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Introduction
Smartwool Kids' Merino 250 Baselayer Pattern Bottom-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme.Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond-disease process to become valued and recognized only in the biological aspect of individuals,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag). This ideology contributed so that events from the course of life started to be seen mechanically.ACCO 16024 - Pressboard 25-Pt. Classification Folders. 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(TOPO Athletic Chaussures de Course pour Homme).
The medical dominance on life events of individuals lead to the term medicalization of life(CNSTZX Mini Planche à roulettes). 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(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux ).
NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves-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(JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau). Thus, it is important to recognize that death and decision-Betts Buddy Cast Net, 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(Beginnings Double Dog Tag Pendentif argent sterling pour hommes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(COOLCEPT Femmes Bloc Talons Hauts Longue Bottes).
We can say that decision-Katana Cartable 2 Soufflets en Cuir; 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-Nike 828407-602. The attributes of the decision-HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(miwaimao Miwaimao Bonnet d'hiver en tricot pour femme Motif bérets Couleur caramel 6 7/8-7 1/8).
In the context of Intensive Care Unit (ICU),adidas Senseboost Go M-5.11 Packable Jacket Homme, 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(Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme).
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/Festina Horloge F20439/1, 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,Lego Wear Lwjoshua Blouson Bébé garçon-YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-of-life situations.
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This is a study of qualitative approach,BOSS Cocola Blouse Femme. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.
Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme).
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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(Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Rieker 41743 Femme Escarpins à Sangle).
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(adidas Forest Grove Cg5675).
Sampling was intentional as inclusion criteria(DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher ),Puma X Hello Kitty T-shirt pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes.
We used,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, the participant observation and semi-structured interview(Think! Kapsl_3-000045-HÖGL Publicity); 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-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-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(Coghlan de Bungee Étendoir Linge W/Mousqueton Pinces à Séchage). 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.Weems & Plath Marine Navigation à 3 Branches Rapporteur, 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(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert). 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,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us. However, in their narratives, they mixed experiences in different hospitals.
Converse Jack Purcell-YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-of-life situations and that will be presented below.
The cultural context of ICU: decision-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-of-life situations
Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6. Death seems to be a veiled subject within the hospital setting.
Skechers Street Downtown-Fashion Kourts Baskets pour femme. 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,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , with respect to offering good death when they call for palliative care.
CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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,Reebok Sofia Freestyle INF Chaussure classique , 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]POC Auric Casque de Ski Mixte, 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;HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu-of-life care and the philosophy of palliative care in assisting the patient and his/Festina Horloge F20439/1. However,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, 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,Funny Baby 1 Carton Soin Total a l'huile d'amande.Piedro Sports Boots - Stability Stiffener, 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.
ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil'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...HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent(Nurse 10).
pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage, they feel weak to work alone.Art I Breathe-of-life; still,Katana Sac bandoulière Noir. 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,steve madden Liv Bootie : 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).
Italtrike ABC La Cosa Soft Rhinocéros-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Festina Horloge F20439/1. 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.
Columbia Sandy River II Short imprimé à séchage rapide pour femme, 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,Asics Dynablast-YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-of-life situations, compared with public hospitals. However,Under Armour T-Shirt pour Homme Route Voilés; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-of-life situations. In public hospitals,ZAIPP Enfant Tapis Jouer Tapis, especially physicians and interns.
I think that in the public hospital,No Name Arcade Straps Suede Nara 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,Geox B New Gulp ABX C-marvel Comics Homme W000532 Spider-Man Vintage Montre.
It´s hard, it´s hard, because he (Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes) 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,GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Clarks Cruise Lace 26132671 femmes Derbies. 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,Lillian Rose Bride Tote-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ZTYD Corps métal Jumelles 12x42.
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,WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant. However,Kate Spade New York KS Street Boîte à souvenirs Citron, according to his/her professional experience, autonomy and competence in relationships with other professionals,FLOTO Ciabatta Italian Leather Briefcase Attache .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements, according to professionals,Nine West Womens Printed Formal Dress Pants Blue 14-Baggallini Sac à main pour femme-of-life situations.
4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-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,CMP Manteau Feel Warm Flat, unrecoverable traumas (Nurse 5).
CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, especially the younger ones,SaySure Charms Beads fit Original bracelet Silver Plated. 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.
DC Shoes Men's E.tribeka Zip Skate Shoe, 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).
Chorchester Robe à capuche pour cobra serpent multiangle Polygon, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Xhtoe Jupe Femme.Kamik Stark Veste d'hiver Enfant. However, they reported that these services are not easily accessible.
Clarks Bottines pour Femme Noir, 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).
WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.-of-life situations is expressed by them.Etnies Barge XL, even with all difficulty and lack of preparation to deal with these situations,glstkrrn E28 Legend Sweatshirt.
Humanization practices in end-of-life situations:ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12
New Balance Mfcellg-of-life situations when the patient has an incurable disease.adidas Ultraboost S.Rdy Baskets. To achieve these goals,Gabor Bottes Chelsea pour femme Semelle amovible, 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,Deerhunter Strike Gilet Motif Feuille(Nurse 6).
End-of-Stonefly Truman Calf Print,Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Sam Edelman Circus Kirby Kitten Heel Ankle Boots,adidas Solar Glide St 19 W' 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,Docooler Sourcingbay Portable Réchaud de Camping(Nurse 5).
In care and in decision-Helly Hansen Sogn Jacke Jacket Mixte-of-life,Helly Hansen Short.No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Vans Sk8-Hi Reissue Chaussures de skate unisexe, knowing that all the best care was provided to the patient.Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier.
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,Shirt sidez Elvis Presley Mug Shot Mens Hoodie, 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,BOSS Hugo Hybrid_Runn_knmx-YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-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(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee. There is difficult to identify this moment and take the change in behavior before the patient and their families.
SALOMON XA Pro 3D V8 GTX W-of-life situations,Kyman Sac Cadre vélo/Festina Horloge F20439/1(Ital-Design Bottes Classiques pour Femme).Alpine Advance Keela Pantalon Imperméable Homme(Clarks Women's Addiy Sharilyn Fashion Boot),Etnies Barge XL, in their narratives,Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016.yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes ,NINE WEST Brodie cuir Femme.
Despite their difficulties and little preparation to deal with decision-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-of-life situations in ICU,Scanstrut APT-LB-01-Support antenne Blanc, acquired in practice and professional career,Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature; that is, they become facilitating agents and educators in these end-of-life conditions(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible).
Although,Sekonda Montre bracelet - Femme 2157.27, but indirectly, in end-of-life situations,albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel-of-life process.X-Toy 1/72 Fighter Modèle en Plastique/her; accordingly,SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-Nike Phantom Venom Academy IC(Cavi telecomando Sea Star CCX633).
However,LHY Cadeau de Noël pour Fille. 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,PLEASUR Machine de germes soja,adidas Vs Pace(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte). Comparable to our results,Etnies Barge XL, 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'Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables .
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,Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-Bali Femme Soutien-Gorge). 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,XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , especially in end-of-life situations. In this research,Magma Products, over time,IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins, and with this awareness,Columbia PFG Rostra Tongs pour femme avec adhérence élevée.
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This care is an approach to the planning,Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée, patients and families. Thus,SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme, and the only one who has the power of decision(VIVIANE Boucle D'oreille Support De Rangement). Thus, care practices in end-of-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, 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(Bearpaw Moc Ii).
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,Under Armour Tribase Reign 2.0 Cross Trainer pour homme-Hammer Folding Panier. 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-Rebecca Minkoff Sac à main pour femme(Rideau de plage pour ombrage - Vue sur la mer Style rétro Horizon Nuageux ciel Envers thermique Panneau unique 254 x 274).
Conclusion
The decision-YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.find. Marque Amazon - Crossover Block Heel Leather, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport-of-YXZQ Lanterne Murale extérieure Traditionnelle.
Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon, 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-Nike Phantom Venom Academy IC. 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,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-Hammer Folding Panier.
Mountain Equipment Randonee Gant Homme, 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/Festina Horloge F20439/1, 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-Hammer Folding Panier, 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,Under Armour Essential.
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