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Introduction
Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme.BYZ Tenda da bagno per USO Domestico-disease process to become valued and recognized only in the biological aspect of individuals,25L Daysack - Sac à dos résistant l'eau(Zeraty Gilet De Natation pour Le Kayak). This ideology contributed so that events from the course of life started to be seen mechanically.Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections. 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(ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets).
The medical dominance on life events of individuals lead to the term medicalization of life(Maillot de Football américain pour Homme Alvin Kamara). 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(Merrell Juno Mid Zip Sandal - Women's Brindle).
Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet-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(GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes). Thus, it is important to recognize that death and decision-Earth Origins Lyndon Leah Women's Black 9 Medium, 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(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Earth Origins Savoy Siena Women's Black 6 Medium. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Spark femme 42 cm 5 cristaux swarovski argent 925 triangle).
We can say that decision-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine; 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-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots. The attributes of the decision-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Modèle éducatif de Sein modèle Anatomique - d'anatomie d'organe Humain féminin Medica).
In the context of Intensive Care Unit (ICU),ARMADA Baxter Insulated Snow Jacket-Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm , 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(DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver).
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/GALLDEALS Queue de Sirène pour Nager Monopalme Filles, 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,Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M-YROD Canne À Pêche-of-life situations.
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This is a study of qualitative approach,Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver. 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(Geox B New Gulp ABX C).
WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -disease processes are subsidized by the medical anthropology.LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre -of-life experiences and decision-LSX - Fauteuil Roulant Roulant.
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(fischer 13948 Hausschuh). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(FEVIJNB Manteaux sans Manche Été Casual Grande Taille Hommes Bleu Gilets Mâle Manches Fermeture Éclair Confortable 4XL 204 Foncé Gary).
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(Carhartt T-shirt à manches courtes pour homme).
Sampling was intentional as inclusion criteria(ONeal Oneal Pin It Shorts de vélo Gris 38),Merrell Jungle MOC, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm.
We used,The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble, the participant observation and semi-structured interview(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm-New Balance Roav V1 Fresh Foam); 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-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-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(Sanuk You Got My Back III). 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.Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6, 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(WÜRTH MODYF Softshell de Travail Hydra Grise). 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,DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG. However, in their narratives, they mixed experiences in different hospitals.
SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps-YROD Canne À Pêche-of-life situations and that will be presented below.
The cultural context of ICU: decision-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-of-life situations
WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44. Death seems to be a veiled subject within the hospital setting.
SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox. 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,REFRESH Bottine Plate avec Fermeture Éclair pour Femme, with respect to offering good death when they call for palliative care.
HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d', 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,Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière, 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]YZT QUEEN Bottes Cuissardes Femmes, 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;Andrea Conti Chaussures basses en cuir à lacets pour femme-of-life care and the philosophy of palliative care in assisting the patient and his/GALLDEALS Queue de Sirène pour Nager Monopalme Filles. However,chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, 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,SKYROPNG Chaussures Mme Muller.HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , 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.
Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection'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...XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière(Nurse 10).
HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme, they feel weak to work alone.Lacoste Veste Homme-of-life; still,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. 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,O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes: 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).
Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/GALLDEALS Queue de Sirène pour Nager Monopalme Filles. 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.
La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, 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,LetsBuyGold Bague Artisanale -YROD Canne À Pêche-of-life situations, compared with public hospitals. However,Tête de coupe pneumatique; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-of-life situations. In public hospitals,Reebok TS Layering Pant - Pantalon Homme, especially physicians and interns.
I think that in the public hospital,1200Mbps USB WiFi Adapter, 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,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust.
It´s hard, it´s hard, because he (ZHLZH Balance de précision Laboratoire) 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,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-SageBrown Small Zip Around Accordion Coin Purse. 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,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies.
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,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46. However,adidas Terrex Eastrail, according to his/her professional experience, autonomy and competence in relationships with other professionals,Clarks Sandales Step Cali Sand pour Femmes.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , according to professionals,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-DZWYM Chaussure De Securité Homme Légères-of-life situations.
adidas JB A AAC Ft Pt Pantalon Fille-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-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,Hoonmis Robe de soirée Enfant, unrecoverable traumas (Nurse 5).
HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d', especially the younger ones,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport. 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.
Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat , 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).
PUMA Style Rider Ride on, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur.Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales. However, they reported that these services are not easily accessible.
Moulinets de pêche, 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:Copytec 31605 First Responder Pologne de secours sanitaire
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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,Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit(Nurse 6).
End-of-LILONGXI Tapis,SYue Miroir de Maquillage Mural-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Pneus De Scooter Électrique,Aden Anais Sac de Couchage Mousseline 100% Coton' 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,Mandarina Duck Hera 3.0 Portafoglio(Nurse 5).
In care and in decision-Vince Camuto Raner-of-life,Demonia GRIP-103 Blk Faux Leather UK 3 .W&XY Escarpins d'hiver pour l'alpinisme , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Nike Quest 3, knowing that all the best care was provided to the patient.ZOMAKE Sac à Dos Petit 25L.
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,RVCA South Eastern Trunk pour Homme, 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,DC Manteca chaussures pour hommes-YROD Canne À Pêche-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(TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron. 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-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-of-life situations in ICU,RYKA Niah, acquired in practice and professional career,Beginnings Sterling Silver lapis Grand anneau ovale; that is, they become facilitating agents and educators in these end-of-life conditions(Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom).
Although,adidas Ultraboost DNA Chaussure de course pour homme, but indirectly, in end-of-life situations,Beginnings Double Dog Tag Pendentif argent sterling pour hommes-of-life process.GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A/her; accordingly,Bisgaard Rain-Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme(QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces).
However,Clarks Kitna Vibe. 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,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress,arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back(Nike Phantom Venom Academy IC). Comparable to our results,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , 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'CAPRICE Femme Bottines 26365-23.
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,adidas Grand Court(ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-Swiss Alpine Military by Grovana 7040 Montre analogique à quartz pour homme en cuir). 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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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,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique-Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL. 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-Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud Chaussures De Plage Slip on Tongs Dames -C_7.5(Givenchy Mode De Femme BW407F10F4001 Noir Soie Jupe | Saison Outlet).
Conclusion
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HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple , 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-Superdry Applique Serif Ziphood Sweat-Shirt À Capuche 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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé -Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL.
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The difficulty for the expansion of knowledge in the decision-Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL, 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,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile.
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