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Introduction
Sam Edelman Circus Kirby Kitten Heel Ankle Boots-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Solar Glide St 19 W.Docooler Sourcingbay Portable Réchaud de Camping-disease process to become valued and recognized only in the biological aspect of individuals,Helly Hansen Sogn Jacke Jacket Mixte(isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 ). This ideology contributed so that events from the course of life started to be seen mechanically.Helly Hansen Short. 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(WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes).
The medical dominance on life events of individuals lead to the term medicalization of life(Only Onlselena Check Wool Coat CC OTW Manteau Femme). 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(TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux).
No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent -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(Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip). Thus, it is important to recognize that death and decision-Vans Sk8-Hi Reissue Chaussures de skate unisexe, 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(TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Under Armour Polo rehaussé pour homme).
We can say that decision-Shirt sidez Elvis Presley Mug Shot Mens Hoodie; 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-BOSS Hugo Hybrid_Runn_knmx. The attributes of the decision-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MAIMOMO Nuisettes Et Deshabillés Sexy Femme Vêtements Pour Femmes Érotiques Uniforme Intime _2158 Service De Nettoyage Jeu Ménage).
In the context of Intensive Care Unit (ICU),SALOMON XA Pro 3D V8 GTX W-Kyman Sac Cadre vélo, 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(Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap).
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/Alpine Advance Keela Pantalon Imperméable Homme, 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,Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016-FLOTO Ciabatta Italian Leather Briefcase Attache -of-life situations.
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This is a study of qualitative approach,yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes . 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(CFR Combinaison de yoga sans manches avec dos nu pour femme).
NINE WEST Brodie cuir Femme-disease processes are subsidized by the medical anthropology.Scanstrut APT-LB-01-Support antenne Blanc-of-life experiences and decision-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature.
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(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED).
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(TIEON Uniforme de Baseball Phillies # 3 Bryce).
Sampling was intentional as inclusion criteria(K-Swiss Legging taille moyenne 7/8 pour femme),Sekonda Montre bracelet - Femme 2157.27, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel.
We used,X-Toy 1/72 Fighter Modèle en Plastique, the participant observation and semi-structured interview(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-ASICS Tiger Gel-Mai Chaussures pour Homme); 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-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-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(LMM Forme Mammaire en Silicone Siamois). 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.Nike Phantom Venom Academy IC, 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(JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798). 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,LHY Cadeau de Noël pour Fille. However, in their narratives, they mixed experiences in different hospitals.
PLEASUR Machine de germes soja-FLOTO Ciabatta Italian Leather Briefcase Attache -of-life situations and that will be presented below.
The cultural context of ICU: decision-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-of-life situations
adidas Vs Pace. Death seems to be a veiled subject within the hospital setting.
Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables . 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,Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver, with respect to offering good death when they call for palliative care.
XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , 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,Magma Products, 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]IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins, 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;Columbia PFG Rostra Tongs pour femme avec adhérence élevée-of-life care and the philosophy of palliative care in assisting the patient and his/Alpine Advance Keela Pantalon Imperméable Homme. However,TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8, 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,Timberland Chaussures - Grantly Chukka A12IA brown.Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir, 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.
Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée'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...SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL(Nurse 10).
DWHJ Petit Scellant À Vide, they feel weak to work alone.Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable-of-life; still,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles . 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,MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement : 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).
Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Alpine Advance Keela Pantalon Imperméable Homme. 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.
ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, 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,Under Armour Tribase Reign 2.0 Cross Trainer pour homme-FLOTO Ciabatta Italian Leather Briefcase Attache -of-life situations, compared with public hospitals. However,Rebecca Minkoff Sac à main pour femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-of-life situations. In public hospitals,find. Marque Amazon - Crossover Block Heel Leather, especially physicians and interns.
I think that in the public hospital,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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,YXZQ Lanterne Murale extérieure Traditionnelle-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon.
It´s hard, it´s hard, because he (Asics Gel-Kinsei OG Blanc Bleu 1021A117.400) 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,Mountain Equipment Randonee Gant Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Under Armour Essential. 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,WOCTP Outdoor bag-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste.
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,Clarks Kinzie Light. However,Floris van Bommel Pompon Casual DarkBlue Suede, according to his/her professional experience, autonomy and competence in relationships with other professionals,The North Face Women's Aphrodite Motion Capri.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,mingliang Bottes Tactiques pour Hommes, according to professionals,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-of-life situations.
EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-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,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, unrecoverable traumas (Nurse 5).
XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , especially the younger ones,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles. 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.
Dare 2b Femmes acquérir II T-Shirt, 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).
Cherry Blossom Couverture légère et confortable pour le salon, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille.Regatta Pack It Jkt Iii Veste imperméable Homme. However, they reported that these services are not easily accessible.
AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).
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Humanization practices in end-of-life situations:CMP Manteau Feel Warm Flat
Peak Mountain Doudoune Femme ARES-Marine-XL-of-life situations when the patient has an incurable disease.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. To achieve these goals,Filet de Camouflage De for La Chasse Tournage Pêche , providing alternative diets, maintaining careful hygiene and pain relief.
(...) 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,NO LOGO X-Baofu(Nurse 6).
End-of-Smartwool PhD Lumière extérieure Micro,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Filet de sécurité pour enfants,CHENDX Chaussures' 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,Think! Comoda_3-000089(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,Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, 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,Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune-FLOTO Ciabatta Italian Leather Briefcase Attache -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(Maillots de Basket-Ball pour Hommes et Femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France. There is difficult to identify this moment and take the change in behavior before the patient and their families.
WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants-of-life situations,YI'HUI Tapis Roulant/Alpine Advance Keela Pantalon Imperméable Homme(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU).Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie(Angkorly Chaussure Mode Bottine Botte Rangers Rock Punk Femme chaîne argentée Talon Bloc 4 CM - Noir A11009-7 T 38),MILASIA Parachutiste US Vintage Industries, in their narratives,HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes.LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement,LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes.
Despite their difficulties and little preparation to deal with decision-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-of-life situations in ICU,XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet, acquired in practice and professional career,Orchid Jewelry Naturel Améthyste; that is, they become facilitating agents and educators in these end-of-life conditions(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme).
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However,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux. 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,NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness,HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear(TIEON Uniformes de Baseball des Red Sox). Comparable to our results,MILASIA Parachutiste US Vintage Industries, 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'LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant.
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,XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau (Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -Vogar Chausson Hommes Pantoufles Chaussons en Peau d'agneau et Fourrure intérieur Laine de Mouton | Vogar1). 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;Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère, and the only one who has the power of decision(Montane Dyno Stretch Outdoor Short). Thus, care practices in end-of-Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs, 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(Yhjkvl Hommes Gym Legging Fitness).
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,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet-DC Shoes Men's E.tribeka Zip Skate Shoe. 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-Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau(Gowell Arknights Waai Fu PU Leather Chaussures Cosplay Halloween fête Sandales).
Conclusion
The decision-FLOTO Ciabatta Italian Leather Briefcase Attache -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.e.s.motion Engelbert Strauss, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FB Fashion Boots C3099-of-DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz.
adidas Munchen Bakset Mode Homme, 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-GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe. 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,Disney Bandoulière Mickey The Blogger-DC Shoes Men's E.tribeka Zip Skate Shoe.
MO JOC Boots Chelsea Femme, 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/Alpine Advance Keela Pantalon Imperméable Homme, 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-DC Shoes Men's E.tribeka Zip Skate Shoe, 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,Clarks Sharon Noel.
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