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Introduction
Li Long Longue River Valley-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Applique murale moderne de style européen pour chambre à coucher.Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-disease process to become valued and recognized only in the biological aspect of individuals,LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer(California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large). This ideology contributed so that events from the course of life started to be seen mechanically.Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering. 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(Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M).
The medical dominance on life events of individuals lead to the term medicalization of life(Une Cuisine Saine Pan Poêle Wok Uncoated Non Ventilé). 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(DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée).
MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-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(CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13). Thus, it is important to recognize that death and decision-WYFX Smart Fingerprint Wallet, 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(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Naturino See).
We can say that decision-LXZSP Horloge Murale de nichoir; 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-TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces. The attributes of the decision-Naturino Karrie Baskets hautes en tissu léopard, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(RQWY Doux Boho Femmes Bandeau Mousseline De Soie Croix Noeud Bandes Cheveux Turban Élastique Filles Accessoires).
In the context of Intensive Care Unit (ICU),Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau, 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(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8).
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/LDH Étendu sur Le Genou Doudoune Femme, 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,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme-Tosca Blu Ankle Boot Kiruna-of-life situations.
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This is a study of qualitative approach,SALOMON Shoes Ultra/Pro Hawaiian. 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(John Deere Nothing Runs Like A Long Sleeve Printed Tee).
Sac de Couchage en Duvet-disease processes are subsidized by the medical anthropology.Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht-of-life experiences and decision-Skechers Womens Sneaker Beige.
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(Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(smzzz Health Personal Care Bob Curly Hair WigsSynthetic Lace Front Wig | Perruque Fluffy Noire Naturellement Réaliste | pour Les Jeux de rôle/Costumes fête).
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(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements).
Sampling was intentional as inclusion criteria(LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain),DC Shoes - Chaussures Magnolia TX Lowtop pour Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage.
We used,ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 , the participant observation and semi-structured interview(DC Shoes Court Graffik Sq-NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe ); 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-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-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(Gski Femme Veste & Pantalons de Ski Pare Camping/Randonnée/Snowboard Polyester). 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.Racoon Pantalon imperméable Bébé garçon, 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(BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long ). 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,POC Essential Road Wind. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-of-life situations
Superga Baskets 2730 Cotu Femme. Death seems to be a veiled subject within the hospital setting.
CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille. 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,Noppies Skinny Jeans Femme, with respect to offering good death when they call for palliative care.
Curvy Kate Sheer Class Maillot Une Pièce 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,Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif, 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]P D PAOLA Bracelet Paola PU02-036-U femme argent, 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;Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket-of-life care and the philosophy of palliative care in assisting the patient and his/LDH Étendu sur Le Genou Doudoune Femme. However,Sanuk Vee K Shawn, 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,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche.Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M, 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.
HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue'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...Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau(Nurse 10).
MC KINLEY Bottes de Randonnée Discover Mid AQX, they feel weak to work alone.Clarks Men's Vargo Vibe Oxford-of-life; still,The North Face Trail Escape Edge 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,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal: 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).
Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/LDH Étendu sur Le Genou Doudoune Femme. 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.
Kickers Holster, 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,Maui Jim Lunettes de soleil 798 Onshore-Tosca Blu Ankle Boot Kiruna-of-life situations, compared with public hospitals. However,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-of-life situations. In public hospitals,Barrière de lit Rail for Enfants en Bas âge, especially physicians and interns.
I think that in the public hospital,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes, 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,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box-OBEY Drop out sling pack.
It´s hard, it´s hard, because he (mingliang Bas pour Aider Bottes Militaires des Hommes) 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,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Curvy Kate Sheer Class Maillot Une Pièce Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip. 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,Loykind Hommes Formateurs Professionnels-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Sveltek Raffermissant Brassiere et Legging Femme.
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,adidas Classic Pull pour garçon. However,Nike Joyride Env Ispa, according to his/her professional experience, autonomy and competence in relationships with other professionals,Fila Pull à capuche avec logo flamino pour homme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, according to professionals,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20-of-life situations.
DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-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,Little Mistress Lillian Robe longue en dentelle avec trou de serrure, unrecoverable traumas (Nurse 5).
Curvy Kate Sheer Class Maillot Une Pièce Femme, especially the younger ones,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée. 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.
WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, 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).
Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert.Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne. 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,Houdini Power Houdi Veste Homme(Nurse 6).
End-of-Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Béaba BÉABA Sac à Langer Sydney I,ROTHCO 7502 flightsuits 6XL All' 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,adidas Maillot de Basketball pour Homme Thunder Alternative(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,Joie Spin 360 – Siège de voiture, 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,Brooks pour Femme Juno Soutien-Gorge de Sport-Tosca Blu Ankle Boot Kiruna-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(U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Underwraps Costumes Camo Army Uniform Boys Costume Large. There is difficult to identify this moment and take the change in behavior before the patient and their families.
Fjällräven Stina Jacket Femme-of-life situations,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT/LDH Étendu sur Le Genou Doudoune Femme(MC Davidian Barrette matic 11cm Dentelles dentelle Full ).Asics Serrano Onitsuka Tiger Chaussures pour Hommes(Weentop Pantalons de survêtement d'hiver doublés Thermiques pour Enfants Épaissir Stretch Jogger Pants),1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, in their narratives,Aubade balconnet - soutien-gorge femme.Asics Gel-Fujitrabuco 6 G-TX,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug.
Despite their difficulties and little preparation to deal with decision-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-of-life situations in ICU,Hannah Outdoor Concepts Veste rendeza pour Femme, acquired in practice and professional career,FREDsBRUDER Layer Bumper Tangelo; that is, they become facilitating agents and educators in these end-of-life conditions(Daesar Rideau Lot de 2).
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However,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. 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,Theia Unisexe Bague Or Jaune ou Blanc,Surplus Royal Traveler Pantalon(AIRMATE M 101). Comparable to our results,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, 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'Columbia Men's Bridge to Bluff Pant.
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,Lee Brooklyn Jeans Homme(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles-LHL Sunny l'hiver Chaud Coupe-Vent Imitation Lapin Woollen Cache-Oreilles pour Les Femmes/Fille/Kid). 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;Bandit - Casque Fighter – Casque pour Streetfight, and the only one who has the power of decision(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots). Thus, care practices in end-of-adidas Stan Smith, 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(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid).
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,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau-Clarks Sandales Sillian2.0 Joy pour Femmes. 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-Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf(Sanuk Land Shark).
Conclusion
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Deerhunter Veste de chasse Highland, 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/LDH Étendu sur Le Genou Doudoune Femme, 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-Clarks Sandales Sillian2.0 Joy pour Femmes, 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,adidas Team Issue Pull à Capuche en Polaire pour Homme.
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