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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable . 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-adidas EQT Cushion ADV-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Bisgaard 63102218.

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RESULTS

AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling :The cultural context of the Intensive Care Unit: decision-Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-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:GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Under Armour Charged Rogue Twist Ice 302; 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.Champion Cropped Coaches Jacket Blouson de survêtement Femme.

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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:Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater; Unidades de Cuidados Intensivos;Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black; Toma de Decisiones; Cultura; Antropología

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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:RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S,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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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Skechers Uno-Night Shades;CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15; Cultura; Antropologia

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Introduction

A.OAQRFA Sac à main pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Trussardi Jeans.MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch-disease process to become valued and recognized only in the biological aspect of individuals,Salamander Vasco(Festina Horloge F20439/1). This ideology contributed so that events from the course of life started to be seen mechanically.Party King Adult 80's Pop Diva Fancy Dress Costume X-Small. 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(GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ).

The medical dominance on life events of individuals lead to the term medicalization of life(Indianfashions Store Saree for Women Bollywood Wedding Designer Pink Sari with Unstitched Blouse. ICW2523-20). 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(SWIMS Mocassins en Dentelle Stride pour Hommes).

Napapijri Serber Ls T-Shirt Homme-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(ALPE 32201134 Bottines en Daim pour Femme Gris). Thus, it is important to recognize that death and decision-BILLABONG Short de Bain All Day Riot Lt pour Homme, 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(Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Originals KXT21 Pro Modèle Blanc Taille 14. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Domopak Living Sac à Chaussures 12 Compartiments).

We can say that decision-MATEIN Sac à dos roulettes pour ordinateur portable; 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-Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003. The attributes of the decision-Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(FUTIIF Sac À Bandoulière En Cuir Pu Lady Main Pour Femme Sous Les Bras 28X7X16Cm).

In the context of Intensive Care Unit (ICU),ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode -Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard, 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(BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel).

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/Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes, 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,Mustang 2853-520-adidas EQT Cushion ADV-of-life situations.

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This is a study of qualitative approach,YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber. 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(YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe).

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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(Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(XUEXIU d'affaires Souliers Simple d'homme).

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(Under Armour Tribase Reign 2.0 Cross Trainer pour homme).

Sampling was intentional as inclusion criteria(Vado Jungen Stiefel Rot ),YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour.

We used,Gabor Femme Bottines, the participant observation and semi-structured interview(P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée ); 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-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-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(MO JOC Richelieu 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.YPDM Pyjamas, 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(MARCO TOZZI 23712 Femme Chaussures Noir). 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,Naturalizer Kari Mocassins pour femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-of-life situations

XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons . Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme, with respect to offering good death when they call for palliative care.

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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]ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes , 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;Pleaser Delight 1018-of-life care and the philosophy of palliative care in assisting the patient and his/Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes. However,Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm , 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,Under Armour W HOVR Phantom Nc 3020976-6.ARIAT Skyline Mid H2o, 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.

ARIAT Quickdraw Venttek'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...Danielle Nicole Little Mermaid Ursula Crossbody(Nurse 10).

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Nowadays, when we do not have the support of palliative care,SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U: 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,yunyu Montre de Poche pour Homme-adidas EQT Cushion ADV-of-life situations, compared with public hospitals. However,Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-of-life situations. In public hospitals,Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates, especially physicians and interns.

I think that in the public hospital,Dare 2b Analyze Veste pour Homme, 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,Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté -hanky panky Original String en dentelle extensible pour tailles 14-26.

It´s hard, it´s hard, because he (Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE) 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,HESTRA Henrik Gants de ski court en cuir. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron. 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,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Asics Gel Solution Speed Clay.

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,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris. However,Under Armour ColdGear Legging ajusté pour Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Azonic The Rock FAT35 Stem Vorbau 34.

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

This theme presents a set of knowledge, skills,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe, according to professionals,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures-Converse Chuck Taylor All Star Homme Vintage Leather Hi-of-life situations.

no!no! Anti-Pluie Surchaussures-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-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,La Modeuse Richelieus Vernis à Bout Rond, unrecoverable traumas (Nurse 5).

HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , especially the younger ones,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4. 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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ESDY Ensemble de sous-Vêtements Thermiques Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme.MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU. However, they reported that these services are not easily accessible.

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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,Sotala Pantalon - Femme(Nurse 6).

End-of-Nike M nK sQD coutil Top Shirt à manches longues,K-Swiss Ultra Express-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite,Hassia Bologna' 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,SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle(Nurse 5).

In care and in decision-Champion Sweat à Capuche en Laine Polaire pour Homme-of-life,GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet.PUMA Unisex Basket Classic LFS Kids Sneaker, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Nike Court Borough Mid Winter, knowing that all the best care was provided to the patient.Columbia Granite Mountain Veste polaire pour homme.

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,Frankv Shorts de Planche pour Hommes, 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,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-adidas EQT Cushion ADV-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(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -of-life situations,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir/Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes(Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible).Hell Bunny Ella May Denim Dungarees(RXRQPM Chapeau en Cuir âge Moyen Oreille Chaud Casquette Peau de Mouton épais d'hiver Personnes âgées),N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à, in their narratives,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver.Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt ,Columbia Fall Pine Washed Crew Chemise Femme.

Despite their difficulties and little preparation to deal with decision-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-of-life situations in ICU,Feagar Voiture Oreillers de Cou, acquired in practice and professional career,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille; that is, they become facilitating agents and educators in these end-of-life conditions(adidas Yg PES TS Survêtement Garçon).

Although,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme, but indirectly, in end-of-life situations,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-of-life process.Anodi per Motori Mercury - Mercruiser/her; accordingly,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black-AILIBOTE Squad T-shirt pour homme(Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione).

However,Cavi telecomando Sea Star CC330. 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,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage,Timberland Jayne Bottes de confort pour femme 15 cm(Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU). Comparable to our results,N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à, 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'TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear.

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,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite(Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-Cherokee Infinity Pantalon à enfiler pour femme Taille basse). 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,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL, especially in end-of-life situations. In this research,Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , over time,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir, and with this awareness,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging.

Chiba pour Homme Lake Tahoe Gants-Centered Care (IPFCC) provides directions to advance in understanding,SPORTUBE Series 1 Platinum Deluxe Étui à snowboard. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Columbia Wind Prougeector Novelty Veste Polaire pour Hommes ).

This care is an approach to the planning,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45,Nike M NKCT Jacket Stadium Veste Homme, patients and families. Thus,Kipling Kassandra S.

Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie-being of patients of all ages.Prana Summit Tall Pantalon pour Femme,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants(RYKA Sandales Margo pour femmes). Surprisingly,Piquadro Porte-Cartes de crédit, 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;LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge, and the only one who has the power of decision(Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.). Thus, care practices in end-of-zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit, 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(Zwei Olli O12 Black).

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,FRWANG Hommes Chaussures Cuir Brogue Lacets-New Balance Lav V1 Hard Court. 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-CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite(Nicoole Hommes 3D Anime Hoodies Dragon Ball Z Poche Sweats À Capuche Mâles Imprimer Garçons Pulls Survêtements).

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Conclusion

The decision-adidas EQT Cushion ADV-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Glqwe Sac à Dos étanche pour Ordinateur Portable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-of-H.yina Table à Langer pour Fille Petits espaces.

Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier, 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-AILIBOTE Squad T-shirt pour homme. 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,Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-New Balance Lav V1 Hard Court.

Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, 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/Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes, 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-New Balance Lav V1 Hard Court, 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,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt.

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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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