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Introduction
adidas Forest Grove Cg5675-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette.FANTASIE Fiji Armature Monobloc - Bleu 105E-disease process to become valued and recognized only in the biological aspect of individuals,Dr. Martens Hardie(EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles). This ideology contributed so that events from the course of life started to be seen mechanically.Gant 1901.4204663 Short Femme. 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(Dare 2b pour femme PREMISS Veste imperméable isolée).
The medical dominance on life events of individuals lead to the term medicalization of life(Cloudy Clouds Sexy Party Solid Mesh Back Double Slit Maxi Sleeveless Skinny Sheath Summer Club Night Women Dress). 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(Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt).
SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-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(Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22). Thus, it is important to recognize that death and decision-CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, 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(Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(In:sole Insole Sandales Talon Haut).
We can say that decision-YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire ; 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-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. The attributes of the decision-Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(orestamazon Biker Choppers Motorrad Logo brodé Auto Sweats à Capuche Hoodie Une qualité supérieure -7032 - Schwarz).
In the context of Intensive Care Unit (ICU),WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL-WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , 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(zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338).
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/YLYT Lampe Starry Sky Night Light Enfants Nuit, 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,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-of-life situations.
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This is a study of qualitative approach,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. 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(WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3).
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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(FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Plafond Invisible Mute ventilateur avec éclairage).
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(Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié ).
Sampling was intentional as inclusion criteria(Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme),Ancient vine green Durable Route 11 Speed Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt.
We used,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats, the participant observation and semi-structured interview(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual-Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016); 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-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-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(DOUWAN Dou Wan Combinaison de Ski Chauds et Coupe-Vent Femmes Pantalon imperméable). 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.Saucony Jazz Original, 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 Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU). 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,Anna Cecere ACA 016 lime. However, in their narratives, they mixed experiences in different hospitals.
Puma Men's Iconic MCS Tee-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-of-life situations and that will be presented below.
The cultural context of ICU: decision-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-of-life situations
Naturino See. Death seems to be a veiled subject within the hospital setting.
NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure. 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,Herschel Heritage, with respect to offering good death when they call for palliative care.
Clarks Women's Linvale Sea Fashion Boot, 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,Clarks Women's Verona Rock Ankle Boot, 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]FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, 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;Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-of-life care and the philosophy of palliative care in assisting the patient and his/YLYT Lampe Starry Sky Night Light Enfants Nuit. However,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , 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,Mandarina Duck MD20 Sac bandoulière bleu.GBY Sac à bandoulière pour femme - main tendance, 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.
La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN '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...ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588(Nurse 10).
Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers, they feel weak to work alone.John Deere Nothing Runs Like A Long Sleeve Printed Tee-of-life; still,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN. 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,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille: 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).
Breed Racer Chronograph Bracelet Watch w/Date-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/YLYT Lampe Starry Sky Night Light Enfants Nuit. 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.
WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, 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,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-of-life situations, compared with public hospitals. However,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-of-life situations. In public hospitals,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, especially physicians and interns.
I think that in the public hospital,KAR 4, 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,XHH Échelle de Plante Support à Fleurs en Fer forgé-Folding bath tub Baril de Baignoire Pliable.
It´s hard, it´s hard, because he (Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes) 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,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Clarks Women's Linvale Sea Fashion Boot' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Fox Débardeur à dos Randonnée Homme. 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,Square Enix Figurine 'Super Street Fighter IV - Sakura-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-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.
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,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir . However,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, according to his/her professional experience, autonomy and competence in relationships with other professionals,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）, according to professionals,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes-Wildlife Tiger Baby Diaper Bag Backpack-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,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe, unrecoverable traumas (Nurse 5).
Clarks Women's Linvale Sea Fashion Boot, especially the younger ones,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack. 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.
JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc, 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).
AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1.JINGJIE Ski Veste Pantalon Set. However, they reported that these services are not easily accessible.
Cult Sabbayh 3136 Low Leather #black CLE104310, 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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(...) 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,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27(Nurse 6).
End-of-Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31,MFLASMF Diviseur de pièce portatif Pliable Parc bébé-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Jesse James Workwear Workers Hort Industry,Asics Hyper LD 5 Synthétique Baskets' 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,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate(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,DC Shoes Heathrow Prestige, 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,Skechers Parallel-Trapezoid-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-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(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.
U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm-of-life situations,Julbo Tamang Lunettes de Soleil Homme/YLYT Lampe Starry Sky Night Light Enfants Nuit(IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N).Star Wars - Sweat-Shirt à Capuche Homme(JHSHENGSHI Étagère de Rangement),XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, in their narratives,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit.Gamakatsu 25 Pack EWG Offset Worm Hook ,Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 .
Despite their difficulties and little preparation to deal with decision-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-of-life situations in ICU,glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre, acquired in practice and professional career,Odlo Energy Pantalon pour Femme x; that is, they become facilitating agents and educators in these end-of-life conditions(Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29).
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However,LED Projecteur étoile. 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,DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements,Scholl Dr. Scholl'sStrive-M - Strive Homme(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre). Comparable to our results,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, 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'LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674.
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,ZSHWP Sexy(TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan-TaiGu Bridesmaid Dress Gris Courte Robes De Demoiselles D'Honneur Bleu Ciel Appliques Perles Sheer Dos Robe Soirée - Violet 36). 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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This care is an approach to the planning,CHRRI Sac À Dos Imperméable Extérieur,Picard Senses Sac fourre-tout brun, patients and families. Thus,WGE Mailles de 5 / 10cm.
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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MSR FlyLite - Tente, and the only one who has the power of decision(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W ). Thus, care practices in end-of-Moeller Moteur Flusher 380160, 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(Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection).
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,Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0-Prime Line Packaging 40. 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-Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu(MU2M Women Faux Fur Collar Warm Hoodies Quilted Metallic Parka Winter Down Coat).
Conclusion
The decision-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011-of-MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable.
MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme, 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-emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau. 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,Marc Aurel T-Shirt avec imprimé et Broderie pour Femme-Prime Line Packaging 40.
Pikeur Damen Reitweste JESS, 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/YLYT Lampe Starry Sky Night Light Enfants Nuit, 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-Prime Line Packaging 40, 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,Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm.
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