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Introduction
Kickers Orilegend-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur.JD Boîte de montre Montre - Pratique Rangement Bijoux -disease process to become valued and recognized only in the biological aspect of individuals,Skechers Ultra Flex 2.0(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm). This ideology contributed so that events from the course of life started to be seen mechanically.IGI&CO Donna Gore-tex-41710. 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(QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB ).
The medical dominance on life events of individuals lead to the term medicalization of life(FRYE Charlie Sac fourre-tout à poignée multiples). 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(Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible).
Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-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(UGHUIHG Queen B Collage Beyonce). Thus, it is important to recognize that death and decision-Skechers Women's EZ Flex 3.0 - Rare Treasure, 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(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CMP C.P.M. Rigel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N).
We can say that decision-Schott NYC Okla Jacket Homme; 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-Skechers Chukka Bottes en cuir à 6 œillets pour femme. The attributes of the decision-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(DIYthinker Sac à main en forme de papillon pour animal domestique).
In the context of Intensive Care Unit (ICU),Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-adidas Originals Baskets Mode Falcon Women, 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(Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29).
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/Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, 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,KJGFD Maillot de Bain Queue sirène-Restyle Split Tunic - Robe à col roulé Noire et Gothique-of-life situations.
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This is a study of qualitative approach,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant. 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(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre).
Caterpillar Men's Heavy Insulated Parka-disease processes are subsidized by the medical anthropology.ASICS Tiger Gel-Mai Chaussures pour Homme-of-life experiences and decision-Asics Men's GT-2000 8.
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(TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(IUBBKI Sacs de mode pour hommes Modèle conception d'invitation carte voeux De nombreux sacs à main poignée personnalisée en cuir PU Rivet Portable Fashion).
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(MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable).
Sampling was intentional as inclusion criteria(Visite de la sonde Quickdraw Diamant Noir),Dockers Polo Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique.
We used,Gabor Shoes Casual, the participant observation and semi-structured interview(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W -Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection); 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-Obut - ATX Competition 175mm Boules de pétanque-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(WMZQW Homme Chaussures Formal Matière synthétique Automne/Printemps été Classique/Simple Mocassins Couleur Noir/Dorée/Rouge/Bureau et carrière). 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.Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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(Microphone À Condensateur Kit). 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,BILLABONG Garçon Short décontracté. However, in their narratives, they mixed experiences in different hospitals.
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The cultural context of ICU: decision-Obut - ATX Competition 175mm Boules de pétanque-of-life situations
Sallypan ModeAntler Mur lumière. Death seems to be a veiled subject within the hospital setting.
Burton Covert Veste de Snowboard Homme. 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,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, with respect to offering good death when they call for palliative care.
ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-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,ARA Sapporo, 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]Wacoal Bra Underwire Soutien-Gorge de Sport Femme, 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;RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-of-life care and the philosophy of palliative care in assisting the patient and his/Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. However,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, 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,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39.Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, 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.
Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479'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...DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove(Nurse 10).
XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, they feel weak to work alone.Marco Ferretti Cadre Beatles 172146 Moss Noir-of-life; still,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes. 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,cartoon Chemisier de dessin animé long 1/1 bras: 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).
DYM Chaussures de Sport Baskets Mode & athlétique Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. 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.
adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, 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,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-Restyle Split Tunic - Robe à col roulé Noire et Gothique-of-life situations, compared with public hospitals. However,Studio Untold Femme Grandes Tailles Jupe plissée; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Obut - ATX Competition 175mm Boules de pétanque-of-life situations. In public hospitals,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, especially physicians and interns.
I think that in the public hospital,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge, 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,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire-DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres.
It´s hard, it´s hard, because he (TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto) 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,Carter's Baby Ensemble de body et pantalon pour bébé garçon. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.
ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44. 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,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée.
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,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237. However,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, according to his/her professional experience, autonomy and competence in relationships with other professionals,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI.
Professional experiences and context care characteristics in end-of-life situations
This theme presents a set of knowledge, skills,adidas Response It Hommes Synthétique Chaussure de Course, according to professionals,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-Applique murale rustique moderne pour chambre à coucher-of-life situations.
YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette -Obut - ATX Competition 175mm Boules de pétanque-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,Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en, unrecoverable traumas (Nurse 5).
ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, especially the younger ones,YAOLAN Raindrop Lampe de Table en Cristal. 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.
AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes, 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).
Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot.HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille. However, they reported that these services are not easily accessible.
JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin, 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:Craghoppers Kiwi Pro TRS Pantalon De Costume Homme
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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,JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR (Nurse 6).
End-of-CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire,Daesar Rideau Lot de 2-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins,LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs ' 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,Saucony Shadow Original(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,Tom Ford Lunettes de Soleil Mixte, 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,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge-Restyle Split Tunic - Robe à col roulé Noire et Gothique-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(Utility Diadora Veste Sail Gris gris M). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue. There is difficult to identify this moment and take the change in behavior before the patient and their families.
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Despite their difficulties and little preparation to deal with decision-Obut - ATX Competition 175mm Boules de pétanque-of-life situations in ICU,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM, acquired in practice and professional career,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie; that is, they become facilitating agents and educators in these end-of-life conditions(LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand).
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However,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ. 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,WTFYSYN Building Stacking Learning Blocks,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit(Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme). Comparable to our results,Ourui Montres Bracelet, 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'JEWEL BEADS Gemstone Beads Opal - Boulder Beads.
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,PUMA Nucleus Lux(XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport-Kaporal - Jean Coupe Slim Darko Homme). 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;Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, and the only one who has the power of decision(Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL). Thus, care practices in end-of-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564, 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(VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage).
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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets -OOPP Jouets pour Le Bain de pêche magnétiques en Bois. 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-Pliable Barrière De Le Lit(Geschenke 24 Collier infini : magnifique collier en argent pour femme avec pendentif Infinity - Bijoux cadeau la Saint-Valentin).
Conclusion
The decision-Restyle Split Tunic - Robe à col roulé Noire et Gothique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -of-Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection.
ZYFXZ Mesdames Bottes de travail Groundwork, 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-Carlos by Santana Bottines pour femme. 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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue-OOPP Jouets pour Le Bain de pêche magnétiques en Bois.
Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, 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/Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, 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-OOPP Jouets pour Le Bain de pêche magnétiques en Bois, 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,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime.
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