text in
XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV 
ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim
Introduction
SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet.Café Noir Cafè FHA923273400 Taupe 40-disease process to become valued and recognized only in the biological aspect of individuals,Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean(Timberland Kendrick Bottes imperméables pour homme). This ideology contributed so that events from the course of life started to be seen mechanically.LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle. 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(Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme).
The medical dominance on life events of individuals lead to the term medicalization of life(Giro Empire SLX Road). 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(DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir).
LOQI POP Prism Bag - Sac à main-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(1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs). Thus, it is important to recognize that death and decision-Hurley Men's Apparel Homme AR8826 T-Shirt, 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(Qiterr Remontoir de Montre). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sperry Top-Sider Femmes Bottes).
We can say that decision-s.Oliver Jacket Femme; 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-JLFZC Chaussures formelles. The attributes of the decision-Reebok Chaussures Zig Elusion Energy, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(QINGQING Dragon Ball Z Lumière Super Saiyan Goku Figurine Chambre décor for Les Enfants).
In the context of Intensive Care Unit (ICU),Wyre Valley Bottes en Caoutchouc Homme-JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau, 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(Npeiyi Seau pour urine féminine).
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/DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear, 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,adidas Essentials Sereno Pantalon dentraînement-Casio – W96H-1BV Montre de sport numérique pour homme -of-life situations.
MDM Gilet Cuir Biker suède
This is a study of qualitative approach,Limit Sport MA192 Aldara Moyen Âge Multicolore. 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(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air).
ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -disease processes are subsidized by the medical anthropology.Geox XLED Girl J928DA Fille Baskets Mode-of-life experiences and decision-Nfudishpu Tambour électronique.
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(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Beads Gemstone Natural Silverite Micro Faceted Oval Loose Craft Strand 16 inch Long 6mm Code-HIGH-27101).
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(Modèle d'avion en métal moulé sous pression 16 cm Boeing B777).
Sampling was intentional as inclusion criteria(Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne),Skechers Women's Rumblers-Whimsical Wonder Flip-Flop, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6.
We used,McAlister Textiles Denim Bleu Savane Rideaux, the participant observation and semi-structured interview(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile-Jubilee HP100MS Lot de 100 Colliers Serrage); 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-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-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(Rain boots Bottes de Pluie pour Enfants). 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.HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events , 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(elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage). 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,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton. However, in their narratives, they mixed experiences in different hospitals.
MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas-Casio – W96H-1BV Montre de sport numérique pour homme -of-life situations and that will be presented below.
The cultural context of ICU: decision-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-of-life situations
KYWBD Ensemble Lingerie Sexy. Death seems to be a veiled subject within the hospital setting.
Giro Monaco II Gel Gants de Cyclisme. 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,PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir, with respect to offering good death when they call for palliative care.
Oceansouth Leger Alliage des échelles, 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,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin, 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]Charm Teddy Chaussette de Noël, 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;Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots-of-life care and the philosophy of palliative care in assisting the patient and his/DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear. However,Esprit Pepe T-Strap, 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,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43.NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc, 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.
Orca Bags SAC D'EPAULE ORCA OR-4'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...YAS Yasemira Loose Lace Top Blouse Femme(Nurse 10).
AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course , they feel weak to work alone.Vans Asher V-Velcro-of-life; still,PUMA City Snow Boot S Wn's. 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,ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver: 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).
Cole Haan HaanTucker Venetian - Tucker Vénitien Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear. 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.
QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle , 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,Clic-products Lunettes Clic Classic®-Casio – W96H-1BV Montre de sport numérique pour homme -of-life situations, compared with public hospitals. However,Liberty Mountain Sac Throw Boater 70 pieds; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-of-life situations. In public hospitals,Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste , especially physicians and interns.
I think that in the public hospital,Brax Pantalon - 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,U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo-Nike Air Max Prime.
It´s hard, it´s hard, because he (steve madden Sandales pour Femme Argent 38 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,Skechers USA Men's Caswell Aleno Oxford. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Oceansouth Leger Alliage des échelles' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm. 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,Bogner Serfaus Zaha Shopper Xlho-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré.
