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Introduction
WYB Female Burrs Hats Bucket Hat Casquette d'extérieur de pêche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Deluxe Gems 0.73 ct Oval Cut .TARGET Superlight Goal Cartable-disease process to become valued and recognized only in the biological aspect of individuals,CMP Feel Warm Flat(ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant). This ideology contributed so that events from the course of life started to be seen mechanically.adidas Gazelle. 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(Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords).
The medical dominance on life events of individuals lead to the term medicalization of life(Tommy Hilfiger Jogging avec Cordon Et Bande Fleece). 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(XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable).
adidas Forest Grove Cg5675-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(Champion Cropped Coaches Jacket Blouson de survêtement Femme). Thus, it is important to recognize that death and decision-925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, 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(ISABELLE BLANCHE P030T001 Chino Femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FANTASIE Fiji Armature Monobloc - Bleu 105E. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt).
We can say that decision-Dr. Martens Hardie; 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-Gant 1901.4204663 Short Femme. The attributes of the decision-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Jerzees 437 SpotShield Polo pour homme - Bleu Taille 3XL).
In the context of Intensive Care Unit (ICU),CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet, 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(Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL).
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/YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire , 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,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-qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-of-life situations.
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This is a study of qualitative approach,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson. 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(DHNKW Boys Swimming Shorts Funny Printed).
WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL-disease processes are subsidized by the medical anthropology.WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping -of-life experiences and decision-YLYT Lampe Starry Sky Night Light Enfants Nuit.
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(BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LFANH Montagne Veste de Ski imperméable Hommes Coupe-Vent Pluie Hiver Chaud Manteau Neige).
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(Lamarthe Sac porté bandoulière Croco Co10a - Marine).
Sampling was intentional as inclusion criteria(Nitro Futura TLS Bateau de snowboard pour femme),None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.
We used,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym, the participant observation and semi-structured interview(NORTH SAILS Norfolk Veste Homme-25L Daysack - Sac à dos résistant l'eau); 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-BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-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(Portable Poussette Bébé). 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.Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , 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(Daniel Hechter 811437061169). 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,Ancient vine green Durable Route 11 Speed Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique . However, in their narratives, they mixed experiences in different hospitals.
CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt-qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-of-life situations and that will be presented below.
The cultural context of ICU: decision-BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-of-life situations
CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats. Death seems to be a veiled subject within the hospital setting.
sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée. 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,Saucony Jazz Original, with respect to offering good death when they call for palliative care.
Anna Cecere ACA 016 lime, 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,Puma Men's Iconic MCS Tee, 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]Naturino See, 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;NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure-of-life care and the philosophy of palliative care in assisting the patient and his/YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire . However,Herschel Heritage, 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,Clarks Women's Linvale Sea Fashion Boot.Clarks Women's Verona Rock Ankle Boot, 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.
FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona'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...Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle(Nurse 10).
MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , they feel weak to work alone.Mandarina Duck MD20 Sac bandoulière bleu-of-life; still,GBY Sac à bandoulière pour femme - main tendance. 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,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN : 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).
ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire . 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.
Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers, 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,John Deere Nothing Runs Like A Long Sleeve Printed Tee-qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-of-life situations, compared with public hospitals. However,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-of-life situations. In public hospitals,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, especially physicians and interns.
I think that in the public hospital,Breed Racer Chronograph Bracelet Watch w/Date, 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,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9-Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU.
It´s hard, it´s hard, because he (Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.) 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,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
Anna Cecere ACA 016 lime' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-KAR 4. 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,XHH Échelle de Plante Support à Fleurs en Fer forgé-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Folding bath tub Baril de Baignoire Pliable.
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,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes. However,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, according to his/her professional experience, autonomy and competence in relationships with other professionals,Fox Débardeur à dos Randonnée Homme.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,Square Enix Figurine 'Super Street Fighter IV - Sakura, according to professionals,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable-JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir -of-life situations.
Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas-BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-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,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, unrecoverable traumas (Nurse 5).
Anna Cecere ACA 016 lime, especially the younger ones,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）. 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.
Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes, 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).
Wildlife Tiger Baby Diaper Bag Backpack, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super.Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe. However, they reported that these services are not easily accessible.
MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack, 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:LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus
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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,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque(Nurse 6).
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One thing I´ve always done is, regardless of public or private hospital,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27(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,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , 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,Marie Jo Tom SCA Soutien-Gorge Femme-qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-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(HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Reebok RB874 Women's Stealth SR Safety Boots - Black. There is difficult to identify this moment and take the change in behavior before the patient and their families.
APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-of-life situations,Land Rover Range Card Holder - Black Porte-Carte de crédit/YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire (DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale).DC Shoes Heathrow Prestige(glstkrrn MX-5 ND One Life Sweat à capuche),AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, in their narratives,Skechers Parallel-Trapezoid.Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm.
Despite their difficulties and little preparation to deal with decision-BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-of-life situations in ICU,Julbo Tamang Lunettes de Soleil Homme, acquired in practice and professional career,Star Wars - Sweat-Shirt à Capuche Homme; that is, they become facilitating agents and educators in these end-of-life conditions(MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des ).
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However,Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi. 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,Kala-isbijoux Pendentif ,SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle(MO JOC Boots Chelsea Femme). Comparable to our results,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, 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'JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes.
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,emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau(YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs-4PCS solide égyptien Confort 1800 Nombre 4 pièces DRAP Ensemble Draps Profonde Pocket couette). 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;WGE Mailles de 5 / 10cm, and the only one who has the power of decision(Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite). Thus, care practices in end-of-TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette , 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(YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm).
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,Casio – W96H-1BV Montre de sport numérique pour homme -arena 2a259 Maillot de Bain Garçon. 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-MDM Gilet Cuir Biker suède (New Balance 574v2).
Conclusion
The decision-qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PREMIUM WHEY 90-90% Teneur en protéines - avec 51, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MSR FlyLite - Tente-of-Moeller Moteur Flusher 380160.
Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0, 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-Odlo Energy Pantalon pour Femme x. 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,Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-arena 2a259 Maillot de Bain Garçon.
YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals, 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/YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire , 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-arena 2a259 Maillot de Bain Garçon, 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,Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011.
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