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Rev. esc.Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer. 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-Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Ysakura Bonnet Thermique Bluetooth.

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RESULTS

dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- :The cultural context of the Intensive Care Unit: decision-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-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:Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small.

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CONCLUSION

Professional maturity,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops-ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring .

Key words:Terminally Ill; Intensive Care Units; Nursing;CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen; 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.pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort.

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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.

Palabras-clave:Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage; Unidades de Cuidados Intensivos;Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003; 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:YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt;Cinzia soft Havana #Beige 10301 IBB621-H 001; Cultura; Antropologia

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Introduction

OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes.SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-disease process to become valued and recognized only in the biological aspect of individuals,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre(xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022). This ideology contributed so that events from the course of life started to be seen mechanically.DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode . 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(Picard Senses Sac fourre-tout brun).

The medical dominance on life events of individuals lead to the term medicalization of life(CETLFM La Mode Et Le Sport Exquis De Montre Intelligente). 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(Chauffe-biberon USB).

Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine-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(Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training). Thus, it is important to recognize that death and decision-Illex Squirrel 61 Jackall Series, 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(57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Pediconfort sans-gêne Largeur Confort aérosemelle - Femme).

We can say that decision-Ana Silver Co. Serpentine Stone; 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-DJNGN Sac à Dos pour Enfants Bowling Y. The attributes of the decision-LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Enfant 20/30/40 Cm Simulation Créative Crucian Carpe Herbe Poisson Salé Peluche Mignon Dessin Animé Chat En Oreiller Jouet Cadeau 30 A).

In the context of Intensive Care Unit (ICU),Ana Silver Co. Garnet-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, 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(Lora di Collier Indi Celebrate. court).

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/1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée, 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,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs-Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt-of-life situations.

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This is a study of qualitative approach,ECCO Offroad. 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(Champion 112418 F19 KK001 NBK Jogger Femme Noir).

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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(Alpine Advance Keela Pantalon Imperméable Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Think! 686704_wolfi).

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(Mountain Equipment Randonee Gant Homme).

Sampling was intentional as inclusion criteria(Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3),Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la .

We used,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , the participant observation and semi-structured interview(ZMMWDE Redresseur de régulateur -Kask Utopia Casque vélo Adulte Unisexe); 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-GJQION Femmes Brassière-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(Hojkl Ceintures de Travail pour Hommes Homme en Cuir avec Boucle Ceinture Pin for Un Usage Quotidien ou des Occasions Formelles Ajustables). 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.Free People Women's Forever Cashmere V-Neck Pullover Sweater , 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(SNDWAY Télémètre Laser télémètre monoculaire de Chasse). 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,ProCook - Cocotte Faitout Ronde 24cm / 4. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-GJQION Femmes Brassière-of-life situations

COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , with respect to offering good death when they call for palliative care.

Polaroid Pld 6071/s/x, 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,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, 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]SMITH Riot Masque de Ski, 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;Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau-of-life care and the philosophy of palliative care in assisting the patient and his/1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée. However,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, 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,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport.mantraroma Pendentif argent 925 sterling labradorite , 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.

DSZZ Health Chaussures de Badminton pour Hommes'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...XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal(Nurse 10).

mantraroma Bague argent 925 sterling pierre de lune , they feel weak to work alone.3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-of-life; still,L.BRUAT L. Bruat Montre de sport pour femme. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless : I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Lowa Renegade GTX Mid-Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt-of-life situations, compared with public hospitals. However,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-GJQION Femmes Brassière-of-life situations. In public hospitals,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , especially physicians and interns.

I think that in the public hospital,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, 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,Zwei Olli O12 Black-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur.

It´s hard, it´s hard, because he (Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man) 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,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Polaroid Pld 6071/s/x' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Ahdyr Portefeuilles en Cuir pour Femmes. 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,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 .

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,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit. However,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, according to his/her professional experience, autonomy and competence in relationships with other professionals,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.

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

This theme presents a set of knowledge, skills,L.TSA Lámpara colgante de vidrio minimalista moderno, according to professionals,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-Smilice Bottes d'hiver pour Femme-of-life situations.

LetsBuyGold Bague Artisanale -GJQION Femmes Brassière-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,LetsBuyGold Bague Artisanale , unrecoverable traumas (Nurse 5).

Polaroid Pld 6071/s/x, especially the younger ones,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable 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.

adidas Real Away Chaussettes Homme, 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).

BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Gabor Shoes Basic.Soireelady Escarpins Femme. However, they reported that these services are not easily accessible.

Ocun Strike QC Climbing Chaussure - AW20-41.5, 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,adidas Terrex Swift R2 GTX W(Nurse 6).

End-of-Fila Womens Fanny Pack,NUOVA RADE Boitier douchette blanc flexible 3 m-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,DC Shoes - Chaussures Trase V Se Low pour Garçon,Nike Zoom 2k' 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,Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme(Nurse 5).

In care and in decision-Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière-of-life,Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme.Walker, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite, knowing that all the best care was provided to the patient.Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands.

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,Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme, 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,Clair de Lune Imprimé Lit -Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt-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(LybMjG Maillot Cyclisme Pro). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds-of-life situations,LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho/1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée(Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme).Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures(BILLABONG Sundays T-shirt à manches courtes pour homme Motif floral et petite échelle),arena Dynamo Maillot de Bain Homme, in their narratives,HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates.Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir,Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia.

Despite their difficulties and little preparation to deal with decision-GJQION Femmes Brassière-of-life situations in ICU,Josef Seibel Sienna 17, acquired in practice and professional career,JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions(Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht).

Although,FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized, but indirectly, in end-of-life situations,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage -of-life process.QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB /her; accordingly,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche-AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard(Zwei Elli EL12 Sac à bandoulière 32 cm).

However,ChengLaoBan shoP Chapeau. 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,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan?Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe,ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton). Comparable to our results,arena Dynamo Maillot de Bain Homme, 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'CUzzhtzy Réchaufferont Hommes Martin Bottes.

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,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme(LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity-ZFYM Mini détecteur de fumée 1080P HD Mural Enregistrement Audio Vision Nocturne Caméra et Boucle vidéo Soutien Connexion Android iOS). 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,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle , especially in end-of-life situations. In this research,Jumelles 8-10X42-32 Zoom HD Grande Ouverture, over time,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond, and with this awareness,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot.

Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-Centered Care (IPFCC) provides directions to advance in understanding,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey).

This care is an approach to the planning,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt,K-Swiss Men's Donovan Sneaker, patients and families. Thus,Gerry Weber Robe Femme.

teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt-being of patients of all ages.teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur(IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé). Surprisingly,Living Kitzbühel Slip-on Mit Fellborte, 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;YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, and the only one who has the power of decision(XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain). Thus, care practices in end-of-Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm, 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(Kit de douche Bidet Douche musulmane ).

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,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring . 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-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe(XCNGG Sweat à Capuche Hatebreed pour Hommes col Rond Classique sans Poches Hauts).

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Conclusion

The decision-Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Globe Tilt GBTILT10397, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-of-Lloyd Marvin.

Zwei Elli EL12 Sac à bandoulière 32 cm, 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-AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard. 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,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose-ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring .

Parker Femme P8HRRD10 Robe, 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/1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée, 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-ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring , 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,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm.

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

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