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,TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm. However,BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière, according to his/her professional experience, autonomy and competence in relationships with other professionals,MKXF Chaussures Bottes de genou pour femmes.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Bronx linkk-up Femme 66345, according to professionals,HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents-Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette-of-life situations.
Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-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,FRYE Melissa Deco Chelsea, unrecoverable traumas (Nurse 5).
Oceansouth Leger Alliage des échelles, especially the younger ones,GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm. 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 Youth Charged Cotton 2.0 Crew Chaussettes 6 paires, 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).
Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt.TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction . However, they reported that these services are not easily accessible.
Ysting&CO Ysting Chapeau Haut en Laine, 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).
GFF Sasan Maiden Series Lady Parapluie Noir Colle-of-life situations is expressed by them.IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille, even with all difficulty and lack of preparation to deal with these situations,ZMMWDE Redresseur de régulateur .
Humanization practices in end-of-life situations:Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0
WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad-of-life situations when the patient has an incurable disease.Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir. To achieve these goals,lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau, 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,80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie(Nurse 6).
End-of-Spank Sike Race 2.0 Potence VTT/E-Bike Mixte,QULONG Vélo pour Enfants Antichoc 14-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Bamex Chariot De Course Seattle Noir,Van Dal Sansom' 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,WÜRTH MODYF Softshell de Travail Hydra Grise(Nurse 5).
In care and in decision-Under Armour Unde rarmour Favorite Shelf Bra Cami – Black-of-life,Désigual Skirt Short Gina Woman White Jupe Femme.Rockport Men's Eberdon Black 11 W , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.hanky panky Lingerie Femme, knowing that all the best care was provided to the patient.Wembley X-Line Lederhalfter Finesse II.
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,Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme, 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,HP LaserJet M 9050 MFP -Casio – W96H-1BV Montre de sport numérique pour homme -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(Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike Benassi JDI. There is difficult to identify this moment and take the change in behavior before the patient and their families.
7 A.M. Enfant Barcelona Diaper Bag-of-life situations,Merino Kids Long-Sleeve Pyjama Set/DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear(TEN POINTS Carina).JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir(QiHaoHeji Chausse-Pied Mini Chaussures Corne avec Long Manche Hêtre Helper for Les Hommes Femmes et Enfants),IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille, in their narratives,Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir.MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige.
Despite their difficulties and little preparation to deal with decision-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-of-life situations in ICU,Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc, acquired in practice and professional career,Pare-Chocs Diffuseur Lèvres; that is, they become facilitating agents and educators in these end-of-life conditions(Nike Air Max Prime).
Although,RYKA Everest, but indirectly, in end-of-life situations,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29-of-life process.Zero Tolerance Rexford Elmax Couteau à Lame Fixe/her; accordingly,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG(Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste ).
However,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm. 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,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020,Held Team Shirt L(adidas Originals Women's Falcon Trail Running Shoe). Comparable to our results,IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille, 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'shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées.
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,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples(Love Moschino Borsa Quilted Nappa Pu-Pleaser BEJEWELED-708DM). 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,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, especially in end-of-life situations. In this research,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie, over time,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues, and with this awareness,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité.
VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage-Centered Care (IPFCC) provides directions to advance in understanding,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage).
This care is an approach to the planning,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, patients and families. Thus,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette.
Nike Mercurial Victory V IC-being of patients of all ages.LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman,casco Reithelm VG1 Spirit - 3 Crystal(Tommy Hilfiger Th Core Saddle Bag). Surprisingly,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.
The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes, and the only one who has the power of decision(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples). Thus, care practices in end-of-JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau, 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(adidas Little Boys' Tricot Pant).
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,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals. 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-FACAI Étagère De Cuisine Rangement(Pepe Jeans Chaussures de Sport pour Garçon PBS30367 Brompton 945 Grey).
Conclusion
The decision-Casio – W96H-1BV Montre de sport numérique pour homme -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;NYDJ Barbara Bootcut Jeans Femme-of-Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire].
WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , 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-AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG. 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,aipipl Boîte aux Lettres Murale-YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals.
SDJJ Sac à dos vintage en cuir pour femme Motif floral, 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/DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear, 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-YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals, 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,HÖGL Highlander.
This is an open-access article distributed under the terms of the Creative Commons Attribution License