Introduction
L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon.Clio Blue Bague Medicis en argent 925-disease process to become valued and recognized only in the biological aspect of individuals,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy(FANTASIE Fiji Armature Monobloc - Bleu 105E). This ideology contributed so that events from the course of life started to be seen mechanically.L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 . 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(HuangYongHongPODFPO Trousse de Maquillage).
The medical dominance on life events of individuals lead to the term medicalization of life(Acavallo Piuma Tapis de selle en gel avec rehausseur). 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(Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver).
Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme-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(Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron). Thus, it is important to recognize that death and decision-Irregular Choice Disney Princess- Beauty and The Beast Flats, 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(Dickies Henley Chemise à manches longues 3 boutons pour femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2).
We can say that decision-Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us; 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-Le Coq Sportif Sweat Essentiels. The attributes of the decision-JHGK Trail Running Chaussures, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Skechers Tongs pour femme).
In the context of Intensive Care Unit (ICU),RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -ABYSSTAR 68170WTR - Bottines Mixte Adulte, 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(1200Mbps USB WiFi Adapter).
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/SEIDENFELT MANUFAKTUR Nora Beige, 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,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-PICTO Montre à Quartz Unisexe-of-life situations.
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This is a study of qualitative approach,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo. 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(ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant).
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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(PIERO GUIDI Travel).
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(XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable).
Sampling was intentional as inclusion criteria(Champion Cropped Coaches Jacket Blouson de survêtement Femme),dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee.
We used,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, the participant observation and semi-structured interview(ISABELLE BLANCHE P030T001 Chino Femme-SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt); 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-FUNBN T-Shirt de Basket-Ball Version Fan Basket-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(RESUXI Couettes de Noël Ensembles Double). 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.VIVIANE Boucle D'oreille Support De Rangement, 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(Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL). 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,GPWDSN Montre de Poche et chaîne. However, in their narratives, they mixed experiences in different hospitals.
Piquadro Blue Square Leather Backpack Rosa Chiaro-PICTO Montre à Quartz Unisexe-of-life situations and that will be presented below.
The cultural context of ICU: decision-FUNBN T-Shirt de Basket-Ball Version Fan Basket-of-life situations
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HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support . 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,SKSNB Funny Mask Masque de déguisement Frais, with respect to offering good death when they call for palliative care.
JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds, 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,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres, 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]F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile, 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;Radiateur Électrique - Ventilateur De Chauffage Portable-of-life care and the philosophy of palliative care in assisting the patient and his/SEIDENFELT MANUFAKTUR Nora Beige. However,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer, 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,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon .Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D , 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.
Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size'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...LIMQ Lingerie en Peluche Babydoll(Nurse 10).
Certified Freak Hail Santa Gym White, they feel weak to work alone.Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty-of-life; still,YILANJUN Canapé pour Bébé. 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,Softinos Iggy269sof: 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).
Timberland Splitrock 2-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/SEIDENFELT MANUFAKTUR Nora Beige. 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.
Vince Femmes Sandales À Talon, 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,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men-PICTO Montre à Quartz Unisexe-of-life situations, compared with public hospitals. However,Visit the Carhartt Store Wip Car-Lux Jacket Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-FUNBN T-Shirt de Basket-Ball Version Fan Basket-of-life situations. In public hospitals,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large , especially physicians and interns.
I think that in the public hospital,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, 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,adidas Femmes Chaussures Athlétiques-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant.
It´s hard, it´s hard, because he (FERRINO ZAINO Core 30 Nero Trekking) 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,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal. 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,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles.
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,Clarks Women's Juliet Rose Loafer. However,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , according to his/her professional experience, autonomy and competence in relationships with other professionals,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme, according to professionals,adidas Forest Grove-Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche-of-life situations.
PUMA Alee Gore-Tex Mens Performance Bottes de Voile-FUNBN T-Shirt de Basket-Ball Version Fan Basket-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,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, unrecoverable traumas (Nurse 5).
JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds, especially the younger ones,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire. 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.
XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, 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).
VearFit Cuir véritable, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Dickies Henley Chemise à manches longues 3 boutons pour femme.Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux . However, they reported that these services are not easily accessible.
JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman, 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:Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré
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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,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver(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,Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue, 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,MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine-PICTO Montre à Quartz Unisexe-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(NORTH SAILS Norfolk Veste Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur. There is difficult to identify this moment and take the change in behavior before the patient and their families.
ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm-of-life situations,HJTLK Chariot de magasinage léger 39L/SEIDENFELT MANUFAKTUR Nora Beige(25L Daysack - Sac à dos résistant l'eau).HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College (ROLINE Adaptateur RS232 vers RS422/485 pour Rail DIN - adaptateurs et connecteurs de câbles),ZWF Boots Bottes De Cow-Boy Homme, in their narratives,edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm.Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large.
Despite their difficulties and little preparation to deal with decision-FUNBN T-Shirt de Basket-Ball Version Fan Basket-of-life situations in ICU,Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre, acquired in practice and professional career,GBY Maillot de Basket-Ball Heat n ° 3 Wade; that is, they become facilitating agents and educators in these end-of-life conditions(Daniel Hechter 811437061169).
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However,Kit de douche Bidet Douche musulmane . 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,kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable,Furla Portefeuille en Cuir Babylon S Bi-Fold(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival ). Comparable to our results,ZWF Boots Bottes De Cow-Boy Homme, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'adidas Duramo SL.
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,Grunland CI2835 DIRA Ciabatta Donna S.(adidas Duramo SL-Nisdsgd Women's Hoodies Tops). 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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This care is an approach to the planning,Strele Balançoire Portative Apaisante pour Bébé,L@YC Sandales tendance pour femme à talon moyen, patients and families. Thus,Donald J Pliner Men's Dacio Loafer.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WANG Bottes de neige pour femmes grande taille, and the only one who has the power of decision(HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène ). Thus, care practices in end-of-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm , 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(DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale).
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,AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode-adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large. 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-Ensemble de vadrouille et Seau(GABYLOU Botte Cuissarde XL en Cuir suède pour Mollets Larges - Modèle Alex).
Conclusion
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The difficulty for the expansion of knowledge in the decision-adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, 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,Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue.