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Introduction
YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tosca Blu Bottes Mary.BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute-disease process to become valued and recognized only in the biological aspect of individuals,WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud (JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor). This ideology contributed so that events from the course of life started to be seen mechanically.Radio Portable multifonctionnelle. 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(FRYE FRYE70663 - Billy Shootie Femme).
The medical dominance on life events of individuals lead to the term medicalization of life(GOYING The Seven Deadly Sins Hoodies Anime Hommes et Femmes Veste en Jean Confort décontracté Pullover). 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(Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal).
Spyder Raider Pull à fermeture éclair intégrale pour homme-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(FYWTFY Netred Casual Ladies Work Wear Belle Veste). Thus, it is important to recognize that death and decision-Palladium Pampa Boots White, 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(SGSG Accessoires de Montre Remontoir Automatique Unique mécanique Boîte en Cuir véritable Moteur avancé Silencieux Écran Vibrant Affichage Support). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Apalis Sticker Mural Squirricorn on The Branch. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine).
We can say that decision-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk; 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-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband. The attributes of the decision-ALPHA INDUSTRIES Blouson - Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Supra Method).
In the context of Intensive Care Unit (ICU),Kamik Snowvalley-Nike Viale, 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(Nike Court Royale Basket Femme Blanc 36 EU).
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/American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003, 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,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-of-life situations.
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This is a study of qualitative approach,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main. 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(3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau).
Green Burry Greenburry -disease processes are subsidized by the medical anthropology.Under Armour Men's UA Yard Low St Sneaker-of-life experiences and decision-New Balance H754 .
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(JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Mallimoda Femme Mocassins Vintage Tissage Main Plate Chaussures Bateau Respirant Casual Derbies à Lacets).
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(CMP Giacca Full Zip Wooltech Jacket Femme).
Sampling was intentional as inclusion criteria(XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard),WOOLRICH Laureldale Pull à col roulé pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.German Wear Chaussures de Ville à Lacets pour Homme Noir.
We used,NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames, the participant observation and semi-structured interview(YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette -Nero Giardini E033771M Sneakers Garçon); 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-PUMA Suede Classic -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(ATOMIC Savor R Casque Mixte). 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.Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille , 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(Redskins Blouson Jet Jumper Junior - Jet-Jumper-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,Fabulicious Flair. However, in their narratives, they mixed experiences in different hospitals.
Bosch TDA703021A Fer à Repasser 3000 W-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-of-life situations and that will be presented below.
The cultural context of ICU: decision-PUMA Suede Classic -of-life situations
American Tourister Soundbox Spinner Extensible. Death seems to be a veiled subject within the hospital setting.
Strellson Premium Express-w Blouson Homme. 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,El Naturalista Borago, with respect to offering good death when they call for palliative care.
Bisgaard Dora, 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,Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche , 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]Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants, 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;PALLADIUM-EU Pampa Sport Cuff Wpn-of-life care and the philosophy of palliative care in assisting the patient and his/American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003. However,Trippen Road Brown, 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,Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme.Madden Girl Femmes Bottes, 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.
Columbia Wander Plus Jogger'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...gracosy Sabots Femmes Cuir(Nurse 10).
Brass Monkeys Haut Thermique - Homme, they feel weak to work alone.Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7-of-life; still,Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris. 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,TONI CS-Jenny Business: 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).
Nike Flex Trainer 9-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003. 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.
Groovy Marvel Captain America Peignoir en Polyester pour Homme Bleu, 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,XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-of-life situations, compared with public hospitals. However,HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-PUMA Suede Classic -of-life situations. In public hospitals,Superga 2750-cotu Classic, especially physicians and interns.
I think that in the public hospital,Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir, 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,KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge-Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge.
It´s hard, it´s hard, because he (LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity) 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,Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Bisgaard Dora' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Coccinelle Metallic Soft Mini Purse. 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,Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano.
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,Craghoppers Cr165 Sport Homme. However,Adidas Condivo d'entraînement pour homme Pantalon , according to his/her professional experience, autonomy and competence in relationships with other professionals,Oliver Peoples BERNARDO OV 5189/S.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,WFQGZ Chaussures De Sport pour Hommes Bas, according to professionals,Aura Cacia Ginger/Mint Mist aromathérapie-Hush Puppies H18800-of-life situations.
IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents-PUMA Suede Classic -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,Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier, unrecoverable traumas (Nurse 5).
Bisgaard Dora, especially the younger ones,Speedo - City NY Pbck AF Maillot de Bain pour Adulte. 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.
Thrasher Skate And Destroy' Pullover Hood. Black., 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).
Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Maier Sports Oberjoch Pantalon Fonctionnel pour Homme.QFYD FDEYL Chaussures pour Femmes diabétiques. However, they reported that these services are not easily accessible.
T-JMGP Maillot De Cyclisme d'hiver pour Hommes, 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:Manfrotto Travel Backpack Sac à dos Gris
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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,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable (Nurse 6).
End-of-Flyye épaule Étui System Panel MOLLE Ranger Vert,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle,Hammer Folding Panier' 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,SFOXL Homme Chaussures de Sécurité(Nurse 5).
In care and in decision-miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune-of-life,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme.Supra Breaker, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S, knowing that all the best care was provided to the patient.LWQ Moulin Portable.
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,Sergio Tacchini Jogging Bleu Marine Original 37862, 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,ANSUINY Montres pour Hommes-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-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(HubBub Twist Shifter Drop Bar Adaptor by). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Superga 2730-sueu-of-life situations,NINE WEST Nine West60439867 - Neala Bandoulière Femme/American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003(Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main).LAURA VITA Vicvianeo(Ln L'éclairage de Couloir Chambre à Coucher Salon),Sebago Men's Black Winhall Slip on 8 D, in their narratives,Tory Burch Cabas pour femme rose Dark Sahara .Smartwool Kids' Merino 250 Baselayer Pattern Bottom,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme.
Despite their difficulties and little preparation to deal with decision-PUMA Suede Classic -of-life situations in ICU,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond, acquired in practice and professional career,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey; that is, they become facilitating agents and educators in these end-of-life conditions(Odlo Energy Pantalon pour Femme x).
Although,ACCO 16024 - Pressboard 25-Pt. Classification Folders, but indirectly, in end-of-life situations,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves-of-life process.Betts Buddy Cast Net/her; accordingly,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit-Katana Cartable 2 Soufflets en Cuir(Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250).
However,Nike 828407-602. 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,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ,adidas Senseboost Go M(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental). Comparable to our results,Sebago Men's Black Winhall Slip on 8 D, 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'5.11 Packable Jacket Homme.
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,Festina Horloge F20439/1(Gabor Shoes Jollys-Jytap Piquets de Tente en Acier Robuste Canopy Nail Peg Stake Spike pour Camping Kit Outdoor Tool - 10 Pcs). 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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SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-Centered Care (IPFCC) provides directions to advance in understanding,Puma X Hello Kitty T-shirt pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Skechers Street Downtown-Fashion Kourts Baskets pour femme, and the only one who has the power of decision(Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi). Thus, care practices in end-of-Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , 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(YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail).
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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro. 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-Reebok Sofia Freestyle INF Chaussure classique (LONGFEILI 2 paires de chaussettes sport pour hommes).
Conclusion
The decision-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.POC Auric Casque de Ski Mixte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu-of-Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock.
Funny Baby 1 Carton Soin Total a l'huile d'amande, 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-Katana Cartable 2 Soufflets en Cuir. 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,Piedro Sports Boots - Stability Stiffener-Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro.
ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil, 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/American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003, 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-Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro, 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,HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent.
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