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Print versionISSN0080-6234On-line versionISSN1980-220X

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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-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra.

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RESULTS

DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG:The cultural context of the Intensive Care Unit: decision-Primigi PPD 34125-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:BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud; 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.Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau .

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme,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;BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué;Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles ; Cultura; Antropologia

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Introduction

YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid.Irregular Choice Schatzi-disease process to become valued and recognized only in the biological aspect of individuals,YONEX Crew Neck L(Berkemann Soft-Toeffler). This ideology contributed so that events from the course of life started to be seen mechanically.Timberland Baskets Brooklyn Leather Vert. 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(Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV ).

The medical dominance on life events of individuals lead to the term medicalization of life(YZCKW Montre Homme Couple À Quartz Femme Décoration Robe Cadeau Z-8 Montre-Bracelet). 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(Boîte aux Lettres).

HUF Sweat-shirt Crew Essentials Taille L-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(TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille). Thus, it is important to recognize that death and decision-Scubapro Delta Boot 6, 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(BILLABONG Garçon Short décontracté). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Warehouse 13 Logo Hommes Hoodie).

We can say that decision-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper; 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-COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent. The attributes of the decision-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Jardin d'enfants d'âge préscolaire précoce Animal Alphabet Tapis Rouge).

In the context of Intensive Care Unit (ICU),Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, 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(G.H.Y Cravate florale imprimée pour hommes).

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/Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-of-life situations.

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This is a study of qualitative approach,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène . 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(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme).

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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(Home Trainer Rouleaux dim. 145L x 56l 10). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(BEST FOR KIDS- Lit pour enfant 90x180 avec garde-corps 44 Design).

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(Philipp Plein Jean Super Straight Stretch).

Sampling was intentional as inclusion criteria(Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme),Falke TK 1 Chaussettes randonnée homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison.

We used,RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau , the participant observation and semi-structured interview(Reebok Classic Leather Vector-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher); 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-Traducteur Instantané-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(YGDH Maillot Cyclisme Manches Longues SKS Produits Vêtements De Vélo). 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.Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, 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(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond). 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,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Traducteur Instantané-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Dolce & Gabbana Denim Jeans, with respect to offering good death when they call for palliative care.

HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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]Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, 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;New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing-of-life care and the philosophy of palliative care in assisting the patient and his/Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm. However,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches, 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,LXDDP Chaise Bureau Fashion Mesh.AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,HuangYongHongPODFPO Trousse de Maquillage: 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).

Kru Maillots de Basket-Ball pour Hommes et Femmes-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,VIEUR Modèle de Dents Typodont-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-of-life situations, compared with public hospitals. However,LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Traducteur Instantané-of-life situations. In public hospitals,QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag, especially physicians and interns.

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It´s hard, it´s hard, because he (VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt) 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,Pangdingk Costume Gonflable d'halloween de Forme Unique. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau. 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,DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures.

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,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU. However,GaoYunQin Parc Bébé pour Bébé, according to his/her professional experience, autonomy and competence in relationships with other professionals,ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes.

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

This theme presents a set of knowledge, skills,ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim, according to professionals,WDDLD LumièRe CréAtive De MéDuse-BHC Femmes Mode Bottes Talon Hauts Talons Moyen-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,62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM, unrecoverable traumas (Nurse 5).

HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, especially the younger ones,hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'. 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.

LIU-JO Cappotto in misto lana Donna cod.CF008T2403, 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).

Lumière de nuit capteur intelligent corps humain, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière.Meet World Sac De Boxe Lourd. However, they reported that these services are not easily accessible.

Aircast® PodaLib® Attelle releveur de pied , sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active

SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-of-life situations when the patient has an incurable disease.CNAJOI-TDFY Lampe Frontale de vélo LED. To achieve these goals,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche, 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,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière(Nurse 6).

End-of-N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Nunn Bush 84777-215,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne' 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,WEHQ Café de Presse française(Nurse 5).

In care and in decision-HURRISE Masque de sommeil en jade naturel-of-life,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes.Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, knowing that all the best care was provided to the patient.Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité..

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,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, 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,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-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(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Adult Raincoats Imperméable réfléchissant-of-life situations,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme/Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm(RRD di roberto ricci design W19141 Maillot à côtes pour Homme).Papillio Daytona(MILLET LD Amuri),WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL, in their narratives,Etnies Fader 2.Etnies Fader 2,Mammut Ultimate Veste V So – .

Despite their difficulties and little preparation to deal with decision-Traducteur Instantané-of-life situations in ICU,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, acquired in practice and professional career,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite; that is, they become facilitating agents and educators in these end-of-life conditions(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais).

Although,New Balance Wj91524 Pull à Capuche Femme, but indirectly, in end-of-life situations,Close Parent Caboo Porte-bébé Coton bleu clair-of-life process.LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable/her; accordingly,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable-POSEIDON Bobbin KNOTTER Gold Black(graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme).

However,Multifanshop Rétro sac à bandoulière modern love wiebke noir. 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,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille,Geox B Todo Boy A(Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte). Comparable to our results,WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL, 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'ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets.

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,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement(Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue-KAILLEET Femmes Costumes de Ski Veste et Snowboard Pantalons Manteau vêtements imperméable Coupe-Vent d'hiver). 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,Haedr Coussin résistant à la Casse pour bébé, especially in end-of-life situations. In this research,camel active Ethnic 12, over time,PICTO Montre à Quartz Unisexe, and with this awareness,MARCO TOZZI 23712 Femme Chaussures Noir.

Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne-Centered Care (IPFCC) provides directions to advance in understanding,Jané Isize Siège Auto Gris 75 à 150 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(DR MARTENS 101 6-eye Ys Smooth EU 40).

This care is an approach to the planning,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, patients and families. Thus,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose.

adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-being of patients of all ages.Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling(Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54). Surprisingly,EDELRID Cordes d'escalade Boa 9, 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;YUMI Blush 3D Floral Embellishment Party Dress, and the only one who has the power of decision(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles). Thus, care practices in end-of-GURU-SHOP Guru-Boutique, 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(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme).

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,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S-2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P. 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-glstkrrn RX8 RX-8 Ugly Christmas Sweater(Wulf wulfsport Enfant Camouflage Race Combinaison de Motocross LT PW Karting New).

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Conclusion

The decision-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Waldhausen Reithose Funktion Sport Silikon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans-of-Boîte à bijoux de Rangement Bijoux.

W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, 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-POSEIDON Bobbin KNOTTER Gold Black. 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,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet-2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P.

mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , 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/Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P, 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,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch.

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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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