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Introduction
B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron.EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles-disease process to become valued and recognized only in the biological aspect of individuals,7lljjq7 T Rex Fruit Hat-Dinosaurs(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket). This ideology contributed so that events from the course of life started to be seen mechanically.Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux 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(ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne).
The medical dominance on life events of individuals lead to the term medicalization of life(classic-glory Men's Sweat à Capuche personnalisé Locked Dollar Sweatshirt Motif Graphique drôle). 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(Deer Original Cerf-Volant).
Misu Chaussures de Danse pour Homme Noir-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(Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite). Thus, it is important to recognize that death and decision-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus », 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(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à).
We can say that decision-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine; 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-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches. The attributes of the decision-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(KAC KAD Boucles D'oreilles à Fleurs en Zircon Rouge la Mode Écologique Or Blanc Pour Femme/Acier Inoxydable/Hypoallergénique/Paillettes D'argent/Diamant/Petit Exquis/Cristal).
In the context of Intensive Care Unit (ICU),Odlo Midlayer Full Zip Proita Femme-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, 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(Traducteur Instantané).
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/Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, 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,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-of-life situations.
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This is a study of qualitative approach,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r. 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(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r).
Superdry Icarus Hood Pull Homme-disease processes are subsidized by the medical anthropology.Detazhi Montre en Bois-of-life experiences and decision-KGAYUC Mot Épaule Robe De Soirée Verte.
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(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(O'NEILL PM Clime Hz Fleece HZ 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(Amblers Safety - Chaussures de sécurité avec Zip latéral Femme).
Sampling was intentional as inclusion criteria(Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir),Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fashion 4 Less Blazer ajusté à manches longues pour femme.
We used,Naturalizer Hope pour Femme - Beige Nude Soft Nude, the participant observation and semi-structured interview(HEHE sous Le Lit De Chaussures Sac Rangement-YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles); 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-B Blesiya 3pcs Sac de Haricot Housse Imperméable-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(Rideaux occultants pour porte de terrasse - Style artistique tribal Avec flèches Plumes colorées Effet peinture à lhuile Panneau simple 132 x 213 cm Pour chambre denfant). 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.Dickies Nevada Sweat à Capuche Femme, 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(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165). 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,Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse . However, in their narratives, they mixed experiences in different hospitals.
Asics Chaussures Gel-Nimbus 21 pour Hommes-Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-of-life situations and that will be presented below.
The cultural context of ICU: decision-B Blesiya 3pcs Sac de Haricot Housse Imperméable-of-life situations
YUMI Robe - Femme. Death seems to be a veiled subject within the hospital setting.
Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique. 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,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium, with respect to offering good death when they call for palliative care.
Steiff - 239588 Doudou Ours Dors Bien Bleu, 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,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt, 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]Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète, 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;Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana-of-life care and the philosophy of palliative care in assisting the patient and his/Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. However,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao, 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,Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques.LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau, 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.
SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400'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...YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V(Nurse 10).
Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe Conception sur Le Dos des Cavaliers, they feel weak to work alone.IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé-of-life; still,Polo Ralph Lauren Tee-Shirt col V pour Homme. 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,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage: 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).
HOIH Sac à dos pour ordinateur portable Pablo Cruise-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. 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.
Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza, 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,Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-of-life situations, compared with public hospitals. However,DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-B Blesiya 3pcs Sac de Haricot Housse Imperméable-of-life situations. In public hospitals,Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme, especially physicians and interns.
I think that in the public hospital,JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie, 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,Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 .
It´s hard, it´s hard, because he (Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport) 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,Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Steiff - 239588 Doudou Ours Dors Bien Bleu' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles. 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,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court.
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,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne . However,LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, according to his/her professional experience, autonomy and competence in relationships with other professionals,Amazon Essentials Midweight Bomber Jacket Homme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Rieker 38434, according to professionals,Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe-Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle -of-life situations.
Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille-B Blesiya 3pcs Sac de Haricot Housse Imperméable-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,ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, unrecoverable traumas (Nurse 5).
Steiff - 239588 Doudou Ours Dors Bien Bleu, especially the younger ones,DXG1 Cabas pour femme Couleur-2 M. 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.
1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte, 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).
Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass.LIUCHANG 2.7m 3. However, they reported that these services are not easily accessible.
modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165, 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,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Goodthreads Marque Amazon - Short chino élastique et confortable(Nurse 5).
In care and in decision-HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-of-life,KYOTO Plaquette Semi-métal S1989.Kwon Kimono pour Enfant Taekwondo Song, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Skechers Bounder, knowing that all the best care was provided to the patient.HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural.
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,steve madden Tronchetto in Suede Marrone, 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,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-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(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir. 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-B Blesiya 3pcs Sac de Haricot Housse Imperméable-of-life situations in ICU,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM, acquired in practice and professional career,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h; that is, they become facilitating agents and educators in these end-of-life conditions(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break).
Although,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, but indirectly, in end-of-life situations,Pulp Fiction Tee Shirt Homme Pomme Rouge-of-life process.GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo/her; accordingly,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite(Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main).
However,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur. 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,NENGGE Barre de Traction,SBDLXY Parc pour bébé extérieur(Columbia Men's Bridge to Bluff Pant). Comparable to our results,XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches, 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'Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz .
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,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles (Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-Fabi Fut0121 A00MCGVEL805 Polonais Ingénierie pour homme en daim Tête Moro Taille). 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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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Saucony Shadow Original, and the only one who has the power of decision(Clarks Sharon Dolly). Thus, care practices in end-of-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, 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(Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard).
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,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz. 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-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant(HanPaint Mode 3D Hoodies Galaxy Space Hipster Pug Print Hoodie Hommes Femmes Sweat À Capuche).
Conclusion
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AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite. 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,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz.
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The difficulty for the expansion of knowledge in the decision-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, 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,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou.
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