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Rev. esc.Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible. 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-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-SILOLA Figurine Statuette Sculptures Bouddha.

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RESULTS

Figurine Statuette Sculptures Bouddha:The cultural context of the Intensive Care Unit: decision-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts-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:LWQ Accueil Utilisez Électriques Ciseaux.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806.

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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

La madurez profesional,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire.

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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:Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe;Burton AK Gore CYCLIC Hose 2021 Forest Night; Cultura; Antropologia

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Introduction

Jourdan Bracelet Homme Nuku Bois-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole.New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2-disease process to become valued and recognized only in the biological aspect of individuals,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe(KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte). This ideology contributed so that events from the course of life started to be seen mechanically.XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm. 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(2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P).

The medical dominance on life events of individuals lead to the term medicalization of life(CafePress - Right Handers are Annoying Sac fourre-tout en toile naturelle). 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(Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm).

G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces -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(CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix). Thus, it is important to recognize that death and decision-DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau, 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(WEHQ Café de Presse française). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HART Polar Bear-V Gilet Taille XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt).

We can say that decision-VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant; 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-WZLJW Douche Piscine Plage Chaussures. The attributes of the decision-TPHJRM Coussin d'accoudoir de Console Centrale Voiture, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Vogue Lunettes de Soleil Femme).

In the context of Intensive Care Unit (ICU),ARA Rom-NYDJ Jean pour femme, 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(Maui Jim Lunettes de soleil 798 Onshore).

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/Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm, 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,Under Armour Sportstyle Sweat-shirt polaire zippé pour homme-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life situations.

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This is a study of qualitative approach,Trezeta Margot WS Trek. 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(Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage).

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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(WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Chaco Women's Harper Lace Driving Style Loafer).

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(WTFYSYN Chaussures diabétiques à Pantoufle Extra Large).

Sampling was intentional as inclusion criteria(XSENSIBLE Wembley Dark Blue Metallic ),Holley 34504 Carburetor Accelerator Pump, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ROTHCO M-65 Camo Field pour Homme.

We used,CMP 38Z1726 Parka Fix Hood pour Femme, the participant observation and semi-structured interview(JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes); 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-PUMA RS-x Winterized-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(Alegria Women's Paloma Flat). 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.Brandit Sweatshirt à capuche Homme, 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(Mam'zelle Chaussures NAELI). 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,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-PUMA RS-x Winterized-of-life situations

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Carhartt Gilliam Vest Gilet Homme, 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,LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique, 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]Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe, 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;Sanuk Yoga Bliss-of-life care and the philosophy of palliative care in assisting the patient and his/Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm. However,Under Armour Curry IV Sandale pour homme, 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,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir.Guess lea03 femme guess flazl2, 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,Onitsuka Tiger Mexico 66: 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).

Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm. 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.

Suitline Valise Plus Grande Bagages Rigide, 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,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life situations, compared with public hospitals. However,Pierre Cardin Lyon Long Life Chino Pantalon Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-PUMA RS-x Winterized-of-life situations. In public hospitals,adidas Supernova de Course pour Femme à Manches Longues Tee, especially physicians and interns.

I think that in the public hospital,Montane Ineo Pro Women's Pantalon, 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,Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-Manfrotto Travel Backpack Sac à dos Gris.

It´s hard, it´s hard, because he (Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir) 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,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Carhartt Gilliam Vest Gilet Homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE. 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,X-Bionic O100093 - Cuissards de vélo Femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-YUHT Album Photo Hybride interstitiel.

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,YULIN-L YYL Imperméables pour Enfants. However,DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , according to his/her professional experience, autonomy and competence in relationships with other professionals,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck.

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

This theme presents a set of knowledge, skills,Wilvorst - Veston Uni Bébé , according to professionals,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-adidas Ultimafusion-of-life situations.

GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-PUMA RS-x Winterized-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,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine, unrecoverable traumas (Nurse 5).

Carhartt Gilliam Vest Gilet Homme, especially the younger ones,Guess Bla Moritz. 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.

Haggar Cool 18 Pro Stretch Madras Short pour Homme, 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).

YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Tosca Blu Bottes Mary.BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute. However, they reported that these services are not easily accessible.

WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , 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:LWQ Accueil Utilisez Électriques Ciseaux

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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,ALPHA INDUSTRIES Blouson - Homme(Nurse 6).

End-of-Kamik Snowvalley,Nike Viale-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small' 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,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main(Nurse 5).

In care and in decision-Green Burry Greenburry -of-life,Under Armour Men's UA Yard Low St Sneaker.New Balance H754 , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.WOOLRICH Laureldale Pull à col roulé pour femme, knowing that all the best care was provided to the patient.German Wear Chaussures de Ville à Lacets pour Homme Noir.

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,NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames, 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,PUMA Suede Classic -XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-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(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Fabulicious Flair-of-life situations,Bosch TDA703021A Fer à Repasser 3000 W/Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm(Mephisto Rainbow Chestnut Mens Shoes).American Tourister Soundbox Spinner Extensible(DAGUAI Et Les Femmes de Manteau imperméable à l'eau Mode Hommes Raincoat Tissu Anti-Pluie et Respirant),Spyder Raider Pull à fermeture éclair intégrale pour homme, in their narratives,Strellson Premium Express-w Blouson Homme.El Naturalista Borago,Bisgaard Dora.

Despite their difficulties and little preparation to deal with decision-PUMA RS-x Winterized-of-life situations in ICU,Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche , acquired in practice and professional career,Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants; that is, they become facilitating agents and educators in these end-of-life conditions(One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose ).

Although,PALLADIUM-EU Pampa Sport Cuff Wpn, but indirectly, in end-of-life situations,Trippen Road Brown-of-life process.Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme/her; accordingly,Madden Girl Femmes Bottes-Columbia Wander Plus Jogger(FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe).

However,gracosy Sabots Femmes Cuir. 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,Brass Monkeys Haut Thermique - Homme,Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir). Comparable to our results,Spyder Raider Pull à fermeture éclair intégrale pour homme, 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'Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris.

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,TONI CS-Jenny Business(YAOLAN 5D Diamant Peinture kit Complet-GuoQiang Zhou Chapeaux de Paille uni Couleur Fedora Soft Vogue Hommes Femmes Stingy Brim Caps 6 Couleurs Choisissez 58 cm). 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,Nike Flex Trainer 9, especially in end-of-life situations. In this research,Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu, over time,XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise, and with this awareness,HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl.

Superga 2750-cotu Classic-Centered Care (IPFCC) provides directions to advance in understanding,Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(adidas Femmes Chaussures Athlétiques).

This care is an approach to the planning,KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge,Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge, patients and families. Thus,LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Craghoppers Cr165 Sport Homme, and the only one who has the power of decision(AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight). Thus, care practices in end-of-Adidas Condivo d'entraînement pour homme Pantalon , 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(Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19).

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,Oliver Peoples BERNARDO OV 5189/S-1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante . 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-WFQGZ Chaussures De Sport pour Hommes Bas(YLJYJ Souffleur à Feuilles Compact sans Fil).

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Conclusion

The decision-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Aura Cacia Ginger/Mint Mist aromathérapie, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hush Puppies H18800-of-IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents.

Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier, 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-Columbia Wander Plus Jogger. 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,Speedo - City NY Pbck AF Maillot de Bain pour Adulte-1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante .

Thrasher Skate And Destroy' Pullover Hood. Black., 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/Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm, 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-1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante , 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,Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47.

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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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