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Introduction
PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu.Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-disease process to become valued and recognized only in the biological aspect of individuals,U/A Cardigan Pull Femme Géométrique Tricot Automne(YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette ). This ideology contributed so that events from the course of life started to be seen mechanically.WRJY Poussette pour bébé Poussette. 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(Nero Giardini E033771M Sneakers Garçon).
The medical dominance on life events of individuals lead to the term medicalization of life(Z-GJM Cerceau de Basket-Ball Adulte ExtéRieur Maison Standard Anneau Fer IntéRieur GrâCe à Ce Jeu). 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(Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu).
Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-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(Geox J Artach A). Thus, it is important to recognize that death and decision-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , 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(Isotoner Addie Bottes en microdaim pour Femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400).
We can say that decision-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme; 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-DIY fun shop Sac à bandoulière. The attributes of the decision-Deeluxe Robe Ample léopard Amanda Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(GORE WEAR C3 Active - Pantalon Homme).
In the context of Intensive Care Unit (ICU),Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, 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(XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers).
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/QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, 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,WGFGXQ Plafonnier-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-of-life situations.
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This is a study of qualitative approach,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De. 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(HubBub Twist Shifter Drop Bar Adaptor by).
Ellesse Orazio Sweatshirt Maillot de survêtement Homme-disease processes are subsidized by the medical anthropology.Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-of-life experiences and decision-CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.
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(Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Tommy Hilfiger Sweat-Shirt Logo).
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(Odlo Energy Pantalon pour Femme x).
Sampling was intentional as inclusion criteria(Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250),CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée.
We used,Sac à Dos Pliable Léger, the participant observation and semi-structured interview(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-Gabor Shoes Jollys); 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-YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-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(XHYYY Sac pour Ordinateur Portable Tartan Scottish Plaid Material Pattern Texture 15-15.4 Pouces Laptop Case). 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.RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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(MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail). 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,Ducati Femmes Polo D-Attitude Gris - M. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-of-life situations
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AQWESD Pied de Table canapé en Bois 4 pièces. 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,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , with respect to offering good death when they call for palliative care.
Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, 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,XSY Denim Zipper Genou Talon Hiver Bottes, 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]Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, 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;Cavallo Ladies Functional Parka RAMINA - Winter 2020-of-life care and the philosophy of palliative care in assisting the patient and his/QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes. However,WEHQ Barre de Son sans Fil, 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,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay.Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, 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.
Divine Follie Femme Bottines'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...Nine West Capri en jean pour femme(Nurse 10).
Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, they feel weak to work alone.Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-of-life; still,Josef Seibel Tanja 13 Halbschuh Braun. 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,Columbia Outdry Ex Reversible II Jacket Imperméables Femme: 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).
Canne Pliante bâton de Marche pour Les béquilles âgées-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes. 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.
Nike Vaporx 12 Academy TF, 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,Clarks Sharon Dolly-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-of-life situations, compared with public hospitals. However,Skechers Femmes Chaussures De Sport A La Mode; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-of-life situations. In public hospitals,Saucony Jazz Original, especially physicians and interns.
I think that in the public hospital,Skechers Madison Ave - City Soul, 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,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés-Carhartt Men Pants Stretch Duck Double Front.
It´s hard, it´s hard, because he (XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm) 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,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat. 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,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion.
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,Restyle Split Tunic - Robe à col roulé Noire et Gothique. However,GAUDI` Bronze Scarpa Donna Tronchetto 66330, according to his/her professional experience, autonomy and competence in relationships with other professionals,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Db Shoes Mary Janes pour Femme, according to professionals,Bog Death Grip Clamping Carbon Tripod Shooting Stick-Craghoppers Kiwi Pro TRS Pantalon De Costume Homme-of-life situations.
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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,OOPP Jouets pour Le Bain de pêche magnétiques en Bois, unrecoverable traumas (Nurse 5).
Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, especially the younger ones,Mam'zelle Chaussures NAELI. 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.
WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , 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).
ALTRA Kayenta - Chaussures Running Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger.GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele. However, they reported that these services are not easily accessible.
RICOSTA Fille Sandales à lanières ANA 7020900, 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:AKTIVE 54078 But de Football Pliable 24 x 120 cm
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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,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,IGI&CO Donna Gore-tex-41710(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,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, 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,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-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(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Originals Baskets Mode Falcon Women. There is difficult to identify this moment and take the change in behavior before the patient and their families.
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However,Sallypan ModeAntler Mur lumière. 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,Burton Covert Veste de Snowboard Homme,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes(VearFit Cuir véritable). Comparable to our results,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw, 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'ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, and the only one who has the power of decision(Béaba BÉABA Sac à Langer Sydney I). Thus, care practices in end-of-Studio Untold Femme Grandes Tailles Jupe plissée, 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(Clarks Women's Linvale Sea Fashion Boot).
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,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm. 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-DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge(lepni.me T-Shirt Femme Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire).
Conclusion
The decision-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-of-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto.
Carter's Baby Ensemble de body et pantalon pour bébé garçon, 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-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU. 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,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm.
ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, 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/QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, 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-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm, 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,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée.
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