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Introduction
Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme.huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-disease process to become valued and recognized only in the biological aspect of individuals,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille). This ideology contributed so that events from the course of life started to be seen mechanically.Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit. 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(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en).
The medical dominance on life events of individuals lead to the term medicalization of life(DJ002 TIK Tok Sweat-Shirts). 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(Charmance Pantalon Taille élastiquée).
Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-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(Converse Chuck Taylor All Star Season). Thus, it is important to recognize that death and decision-LetsBuyGold Bague Artisanale , 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(Craghoppers Pantalon Anti-Moustique Clair - Femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris).
We can say that decision-BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long ; 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-Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme. The attributes of the decision-OLYMP Luxor Chemise à col montant Blanc, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Modèle éducatif 50 cm modèle de Corps Humain Masculin féminin Acupoint Chinois Outil d'interprétation du méridien).
In the context of Intensive Care Unit (ICU),TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu-TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo, 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(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass).
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/vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron, 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,HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini -PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL-of-life situations.
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This is a study of qualitative approach,O'NEILL Femme Blouse. 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(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable).
Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-disease processes are subsidized by the medical anthropology.MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support-of-life experiences and decision-Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales.
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(Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(POMUTRE Lot de 2 épées en Mousse PU 80 cm Noir).
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(Jumelles 8-10X42-32 Zoom HD Grande Ouverture).
Sampling was intentional as inclusion criteria(Fila Baskets Femme),LMWB Moustiquaire de Lit Pliable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US.
We used,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux, the participant observation and semi-structured interview(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T-Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1); 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 S XT nuageux Chaussure gris 359 135 02-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(Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel L). 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.I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais, 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(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur). 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,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-PUMA S XT nuageux Chaussure gris 359 135 02-of-life situations
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Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione. 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,Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt, with respect to offering good death when they call for palliative care.
MPOQZI Couvre-Volant de Voiture en Cuir Bricolage, 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,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants, 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]LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne, 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;DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan-of-life care and the philosophy of palliative care in assisting the patient and his/vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron. However,ECCO Wayfly, 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,Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme.Wellcoda Einstein café Homme Sweat à Capuche Marrant décontracté, 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.
Berkemann Tec-Pro Toivo'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...LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc(Nurse 10).
Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon, they feel weak to work alone.qishi Fashion Veste décontractée pour homme Couleur unie-of-life; still,Sloggi Slip . 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,EMANUELA BIFFOLI Ciabatta Infradito Con applicazione: 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).
Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron. 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.
Timberland Killington, 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,EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant-PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL-of-life situations, compared with public hospitals. However,HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-PUMA S XT nuageux Chaussure gris 359 135 02-of-life situations. In public hospitals,WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party, especially physicians and interns.
I think that in the public hospital,WYZDQ Mens Bottes De Neige, 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,Under Armour Campus W/U Veste pour femme-Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé.
It´s hard, it´s hard, because he (Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent) 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,Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
MPOQZI Couvre-Volant de Voiture en Cuir Bricolage' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille. 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,Osiris Protocol pour Homme Noir/Miel-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme.
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,Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera. However,Liyaya Automatic Induction Night Light, according to his/her professional experience, autonomy and competence in relationships with other professionals,XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, according to professionals,YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-Speedo Vengeance Mirror Lunette Mixte-of-life situations.
Tom' s Company Tom Drag's Spirale d'énergie Limite 300-PUMA S XT nuageux Chaussure gris 359 135 02-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,Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 , unrecoverable traumas (Nurse 5).
MPOQZI Couvre-Volant de Voiture en Cuir Bricolage, especially the younger ones,Mares Volo Race. 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.
LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes, 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).
Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport.Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL. However, they reported that these services are not easily accessible.
SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver, 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:SPORTUBE Series 1 Platinum Deluxe Étui à snowboard
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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,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme(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,Disney Femme Alice In Wonderland Retro Poster T-shirt, 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,Columbia Sportswear Veste légère pour Homme-PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL-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(Sac à Dos Pliable Léger). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280. 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-PUMA S XT nuageux Chaussure gris 359 135 02-of-life situations in ICU,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant, acquired in practice and professional career,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile; that is, they become facilitating agents and educators in these end-of-life conditions(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir).
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However,Benavente Chika10 Kurazo 12 Bottines en cuir. 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,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top,Hush Puppies Athos(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux). Comparable to our results,KAVU Lorenzo Chemise à Boutons pour Homme, 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'EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales.
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,YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité-LaRechor Sac a Main Femme en PU Cuir Grande Capacité - Cabas Fourre-Tout pour Dames Grand Shopper Porté Epaule de Rivet). 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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Napapijri Sweatshirt à Capuche Homme-Centered Care (IPFCC) provides directions to advance in understanding,METZELDER Valise Souple Basic S Gros Volume Garantie 1 an . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL, and the only one who has the power of decision(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier ). Thus, care practices in end-of-Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer, 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(Blackstone Sg30).
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,IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage-Nike M NKCT Jacket Stadium Veste Homme. 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-JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu(Xingxing Route Chaussures De Course pour Homme Cyclisme Anti-Skid Routières à VTT).
Conclusion
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YAOHEL Vêtement de Protection Solaire extérieur, 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-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon . 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,Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt-Nike M NKCT Jacket Stadium Veste Homme.
Geox Jr Strada A, 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/vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron, 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-Nike M NKCT Jacket Stadium Veste Homme, 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,Ysakura Bonnet Thermique Bluetooth.
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