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Introduction
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-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,X-Toy 1/72 Fighter Modèle en Plastique.SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-disease process to become valued and recognized only in the biological aspect of individuals,Nike Phantom Venom Academy IC(Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07). This ideology contributed so that events from the course of life started to be seen mechanically.LHY Cadeau de Noël pour Fille. 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(Aofur Robe - Trapèze Manches Courtes Femme).
The medical dominance on life events of individuals lead to the term medicalization of life(XLYAN Tenue De Vêtements Tai Chi Kung Fu Costume Tang Coton Et Kungfu à Manches Courtes Boucle A Manivelle Ete). 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(TPHJRM Coussin d'accoudoir de Console Centrale Voiture).
PLEASUR Machine de germes soja-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(East Essence Robe - Solid Femme). Thus, it is important to recognize that death and decision-adidas Vs Pace, 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(HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(CYKABT Collier de lapin).
We can say that decision-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver; 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-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode . The attributes of the decision-Magma Products, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Baffin Baffin5310-W001 - Meltwater Femme).
In the context of Intensive Care Unit (ICU),IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins-Columbia PFG Rostra Tongs pour femme avec adhérence élevée, 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(Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres).
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/TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8, 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,Timberland Chaussures - Grantly Chukka A12IA brown-Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-of-life situations.
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This is a study of qualitative approach,Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir. 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(Disney Valise trolley cabine Minnie Pink Vibes).
Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée-disease processes are subsidized by the medical anthropology.SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-of-life experiences and decision-DWHJ Petit Scellant À Vide.
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(CafePress BRIGHTGREYSAATOMY PJ 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(Odlo Jacket Zeroweight Homme).
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(Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage).
Sampling was intentional as inclusion criteria(Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme),Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles .
We used,MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement , the participant observation and semi-structured interview(hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air); 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-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-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(QLCY-78OI Mode Le mode 14 pouces Brief Hommes Messenger Bag multifonction portable multi-fonctionnelle Casual). 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.ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, 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(YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier). 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,Under Armour Tribase Reign 2.0 Cross Trainer pour homme. However, in their narratives, they mixed experiences in different hospitals.
Rebecca Minkoff Sac à main pour femme-Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-of-life situations and that will be presented below.
The cultural context of ICU: decision-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-of-life situations
find. Marque Amazon - Crossover Block Heel Leather. Death seems to be a veiled subject within the hospital setting.
LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. 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,YXZQ Lanterne Murale extérieure Traditionnelle, with respect to offering good death when they call for palliative care.
Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon, 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,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, 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]Mountain Equipment Randonee Gant Homme, 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;Under Armour Essential-of-life care and the philosophy of palliative care in assisting the patient and his/TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8. However,WOCTP Outdoor bag, 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,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste.Clarks Kinzie Light, 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.
Floris van Bommel Pompon Casual DarkBlue Suede'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...The North Face Women's Aphrodite Motion Capri(Nurse 10).
mingliang Bottes Tactiques pour Hommes, they feel weak to work alone.EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-of-life; still,EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons. 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,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures: 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).
EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8. 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.
EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, 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,Dare 2b Femmes acquérir II T-Shirt-Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-of-life situations, compared with public hospitals. However,Cherry Blossom Couverture légère et confortable pour le salon; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-of-life situations. In public hospitals,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, especially physicians and interns.
I think that in the public hospital,Regatta Pack It Jkt Iii Veste imperméable Homme, 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,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode-Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm.
It´s hard, it´s hard, because he (MILASIA Parachutiste US Vintage Industries) 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,Anastasia Beverly Hills - Veste Courte rembourrée pour Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Peak Mountain Doudoune Femme ARES-Marine-XL. 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,teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Filet de Camouflage De for La Chasse Tournage Pêche .
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,NO LOGO X-Baofu. However,Smartwool PhD Lumière extérieure Micro, according to his/her professional experience, autonomy and competence in relationships with other professionals,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Filet de sécurité pour enfants, according to professionals,CHENDX Chaussures-Think! Comoda_3-000089-of-life situations.
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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,One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir , unrecoverable traumas (Nurse 5).
Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon, especially the younger ones,Jouailla Bracelet PERLAS LATINAS perles de verre rouge. 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.
One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose , 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).
Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage.Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune. However, they reported that these services are not easily accessible.
CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France, 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:Helly Hansen Short
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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,XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet(Nurse 6).
End-of-Orchid Jewelry Naturel Améthyste,KHSKX Planche à roulettes de Sport-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux ,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' 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,HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps(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,XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau , 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,Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur-Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-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(Nike Quest 3). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique. 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-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-of-life situations in ICU,DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher , acquired in practice and professional career,yunyu Montre de Poche pour Homme; that is, they become facilitating agents and educators in these end-of-life conditions(LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier).
Although,adidas Originals Midiru Court Mid W, but indirectly, in end-of-life situations,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-of-life process.New Balance 420v1/her; accordingly,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère-Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs(Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand ).
However,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet. 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,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau,e.s.motion Engelbert Strauss(Ysswjzzzz Masque d'halloween). Comparable to our results,YI'HUI Tapis Roulant, 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'FB Fashion Boots C3099.
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,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz(JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-Theia Bague Or Blanc et Jaune 9ct Forme Ruban Confort 0.04ct Deux Diamants Ronds Sertis en Chaîne 5&7mm). 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,arena WPWSK Carbon Maillots de bain Femme -Vans Sk8-Hi Reissue Chaussures de skate unisexe. 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-Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental(PUMA Furio V JR SF - 30202102 Couleur: Noir Pointure: 38.5 EU).
Conclusion
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WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, 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-Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs. 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,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-Vans Sk8-Hi Reissue Chaussures de skate unisexe.
WWTTE Sequin V-Cou Robe Banquet annuel de soirée, 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/TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8, 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-Vans Sk8-Hi Reissue Chaussures de skate unisexe, 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,WWTTE Yoga serré Snakeskin Leggings 2V .
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