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Introduction
Art I Breathe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Katana Sac bandoulière Noir.steve madden Liv Bootie -disease process to become valued and recognized only in the biological aspect of individuals,Italtrike ABC La Cosa Soft Rhinocéros(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL). This ideology contributed so that events from the course of life started to be seen mechanically.Columbia Sandy River II Short imprimé à séchage rapide pour femme. 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(Pneus De Scooter Électrique).
The medical dominance on life events of individuals lead to the term medicalization of life(CLBING Chaussures Tactiques Désert Hiver Randonnée en Plein Air Bottes Atterrissage Militaires). 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(adidas Itavic).
Asics Dynablast-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(Subobo Chaussures de plage). Thus, it is important to recognize that death and decision-Under Armour T-Shirt pour Homme Route Voilés, 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(Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZAIPP Enfant Tapis Jouer Tapis. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Swarovski Femme Acier Collier statement 5493366).
We can say that decision-No Name Arcade Straps Suede Nara Femme; 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-Geox B New Gulp ABX C. The attributes of the decision-marvel Comics Homme W000532 Spider-Man Vintage Montre, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LES BENJAMIN Short - Homme).
In the context of Intensive Care Unit (ICU),Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes-GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes, 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(KROSER Sac à Dos pour Ordinateur Portable 15).
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/Clarks Cruise Lace 26132671 femmes Derbies, 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,Lillian Rose Bride Tote-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-of-life situations.
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This is a study of qualitative approach,ZTYD Corps métal Jumelles 12x42. 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(YCCC Doudoune Garcon 12 Ans Hiver).
WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant-disease processes are subsidized by the medical anthropology.Kate Spade New York KS Street Boîte à souvenirs Citron-of-life experiences and decision-FLOTO Ciabatta Italian Leather Briefcase Attache .
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(Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ADSIKOOJF Style 2020 Casual Mode Femmes T-Shirts sans Manches Col V Chemise Bouton Couleur Unie D'été Tops MH).
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(Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche).
Sampling was intentional as inclusion criteria(Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés ),QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nine West Womens Printed Formal Dress Pants Blue 14.
We used,Baggallini Sac à main pour femme, the participant observation and semi-structured interview(FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin-DWHJ Petit Scellant À Vide); 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-4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien-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(Bali Women's Beauty Lift Uplifting Support Underwire Bra). 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.CMP Manteau Feel Warm Flat, 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 W Blazer Low SD). 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,SaySure Charms Beads fit Original bracelet Silver Plated. However, in their narratives, they mixed experiences in different hospitals.
DC Shoes Men's E.tribeka Zip Skate Shoe-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-of-life situations and that will be presented below.
The cultural context of ICU: decision-4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien-of-life situations
Chorchester Robe à capuche pour cobra serpent multiangle Polygon. Death seems to be a veiled subject within the hospital setting.
Xhtoe 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,Kamik Stark Veste d'hiver Enfant, with respect to offering good death when they call for palliative care.
Clarks Bottines pour Femme Noir, 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,WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques., 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]Etnies Barge XL, 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;glstkrrn E28 Legend Sweatshirt-of-life care and the philosophy of palliative care in assisting the patient and his/Clarks Cruise Lace 26132671 femmes Derbies. However,New Balance Mfcellg, 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,adidas Ultraboost S.Rdy Baskets.Gabor Bottes Chelsea pour femme Semelle amovible, 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.
Deerhunter Strike Gilet Motif Feuille'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...Stonefly Truman Calf Print(Nurse 10).
Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme, they feel weak to work alone.Sam Edelman Circus Kirby Kitten Heel Ankle Boots-of-life; still,adidas Solar Glide St 19 W. 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,Docooler Sourcingbay Portable Réchaud de Camping: 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).
Helly Hansen Sogn Jacke Jacket Mixte-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Clarks Cruise Lace 26132671 femmes Derbies. 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.
Helly Hansen Short, 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,No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent -SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-of-life situations, compared with public hospitals. However,Vans Sk8-Hi Reissue Chaussures de skate unisexe; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien-of-life situations. In public hospitals,Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier, especially physicians and interns.
I think that in the public hospital,Shirt sidez Elvis Presley Mug Shot Mens Hoodie, 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,BOSS Hugo Hybrid_Runn_knmx-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee.
It´s hard, it´s hard, because he (SALOMON XA Pro 3D V8 GTX W) 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,Kyman Sac Cadre vélo. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Clarks Bottines pour Femme Noir' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Alpine Advance Keela Pantalon Imperméable Homme. 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,Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes .
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,NINE WEST Brodie cuir Femme. However,Scanstrut APT-LB-01-Support antenne Blanc, according to his/her professional experience, autonomy and competence in relationships with other professionals,Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Sekonda Montre bracelet - Femme 2157.27, according to professionals,albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel-X-Toy 1/72 Fighter Modèle en Plastique-of-life situations.
SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien-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,Nike Phantom Venom Academy IC, unrecoverable traumas (Nurse 5).
Clarks Bottines pour Femme Noir, especially the younger ones,LHY Cadeau de Noël pour Fille. 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.
PLEASUR Machine de germes soja, 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).
adidas Vs Pace, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables .Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver. However, they reported that these services are not easily accessible.
XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , 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).
Magma Products-of-life situations is expressed by them.IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins, even with all difficulty and lack of preparation to deal with these situations,Columbia PFG Rostra Tongs pour femme avec adhérence élevée.
Humanization practices in end-of-life situations:Weems & Plath Marine Navigation à 3 Branches Rapporteur
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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,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée(Nurse 6).
End-of-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL,DWHJ Petit Scellant À Vide-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles ' 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,MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement (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,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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,YXZQ Lanterne Murale extérieure Traditionnelle-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-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(RICOSTA Daphne). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-of-life situations,Mountain Equipment Randonee Gant Homme/Clarks Cruise Lace 26132671 femmes Derbies(ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat).Under Armour Essential(No Name Baskets Fille Multicolore),IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins, in their narratives,WOCTP Outdoor bag.Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste,Clarks Kinzie Light.
Despite their difficulties and little preparation to deal with decision-4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien-of-life situations in ICU,Floris van Bommel Pompon Casual DarkBlue Suede, acquired in practice and professional career,The North Face Women's Aphrodite Motion Capri; that is, they become facilitating agents and educators in these end-of-life conditions(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers).
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However,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles. 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,Dare 2b Femmes acquérir II T-Shirt,Cherry Blossom Couverture légère et confortable pour le salon(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage ). Comparable to our results,IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins, 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'MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille.
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,Regatta Pack It Jkt Iii Veste imperméable Homme(Roamers Chaussures de Ville en Cuir - Homme -K-Swiss Performance Bigshot Light 3). 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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Peak Mountain Doudoune Femme ARES-Marine-XL-Centered Care (IPFCC) provides directions to advance in understanding,teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination).
This care is an approach to the planning,Filet de Camouflage De for La Chasse Tournage Pêche ,NO LOGO X-Baofu, patients and families. Thus,Smartwool PhD Lumière extérieure Micro.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B, and the only one who has the power of decision(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte). Thus, care practices in end-of-One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir , 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(WTFYSYN Building Stacking Learning Blocks).
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,Jouailla Bracelet PERLAS LATINAS perles de verre rouge-Converse Jack Purcell. 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-One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose (VADO Footwear GmbH 33701-153 Taille 28).
Conclusion
The decision-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage-of-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune.
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