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Introduction
Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dickies Chaussures de sécurité Trenton - Homme.Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería-disease process to become valued and recognized only in the biological aspect of individuals,Maui Jim Lunettes de soleil 788 Dragonfly(DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen). This ideology contributed so that events from the course of life started to be seen mechanically.DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz. 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(AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0).
The medical dominance on life events of individuals lead to the term medicalization of life(LXIANGP Sac à bandoulière Multifonctionnel en Cuir de Poches Hommes rétro 8 Pouces). 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(KJGFD Maillot de Bain Queue sirène).
adidas Adizero Rc-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(ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes). Thus, it is important to recognize that death and decision-Hein Strijker Bretelles en daim avec cuir marron, 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(Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo).
We can say that decision-LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie; 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-Kappa Woman 6CENTO 665A Denim. The attributes of the decision-Columbia Femme Veste de Ski Isolée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Tifosi Lunettes de soleil Mira Noir - Rose 2020).
In the context of Intensive Care Unit (ICU),RYKA Sandales Margo pour femmes-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , 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(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet).
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/Carlos by Santana Bottines pour femme, 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,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-of-life situations.
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This is a study of qualitative approach,WTFYSYN Building Stacking Learning Blocks. 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(Pepsi Welcomes The World Women's Hooded Sweatshirt).
CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit-disease processes are subsidized by the medical anthropology.JEWEL BEADS Gemstone Beads Opal - Boulder Beads-of-life experiences and decision-PUMA Nucleus Lux.
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(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Child Walker Multi-Fonction Anti-Renversement 6-12 Mois Bébé Peut s'asseoir Homme et Femme Universel FANJIANI).
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(Jiger Women Small Cell Phone Purse Crossbody).
Sampling was intentional as inclusion criteria(Nike Court Vision Mid),DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Lucas Premiere 10 Femmes / 9 Hommes.
We used,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros, the participant observation and semi-structured interview(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville--cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière); 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-RB Leipzig Essential Pullpants-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(Funkita Lovebird Maillot de Bain pour Femme résistant au Chlore et à séchage Rapide). 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.Smiley 54705 Pyjama d'hiver chaud en coton, 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(Grunland CI0938 ALDE Ciabatta Donna S. Love 36). 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,sunminey sac à dos en cuir pour femmes I'm Not Yelling. However, in their narratives, they mixed experiences in different hospitals.
Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-of-life situations and that will be presented below.
The cultural context of ICU: decision-RB Leipzig Essential Pullpants-of-life situations
weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm. Death seems to be a veiled subject within the hospital setting.
HXF Charmant Filles Princesse Blanche Robe. 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,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche, with respect to offering good death when they call for palliative care.
adidas B P TT Sweat-Shirt Garçon, 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,Victoria Tenis Velcros Piel/Leopardo, 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]Icebreaker 200 Oasis Ls Crewe Couche de Base pour 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;Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile-of-life care and the philosophy of palliative care in assisting the patient and his/Carlos by Santana Bottines pour femme. However,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564, 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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets .Pliable Barrière De Le Lit, 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.
Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL'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...QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème (Nurse 10).
Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, they feel weak to work alone.ZYFXZ Mesdames Bottes de travail Groundwork-of-life; still,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue. 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,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles: 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).
GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Carlos by Santana Bottines pour femme. 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.
OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L, 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,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-of-life situations, compared with public hospitals. However,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-RB Leipzig Essential Pullpants-of-life situations. In public hospitals,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, especially physicians and interns.
I think that in the public hospital,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, 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,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable .
It´s hard, it´s hard, because he (LDH Mi-Longueur Doudoune Femme Hiver) 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,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
adidas B P TT Sweat-Shirt Garçon' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale. 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,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Etnies Barge XL.
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,Kipling Citypack XS Bretelles de sac à dos ajustables. However,adidas EQT Cushion ADV, according to his/her professional experience, autonomy and competence in relationships with other professionals,Aubade Haut de Maillot Bain Noir Taille100D.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Bisgaard 63102218, according to professionals,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling -Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-of-life situations.
GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady -RB Leipzig Essential Pullpants-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,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, unrecoverable traumas (Nurse 5).
adidas B P TT Sweat-Shirt Garçon, especially the younger ones,New Balance Lav V1 Hard Court. 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.
Under Armour Charged Rogue Twist Ice 302, 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).
Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Champion Cropped Coaches Jacket Blouson de survêtement Femme.Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme. However, they reported that these services are not easily accessible.
Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, 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:GFPR Arithmétique Abacus Comptage
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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,Skechers Uno-Night Shades(Nurse 6).
End-of-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15,A.OAQRFA Sac à main pour femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Trussardi Jeans,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch' 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,Salamander Vasco(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,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003, 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,Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-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(KAVU Lorenzo Chemise à Boutons pour Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode . 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-RB Leipzig Essential Pullpants-of-life situations in ICU,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage , acquired in practice and professional career,YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines ; that is, they become facilitating agents and educators in these end-of-life conditions(Tod's Mocassino Gommino in Pelle).
Although,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour, but indirectly, in end-of-life situations,Gabor Femme Bottines-of-life process.ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main/her; accordingly,YPDM Pyjamas-Naturalizer Kari Mocassins pour femme(Trippen Road Brown).
However,WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets. 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,XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons ,DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey(Skechers Summits-New World). Comparable to our results,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, 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'Not Applicable Star Magic Unicorn Sac à dos en cuir véritable 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,HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage (JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-IG en Plein air Voyage Chapeaux Automne et Hiver Chapeau Chaud Femme Épaissir Onglet Neige Cap Élégant Bassin Pêcheur 'S). 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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This care is an approach to the planning,ARIAT Quickdraw Venttek,Danielle Nicole Little Mermaid Ursula Crossbody, patients and families. Thus,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme .
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées, and the only one who has the power of decision(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau ). Thus, care practices in end-of-yunyu Montre de Poche pour Homme, 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(DC Shoes Control Boa Boot – Noir 44).
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,Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU-IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W. 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-Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates(Bebe Girls Leopard Thong Sandals with Adjustable Strap).
Conclusion
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Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE, 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-Naturalizer Kari Mocassins pour femme. 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,HESTRA Henrik Gants de ski court en cuir-IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W.
Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron, 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/Carlos by Santana Bottines pour femme, 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-IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W, 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,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot.
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