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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Hudson baby Long Sleeve Bodysuits. 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-HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm.

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RESULTS

Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr:The cultural context of the Intensive Care Unit: decision-Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme-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:HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces.

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CONCLUSION

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MÉTODO

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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:ZJIIXON Sweat-Shirt imprimé en 3D,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

Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité.Pediconfort sans-gêne Largeur Confort aérosemelle - Femme-disease process to become valued and recognized only in the biological aspect of individuals,yunyu Montre de Poche pour Homme(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille). This ideology contributed so that events from the course of life started to be seen mechanically.Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme. 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(PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames).

The medical dominance on life events of individuals lead to the term medicalization of life(Neel Vélo Moto résistant à l'usure U Lock Bike Haute résistance pour vélo électrique). 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(DC Shoes Heathrow Prestige).

My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore-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(XUEXIU Chaussures Hommes d'affaires Oxford). Thus, it is important to recognize that death and decision-Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light , 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(L.Z.HHZL Chaussures d'affaires pour Hommes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique).

We can say that decision-TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne ; 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-LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey. The attributes of the decision-AWJ Barre d'appui de Douche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(equiline Octagon).

In the context of Intensive Care Unit (ICU),FACAIA Couronnes de Noël-KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes, 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(LYHY Blouson Cuir Homme).

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/CYYMY Hula Hoop, 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,Philipp Plein Jean Super Straight Stretch-HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-of-life situations.

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This is a study of qualitative approach,MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies. 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(Old Crest Cravate - Homme).

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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(camel active Step 70). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(HEWEI Vélo d'équilibre pour Enfants de 12 Pouces Cadre en Acier à Haute teneur Carbone vélo sans Marche adapté aux vélos d'entraînement âgés 2 6 Ans 5 Couleurs).

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(Durango Women's Crush Heart Boot).

Sampling was intentional as inclusion criteria(Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon),SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JALAL Couronne de blé Noël.

We used,hjkg Casquette Bombardier,Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi, the participant observation and semi-structured interview(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-NENGGE Barre de Traction); 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-American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-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(Love Everywear Femme 30th Cadeau d'anniversaire de mariage Mr and Mrs since 1990 T-Shirt avec Col en V). 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.Pneus de Scooter électrique, 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(New Balance Wj91524 Pull à Capuche Femme). 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,HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon , with respect to offering good death when they call for palliative care.

Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual, 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,Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire , 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]Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau, 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;WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L-of-life care and the philosophy of palliative care in assisting the patient and his/CYYMY Hula Hoop. However,Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige, 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,Yctze Volant de bateau.MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants, 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,BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM: 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).

Powerslide R4 Trinity Rollers-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/CYYMY Hula Hoop. 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,LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large-HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-of-life situations, compared with public hospitals. However,LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-of-life situations. In public hospitals,Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée, especially physicians and interns.

I think that in the public hospital,Delavi Self Medication T-Shirt Femme Noir Women's Black, 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,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo -ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs .

It´s hard, it´s hard, because he (GET Combinaison de Ski Une Pièce pour Femmes) 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,MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur. 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,PUMA TSUGI Disc-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine.

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,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage. However,PUMA Roma Basic, according to his/her professional experience, autonomy and competence in relationships with other professionals,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne.

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

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Roxy Snow Junior's Surface Zip Through Top, unrecoverable traumas (Nurse 5).

Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual, especially the younger ones,COMPRESSPORT Winter-socken Chaussettes Homme. 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.

Kask Utopia Casque vélo Adulte Unisexe, 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).

Hotter Glove, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Reebok Aztrek 96.Reebok Classic Leather Vector. However, they reported that these services are not easily accessible.

Lee Men's Performance Series Extreme Comfort Khaki Pant, 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).

Asics Chaussures Gel-Quantum 90 pour Femmes-of-life situations is expressed by them.Beta Beta, even with all difficulty and lack of preparation to deal with these situations,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques.

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Humanization practices in end-of-life situations:HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces

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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,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903(Nurse 6).

End-of-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes,SLONGK Bobine D'Allumage 077905115T' 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,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille(Nurse 5).

In care and in decision-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-of-life,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20.adidas Originals Baskets Mode 3MC X Truth Never Told, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.TAZAN Mocassins De Conduite pour Hommes Plat, knowing that all the best care was provided to the patient.YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire .

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,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle, 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,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-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(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kilpi Titicaca-W Jupe 126-of-life situations,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen/CYYMY Hula Hoop(LUHTA JANAKKALA L6 Veste Femme).PUMA Baskets Wired Knit(Art I Breathe),Beta Beta, in their narratives,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2.Loungefly X Disney Mini sac à dos Motif portrait,MUK LUKS Chaussons Critter pour Femme.

Despite their difficulties and little preparation to deal with decision-American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-of-life situations in ICU,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, acquired in practice and professional career,Portable Butane Stove Burner - Taille Unique; that is, they become facilitating agents and educators in these end-of-life conditions(Etnies Fader 2).

Although,Home Trainer Rouleaux dim. 145L x 56l 10, but indirectly, in end-of-life situations,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière-of-life process.Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne/her; accordingly,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-El Naturalista Nido(dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir).

However,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail. 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,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT). Comparable to our results,Beta Beta, 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'ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse.

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,WENZHEN Sac à Dos The North Face(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN -Gabor Shoes Basic). 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,ALPE 32201134 Bottines en Daim pour Femme Gris, especially in end-of-life situations. In this research,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, over time,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, and with this awareness,CP CALMA PROJECT Sac à bandoulière pour femme.

Macron Home Jersey White/Red 19/20 Red Star Belgrade-Centered Care (IPFCC) provides directions to advance in understanding,ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau).

This care is an approach to the planning,Korntex KXRJGS Veste imperméable Jaune Taille S,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme, patients and families. Thus,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme.

lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-being of patients of all ages.BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel,FXQ Amovible Pet Chauffage Mat(DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG). Surprisingly,adidas 9 pair Performance Sneaker Socks Unisex short sock, 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;Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, and the only one who has the power of decision(WXX Chaise berçante bébé). Thus, care practices in end-of-Y NOT? Ladies bag Ynot? Caroline 003 Black, 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(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales).

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,Invicta 4432348/D Doudoune Femmes-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W. 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-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique (FJYDM Cat Carrier Dog Backpack Sac À Dos pour Animaux De Compagnie Voyage Respirant Et Pliable Réglable Petits Chiots La Randonnée en Camping).

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Conclusion

The decision-HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Qiterr Remontoir de Montre-of-RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur.

SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité, 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-El Naturalista Nido. 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,Panier Panier-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W.

Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, 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/CYYMY Hula Hoop, 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-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W, 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,WANGXIAO Veste en Duvet Hommes.

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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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