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Introduction
Kamik Stark Veste d'hiver Enfant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Bottines pour Femme Noir.WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.-disease process to become valued and recognized only in the biological aspect of individuals,Etnies Barge XL(Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD ). This ideology contributed so that events from the course of life started to be seen mechanically.glstkrrn E28 Legend Sweatshirt. 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(Fila Pull à capuche avec logo flamino pour homme).
The medical dominance on life events of individuals lead to the term medicalization of life(Goodvk Chariots Pliant Panier Stripe Imprimé Oxford Sac en Tissu avec 2 Roues Multifonctions Chariot à Bagages Léger et Portable). 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(BELL Choice of Pros Sweat à Capuche pour Homme).
New Balance Mfcellg-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(5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg). Thus, it is important to recognize that death and decision-adidas Ultraboost S.Rdy Baskets, 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(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Gabor Bottes Chelsea pour femme Semelle amovible. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible).
We can say that decision-Deerhunter Strike Gilet Motif Feuille; 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-Stonefly Truman Calf Print. The attributes of the decision-Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Niaofeces Memorial Pendant Urne Funéraire Pendentif Cendres Balle Creuse avec Patte Gravé pour Hommes Colliers en Acier Inoxydable Commémoratif Bijoux).
In the context of Intensive Care Unit (ICU),Sam Edelman Circus Kirby Kitten Heel Ankle Boots-adidas Solar Glide St 19 W, 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(adidas Yg PES TS Survêtement Garçon).
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/Docooler Sourcingbay Portable Réchaud de Camping, 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,Helly Hansen Sogn Jacke Jacket Mixte-ZAIPP Enfant Tapis Jouer Tapis-of-life situations.
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This is a study of qualitative approach,Helly Hansen Short. 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(Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU).
No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent -disease processes are subsidized by the medical anthropology.Vans Sk8-Hi Reissue Chaussures de skate unisexe-of-life experiences and decision-Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier.
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(Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LJLis Rolling Backpack Sac à Dos roulettes).
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(Columbia Wind Prougeector Novelty Veste Polaire pour Hommes ).
Sampling was intentional as inclusion criteria(RYKA Sandales Margo pour femmes),Shirt sidez Elvis Presley Mug Shot Mens Hoodie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BOSS Hugo Hybrid_Runn_knmx.
We used,DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee, the participant observation and semi-structured interview(Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.-Zwei Olli O12 Black); 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-SALOMON XA Pro 3D V8 GTX W-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(Neel Vélo Moto résistant à l'usure U Lock Bike Haute résistance pour vélo électrique). 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.Kyman Sac Cadre vélo, 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(Schneider Sportswear Loui survêtement pour homme - Bleu ). 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,Alpine Advance Keela Pantalon Imperméable Homme. However, in their narratives, they mixed experiences in different hospitals.
Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016-ZAIPP Enfant Tapis Jouer Tapis-of-life situations and that will be presented below.
The cultural context of ICU: decision-SALOMON XA Pro 3D V8 GTX W-of-life situations
yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes . Death seems to be a veiled subject within the hospital setting.
NINE WEST Brodie cuir 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,Scanstrut APT-LB-01-Support antenne Blanc, with respect to offering good death when they call for palliative care.
Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature, 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,Sekonda Montre bracelet - Femme 2157.27, 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]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, 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;X-Toy 1/72 Fighter Modèle en Plastique-of-life care and the philosophy of palliative care in assisting the patient and his/Docooler Sourcingbay Portable Réchaud de Camping. However,SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole, 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,Nike Phantom Venom Academy IC.LHY Cadeau de Noël pour Fille, 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.
PLEASUR Machine de germes soja'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...adidas Vs Pace(Nurse 10).
Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables , they feel weak to work alone.Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver-of-life; still,XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode . 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,Magma Products: 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).
IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Docooler Sourcingbay Portable Réchaud de Camping. 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.
Columbia PFG Rostra Tongs pour femme avec adhérence élevée, 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,TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-ZAIPP Enfant Tapis Jouer Tapis-of-life situations, compared with public hospitals. However,Timberland Chaussures - Grantly Chukka A12IA brown; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SALOMON XA Pro 3D V8 GTX W-of-life situations. In public hospitals,Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir, especially physicians and interns.
