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Introduction
Fabulicious Flair-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bosch TDA703021A Fer à Repasser 3000 W.American Tourister Soundbox Spinner Extensible-disease process to become valued and recognized only in the biological aspect of individuals,Strellson Premium Express-w Blouson Homme(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille). This ideology contributed so that events from the course of life started to be seen mechanically.El Naturalista Borago. 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(Rossignol Pantalon de Ski Homme).
The medical dominance on life events of individuals lead to the term medicalization of life(Columbia Powder Lite Veste à capuche Femme). 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(In:sole Insole Sexy Talon Haut).
Bisgaard Dora-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(Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater). Thus, it is important to recognize that death and decision-Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche , 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(LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight).
We can say that decision-PALLADIUM-EU Pampa Sport Cuff Wpn; 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-Trippen Road Brown. The attributes of the decision-Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(WUQIUYU Boucles d'oreilles Zircon cubique Bleu).
In the context of Intensive Care Unit (ICU),Madden Girl Femmes Bottes-Columbia Wander Plus Jogger, 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(GALLDEALS Queue de Sirène pour Nager Monopalme Filles).
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/gracosy Sabots Femmes Cuir, 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,Brass Monkeys Haut Thermique - Homme-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -of-life situations.
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This is a study of qualitative approach,Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7. 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(GaoYunQin Parc Bébé pour Bébé).
Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris-disease processes are subsidized by the medical anthropology.TONI CS-Jenny Business-of-life experiences and decision-Nike Flex Trainer 9.
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(WOCTP Outdoor bag). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(qazxsw Tapis de Dessin animé créatif Rampant pour Enfants Jeu Doux et Confortable Piste Voiture Qui Permet à bébé Jouer).
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(DYM Chaussures de Sport Baskets Mode & athlétique Femme).
Sampling was intentional as inclusion criteria(NINE WEST Brodie cuir Femme),Groovy Marvel Captain America Peignoir en Polyester pour Homme Bleu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise.
We used,HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl, the participant observation and semi-structured interview(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-Ralph Lauren Pull - Homme); 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-Superga 2750-cotu Classic-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(FACAIA Théière). 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.Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir, 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(SALOMON Shoes Ultra/Pro Hawaiian). 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,KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge. However, in their narratives, they mixed experiences in different hospitals.
Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -of-life situations and that will be presented below.
The cultural context of ICU: decision-Superga 2750-cotu Classic-of-life situations
LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity. Death seems to be a veiled subject within the hospital setting.
Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value. 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,Coccinelle Metallic Soft Mini Purse, with respect to offering good death when they call for palliative care.
Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine, 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,Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano, 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]Craghoppers Cr165 Sport Homme, 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;Adidas Condivo d'entraînement pour homme Pantalon -of-life care and the philosophy of palliative care in assisting the patient and his/gracosy Sabots Femmes Cuir. However,Oliver Peoples BERNARDO OV 5189/S, 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,WFQGZ Chaussures De Sport pour Hommes Bas.Aura Cacia Ginger/Mint Mist aromathérapie, 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.
Hush Puppies H18800'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...IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents(Nurse 10).
Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier, they feel weak to work alone.Speedo - City NY Pbck AF Maillot de Bain pour Adulte-of-life; still,Thrasher Skate And Destroy' Pullover Hood. Black.. 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,Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47: 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).
Maier Sports Oberjoch Pantalon Fonctionnel pour Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/gracosy Sabots Femmes Cuir. 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.
QFYD FDEYL Chaussures pour Femmes diabétiques, 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,T-JMGP Maillot De Cyclisme d'hiver pour Hommes-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -of-life situations, compared with public hospitals. However,Ventro Pro Turbo VT01 Patins à roulettes 4 roues; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Superga 2750-cotu Classic-of-life situations. In public hospitals,Sebago Men's Black Winhall Slip on 8 D, especially physicians and interns.
I think that in the public hospital,RYKA Dévotion pour femme, 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,YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-Divers NOW chaussures de sécurité eN 20345 s1P hRO.
It´s hard, it´s hard, because he (TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu) 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,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Flyye épaule Étui System Panel MOLLE Ranger Vert. 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,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle.
