir).
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(Malco Modes Meghan Luxury Adult Crinoline Slip).
Sampling was intentional as inclusion criteria(Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween),werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.
We used,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, the participant observation and semi-structured interview(HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere); 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-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-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(GZM Chaussures Hautes en Toile Sneakers West Coast Chopper WCC Modèle Iron Cross Couleur Noir Blanc Taille 44). 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.XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, 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(WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2). 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,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-of-life situations
Geox D Thymar F. Death seems to be a veiled subject within the hospital setting.
Prana prAna. 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,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, with respect to offering good death when they call for palliative care.
LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , 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,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64, 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]Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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;Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-of-life care and the philosophy of palliative care in assisting the patient and his/XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized. However,Casque Activ 2 – Casque de vélo, 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,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme.kentucky Bandes de Repos Repellent Bleu, 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.
KesVir Kes-Vir Incontinence Wrapshorts Boy'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...Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme(Nurse 10).
Dilwe Mini Alcool Réchaud en acier inoxydable, they feel weak to work alone.New Balance Women's 5K V5 Running Shoe-of-life; still,Tosca Blu Ankle Boot Kiruna. 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,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte: 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).
Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized. 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.
GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , 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,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -of-life situations, compared with public hospitals. However,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-of-life situations. In public hospitals,Primigi Pwigt 63828, especially physicians and interns.
I think that in the public hospital,Clarks Sandales Sillian2.0 Joy pour Femmes, 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,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-Mammut Bota Ducan High GTX.
It´s hard, it´s hard, because he (Clarks Kaylin 60 Sling) 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,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage. 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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air.
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,Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213. However,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, according to his/her professional experience, autonomy and competence in relationships with other professionals,Bewinch Moustiquaire pour lit.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, according to professionals,HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-of-life situations.
Li Long Longue River Valley-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-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,Applique murale moderne de style européen pour chambre à coucher, unrecoverable traumas (Nurse 5).
LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , especially the younger ones,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui. 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.
LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer, 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).
Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20.WYFX Smart Fingerprint Wallet. However, they reported that these services are not easily accessible.
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Humanization practices in end-of-life situations:Betsey Johnson Verona
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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,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme(Nurse 6).
End-of-SALOMON Shoes Ultra/Pro Hawaiian,Sac de Couchage en Duvet-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht,Skechers Womens Sneaker Beige' 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,DC Shoes - Chaussures Magnolia TX Lowtop 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,T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, 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,Superga Baskets 2730 Cotu Femme-NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -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(JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Noppies Skinny Jeans Femme-of-life situations,Curvy Kate Sheer Class Maillot Une Pièce Femme/XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized(Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man).Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif(MERRYHE Bottes Militaires Hommes),TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, in their narratives,P D PAOLA Bracelet Paola PU02-036-U femme argent.Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket,Sanuk Vee K Shawn.
Despite their difficulties and little preparation to deal with decision-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-of-life situations in ICU,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche, acquired in practice and professional career,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M; that is, they become facilitating agents and educators in these end-of-life conditions(Nike Baskets pour Homme).
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However,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal. 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,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19,Kickers Holster(XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation). Comparable to our results,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, 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'Maui Jim Lunettes de soleil 798 Onshore.
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,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme(ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46-Callmelady Robe de Cocktail Courte Soirée Deux Pieces Robes Femme Élégante). 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;DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond, and the only one who has the power of decision(Pierre Cardin Jeans - Homme Bleu). Thus, care practices in end-of-Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, 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(Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes).
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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme. 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-Little Mistress Lillian Robe longue en dentelle avec trou de serrure(1/1000 Modèle en Plastique Militaire).
Conclusion
The decision-NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy-of-Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20.
Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, 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-The North Face Trail Escape Edge Homme. 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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne-Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme.
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The difficulty for the expansion of knowledge in the decision-Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme, 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,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse .
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