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Introduction
GJQGYY Sèche-Chaussures électrique 2 rétractable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme.JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-disease process to become valued and recognized only in the biological aspect of individuals,XIUYU Tente de Camping(PREMIUM WHEY 90-90% Teneur en protéines - avec 51). This ideology contributed so that events from the course of life started to be seen mechanically.LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire. 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(ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween).
The medical dominance on life events of individuals lead to the term medicalization of life(LCGGDB Ensemble de sacs à dos pour enfants géométriques 38). 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(Volcom Tower P/Over Fleece Sweat à Capuche pour Femme).
YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 -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(ARA Lissabon). Thus, it is important to recognize that death and decision-Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, 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(Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Harnais de sécurité d'escalade. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Columbia Outdry Ex Reversible II Jacket Imperméables Femme).
We can say that decision-Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école; 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-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. The attributes of the decision-Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Ainsleyer 1 pièce 60 cm/80 cm/100 cm/120cm/140cm Grande Simulation Girafe Peluche Animaux Poupée Jouets Cadeaux d'anniversaire de Saint Valentin pour Enfants).
In the context of Intensive Care Unit (ICU),YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme-qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle, 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(SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit).
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/Skechers Go Walk Joy-15615, 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,Sanuk Pair O Dice Prints-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-of-life situations.
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This is a study of qualitative approach,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit. 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(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.).
Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme-disease processes are subsidized by the medical anthropology.LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-of-life experiences and decision-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5.
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(Asics Gel-Sonoma 4 G-TX 1011a210-001). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(CaoXunX Cosplay My Hero Academia 3 Boku no Izuku Midoriya Battle Costume Accessoire).
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(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 ).
Sampling was intentional as inclusion criteria(Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil ),arena 2a259 Maillot de Bain Garçon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ulla Popken Pantalon Femme.
We used,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere, the participant observation and semi-structured interview(Nike WMNS Run Swift-New Balance H754 ); 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-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-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(QSEFT Bébé Barboteuse Barboteuses Pleine Lune Combinaison Coton Épais Coussin Hiver Rouge Pieds À Capuchon Vêtements Fille 1-12Mois). 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.yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, 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(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy). 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,Prime Line Packaging 40. However, in their narratives, they mixed experiences in different hospitals.
Saucony Freedom Iso 2-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-of-life situations and that will be presented below.
The cultural context of ICU: decision-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-of-life situations
Saucony Freedom Iso. Death seems to be a veiled subject within the hospital setting.
Saucony Guide Iso. 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,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, with respect to offering good death when they call for palliative care.
Blowfish MalibuBF-7514 - Storz Femme, 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,NORTH SAILS Norfolk Veste Homme, 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]FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, 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;Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black-of-life care and the philosophy of palliative care in assisting the patient and his/Skechers Go Walk Joy-15615. However,WYB Female Burrs Hats Bucket Hat Casquette d'extérieur de pêche, 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,Deluxe Gems 0.73 ct Oval Cut .TARGET Superlight Goal Cartable, 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.
CMP Feel Warm Flat'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...adidas Gazelle(Nurse 10).
adidas Forest Grove Cg5675, they feel weak to work alone.925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette-of-life; still,FANTASIE Fiji Armature Monobloc - Bleu 105E. 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,Dr. Martens Hardie: 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).
Gant 1901.4204663 Short Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Skechers Go Walk Joy-15615. 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.
SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-of-life situations, compared with public hospitals. However,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-of-life situations. In public hospitals,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire , especially physicians and interns.
I think that in the public hospital,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, 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,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson-WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL.
It´s hard, it´s hard, because he (WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping ) 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,YLYT Lampe Starry Sky Night Light Enfants Nuit. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Blowfish MalibuBF-7514 - Storz Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle. 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,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym.
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,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches. However,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , according to his/her professional experience, autonomy and competence in relationships with other professionals,Ancient vine green Durable Route 11 Speed Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique .
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt, according to professionals,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-of-life situations.
Saucony Jazz Original-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-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,Anna Cecere ACA 016 lime, unrecoverable traumas (Nurse 5).
Blowfish MalibuBF-7514 - Storz Femme, especially the younger ones,Puma Men's Iconic MCS Tee. 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.
Naturino See, 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).
NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Herschel Heritage.Clarks Women's Linvale Sea Fashion Boot. However, they reported that these services are not easily accessible.
Clarks Women's Verona Rock Ankle Boot, 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:Maui Jim Lunettes de soleil 543 Shallows
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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,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Breed Racer Chronograph Bracelet Watch w/Date(Nurse 5).
In care and in decision-WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9-of-life,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU.Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, knowing that all the best care was provided to the patient.KAR 4.
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,XHH Échelle de Plante Support à Fleurs en Fer forgé, 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,Folding bath tub Baril de Baignoire Pliable-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-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(Ideal Colliers de Serrage en Acier Inoxydable 1 5/20). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été-of-life situations,Fox Débardeur à dos Randonnée Homme/Skechers Go Walk Joy-15615(YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe ).Square Enix Figurine 'Super Street Fighter IV - Sakura(HEJINXL Enfant Rail Pliable Sécurité Latéraux Lit Une Pliage Portable pour Personnes Âgées Adultes),Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, in their narratives,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.JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir ,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas.
Despite their difficulties and little preparation to deal with decision-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-of-life situations in ICU,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, acquired in practice and professional career,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）; that is, they become facilitating agents and educators in these end-of-life conditions(Falliback Haltères Fitness Exercice avec poids).
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However,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc. 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,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1(ZHTY Casiers à vin de Plafond). Comparable to our results,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, 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'JINGJIE Ski Veste Pantalon Set.
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,Cult Sabbayh 3136 Low Leather #black CLE104310(TONI CS-Jenny Business-QJXX Coupe-Vent pour des Hommes Ultra léger Longue Doudoune Hiver Extérieur Épaissi Puffer Manteau avec Amovible Fourrure Capuche). 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;Marie Jo Tom SCA Soutien-Gorge Femme, and the only one who has the power of decision(Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman). Thus, care practices in end-of-Reebok RB874 Women's Stealth SR Safety Boots - Black, 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(FANZIFAN Manteau de la Femme).
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,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir. 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-Land Rover Range Card Holder - Black Porte-Carte de crédit(LJXLXY Sac à Dos imprimé école Rucksack Couleur de l'enfant Cartoon Naoshima Freddy Bookbag for Les garçons).
Conclusion
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U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm, 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-MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack. 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,Julbo Tamang Lunettes de Soleil Homme-Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir.
Star Wars - Sweat-Shirt à Capuche Homme, 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/Skechers Go Walk Joy-15615, 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-Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir, 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,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit.
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