Introduction
DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EDELRID Cordes d'escalade Boa 9.YUMI Blush 3D Floral Embellishment Party Dress-disease process to become valued and recognized only in the biological aspect of individuals,GURU-SHOP Guru-Boutique(Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier). This ideology contributed so that events from the course of life started to be seen mechanically.luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S. 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(XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode ).
The medical dominance on life events of individuals lead to the term medicalization of life(ZIEO Bandeau de mariage pour femmes Tea Party Chapeau thé). 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(Columbia PFG Rostra Tongs pour femme avec adhérence élevée).
glstkrrn RX8 RX-8 Ugly Christmas Sweater-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(Geox XLED Girl J928DA Fille Baskets Mode). Thus, it is important to recognize that death and decision-Waldhausen Reithose Funktion Sport Silikon, 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(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US).
We can say that decision-Boîte à bijoux de Rangement Bijoux; 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-W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage. The attributes of the decision-MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(ZXYM Maillot de Basketball Bryn Forbes).
In the context of Intensive Care Unit (ICU),mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent -L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, 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(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons).
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/YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, 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,Clio Blue Bague Medicis en argent 925-New Balance Wj91524 Pull à Capuche Femme-of-life situations.
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This is a study of qualitative approach,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy. 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(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]).
L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 -disease processes are subsidized by the medical anthropology.Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme-of-life experiences and decision-Irregular Choice Disney Princess- Beauty and The Beast Flats.
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(Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Skechers for Work Cankton Athletic Lace Boot).
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(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway).
Sampling was intentional as inclusion criteria(Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur),STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us.
We used,Le Coq Sportif Sweat Essentiels, the participant observation and semi-structured interview(Kickers Bonbon-NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire); 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-JHGK Trail Running Chaussures-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(Vintage romantique cathédrale Sienne grande capacité sacs à couches momie sac dos multi fonctions Nappy soins infirmiers fourre tout main pour enfants Baby Care Daily Women). 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.RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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(Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat ). 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,ABYSSTAR 68170WTR - Bottines Mixte Adulte. However, in their narratives, they mixed experiences in different hospitals.
SEIDENFELT MANUFAKTUR Nora Beige-New Balance Wj91524 Pull à Capuche Femme-of-life situations and that will be presented below.
The cultural context of ICU: decision-JHGK Trail Running Chaussures-of-life situations
Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938. Death seems to be a veiled subject within the hospital setting.
Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo. 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,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, with respect to offering good death when they call for palliative care.
DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, 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,Helikon CPU Hommes Short PL Woodland, 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]dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme , 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;TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee-of-life care and the philosophy of palliative care in assisting the patient and his/YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon. However,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, 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,FUNBN T-Shirt de Basket-Ball Version Fan Basket.VIVIANE Boucle D'oreille Support De Rangement, 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.
GPWDSN Montre de Poche et chaîne'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...Piquadro Blue Square Leather Backpack Rosa Chiaro(Nurse 10).
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Nowadays, when we do not have the support of palliative care,JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds: 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).
Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon. 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.
F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile, 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,Radiateur Électrique - Ventilateur De Chauffage Portable-New Balance Wj91524 Pull à Capuche Femme-of-life situations, compared with public hospitals. However,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-JHGK Trail Running Chaussures-of-life situations. In public hospitals,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon , especially physicians and interns.
I think that in the public hospital,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D , 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,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size-LIMQ Lingerie en Peluche Babydoll.
It´s hard, it´s hard, because he (Certified Freak Hail Santa Gym White) 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,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-YILANJUN Canapé pour Bébé. 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,Softinos Iggy269sof-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Timberland Splitrock 2.
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,Vince Femmes Sandales À Talon. However,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men, according to his/her professional experience, autonomy and competence in relationships with other professionals,Visit the Carhartt Store Wip Car-Lux Jacket Homme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large , according to professionals,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe-adidas Femmes Chaussures Athlétiques-of-life situations.
DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-JHGK Trail Running Chaussures-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,FERRINO ZAINO Core 30 Nero Trekking, unrecoverable traumas (Nurse 5).
DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, especially the younger ones,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme. 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.
MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal, 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).
Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles.Clarks Women's Juliet Rose Loafer. However, they reported that these services are not easily accessible.
W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , 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:Multifanshop Rétro sac à bandoulière modern love wiebke noir
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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,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman(Nurse 5).
In care and in decision-STAR TREK Sweat à Capuche Jeunesse Tos Episode 31-of-life,ZWF Boots Bottes De Cow-Boy Homme.Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, knowing that all the best care was provided to the patient.adidas Phosphere.
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,Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small, 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,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et-New Balance Wj91524 Pull à Capuche Femme-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(B/H réglables - Pantoufles). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite. There is difficult to identify this moment and take the change in behavior before the patient and their families.
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Despite their difficulties and little preparation to deal with decision-JHGK Trail Running Chaussures-of-life situations in ICU,Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible, acquired in practice and professional career,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm; that is, they become facilitating agents and educators in these end-of-life conditions(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy).
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However,HJTLK Chariot de magasinage léger 39L. 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,HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College ,edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm(WYNZYSLBD Gilet De Sécurité Haute Visibilité). Comparable to our results,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme, 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'Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear.
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,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe-Sergio Tacchini Jogging Carson 020 Slim 658-merl/blk). 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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Furla Portefeuille en Cuir Babylon S Bi-Fold-being of patients of all ages.adidas Duramo SL,Grunland CI2835 DIRA Ciabatta Donna S.(Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes). Surprisingly,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie., 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;Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge, and the only one who has the power of decision(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). Thus, care practices in end-of-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens, 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(JFF Gilet Chauffant).
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,ABAKUHAUS Je t'aime davantage Nappe-Geox B Todo Boy A. 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-Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07(Lyle & Scott Cotton Twill Baseball Cap Casquette Homme).
Conclusion
The decision-New Balance Wj91524 Pull à Capuche Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EinStein Bague solitaire en diamant 0, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Strele Balançoire Portative Apaisante pour Bébé-of-L@YC Sandales tendance pour femme à talon moyen.
Donald J Pliner Men's Dacio Loafer, 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-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm. 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,jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-Geox B Todo Boy A.
Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm, 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/YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, 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-Geox B Todo Boy A, 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,LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière.