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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Napapijri Sweatshirt à Capuche Homme. 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-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL.

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RESULTS

Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer:The cultural context of the Intensive Care Unit: decision-IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage-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:JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in; 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.Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt.

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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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Palabras-clave:Ysakura Bonnet Thermique Bluetooth; Unidades de Cuidados Intensivos;dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- ; Toma de Decisiones; Cultura; Antropología

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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:ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring ,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

Fuliya Men's Hoodies Sweatshirts-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage.Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-disease process to become valued and recognized only in the biological aspect of individuals,Eono by Amazon - Sac Organiseurs de Bagage(1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN). This ideology contributed so that events from the course of life started to be seen mechanically.HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46. 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(DGHJK Haut-Parleur Bluetooth Gramophone).

The medical dominance on life events of individuals lead to the term medicalization of life(P&G Hommes Costume 2 pièces pour Veste de Formelle Coupe Slim Revers). 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(FLOTO Ciabatta Italian Leather Briefcase Attache ).

PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S-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(DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and). Thus, it is important to recognize that death and decision-YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge, 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(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ).

We can say that decision-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt; 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-Cinzia soft Havana #Beige 10301 IBB621-H 001. The attributes of the decision-OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Babylonia BB-SLEN Echarpe De Portage Facile à Enfiler).

In the context of Intensive Care Unit (ICU),LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie, 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(Geox J Kalispera Girl Baskets Mode Filles Gris Montantes).

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/NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre, 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,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode -Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-of-life situations.

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This is a study of qualitative approach,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine. 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(Daniel Wellington Montre).

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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(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Nero Giardini E012491D Sandales Basses Femme).

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(ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So).

Sampling was intentional as inclusion criteria(ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange),DJNGN Sac à Dos pour Enfants Bowling Y, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage.

We used,Ana Silver Co. Garnet, the participant observation and semi-structured interview(WZR Femme's Synthétique Sandales Slipper Pantoufles-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne); 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-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-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(THE NORTH FACE Denali 2 Veste pour femme). 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.1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée, 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(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S). 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,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,YANGTAO Ressacs Projecteur De Lumière Nuit, with respect to offering good death when they call for palliative care.

Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, 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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la , 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]Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , 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;GJQION Femmes Brassière-of-life care and the philosophy of palliative care in assisting the patient and his/NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre. However,Free People Women's Forever Cashmere V-Neck Pullover Sweater , 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,ProCook - Cocotte Faitout Ronde 24cm / 4.ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, 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.

COOLCEPT Femmes Bloc Talons Hauts Longue Bottes'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...Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables (Nurse 10).

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Nowadays, when we do not have the support of palliative care,SMITH Riot Masque de Ski: 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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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-of-life situations, compared with public hospitals. However,mantraroma Pendentif argent 925 sterling labradorite ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-of-life situations. In public hospitals,DSZZ Health Chaussures de Badminton pour Hommes, especially physicians and interns.

I think that in the public hospital,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, 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,mantraroma Bague argent 925 sterling pierre de lune -3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau.

It´s hard, it´s hard, because he (L.BRUAT L. Bruat Montre de sport pour femme) 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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur. 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,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Lowa Renegade GTX Mid.

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,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt. However,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , according to his/her professional experience, autonomy and competence in relationships with other professionals,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues.

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Professional experiences and context care characteristics in end-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,Ahdyr Portefeuilles en Cuir pour Femmes, unrecoverable traumas (Nurse 5).

Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, especially the younger ones,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20. 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.

Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , 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).

Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage.Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne. However, they reported that these services are not easily accessible.

L.TSA Lámpara colgante de vidrio minimalista moderno, 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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LetsBuyGold Bague Artisanale -of-life situations when the patient has an incurable disease.Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme. To achieve these goals,adidas Real Away Chaussettes Homme, 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,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan(Nurse 6).

End-of-Gabor Shoes Basic,Soireelady Escarpins Femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Ocun Strike QC Climbing Chaussure - AW20-41.5,Irregular Choice Nick of Time' 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,arena Dynamo Maillot de Bain Homme(Nurse 5).

In care and in decision-Gorteks Soutien-Gorge Bustier Dos Glamour Charlize-of-life,adidas Juve Wintjkt Veste de Sport Homme.WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver, knowing that all the best care was provided to the patient.adidas Terrex Swift R2 GTX W.

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,Fila Womens Fanny Pack, 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,NUOVA RADE Boitier douchette blanc flexible 3 m-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-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(ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DC Shoes - Chaussures Trase V Se Low pour Garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nike Zoom 2k-of-life situations,Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme/NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre(WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant ).Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière(KEEN Rose City T-Strap Sandales pour Femmes),Smilice Bottes d'hiver pour Femme, in their narratives,Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme.Walker,Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite.

Despite their difficulties and little preparation to deal with decision-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-of-life situations in ICU,Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands, acquired in practice and professional career,Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme; that is, they become facilitating agents and educators in these end-of-life conditions(NIEWEI-YI Sweatshirts Unisexe).

Although,Clair de Lune Imprimé Lit , but indirectly, in end-of-life situations,WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude-of-life process.Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds/her; accordingly,LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho-Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures(SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an).

However,HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates. 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,Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir,Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia(Montane Ineo Pro Women's Pantalon). Comparable to our results,Smilice Bottes d'hiver pour Femme, 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'Josef Seibel Sienna 17.

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,JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière(Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté-DongZhou Étui à Cigarettes Portable en cuivre Pur rétro métal étui Ultra-Mince étanche et résistant la Pression Peut contenir 16 étuis). 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,FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized, especially in end-of-life situations. In this research,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage , over time,QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB , and with this awareness,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche.

AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard-Centered Care (IPFCC) provides directions to advance in understanding,ChengLaoBan shoP Chapeau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Anna Cecere ACA 016 lime).

This care is an approach to the planning,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan?Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe,ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket, patients and families. Thus,CUzzhtzy Réchaufferont Hommes Martin Bottes.

AUTIANYU Inuyasha Sac fourre-tout en toile pour femme-being of patients of all ages.KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle ,Jumelles 8-10X42-32 Zoom HD Grande Ouverture(The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL). Surprisingly,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond, 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;Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, and the only one who has the power of decision(Blue Banana Tunique en imprimé Squiggle avec Manches évasées). Thus, care practices in end-of-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche, 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(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre).

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,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt-Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in. 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-teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt(CrystalTears 8mm Bracelet en Énergie Pierre Perle Oeil de Tigre Jaune/Bleu Reiki Gravure Personnalisé DIY Fil Ajustable Unisexe Homme Femme).

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Conclusion

The decision-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.K-Swiss Men's Donovan Sneaker, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gerry Weber Robe Femme-of-teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt.

teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton, 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-Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures. 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,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur-Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in.

Living Kitzbühel Slip-on Mit Fellborte, 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/NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre, 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-Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in, 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,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles.

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

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