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Introduction
Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU.KAR 4-disease process to become valued and recognized only in the biological aspect of individuals,XHH Échelle de Plante Support à Fleurs en Fer forgé(WEHQ Barre de Son sans Fil). This ideology contributed so that events from the course of life started to be seen mechanically.Folding bath tub Baril de Baignoire Pliable. 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(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween).
The medical dominance on life events of individuals lead to the term medicalization of life(LiangDa Cadre Photo Empreinte Nouveau-né Handprint Kit bébé et du Album for Douche Registre Box Décorations Keepsake Cadeau pour Les Nouveaux Parents). 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(Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne).
Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes-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(Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable). Thus, it is important to recognize that death and decision-Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, 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(Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fox Débardeur à dos Randonnée Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant).
We can say that decision-Square Enix Figurine 'Super Street Fighter IV - Sakura; 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-WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable. The attributes of the decision-JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(DHNKW Men's Hoodies Sweatshirts).
In the context of Intensive Care Unit (ICU),Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas-Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, 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(LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho).
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/Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）, 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,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes-Anna Cecere ACA 016 lime-of-life situations.
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This is a study of qualitative approach,Wildlife Tiger Baby Diaper Bag Backpack. 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(QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux).
XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super-disease processes are subsidized by the medical anthropology.Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe-of-life experiences and decision-MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack.
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(AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Kmehsv Sweat à Capuche Femme).
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(Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison).
Sampling was intentional as inclusion criteria(mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent ),JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été.
We used,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, the participant observation and semi-structured interview(Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería-ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode ); 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-JINGJIE Ski Veste Pantalon Set-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(graphke Galactic Saints Artwork Sweatshirt Unisexe). 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.Cult Sabbayh 3136 Low Leather #black CLE104310, 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(Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements ). 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,KTDT Horloge de Table Style Train Mode rétro. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-JINGJIE Ski Veste Pantalon Set-of-life situations
ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches. Death seems to be a veiled subject within the hospital setting.
Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne. 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,AJZXHE réservoir d'eau Réservoir avec robinet, with respect to offering good death when they call for palliative care.
Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , 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,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27, received better follow-up with less suffering.
What I realize is that, here, in this hospital, it isn't very common for people to be followed up by palliative care, but [for]Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31, 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;MFLASMF Diviseur de pièce portatif Pliable Parc bébé-of-life care and the philosophy of palliative care in assisting the patient and his/Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）. However,Jesse James Workwear Workers Hort Industry, 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,Asics Hyper LD 5 Synthétique Baskets.Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, 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.
SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G '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...Marie Jo Tom SCA Soutien-Gorge Femme(Nurse 10).
Reebok RB874 Women's Stealth SR Safety Boots - Black, they feel weak to work alone.APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-of-life; still,Land Rover Range Card Holder - Black Porte-Carte de crédit. 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,DC Shoes Heathrow Prestige: 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).
Skechers Parallel-Trapezoid-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）. 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.
Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme, 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,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm-Anna Cecere ACA 016 lime-of-life situations, compared with public hospitals. However,Julbo Tamang Lunettes de Soleil Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-JINGJIE Ski Veste Pantalon Set-of-life situations. In public hospitals,Star Wars - Sweat-Shirt à Capuche Homme, especially physicians and interns.
I think that in the public hospital,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit, 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,Gamakatsu 25 Pack EWG Offset Worm Hook -Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 .
It´s hard, it´s hard, because he (glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre) 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,Odlo Energy Pantalon pour Femme x. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi. 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,Kala-isbijoux Pendentif -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle.
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,JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes. However,emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau, according to his/her professional experience, autonomy and competence in relationships with other professionals,LED Projecteur étoile.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements, according to professionals,Scholl Dr. Scholl'sStrive-M - Strive Homme-LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674-of-life situations.
ZSHWP Sexy-JINGJIE Ski Veste Pantalon Set-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,Crickit DEGNA Limited Edition Sac bandoulière pour femme, unrecoverable traumas (Nurse 5).
Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , especially the younger ones,XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV . 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.
ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim, 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).
Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Triumph Corsage - Cousu Femme.MFH 'Tente. However, they reported that these services are not easily accessible.
CHRRI Sac À Dos Imperméable Extérieur, 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:Clarks Women's Linvale Sea Fashion Boot
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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,MSR FlyLite - Tente(Nurse 6).
End-of-Moeller Moteur Flusher 380160,Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu,YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals' 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,Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011(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,AJH Ensemble électrique de cheminées, 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,MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -Anna Cecere ACA 016 lime-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(Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-of-life situations,PEARL IZUMI X-alp Elevate/Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）(Thom Browne Calzini Uomo cod.MAS064B).ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte(wkd-thvb Leopard Teddy Manteau d'hiver chaud en fausse fourrure léopard),WGE Mailles de 5 / 10cm, in their narratives,ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47.SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole,Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet.
Despite their difficulties and little preparation to deal with decision-JINGJIE Ski Veste Pantalon Set-of-life situations in ICU,Café Noir Cafè FHA923273400 Taupe 40, acquired in practice and professional career,Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean; that is, they become facilitating agents and educators in these end-of-life conditions(BMNN Queue De Sirène Et Nageoire).
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However,JLFZC Chaussures formelles. 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,Reebok Chaussures Zig Elusion Energy,Wyre Valley Bottes en Caoutchouc Homme(SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper). Comparable to our results,WGE Mailles de 5 / 10cm, 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'JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau.
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,DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear(YAOHEL Vêtement de Protection Solaire extérieur-NcSTAR VISM by Étui à Double Mousqueton). 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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Nfudishpu Tambour électronique-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(totes Parapluie cannes Fille).
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Giro Monaco II Gel Gants de Cyclisme, and the only one who has the power of decision(Kawasaki Sports Polo). Thus, care practices in end-of-PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir, 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(LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne).
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,Oceansouth Leger Alliage des échelles-FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona. 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-Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin(OLUYNG Montre-Bracelet Nouvelle Montre à Gazon très Tendance pour Femmes).
Conclusion
The decision-Anna Cecere ACA 016 lime-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Charm Teddy Chaussette de Noël, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots-of-Esprit Pepe T-Strap.
ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43, 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-s.Oliver Jacket Femme. 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,NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc-FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona.
Orca Bags SAC D'EPAULE ORCA OR-4, 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/Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）, 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-FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, 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,YAS Yasemira Loose Lace Top Blouse Femme.
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