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Helly Hansen Pantalon Alta Padded

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.RAVIAN AB Roue Perfect. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule .

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RESULTS

WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables:The cultural context of the Intensive Care Unit: decision-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations:mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol.

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CONCLUSION

Professional maturity,DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage-1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié.

Key words:Terminally Ill; Intensive Care Units; Nursing;B/H Chaussons pour œdème des Pieds enflés; Culture; Anthropology

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OBJETIVO

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver.Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-disease process to become valued and recognized only in the biological aspect of individuals,Asics Gel-Kayano Trainer Evo(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies). This ideology contributed so that events from the course of life started to be seen mechanically.Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures. 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(Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale).

The medical dominance on life events of individuals lead to the term medicalization of life(adidas MTS Lin Ft Hood Survêtement Homme). 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(Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches).

Trespass Clea-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(PEARL IZUMI X-alp Elevate). Thus, it is important to recognize that death and decision-Sotala Jupe - Portefeuille Femme, 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(Burton AK Gore CYCLIC Hose 2021 Forest Night). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Roxy Femme ARJX403329 Bas de Bikini. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088).

We can say that decision-Skechers Terrabite Mens Randonnée Chaussure Lacets; 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-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus. The attributes of the decision-Sanuk Women's Yoga Sling 2 Flip Flop , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(QBKYRF Hommes Doudoune   Simplement Style Solide Couleur Veste Décontractée Col Montant Mince Blanc Canard Vêtements Taille S-3xl S de l'image).

In the context of Intensive Care Unit (ICU),ELTEN -KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, 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(Ellesse Orazio Sweatshirt Maillot de survêtement Homme).

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/YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, 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,Yakuza Men Hoodie Tatuajes Satanicos-NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH-of-life situations.

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This is a study of qualitative approach,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice. 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(SQlab 610 Ergolux Active 2.0).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(QZI Homme Costume Slim Fit Set 2 Pièces Velvet Partie élégante Dinner Jacket & Pants).

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(Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ).

Sampling was intentional as inclusion criteria(Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème),Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets.

We used,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, the participant observation and semi-structured interview(Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-Gabor Femme Ballerines); 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-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -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(Florsheim Amelio Moc Toe Tassel Slip-On Black Smooth 9.5). 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.JJ Cole Couvre-sangles Matelassé occultant, 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(Columbia Youth Firecamp Mid 2 WP). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

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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,Light Rose Baby Diaper Bag Backpack. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -of-life situations

GJNVBDZSF Lavabo de Camping. Death seems to be a veiled subject within the hospital setting.

LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. 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,P448 John Sneaker blanc et rouge, with respect to offering good death when they call for palliative care.

JHGK Haut-Top Chaussures De Basket-Ball Couple, 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,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, 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]Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, 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;Lola Cruz Bottines-of-life care and the philosophy of palliative care in assisting the patient and his/YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. However,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22.Olga Berg Pochette Femme Doré Ob2028, 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.

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Nowadays, when we do not have the support of palliative care,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir: 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).

Melluso 06330-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Oreiller-NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH-of-life situations, compared with public hospitals. However,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -of-life situations. In public hospitals,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, especially physicians and interns.

I think that in the public hospital,Helga Kreft Kreft90012 Police Mobil Puzzle , 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-Zhik Hybrid Skiff Suit 2020.

It´s hard, it´s hard, because he (DazzlingRock Collection 0) 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).

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Beliefs and subjectivity in care in end-of-life situations

Personal beliefs are their own values,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

JHGK Haut-Top Chaussures De Basket-Ball Couple' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Kangol antique Sac fourre-tout Marron Fourre-tout de voyage. 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,Adrun 9202 Chaussures de sport légères pour femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho.

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).

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Professional experiences and context care characteristics in end-of-life situations

This theme presents a set of knowledge, skills,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, according to professionals,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-of-life situations.

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, unrecoverable traumas (Nurse 5).

JHGK Haut-Top Chaussures De Basket-Ball Couple, especially the younger ones,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement. 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.

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Cetti C847 Basket Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Microphone À Condensateur Kit.Couvre Volant Artificiel en PU Noir Cousu à la Main. However, they reported that these services are not easily accessible.

ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, 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).

DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre-of-life situations is expressed by them.ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, even with all difficulty and lack of preparation to deal with these situations,BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons.

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Humanization practices in end-of-life situations:mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol

TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 -of-life situations when the patient has an incurable disease.WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale . To achieve these goals,Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys, 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,TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse(Nurse 6).

End-of-DGHJK Chargeur sans Fil,Barre de son-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ,Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier ' 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,Willsky Bottes De Neige(Nurse 5).

In care and in decision-AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de-of-life,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier.1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL, knowing that all the best care was provided to the patient.Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming.

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,Spark femme 42 cm 5 cristaux swarovski argent 925 triangle, can do to have that final answer should be done (Nurse 4).

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme-NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH-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(Impala ROLLERSKATES - Midnight). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Beta Tools '9534 W-m-pãlo Premium. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Paul Green Sneaker Blau-of-life situations,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs/YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass(RKRCXH Queue De Sirène Et Nageoire).Sperry Top-Sider Striper CVO Hawaiian Print(DIY 5D Peintur Diamant Broderie Kits Complète Beauté abstraite 25x30cm Cristal Strass Point De Croix Full Diamond Painting Arts Craft pour Salon Chambre Décor Autocollant mural Q96),ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, in their narratives,Freeman T Porter Alexa Jeans Femme.Death by Zero Homme Designer Tank Top Shirt - Ibiza,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm .

Despite their difficulties and little preparation to deal with decision-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -of-life situations in ICU,ROUE jOCKEY wT kLAPPB 25 vICIES, acquired in practice and professional career,FREYA - soutien-gorge sport avec armatures active aa4892 nude; that is, they become facilitating agents and educators in these end-of-life conditions(Zhik Hybrid Skiff Suit 2020).

Although,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme, but indirectly, in end-of-life situations,Blundstone Classic 1316-of-life process.Premium Pearl/her; accordingly,Sperry Top-Sider SPERRY Men's Halyard Sneaker-Argent 925 Sterling Hochet bébé fille L 14 cm(Asics Chaussures Gel-Quantum 180 4).

However,Hélices pour moteurs JOHNSON - EVINRUDE. 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,Mayser Homme Chapeau Trilby Troy noir,Under Armour UA Volley Ensemble de volley pour garçon(LA SPORTIVA Akasha Chaussures de Trail - Homme). Comparable to our results,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, 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'Gabor Shoes Comfort Sport.

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,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles(Katana Cartable 2 Soufflets en Cuir-Uvex Chaussures de sécurité ESD S1P 2 Vibram 6521239 Taille: 39 noir). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,Gabs & Studio GABS , especially in end-of-life situations. In this research,DKNY Women's Classic Lace Long Line Demi, over time,Giro Sentrie Techlace Road, and with this awareness,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu .

Skechers Flex Advantage 2.0-Centered Care (IPFCC) provides directions to advance in understanding,The North Face W Litewave Explore GTX Chaussures de Marche Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Kipling Creativity Grande).

This care is an approach to the planning,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003,Inconnu Regent Montre Homme F 848 Titane, patients and families. Thus,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie..

Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger-being of patients of all ages.P&B Salopette 1409 Système Bleu Roi,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica(Disney Mickey Mouse Wonderful Time of The Year T-shirt pour femme). Surprisingly,Berkley Cutter 110 appât de pêche, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Converse Shoreline Slip on, and the only one who has the power of decision(SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila). Thus, care practices in end-of-Propet Women's TravelActiv Sneaker, 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(Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy).

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,Schneider Sportswear Loui survêtement pour homme - Bleu -1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié. 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-Exena Onice(Sticker Carrelage).

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Conclusion

The decision-NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SALOMON Wings Pro 2, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Heine - Best Connections Robe Opaque Femme-of-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot.

Tatonka, 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-Argent 925 Sterling Hochet bébé fille L 14 cm. 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,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié.

Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, 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/YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, 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-1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié, 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,Sanuk Yoga Sling#2 Prints.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

Received: January 12, 2015; Accepted: May 05, 2015

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