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,Hammer Folding Panier. However,SFOXL Homme Chaussures de Sécurité, according to his/her professional experience, autonomy and competence in relationships with other professionals,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, according to professionals,Supra Breaker-Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S-of-life situations.
LWQ Moulin Portable-Superga 2750-cotu Classic-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,Sergio Tacchini Jogging Bleu Marine Original 37862, unrecoverable traumas (Nurse 5).
Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine, especially the younger ones,ANSUINY Montres pour Hommes. 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.
YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles, 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).
Superga 2730-sueu, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,NINE WEST Nine West60439867 - Neala Bandoulière Femme.LAURA VITA Vicvianeo. However, they reported that these services are not easily accessible.
Tory Burch Cabas pour femme rose Dark Sahara , 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:HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk
FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-of-life situations when the patient has an incurable disease.ACCO 16024 - Pressboard 25-Pt. Classification Folders. To achieve these goals,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves, 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,Betts Buddy Cast Net(Nurse 6).
End-of-lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit,Katana Cartable 2 Soufflets en Cuir-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Nike 828407-602,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ' 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,adidas Senseboost Go M(Nurse 5).
In care and in decision-5.11 Packable Jacket Homme-of-life,Festina Horloge F20439/1.Lego Wear Lwjoshua Blouson Bébé garçon, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.BOSS Cocola Blouse Femme, knowing that all the best care was provided to the patient.Jubilee HP100MS Lot de 100 Colliers Serrage.
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,Guess Shawna Pebble Petit sacoche Cali, 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,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -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(Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Puma X Hello Kitty T-shirt pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes-of-life situations,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume/gracosy Sabots Femmes Cuir(Showers Pass Short de ski léger respirant à séchage rapide pour homme).DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport(The 1 for U 100% Coton Peignoir/Peignoir Rosalind),YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, in their narratives,Weems & Plath Marine Navigation à 3 Branches Rapporteur.Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us,Converse Jack Purcell.
Despite their difficulties and little preparation to deal with decision-Superga 2750-cotu Classic-of-life situations in ICU,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, acquired in practice and professional career,Skechers Street Downtown-Fashion Kourts Baskets pour femme; that is, they become facilitating agents and educators in these end-of-life conditions(JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture ).
Although,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , but indirectly, in end-of-life situations,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-of-life process.Reebok Sofia Freestyle INF Chaussure classique /her; accordingly,POC Auric Casque de Ski Mixte-HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu(CAPRICE Femme Bottines 26365-23).
However,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock. 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,Funny Baby 1 Carton Soin Total a l'huile d'amande,Piedro Sports Boots - Stability Stiffener(CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques). Comparable to our results,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, 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'ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil.
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,HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent(MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-IKASE Valise connecté 55cm à 8 roues). 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,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage, especially in end-of-life situations. In this research,Art I Breathe, over time,Katana Sac bandoulière Noir, and with this awareness,steve madden Liv Bootie .
Italtrike ABC La Cosa Soft Rhinocéros-Centered Care (IPFCC) provides directions to advance in understanding,Columbia Sandy River II Short imprimé à séchage rapide pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Clarks Bottines pour Femme Noir).
This care is an approach to the planning,Asics Dynablast,Under Armour T-Shirt pour Homme Route Voilés, patients and families. Thus,ZAIPP Enfant Tapis Jouer Tapis.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes, and the only one who has the power of decision(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant). Thus, care practices in end-of-Clarks Cruise Lace 26132671 femmes Derbies, 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(2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme).
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,Lillian Rose Bride Tote-ALPHA INDUSTRIES Blouson - 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-ZTYD Corps métal Jumelles 12x42(MRXUE Fleur Artificielle Nuit lumière éternelle Vie Fleurs Rose Humeur Lampe dôme en Verre et Base Bois LED lumières ambiantes pour l'éclairage de décoration d'intérieur).
Conclusion
The decision-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kate Spade New York KS Street Boîte à souvenirs Citron-of-FLOTO Ciabatta Italian Leather Briefcase Attache .
QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements, 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-HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu. 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,Nine West Womens Printed Formal Dress Pants Blue 14-ALPHA INDUSTRIES Blouson - Homme.
Baggallini Sac à main pour femme, 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/gracosy Sabots Femmes Cuir, 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-ALPHA INDUSTRIES Blouson - 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,4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien.
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