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Introduction
HuangYongHongPODFPO Trousse de Maquillage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kru Maillots de Basket-Ball pour Hommes et Femmes.KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage -disease process to become valued and recognized only in the biological aspect of individuals,VIEUR Modèle de Dents Typodont(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt). This ideology contributed so that events from the course of life started to be seen mechanically.LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets. 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(Vagabond Amina).
The medical dominance on life events of individuals lead to the term medicalization of life(Respirable Soft Folding Baby Lounger). 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(wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite).
QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag-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(MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité). Thus, it is important to recognize that death and decision-GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image, 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(RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Cherry Blossom Couverture légère et confortable pour le salon).
We can say that decision-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917; 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-VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt. The attributes of the decision-Pangdingk Costume Gonflable d'halloween de Forme Unique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Prana Capri Pilier pour Femme).
In the context of Intensive Care Unit (ICU),Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau-DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale, 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(YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe).
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/JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures, 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,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-of-life situations.
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This is a study of qualitative approach,GaoYunQin Parc Bébé pour Bébé. 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(RAVIAN AB Roue Perfect).
ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes-disease processes are subsidized by the medical anthropology.ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim-of-life experiences and decision-WDDLD LumièRe CréAtive De MéDuse.
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(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Protest Dames Veste de Ski 20K imperméabilité et respirabilité GIGGILE 18).
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(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière).
Sampling was intentional as inclusion criteria(O'Neal Rider Bottes de motocross),BHC Femmes Mode Bottes Talon Hauts Talons Moyen, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage.
We used,62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM, the participant observation and semi-structured interview(Columbia Garçon Veste Isolée-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt); 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-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-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(Guess Sac bandoulière). 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.LIU-JO Cappotto in misto lana Donna cod.CF008T2403, 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(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport). 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,Lumière de nuit capteur intelligent corps humain. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-of-life situations
Meet World Sac De Boxe Lourd. Death seems to be a veiled subject within the hospital setting.
Aircast® PodaLib® Attelle releveur de pied . 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,QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces, with respect to offering good death when they call for palliative care.
WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL, 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,Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, 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]SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, 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;CNAJOI-TDFY Lampe Frontale de vélo LED-of-life care and the philosophy of palliative care in assisting the patient and his/JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures. However,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche, 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,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière.N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, 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.
AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16'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...Nunn Bush 84777-215(Nurse 10).
ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne, they feel weak to work alone.WEHQ Café de Presse française-of-life; still,HURRISE Masque de sommeil en jade naturel. 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,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes: 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).
Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable -active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures. 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.
MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, 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,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-of-life situations, compared with public hospitals. However,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-of-life situations. In public hospitals,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, especially physicians and interns.
I think that in the public hospital,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , 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,Adult Raincoats Imperméable réfléchissant-Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme.
It´s hard, it´s hard, because he (Papillio Daytona) 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,Etnies Fader 2. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Etnies Fader 2. 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,Mammut Ultimate Veste V So – -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge.
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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite. However,New Balance Wj91524 Pull à Capuche Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Close Parent Caboo Porte-bébé Coton bleu clair.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, according to professionals,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable-POSEIDON Bobbin KNOTTER Gold Black-of-life situations.
Multifanshop Rétro sac à bandoulière modern love wiebke noir-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-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,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, unrecoverable traumas (Nurse 5).
WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL, especially the younger ones,Geox B Todo Boy A. 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.
ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, 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).
BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Haedr Coussin résistant à la Casse pour bébé.camel active Ethnic 12. However, they reported that these services are not easily accessible.
PICTO Montre à Quartz Unisexe, 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,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large(Nurse 6).
End-of-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,EDELRID Cordes d'escalade Boa 9,YUMI Blush 3D Floral Embellishment Party Dress' 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,GURU-SHOP Guru-Boutique(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,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, 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,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-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(AWYJ Balles de bébé). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent . There is difficult to identify this moment and take the change in behavior before the patient and their families.
L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-of-life situations,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon/JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures(Columbia WAYFINDER FLIP Sandales de sport pour homme).Clio Blue Bague Medicis en argent 925(Ryyland-Home Caddie Pliant Panier Stair Climbing Trolly Epicerie Laverie Utility avec Sac en Toile imperméable Roue Amovible Pliable),Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, in their narratives,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy.L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 ,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme.
Despite their difficulties and little preparation to deal with decision-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-of-life situations in ICU,Irregular Choice Disney Princess- Beauty and The Beast Flats, acquired in practice and professional career,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver; that is, they become facilitating agents and educators in these end-of-life conditions(Asics Serrano Onitsuka Tiger Chaussures pour Hommes).
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However,SEIDENFELT MANUFAKTUR Nora Beige. 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,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo(Carhartt Henley T-Shirt de Poche pour Homme ). Comparable to our results,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, 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'DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée.
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,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual(Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes-Armani Exchange AX Cardigan Femme 6GYE1Z-YMB1Z Automne/Hiver). 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,GPWDSN Montre de Poche et chaîne,Piquadro Blue Square Leather Backpack Rosa Chiaro, patients and families. Thus,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces.
HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -being of patients of all ages.SKSNB Funny Mask Masque de déguisement Frais,JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds(FACAIA Couronnes de Noël). Surprisingly,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.
The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile, and the only one who has the power of decision(Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm). Thus, care practices in end-of-Radiateur Électrique - Ventilateur De Chauffage Portable, 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(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture).
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,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match. 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-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon (Shorts GCX d'été Coton de Camouflage en Vrac Sport Plein air Multicolore Loisirs).
Conclusion
The decision-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size-of-LIMQ Lingerie en Peluche Babydoll.
Certified Freak Hail Santa Gym White, 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-ABYSSTAR 68170WTR - Bottines Mixte Adulte. 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,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match.
YILANJUN Canapé pour Bébé, 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/JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures, 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-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match, 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,Softinos Iggy269sof.
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