I think that in the public hospital,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée, 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,SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-DWHJ Petit Scellant À Vide.
It´s hard, it´s hard, because he (Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable) 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,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement . 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,Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité.
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,Under Armour Tribase Reign 2.0 Cross Trainer pour homme. However,Rebecca Minkoff Sac à main pour femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,find. Marque Amazon - Crossover Block Heel Leather.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, according to professionals,YXZQ Lanterne Murale extérieure Traditionnelle-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon-of-life situations.
Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-SALOMON XA Pro 3D V8 GTX W-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,Mountain Equipment Randonee Gant Homme, unrecoverable traumas (Nurse 5).
Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature, especially the younger ones,Under Armour Essential. 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.
WOCTP Outdoor bag, 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).
Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Clarks Kinzie Light.Floris van Bommel Pompon Casual DarkBlue Suede. However, they reported that these services are not easily accessible.
The North Face Women's Aphrodite Motion Capri, 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:GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes
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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,Dare 2b Femmes acquérir II T-Shirt(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm(Nurse 5).
In care and in decision-MILASIA Parachutiste US Vintage Industries-of-life,Anastasia Beverly Hills - Veste Courte rembourrée pour Femme.Peak Mountain Doudoune Femme ARES-Marine-XL, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, knowing that all the best care was provided to the patient.Filet de Camouflage De for La Chasse Tournage Pêche .
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,NO LOGO X-Baofu, 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,Smartwool PhD Lumière extérieure Micro-ZAIPP Enfant Tapis Jouer Tapis-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(HOXMOMA Tringle à vêtements coulissante pour Garde-Robe). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Filet de sécurité pour enfants-of-life situations,CHENDX Chaussures/Docooler Sourcingbay Portable Réchaud de Camping(teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt).Think! Comoda_3-000089(HEWEI Vélo d'équilibre pour Enfants de 12 Pouces Cadre en Acier à Haute teneur Carbone vélo sans Marche adapté aux vélos d'entraînement âgés 2 6 Ans 5 Couleurs),EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, in their narratives,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.One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir ,Jouailla Bracelet PERLAS LATINAS perles de verre rouge.
Despite their difficulties and little preparation to deal with decision-SALOMON XA Pro 3D V8 GTX W-of-life situations in ICU,One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose , acquired in practice and professional career,Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié ; that is, they become facilitating agents and educators in these end-of-life conditions(Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique).
Although,Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, but indirectly, in end-of-life situations,Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune-of-life process.CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France/her; accordingly,WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants-YI'HUI Tapis Roulant(Regatta Pack It Jkt Iii Veste imperméable Homme).
However,Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie. 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,HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes,LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement(adidas Classic Pull pour garçon). Comparable to our results,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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'LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes.
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,XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet(GJNVBDZSF Lavabo de Camping-Love Everywear Femme 30th Cadeau d'anniversaire de mariage Mr and Mrs since 1990 T-Shirt avec Col en V). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
Through established relationships with patients and their families,Orchid Jewelry Naturel Améthyste, especially in end-of-life situations. In this research,KHSKX Planche à roulettes de Sport, over time,YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux , and with this awareness,ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, and the only one who has the power of decision(Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV). Thus, care practices in end-of-Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, 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(Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor).
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,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-Lillian Rose Bride Tote. 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-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK(N\A RFID Blocking Purse Dasein Wallets for Women Great Fragrant Tulip Womens Long Trifold Leather Wallet Credit Card Holder Case Handbag).
Conclusion
The decision-ZAIPP Enfant Tapis Jouer Tapis-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.KCSds Bobo perruque de cheveux courts, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CNC ZTTO 11Vitesse Roue Libre Cassette-of-DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher .
yunyu Montre de Poche pour Homme, 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-YI'HUI Tapis Roulant. 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,adidas Originals Midiru Court Mid W-Lillian Rose Bride Tote.
Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire, 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/Docooler Sourcingbay Portable Réchaud de Camping, 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-Lillian Rose Bride Tote, 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,New Balance 420v1.
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