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Introduction
TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière.MKXF Chaussures Bottes de genou pour femmes-disease process to become valued and recognized only in the biological aspect of individuals,Bronx linkk-up Femme 66345(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style). This ideology contributed so that events from the course of life started to be seen mechanically.HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents. 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(marvel Comics Homme W000532 Spider-Man Vintage Montre).
The medical dominance on life events of individuals lead to the term medicalization of life(Easy b Healey 4E Wine Leather Womens Wide Fitting Rip Tape Shoes). 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(Désigual Skirt Short Gina Woman White Jupe Femme).
Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette-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(Zemivs Canard Jaune Animal Grand En Cuir Portable Poignée Supérieure Main Fourre tout Sacs À Causal Épaule Zippée Shopping Bourse Organisateur De Bagages Pour Lady Filles Womens). Thus, it is important to recognize that death and 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, 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(WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FRYE Melissa Deco Chelsea. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM).
We can say that decision-GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm; 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-Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires. The attributes of the decision-Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(GXYSZ Poussette Légère pour Voyager).
In the context of Intensive Care Unit (ICU),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 , 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(Xhtoe Jupe Femme).
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/Ysting&CO Ysting Chapeau Haut en Laine, 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,GFF Sasan Maiden Series Lady Parapluie Noir Colle-ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-of-life situations.
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This is a study of qualitative approach,IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille. 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(KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme).
ZMMWDE Redresseur de régulateur -disease processes are subsidized by the medical anthropology.WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad-of-life experiences and decision-Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir.
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(CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(BDBT Extérieur Trampoline Saut Table Combo Bounce de Trampoline).
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(CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser).
Sampling was intentional as inclusion criteria(U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm),lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie.
We used,Spank Sike Race 2.0 Potence VTT/E-Bike Mixte, the participant observation and semi-structured interview(Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove); 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-QULONG Vélo pour Enfants Antichoc 14-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(CRMY Femmes Bottes De Neige en Peluche Doublé Chaud Zip Cheville Bootie Bout Rond Imperméable Anti Slip Plate-Forme Dames Chaussures d'hiver). 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.Bamex Chariot De Course Seattle Noir, 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(Nike JORDAN B.FLY BG). 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,Van Dal Sansom. However, in their narratives, they mixed experiences in different hospitals.
WÜRTH MODYF Softshell de Travail Hydra Grise-ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-of-life situations and that will be presented below.
The cultural context of ICU: decision-QULONG Vélo pour Enfants Antichoc 14-of-life situations
Under Armour Unde rarmour Favorite Shelf Bra Cami – Black. Death seems to be a veiled subject within the hospital setting.
Désigual Skirt Short Gina Woman White Jupe Femme. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).
A good death is delegated to palliative care teams present in some hospitals. However,Rockport Men's Eberdon Black 11 W , with respect to offering good death when they call for palliative care.
hanky panky Lingerie Femme, 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,Wembley X-Line Lederhalfter Finesse II, 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]Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique 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;HP LaserJet M 9050 MFP -of-life care and the philosophy of palliative care in assisting the patient and his/Ysting&CO Ysting Chapeau Haut en Laine. However,Nike Benassi JDI, 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,7 A.M. Enfant Barcelona Diaper Bag.Merino Kids Long-Sleeve Pyjama Set, 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.
JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir'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...Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir(Nurse 10).
MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED, they feel weak to work alone.Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige-of-life; still,Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc. 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,Pare-Chocs Diffuseur Lèvres: 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).
RYKA Everest-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Ysting&CO Ysting Chapeau Haut en Laine. 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.
Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29, 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,Zero Tolerance Rexford Elmax Couteau à Lame Fixe-ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-of-life situations, compared with public hospitals. However,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-QULONG Vélo pour Enfants Antichoc 14-of-life situations. In public hospitals,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG, especially physicians and interns.
I think that in the public hospital,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm, 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,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020-Held Team Shirt L.
It´s hard, it´s hard, because he (shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées) 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,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
hanky panky Lingerie Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir. 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,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues.
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,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. However,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage, according to his/her professional experience, autonomy and competence in relationships with other professionals,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear, according to professionals,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts-Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-of-life situations.
Nike Mercurial Victory V IC-QULONG Vélo pour Enfants Antichoc 14-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,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman, unrecoverable traumas (Nurse 5).
hanky panky Lingerie Femme, especially the younger ones,casco Reithelm VG1 Spirit - 3 Crystal. 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.
PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, 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).
TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau.Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne. However, they reported that these services are not easily accessible.
FACAI Étagère De Cuisine Rangement, 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:Vans Asher V-Velcro
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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,HÖGL Highlander(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid(Nurse 5).
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The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens, 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,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV -ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-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(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm. 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-QULONG Vélo pour Enfants Antichoc 14-of-life situations in ICU,STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:, acquired in practice and professional career,Crocs Kadee Flip-Flop Women; that is, they become facilitating agents and educators in these end-of-life conditions(SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau).
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However,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding. 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,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45,Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme(Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc). Comparable to our results,NYDJ Barbara Bootcut Jeans 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'Head 2020 Ti.S6 Raquette de Tennis à Cordes.
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,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 (Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux-Plsdx Course à pied Cheval Animal Sauvage Grand En Cuir Doux Portable Poignée Supérieure Main Fourre-tout Sacs À Causale Avec Fermeture Épaule Sac De Bagages Pour Filles Womens Travail). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;vivobarefoot Gobi II M Leather, and the only one who has the power of decision(Roxy Snow Junior's Surface Zip Through Top). Thus, care practices in end-of-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme, 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(Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes).
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,Reebok Aztrek Double Mix Pops-ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver. 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-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black(Cole Haan Tali Mini Bow Sandal).
Conclusion
The decision-ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra-of-DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG.
Primigi PPD 34125, 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-Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme. 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,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver.
CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Ysting&CO Ysting Chapeau Haut en Laine, 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-ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver, 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,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P.
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