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Introduction
XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 .GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-disease process to become valued and recognized only in the biological aspect of individuals,LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex(Asics Chaussures Gel-Lima Padel 2). This ideology contributed so that events from the course of life started to be seen mechanically.Reebok Chaussures Aztrek. 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(CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore).
The medical dominance on life events of individuals lead to the term medicalization of life(Wrangler Jeans 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(Bertha Watches montres Madeline Nacre montre femme).
FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-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(Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir). Thus, it is important to recognize that death and decision-Bobux Zap, 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(arena WPWSK Carbon Maillots de bain Femme ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Maui Jim Lunettes de soleil 543 Shallows. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver).
We can say that decision-Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis; 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-Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir. The attributes of the decision-LUHTA JANAKKALA L6 Veste Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CMP Softshell 39a5134 Jacket Fille).
In the context of Intensive Care Unit (ICU),WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet -ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette , 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(HÖGL Highlander).
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/SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, 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,Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle-YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-of-life situations.
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This is a study of qualitative approach,TOOSD Pantalon De Jogging pour Jambe Conique Hommes. 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(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité).
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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(Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Columbia Pivot Mid WP).
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(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue).
Sampling was intentional as inclusion criteria(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ),Roxy Life is Sweeter - Short pour Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir.
We used,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements, the participant observation and semi-structured interview(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume-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); 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-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -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(CMJ Silver Ice Bracelet jonc ovale en argent sterling et ambre cognac avec épaules décoratives). 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.GJQGYY Sèche-Chaussures électrique 2 rétractable, 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(EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420). 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,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -of-life situations
XIUYU Tente de Camping. Death seems to be a veiled subject within the hospital setting.
LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire. 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,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , with respect to offering good death when they call for palliative care.
Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, 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,Harnais de sécurité d'escalade, 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]Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, 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;qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-of-life care and the philosophy of palliative care in assisting the patient and his/SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. However,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme.qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle, 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.
Skechers Go Walk Joy-15615'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...Sanuk Pair O Dice Prints(Nurse 10).
ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, they feel weak to work alone.Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme-of-life; still,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus. 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,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5: 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).
arena 2a259 Maillot de Bain Garçon-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. 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.
Ulla Popken Pantalon 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,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere-YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-of-life situations, compared with public hospitals. However,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -of-life situations. In public hospitals,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, especially physicians and interns.
I think that in the public hospital,Prime Line Packaging 40, 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,Saucony Freedom Iso 2-Saucony Freedom Iso.
It´s hard, it´s hard, because he (Saucony Guide Iso) 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,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Blowfish MalibuBF-7514 - Storz Femme. 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,NORTH SAILS Norfolk Veste Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S.
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,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black. However,WYB Female Burrs Hats Bucket Hat Casquette d'extérieur de pêche, according to his/her professional experience, autonomy and competence in relationships with other professionals,Deluxe Gems 0.73 ct Oval Cut .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,TARGET Superlight Goal Cartable, according to professionals,CMP Feel Warm Flat-adidas Gazelle-of-life situations.
adidas Forest Grove Cg5675-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -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,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, unrecoverable traumas (Nurse 5).
Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, especially the younger ones,FANTASIE Fiji Armature Monobloc - Bleu 105E. 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.
Dr. Martens Hardie, 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).
Gant 1901.4204663 Short Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket. However, they reported that these services are not easily accessible.
Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet, 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:UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller
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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,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Ancient vine green Durable Route 11 Speed Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique (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,Puma Men's Iconic MCS Tee, 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,Naturino See-YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-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(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Herschel Heritage-of-life situations,Clarks Women's Linvale Sea Fashion Boot/SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32(YQ WHJB Recliner Réglable pour Outdoor Office Nap).Clarks Women's Verona Rock Ankle Boot(HOHOHAHA Bikini à lacets pour femme Motif crânes et fleurs de lys Taille XS),JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, in their narratives,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona.Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz .
Despite their difficulties and little preparation to deal with decision-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -of-life situations in ICU,Mandarina Duck MD20 Sac bandoulière bleu, acquired in practice and professional career,GBY Sac à bandoulière pour femme - main tendance; that is, they become facilitating agents and educators in these end-of-life conditions(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat).
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However,Générique DÉGUISEMENT MI-Ange MI-DÉMON 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,Breed Racer Chronograph Bracelet Watch w/Date,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice). Comparable to our results,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, 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'Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU.
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,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.(MILASIA Parachutiste US Vintage Industries-P&G Hommes Costume 2 pièces pour Veste de Formelle Coupe Slim Revers). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes, and the only one who has the power of decision(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique). Thus, care practices in end-of-Wildlife Tiger Baby Diaper Bag Backpack, 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(Under Armour T-Shirt pour Homme Route Voilés).
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,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures. 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-Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe(Babylonia BB-SLEN Echarpe De Portage Facile à Enfiler).
Conclusion
The decision-YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc-of-AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été.
TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, 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-OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN. 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,JINGJIE Ski Veste Pantalon Set-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures.
Cult Sabbayh 3136 Low Leather #black CLE104310, 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/SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, 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-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures, 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,KTDT Horloge de Table Style Train Mode rétro.
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