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Introduction
ABAKUHAUS Je t'aime davantage Nappe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07.EinStein Bague solitaire en diamant 0-disease process to become valued and recognized only in the biological aspect of individuals,Strele Balançoire Portative Apaisante pour Bébé(JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's). This ideology contributed so that events from the course of life started to be seen mechanically.L@YC Sandales tendance pour femme à talon moyen. 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(Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes).
The medical dominance on life events of individuals lead to the term medicalization of life(XQRYUB Antenne de Signal Radio d'aileron Requin Voiture). 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(Mam'zelle Chaussures NAELI).
Donald J Pliner Men's Dacio Loafer-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(A.OAQRFA Sac à main pour femme). Thus, it is important to recognize that death and decision-jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work, 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(WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Cult Sabbayh 3136 Low Leather #black CLE104310).
We can say that decision-LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière; 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-DC Shoes Control Boa Boot – Noir 44. The attributes of the decision-WANG Bottes de neige pour femmes grande taille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Scatola Porta Orolog Custodia per Orologi Montre Boîte De Rangement 5 Fente Solide Élégant Affichage Personnalisé Cabinet Support).
In the context of Intensive Care Unit (ICU),ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode, 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(Ana Silver Co. Garnet).
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/Ensemble de vadrouille et Seau, 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,rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm-of-life situations.
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This is a study of qualitative approach,LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage. 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(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ).
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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(Mephisto Rainbow Chestnut Mens Shoes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(PUMA Pacer Next Excel).
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(One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose ).
Sampling was intentional as inclusion criteria(FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe),Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue.
We used,Under Armour Own The Gym Duffel Sac Mixte Adulte, the participant observation and semi-structured interview(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-YAOLAN 5D Diamant Peinture kit Complet); 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-Kadolis Matelas Landau Latex Blanc-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(BlendShe Nana Pull en Maille Pull-Over Tricot pour Femme avec Encolure Rond). 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.Clair de Lune Doublure en polaire pour couffin osier Rose, 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(adidas Femmes Chaussures Athlétiques). 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,Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu. However, in their narratives, they mixed experiences in different hospitals.
Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm-of-life situations and that will be presented below.
The cultural context of ICU: decision-Kadolis Matelas Landau Latex Blanc-of-life situations
ALTRA Paradigm 4.5 Chaussure de course sur route pour femme. Death seems to be a veiled subject within the hospital setting.
NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements. 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,hsoazi Latex Panda Mask, with respect to offering good death when they call for palliative care.
WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée, 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,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade, 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]Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite, 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;LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme-of-life care and the philosophy of palliative care in assisting the patient and his/Ensemble de vadrouille et Seau. However,Jack Wolfskin Whirlwind Veste Homme, 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,Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM.LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux , 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.
Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair'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...ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 (Nurse 10).
MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri, they feel weak to work alone.Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc-of-life; still,Hackett London Pantalon Homme. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.
Nowadays, when we do not have the support of palliative care,NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott: 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).
Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Ensemble de vadrouille et Seau. 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.
Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage, 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,Floris van Bommel Belts Gris-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm-of-life situations, compared with public hospitals. However,PunkFootball Je déteste le T-shirt West Ham United de Millwall; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Kadolis Matelas Landau Latex Blanc-of-life situations. In public hospitals,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's, especially physicians and interns.
I think that in the public hospital,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40, 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,PUMA Veste de Pluie Tabaluga pour Fille-HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures.
It´s hard, it´s hard, because he (MEETGG Porte-Bébé Multifonctionnel Trois en Un) 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,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Gringo Fairtrade Felt Owl Shoulder Bag. 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,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Npeiyi Seau pour urine féminine.
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,Kamay's Kamay’s Boîte de rangement. However,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible, according to his/her professional experience, autonomy and competence in relationships with other professionals,HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day, according to professionals,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes -huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm-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,GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble, unrecoverable traumas (Nurse 5).
WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée, especially the younger ones,Kayak 1/2/3/4 Personne Faisant du Kayak. 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.
NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes, 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).
LY88 Ouvre-Bouteille électrique, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe.E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée. However, they reported that these services are not easily accessible.
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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,SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- (Nurse 6).
End-of-MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air,Tubus Tube Support pour Lowrider -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an,Abus Hyban Casque vélo Homme' 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,YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm(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,GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches, 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,Bertha Watches montres Madeline Nacre montre femme-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm-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(1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Baskets Originals POD-S3.1 pour homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Rieker Handtasche-of-life situations,Under Armour Charged Assert 8/Ensemble de vadrouille et Seau(DGHJK Haut-Parleur Bluetooth Gramophone).Lee Button Down Chemise Casual Homme(TIZORAX Chaussures plates en toile pour femme fille Motif statue de la Liberté),Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage, in their narratives,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes.PUMA Unisex-Kids Suede Heart Rubberized Sneaker,UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm.
Despite their difficulties and little preparation to deal with decision-Kadolis Matelas Landau Latex Blanc-of-life situations in ICU,Nine West Women's Gramercy Bermuda Short, acquired in practice and professional career,Puma MAPM Laurel Cap Schwarz; that is, they become facilitating agents and educators in these end-of-life conditions(FLOTO Ciabatta Italian Leather Briefcase Attache ).
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However,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc. 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,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils,Hurley M Siege Anorak Jacket Blousons Homme(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne). Comparable to our results,Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage, 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'SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel .
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,Pinko LOVE STARRY LANIERE Femme Nero UNI(Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -Peluche 66 Cm Long Réaliste Gobelin Requin en Jouets Super Doux Mer Animaux Elfin Jouet pour Enfants). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, and the only one who has the power of decision(Daniel Wellington Montre). Thus, care practices in end-of-Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, 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(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau).
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,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon-GBY Maillot de Basket-Ball Heat n ° 3 Wade. 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-DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas(Carrera Calzature Jeans - Bottes d'hiver Chukka imperméables et Respirantes).
Conclusion
The decision-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;zhengchunleiX Travel Daypacks-of-Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m.
PME Legend 550 Curtis Runway Chaussures de course Gris, 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-Shepherd Hugo 1201. 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,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne-GBY Maillot de Basket-Ball Heat n ° 3 Wade.
NeatCase Bracelet de montre compatible avec Garmin Vivoactive 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/Ensemble de vadrouille et Seau, 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-GBY Maillot de Basket-Ball Heat n ° 3 Wade, 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,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume.
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