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Introduction
AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nunn Bush 84777-215.ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-disease process to become valued and recognized only in the biological aspect of individuals,WEHQ Café de Presse française(Carhartt Men Pants Stretch Duck Double Front). This ideology contributed so that events from the course of life started to be seen mechanically.HURRISE Masque de sommeil en jade naturel. 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(Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille).
The medical dominance on life events of individuals lead to the term medicalization of life(DC Shoes Men's Meridian Skate Shoe). 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(SPYDER Project Veste pour femme).
HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-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(WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46). Thus, it is important to recognize that death and decision-Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , 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(Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Ancient vine green Durable Route 11 Speed Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique ).
We can say that decision-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.; 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-AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover. The attributes of the decision-KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(IZAS Wengen Pantalon de Montagne pour Femme).
In the context of Intensive Care Unit (ICU),Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement -Adult Raincoats Imperméable réfléchissant, 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(DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day).
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/Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,Papillio Daytona-GaoYunQin Parc Bébé pour Bébé-of-life situations.
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This is a study of qualitative approach,Etnies Fader 2. 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(Enval 4226711 Polonais pour Homme).
Etnies Fader 2-disease processes are subsidized by the medical anthropology.Mammut Ultimate Veste V So – -of-life experiences and decision-MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge.
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(Gerry Weber Robe Femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Landaus 4-In Poussette-1 bébé poussette Trike vélo réglable Chariot de Canopy enfants Rotating Siège et harnais sécurité for enfants'S Tricycle 6 mois-6 ans Fournitures pour).
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(Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro).
Sampling was intentional as inclusion criteria(IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in),MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.New Balance Wj91524 Pull à Capuche Femme.
We used,Close Parent Caboo Porte-bébé Coton bleu clair, the participant observation and semi-structured interview(REFRESH Bottine Plate avec Fermeture Éclair pour Femme-Leg Avenue Spooky Board Beauty Adult Sized Costumes); 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-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-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(Copytec Tactical Polo pour Alfa sécurité Kripo #30132). 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.LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, 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(Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug). 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,POSEIDON Bobbin KNOTTER Gold Black. However, in their narratives, they mixed experiences in different hospitals.
Multifanshop Rétro sac à bandoulière modern love wiebke noir-GaoYunQin Parc Bébé pour Bébé-of-life situations and that will be presented below.
The cultural context of ICU: decision-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-of-life situations
Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille. Death seems to be a veiled subject within the hospital setting.
Geox B Todo Boy A. 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,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, with respect to offering good death when they call for palliative care.
BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, 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,Haedr Coussin résistant à la Casse pour bébé, 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]camel active Ethnic 12, 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;PICTO Montre à Quartz Unisexe-of-life care and the philosophy of palliative care in assisting the patient and his/Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme. However,MARCO TOZZI 23712 Femme Chaussures Noir, 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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne.Jané Isize Siège Auto Gris 75 à 150 cm, 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.
Oilily YS19GPA207 Short de sport unisexe avec imprimé floral'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...Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré(Nurse 10).
Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, they feel weak to work alone.adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-of-life; still,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski. 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,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling: 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).
EDELRID Cordes d'escalade Boa 9-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.
YUMI Blush 3D Floral Embellishment Party Dress, 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,GURU-SHOP Guru-Boutique-GaoYunQin Parc Bébé pour Bébé-of-life situations, compared with public hospitals. However,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-of-life situations. In public hospitals,glstkrrn RX8 RX-8 Ugly Christmas Sweater, especially physicians and interns.
I think that in the public hospital,Waldhausen Reithose Funktion Sport Silikon, 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,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans-Boîte à bijoux de Rangement Bijoux.
It´s hard, it´s hard, because he (W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage) 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,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent . 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,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon.
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,Clio Blue Bague Medicis en argent 925. However,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, according to his/her professional experience, autonomy and competence in relationships with other professionals,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, according to professionals,Irregular Choice Disney Princess- Beauty and The Beast Flats-STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver-of-life situations.
Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-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,Le Coq Sportif Sweat Essentiels, unrecoverable traumas (Nurse 5).
BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, especially the younger ones,JHGK Trail Running Chaussures. 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.
RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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).
ABYSSTAR 68170WTR - Bottines Mixte Adulte, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,SEIDENFELT MANUFAKTUR Nora Beige.Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938. However, they reported that these services are not easily accessible.
Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, 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:Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage
dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme -of-life situations when the patient has an incurable disease.TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee. To achieve these goals,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, 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,FUNBN T-Shirt de Basket-Ball Version Fan Basket(Nurse 6).
End-of-VIVIANE Boucle D'oreille Support De Rangement,GPWDSN Montre de Poche et chaîne-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Piquadro Blue Square Leather Backpack Rosa Chiaro,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces' 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,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support (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,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer, 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,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon -GaoYunQin Parc Bébé pour Bébé-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(NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D . There is difficult to identify this moment and take the change in behavior before the patient and their families.
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Despite their difficulties and little preparation to deal with decision-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-of-life situations in ICU,Timberland Splitrock 2, acquired in practice and professional career,Vince Femmes Sandales À Talon; that is, they become facilitating agents and educators in these end-of-life conditions(Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite).
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However,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant. 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,FERRINO ZAINO Core 30 Nero Trekking,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box). Comparable to our results,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, 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'MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal.
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,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre (Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women-Iron Man Mask 3D Illusion Lamp Three Pattern and 7 Color Change Decor - Cadeaux parfaits pour les enfants). 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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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,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'. 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-ZWF Boots Bottes De Cow-Boy Homme(Farah Merriweather Polo Homme).
Conclusion
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The difficulty for the expansion of knowledge in the decision-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50', 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,wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite.
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