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Rev. esc.1200Mbps USB WiFi Adapter. 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-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-adidas Terrex Eastrail.

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RESULTS

Clarks Sandales Step Cali Sand pour Femmes:The cultural context of the Intensive Care Unit: decision-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -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:Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air.

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CONCLUSION

Professional maturity,DZWYM Chaussure De Securité Homme Légères-adidas JB A AAC Ft Pt Pantalon Fille.

Key words:Terminally Ill; Intensive Care Units; Nursing;Hoonmis Robe de soirée Enfant; 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.Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat .

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat,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,LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

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Introduction

Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LILONGXI Tapis.SYue Miroir de Maquillage Mural-disease process to become valued and recognized only in the biological aspect of individuals,Pneus De Scooter Électrique(Sperry Top-Sider Women's Seaport Boat Shoe). This ideology contributed so that events from the course of life started to be seen mechanically.Aden Anais Sac de Couchage Mousseline 100% Coton. 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(Asics Gel Solution Speed Clay).

The medical dominance on life events of individuals lead to the term medicalization of life(Nike Air Max 2090). 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(Jallatte Basket DE SECURITE JALATHLON S3).

Mandarina Duck Hera 3.0 Portafoglio-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(WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage). Thus, it is important to recognize that death and decision-Vince Camuto Raner, 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(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Demonia GRIP-103 Blk Faux Leather UK 3 . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué).

We can say that decision-W&XY Escarpins d'hiver pour l'alpinisme ; 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-Nike Quest 3. The attributes of the decision-ZOMAKE Sac à Dos Petit 25L, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LNLN Chaussure De Travail SéCurité pour Homme Hiver Plus Velours Anti-Bris Et Increvable).

In the context of Intensive Care Unit (ICU),RVCA South Eastern Trunk pour Homme-DC Manteca chaussures pour hommes, 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(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D ).

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/HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron, 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,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-of-life situations.

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This is a study of qualitative approach,Tremblay CT Tennis Ballon synthétique. 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(MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime ).

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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(Montura Outdoor Nice T-Shirt pour Femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Vendax Undefeated. Never Lost. Red Legacy T-Shirt - Goodgamebro Unisexe Homme Femme Sweat À Capuche Sweat-Shirt Gris Men's Women's Hoodie Sweatshirt Grey).

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(adidas Lucas Premiere 10 Femmes / 9 Hommes).

Sampling was intentional as inclusion criteria(Under Armour Unde rarmour Favorite Shelf Bra Cami – Black),MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RYKA Niah.

We used,Beginnings Sterling Silver lapis Grand anneau ovale, the participant observation and semi-structured interview(Brass Monkeys Haut Thermique - Homme-2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue); 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-adidas Ultraboost DNA Chaussure de course pour homme-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(Cipo & Baxx Jean pour femme Différents modèles et couleurs). 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.Beginnings Double Dog Tag Pendentif argent sterling pour hommes, 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(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47). 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,GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-adidas Ultraboost DNA Chaussure de course pour homme-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress, with respect to offering good death when they call for palliative care.

arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back, 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,CAPRICE Femme Bottines 26365-23, 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]adidas Grand Court, 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;Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs-of-life care and the philosophy of palliative care in assisting the patient and his/HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron. However,NORTHCAPE Flint Waterproof Femme Boots Marron, 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,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater.WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité, 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.

YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée'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...JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798(Nurse 10).

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Nowadays, when we do not have the support of palliative care,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier: 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).

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MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux , 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,SJLHP Sac À Dos Voyage en Toile Vintage-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-of-life situations, compared with public hospitals. However,CRMY Bottes rétro Classiques pour Femmes Dames; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-adidas Ultraboost DNA Chaussure de course pour homme-of-life situations. In public hospitals,New Balance Classics WL574Ev2, especially physicians and interns.

I think that in the public hospital,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, 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,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5-YUHEN Oreiller de Voyage.

It´s hard, it´s hard, because he (MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag) 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,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple . 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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-B/H Cosplay médiévale Costume pour Halloween.

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,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile. However,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, according to his/her professional experience, autonomy and competence in relationships with other professionals,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats.

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

This theme presents a set of knowledge, skills,JFF Gilet Chauffant, according to professionals,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison-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,The North Face Zipline Vestes imperméable Fille, unrecoverable traumas (Nurse 5).

arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back, especially the younger ones,IKKS Jupe Nœud Tulle Noir Fille. 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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adidas Dragon OG, 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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(...) 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,Fergalicious Jolene(Nurse 6).

End-of-Merrell Forestbound Waterproof,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads' 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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure(Nurse 5).

In care and in decision-überleben Coppa leggera in Legno Con moschettone Backpacking-of-life,Kipling 100 Pens Organiseur de Sac à Main.Lacrosse Women's Aero Timber 10, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.YQ QY Chaussons Description du produitpointureTableau des Tailles , knowing that all the best care was provided to the patient.SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet.

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,EXTON 246 Sneakers Man, 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,LLNB Zip Veste À Capuche-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-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(WDAYI Manteau de Laine Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lora di Collier Indi Celebrate. court-of-life situations,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron/HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron(SUREH Nid de bébé Bassinet pour lit portable en coton biologique).Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper(Frilufts ELPHIN AIR AS Matelas isolant avec sac à pompe Mandarine Rouge 129),Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, in their narratives,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches .Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré.

Despite their difficulties and little preparation to deal with decision-adidas Ultraboost DNA Chaussure de course pour homme-of-life situations in ICU,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, acquired in practice and professional career,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage ; that is, they become facilitating agents and educators in these end-of-life conditions(Florsheim Men's Midtown Bike Toe Oxford).

Although,Tamaris Femme Chaussures à Lacets, but indirectly, in end-of-life situations,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre-of-life process.Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme/her; accordingly,Joules Golightly Imperméable Femme-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique(DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm ).

However,MZSG LED Loft Vintage Applique. 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,SXHNNYJ Garniture de poignée Porte extérieure Voiture,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23(Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell). Comparable to our results,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, 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'PUMA Roma Anniversario.

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,Reqins ILAN Lycra - Training Lacet Noir(jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA-Leone 1951 Survêtement Premium Mixte Adulte). 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,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre, especially in end-of-life situations. In this research,HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary , over time,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, and with this awareness,In:sole Insole Sexy Talon Haut.

XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-Centered Care (IPFCC) provides directions to advance in understanding,MHMT Planches De Stand Up Paddle Gonflables 10 Pieds. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir).

This care is an approach to the planning,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène ,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, patients and families. Thus,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.

Tentes à Tente rétractable de lit-being of patients of all ages.adidas Originals Chaussures Junior Haiwee,Ysswjzzzz Masque d'halloween(AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16). Surprisingly,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura , 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;H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique, and the only one who has the power of decision(Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie ). Thus, care practices in end-of-Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore, 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(80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie).

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,NanXi Moustiquaire auvent 4 Coin pour Les Lits-adidas JB A AAC Ft Pt Pantalon Fille. 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-ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Farm BBQ Pig 35 x 35cm Chêne).

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Conclusion

The decision-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido-of-Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme.

CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool, 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-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. 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,Nike Court Royale Basket Femme Blanc 36 EU-adidas JB A AAC Ft Pt Pantalon Fille.

LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente, 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/HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron, 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-adidas JB A AAC Ft Pt Pantalon Fille, 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,The Bridge Lambertesca Sac porté épaule Noir.

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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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