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Introduction
Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.Theia Unisexe Bague Or Jaune ou Blanc-disease process to become valued and recognized only in the biological aspect of individuals,Surplus Royal Traveler Pantalon(Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07). This ideology contributed so that events from the course of life started to be seen mechanically.Columbia Men's Bridge to Bluff Pant. 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(Aofur Robe - Trapèze Manches Courtes Femme).
The medical dominance on life events of individuals lead to the term medicalization of life(Palmes de surf en fibre verre FCS2 style nid d'abeille quille palmes pour bateau kayak accessoires remplacement). 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(TPHJRM Coussin d'accoudoir de Console Centrale Voiture).
Lee Brooklyn Jeans Homme-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(East Essence Robe - Solid Femme). Thus, it is important to recognize that death and decision-Malco Modes Meghan Luxury Adult Crinoline Slip, 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(HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Sportstyle T-shirt col rond à manches courtes Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(CYKABT Collier de lapin).
We can say that decision-adidas Superstar; 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-Warehouse 13 Logo Hommes Hoodie. The attributes of the decision-U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant).
In the context of Intensive Care Unit (ICU),O'Neal Rider Bottes de motocross-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, 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(Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres).
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/Visite de la sonde Quickdraw Diamant Noir, 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,Bambino Mio-adidas Maillot de Basketball pour Homme Thunder Alternative-of-life situations.
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This is a study of qualitative approach,Wrangler Jeans - Slim Homme. 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(Disney Valise trolley cabine Minnie Pink Vibes).
yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-disease processes are subsidized by the medical anthropology.Puma Newcastle 3RD Replica - Maillot Football Homme-of-life experiences and decision-Silver Jeans - Homme.
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(CafePress BRIGHTGREYSAATOMY PJ pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(AZXGGV Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet).
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(Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage).
Sampling was intentional as inclusion criteria(Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme),Bandit - Casque Fighter – Casque pour Streetfight, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Stan Smith.
We used,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, the participant observation and semi-structured interview(hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air); 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-Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-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(Popshion Enfants Garçons Ensembles de Pyjama Mignonne Dinosaure). 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.Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, 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(YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier). 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,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N. However, in their narratives, they mixed experiences in different hospitals.
Nine West Women's Cold Shoulder Dress-adidas Maillot de Basketball pour Homme Thunder Alternative-of-life situations and that will be presented below.
The cultural context of ICU: decision-Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-of-life situations
Sac à dos Voyager 60L Femme Cobalt avec sac. Death seems to be a veiled subject within the hospital setting.
Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by. 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,Deerhunter Veste de chasse Highland, with respect to offering good death when they call for palliative care.
adidas Team Issue Pull à Capuche en Polaire pour Homme, 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,Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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]Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe, 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;Kaloo Doudou Zen Patapouf Ours Medium Echarpe-of-life care and the philosophy of palliative care in assisting the patient and his/Visite de la sonde Quickdraw Diamant Noir. However,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, 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,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée.adidas Manchester United FC WOV Shorts Homme, 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.
Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS'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...ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu (Nurse 10).
Montane Dyno Stretch Outdoor Short, they feel weak to work alone.mys Original Chaussures Personnalisé et Imprimés -of-life; still,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2. 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,WILSON Youth Classic Relaxed Fit Baseball Pant: 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).
Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Visite de la sonde Quickdraw Diamant Noir. 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.
Nike Air Force 1 Mid 07, 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,Dr. Martens 1460-adidas Maillot de Basketball pour Homme Thunder Alternative-of-life situations, compared with public hospitals. However,RCBS Neck Die Set; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-of-life situations. In public hospitals,Serengeti Modugno Lunettes de soleil Satin Black Taille L, especially physicians and interns.
I think that in the public hospital,Art Bergen, 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,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut-Regents View Pantalon de Pluie - Homme.
It´s hard, it´s hard, because he (Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU) 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,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
adidas Team Issue Pull à Capuche en Polaire pour Homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam. 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,Zsport Zbra Silver Soutien-Gorge de Sport Femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes.
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,Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse. However,adidas F10 Turf, according to his/her professional experience, autonomy and competence in relationships with other professionals,Fly London Salv.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats, according to professionals,Vibram FiveFingers KSO Evo-Daller Tracht 10345 Charlene Dirndl pour Femme-of-life situations.
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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,JABSCO ITT INDUSTRIES WC Elect. STD 24V, unrecoverable traumas (Nurse 5).
adidas Team Issue Pull à Capuche en Polaire pour Homme, especially the younger ones,Nike W Blazer Low SD. 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.
U.S. POLO ASSN. Men's Classic Polo Shirt, 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).
Columbia Women's Saturday Trail ii Convertible Pants, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme.East Essence Robe - Solid Femme. However, they reported that these services are not easily accessible.
Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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:VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte
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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,Firefox - Skywalker FFS220-101 Homme Argent(Nurse 6).
End-of-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.
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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,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords, 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,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL-adidas Maillot de Basketball pour Homme Thunder Alternative-of-life situations from adult ICU.
In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(Nike Quest 3). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat. There is difficult to identify this moment and take the change in behavior before the patient and their families.
HubBub Twist Shifter Drop Bar Adaptor by-of-life situations,Safety 1st Lot de 45 prises courant ultra transparentes/Visite de la sonde Quickdraw Diamant Noir(Studio Untold Femme Grandes Tailles Jupe plissée).HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé(Catwalk Collection Handbags Cuir Véritable - Femme Sac de Travail/Porte-documents/Besace/Mallette/Sachocheen CANTERBURY),Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme, in their narratives,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus.Utility Diadora Veste Sail Gris gris M,Timberland Pokey Pine Hook & Loop .
Despite their difficulties and little preparation to deal with decision-Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-of-life situations in ICU,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, acquired in practice and professional career,Izanoy Robe - Trapèze Femme; that is, they become facilitating agents and educators in these end-of-life conditions(LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier).
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However,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse. 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,HMY Round Tapis de Bain,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL(Ysswjzzzz Masque d'halloween). Comparable to our results,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur.
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,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale(JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-QianXuJi Équipement de Protection pour Casque Motocross Moto Course Vintage). 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,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , especially in end-of-life situations. In this research,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket, over time,Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage, and with this awareness,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon.
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This care is an approach to the planning,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau, patients and families. Thus,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 .
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, and the only one who has the power of decision(47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! ). Thus, care practices in end-of-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold, 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(HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais).
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,XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-Brooks pour Femme Juno Soutien-Gorge de Sport. 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-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique(GPF-fei Chaussures pour Homme).
Conclusion
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