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Rev. esc.NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison. 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-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-U/A Cardigan Pull Femme Géométrique Tricot Automne.

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RESULTS

WRJY Poussette pour bébé Poussette:The cultural context of the Intensive Care Unit: decision-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-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:Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière .

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CONCLUSION

Professional maturity,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme.

Key words:Terminally Ill; Intensive Care Units; Nursing;DIY fun shop Sac à bandoulière; 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.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.

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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:QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes; Unidades de Cuidados Intensivos;WGFGXQ Plafonnier; 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:CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8,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

YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure .Ducati Femmes Polo D-Attitude Gris - M-disease process to become valued and recognized only in the biological aspect of individuals,Kappa Doudoune Stade Français Paris Adulte 2020/2021(WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration). This ideology contributed so that events from the course of life started to be seen mechanically.Shaker à Cocktail Boston Standard Professionnel. 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(IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille).

The medical dominance on life events of individuals lead to the term medicalization of life(JLYZB Couverture de table dimpression gland). 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(WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables).

AQWESD Pied de Table canapé en Bois 4 pièces-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(AKTIVE 54078 But de Football Pliable 24 x 120 cm). Thus, it is important to recognize that death and decision-GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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(Berkemann Soft-Toeffler). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV ).

We can say that decision-XSY Denim Zipper Genou Talon Hiver Bottes; 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-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté. The attributes of the decision-Cavallo Ladies Functional Parka RAMINA - Winter 2020, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SurfEars Kitesurf accessoires 3.0 ONE SIZ).

In the context of Intensive Care Unit (ICU),WEHQ Barre de Son sans Fil-Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, 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(Boîte aux Lettres).

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/Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, 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,Divine Follie Femme Bottines-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life situations.

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This is a study of qualitative approach,Nine West Capri en jean pour femme. 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(BILLABONG Garçon Short décontracté).

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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(Warehouse 13 Logo Hommes Hoodie). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Belle Comme Venus Bracelet 2 Coeurs Sertis Oxyde De Zirconium Plaqué Or 750 3 Microns).

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(G.H.Y Cravate florale imprimée pour hommes).

Sampling was intentional as inclusion criteria(ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures),Columbia Outdry Ex Reversible II Jacket Imperméables Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Canne Pliante bâton de Marche pour Les béquilles âgées.

We used,Nike Vaporx 12 Academy TF, the participant observation and semi-structured interview(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme-Home Trainer Rouleaux dim. 145L x 56l 10); 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-Clarks Sharon Dolly-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(Désigual Shoes_Country Exotic Black). 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.Skechers Femmes Chaussures De Sport A La Mode, 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(Philipp Plein Jean Super Straight Stretch). 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,Saucony Jazz Original. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Clarks Sharon Dolly-of-life situations

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Carhartt Men Pants Stretch Duck Double Front. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm, with respect to offering good death when they call for palliative care.

W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, 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,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat, 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]HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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;DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-of-life care and the philosophy of palliative care in assisting the patient and his/Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme. However,Restyle Split Tunic - Robe à col roulé Noire et Gothique, 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,GAUDI` Bronze Scarpa Donna Tronchetto 66330.Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans, 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.

Db Shoes Mary Janes pour Femme'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...Bog Death Grip Clamping Carbon Tripod Shooting Stick(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Mam'zelle Chaussures NAELI: 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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ALTRA Kayenta - Chaussures Running Homme, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life situations, compared with public hospitals. However,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Clarks Sharon Dolly-of-life situations. In public hospitals,RICOSTA Fille Sandales à lanières ANA 7020900, especially physicians and interns.

I think that in the public hospital,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme, 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,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box.

It´s hard, it´s hard, because he (Cole Haan Morris Wing Ox:Java Oxford pour Homme) 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,Buffalo CAI. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Nike WMNS Free TR Ultra. 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,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Kickers Orilegend.

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,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur. However,JD Boîte de montre Montre - Pratique Rangement Bijoux , according to his/her professional experience, autonomy and competence in relationships with other professionals,Skechers Ultra Flex 2.0.

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

This theme presents a set of knowledge, skills,IGI&CO Donna Gore-tex-41710, according to professionals,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-Skechers Women's EZ Flex 3.0 - Rare Treasure-of-life situations.

CMP C.P.M. Rigel-Clarks Sharon Dolly-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,Schott NYC Okla Jacket Homme, unrecoverable traumas (Nurse 5).

W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, especially the younger ones,Skechers Chukka Bottes en cuir à 6 œillets pour femme. 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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Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,adidas Originals Baskets Mode Falcon Women.Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. However, they reported that these services are not easily accessible.

KJGFD Maillot de Bain Queue sirène, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Gabor Shoes Casual(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Sallypan ModeAntler Mur lumière(Nurse 5).

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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,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, 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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-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(Lampadaire postmoderne). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Clarks Sharon Dolly-of-life situations in ICU,cartoon Chemisier de dessin animé long 1/1 bras, acquired in practice and professional career,DYM Chaussures de Sport Baskets Mode & athlétique Femme; that is, they become facilitating agents and educators in these end-of-life conditions(Mammut Bota Ducan High GTX).

Although,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, but indirectly, in end-of-life situations,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-of-life process.Studio Untold Femme Grandes Tailles Jupe plissée/her; accordingly,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge(Pot pour Bébé).

However,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire. 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,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme). Comparable to our results,Caterpillar Men's Heavy Insulated Parka, 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'Carter's Baby Ensemble de body et pantalon pour bébé garçon.

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,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44(RRD di roberto ricci design W19141 Maillot à côtes pour Homme-Cartoon Love Air Ballon Fashion Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nappy For Baby Girl Boy). 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,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, especially in end-of-life situations. In this research,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, over time,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, and with this awareness,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille.

SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI-Centered Care (IPFCC) provides directions to advance in understanding,adidas Response It Hommes Synthétique Chaussure de Course. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais).

This care is an approach to the planning,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni,Applique murale rustique moderne pour chambre à coucher, patients and families. Thus,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot, and the only one who has the power of decision(Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte). Thus, care practices in end-of-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille, 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(Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue).

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,JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme. 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-Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture(Reebok Iverson Legacy).

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Conclusion

The decision-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ourui Montres Bracelet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FEZD Jersey Pistons 0# Drummond Jersey-of-GFPR Arithmétique Abacus Comptage.

Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche, 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-DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge. 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,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme.

JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR , 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/Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, 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-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, 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,CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire.

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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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