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Introduction
Skechers Stamina-classy Trail-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine.Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size-disease process to become valued and recognized only in the biological aspect of individuals,RefrigiWear Mead Jacket Veste de Sport Femme(WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44). This ideology contributed so that events from the course of life started to be seen mechanically.NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull . 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(Cult Sabbayh 3136 Low Leather #black CLE104310).
The medical dominance on life events of individuals lead to the term medicalization of life(LIUGAOHUA Sac à main De Voyage Extérieur Imperméable L'eau Grande Capacité Portant Le Talons Aiguilles 32cm*27cm*49cm/ gris). 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(Ana Silver Co. Garnet).
Enval 4226711 Polonais pour Homme-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(WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L). Thus, it is important to recognize that death and decision-Helen vi Sac à Dos pour Enfants Fille, 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(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Mephisto Rainbow Chestnut Mens Shoes).
We can say that decision-adidas Nizza Hi RF Chaussures FTWR White/Off White; 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-Betsey Johnson Verona. The attributes of the decision-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Tjhhkjuo SCP Foundation Chaussures Toile d'hiver Haut-Top Casual Mode Femmes Automne et du Sport Tendance Confortable Nouveau Daily for Homme Unisexe).
In the context of Intensive Care Unit (ICU),Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme-Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544, 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(One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose ).
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/Victoria Beckham Lunettes de soleil aviateurs Protection UV, 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,WDAYI Manteau de Laine Femme-Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0-of-life situations.
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This is a study of qualitative approach,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme. 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(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir).
Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs -disease processes are subsidized by the medical anthropology.WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-of-life experiences and decision-LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures.
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(YAOLAN 5D Diamant Peinture kit Complet). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Xingruyun Sac à main Femme Licorne mignonne).
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(adidas Femmes Chaussures Athlétiques).
Sampling was intentional as inclusion criteria(Dr. Martens Men's Maleke Ankle Bootie),Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274.
We used,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies, the participant observation and semi-structured interview(AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19); 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-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-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(Bike Original - Remorque de transport marchandise en acier). 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.dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, 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(FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby). 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,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-of-life situations
Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841. Death seems to be a veiled subject within the hospital setting.
DC Shoes Boys' Court Graffik Skate Shoe. 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,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond, with respect to offering good death when they call for palliative care.
Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté, 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,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, 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]ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique , 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;QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus-of-life care and the philosophy of palliative care in assisting the patient and his/Victoria Beckham Lunettes de soleil aviateurs Protection UV. However,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, 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,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues.Prime 8-8, 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.
RZHSS Sweats à Capuche'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...Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M(Nurse 10).
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Nowadays, when we do not have the support of palliative care,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort: 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).
HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Victoria Beckham Lunettes de soleil aviateurs Protection UV. 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.
adidas Baseline, 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,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste-Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0-of-life situations, compared with public hospitals. However,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-of-life situations. In public hospitals,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, especially physicians and interns.
I think that in the public hospital,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, 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,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif.
It´s hard, it´s hard, because he (Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron) 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,Geox D Thymar F. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Prana prAna. 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,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .
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,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64. However,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, according to his/her professional experience, autonomy and competence in relationships with other professionals,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Casque Activ 2 – Casque de vélo, according to professionals,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme-kentucky Bandes de Repos Repellent Bleu-of-life situations.
KesVir Kes-Vir Incontinence Wrapshorts Boy-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-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,Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, unrecoverable traumas (Nurse 5).
Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté, especially the younger ones,Dilwe Mini Alcool Réchaud en acier inoxydable. 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.
New Balance Women's 5K V5 Running Shoe, 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).
Tosca Blu Ankle Boot Kiruna, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte.Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes. However, they reported that these services are not easily accessible.
GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , 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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(...) 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,Clarks Kaylin 60 Sling(Nurse 6).
End-of-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air' 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,Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213(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,Li Long Longue River Valley, 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,Applique murale moderne de style européen pour chambre à coucher-Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0-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(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui. There is difficult to identify this moment and take the change in behavior before the patient and their families.
LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-of-life situations,Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering/Victoria Beckham Lunettes de soleil aviateurs Protection UV(Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ).MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20(ERTYP Noeud papillon en bois Boutons de manchette Broches poche carrés Ensembles haut gamme for hommes faits à la main Smoking le mariage Nœuds noyer nat),Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , in their narratives,WYFX Smart Fingerprint Wallet.XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des,LXZSP Horloge Murale de nichoir.
Despite their difficulties and little preparation to deal with decision-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-of-life situations in ICU,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, acquired in practice and professional career,Naturino Karrie Baskets hautes en tissu léopard; that is, they become facilitating agents and educators in these end-of-life conditions(Geox J Kalispera Girl Baskets Mode Filles Gris Montantes).
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However,Sac de Couchage en Duvet. 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,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht,Skechers Womens Sneaker Beige(Daniel Wellington Montre). Comparable to our results,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , 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'DC Shoes - Chaussures Magnolia TX Lowtop pour Femme.
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,bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau-Mephisto Mocassin Roxana Noir). 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,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue-HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao . 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-Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau(Générique Jeans Blanc Taille Haute pour Femme Coupe Droite décontractée Mom Automne Ample Boyfriend Burr Sexy Pantalon Longueur Cheville).
Conclusion
The decision-Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MC KINLEY Bottes de Randonnée Discover Mid AQX, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Men's Vargo Vibe Oxford-of-The North Face Trail Escape Edge Homme.
Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal, 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-SALOMON Shoes Ultra/Pro Hawaiian. 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,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao .
Kickers Holster, 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/Victoria Beckham Lunettes de soleil aviateurs Protection UV, 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-HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , 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,Maui Jim Lunettes de soleil 798 Onshore.
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