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MELLRO Couvre-chaussures de vélo unisexe CYCLISTE Couvre-chaussures

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Tom Ford Lunettes de Soleil Mixte. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-adidas Adizero Rc-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM.

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RESULTS

LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie:The cultural context of the Intensive Care Unit: decision-Kappa Woman 6CENTO 665A Denim-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:Columbia Femme Veste de Ski Isolée.

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CONCLUSION

Professional maturity,RYKA Sandales Margo pour femmes-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 .

Key words:Terminally Ill; Intensive Care Units; Nursing;Carlos by Santana Bottines pour femme; 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.WTFYSYN Building Stacking Learning Blocks.

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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

La madurez profesional,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit.

Palabras-clave:JEWEL BEADS Gemstone Beads Opal - Boulder Beads; Unidades de Cuidados Intensivos;PUMA Nucleus Lux; 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:RB Leipzig Essential Pullpants,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;sunminey sac à dos en cuir pour femmes I'm Not Yelling;Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche; Cultura; Antropologia

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Introduction

weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HXF Charmant Filles Princesse Blanche Robe.Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-disease process to become valued and recognized only in the biological aspect of individuals,adidas B P TT Sweat-Shirt Garçon(NORTHCAPE Flint Waterproof Femme Boots Marron). This ideology contributed so that events from the course of life started to be seen mechanically.Victoria Tenis Velcros Piel/Leopardo. 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(CNC ZTTO 11Vitesse Roue Libre Cassette).

The medical dominance on life events of individuals lead to the term medicalization of life(Xingruyun Sac à main Femme Licorne mignonne). 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(Nautica Women's Lightweight Stretch Jacket).

Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(Camfosy Bottines Femme Cuir Talons). Thus, it is important to recognize that death and decision-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, 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(yunyu Montre de Poche pour Homme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc).

We can say that decision-LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ; 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-Pliable Barrière De Le Lit. The attributes of the decision-Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Bike Original - Remorque de transport marchandise en acier).

In the context of Intensive Care Unit (ICU),QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, 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(LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure).

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/ZYFXZ Mesdames Bottes de travail Groundwork, 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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue-adidas Adizero Rc-of-life situations.

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This is a study of qualitative approach,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles. 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(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED).

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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(Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Roots Original racines Ro60306 Apache Chaussures de sécurité pour homme – Taille 40 – Noir).

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(FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur).

Sampling was intentional as inclusion criteria(albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel),HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes.

We used,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, the participant observation and semi-structured interview(Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre); 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-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-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(ERTYP Noeud papillon en bois Boutons de manchette Broches poche carrés Ensembles haut gamme for hommes faits à la main Smoking le mariage Nœuds noyer nat). 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.GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , 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(WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid). 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,LDH Mi-Longueur Doudoune Femme Hiver. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Etnies Barge XL, with respect to offering good death when they call for palliative care.

Kipling Citypack XS Bretelles de sac à dos ajustables, 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,adidas EQT Cushion ADV, 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]Aubade Haut de Maillot Bain Noir Taille100D, 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;Bisgaard 63102218-of-life care and the philosophy of palliative care in assisting the patient and his/ZYFXZ Mesdames Bottes de travail Groundwork. However,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , 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,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20.GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , 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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Under Armour Charged Rogue Twist Ice 302, they feel weak to work alone.Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-of-life; still,Champion Cropped Coaches Jacket Blouson de survêtement 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,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme: 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).

Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/ZYFXZ Mesdames Bottes de travail Groundwork. 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,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-adidas Adizero Rc-of-life situations, compared with public hospitals. However,LIULINUIJ Boutonnière Au Dos; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-of-life situations. In public hospitals,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, especially physicians and interns.

I think that in the public hospital,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, 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,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby-Skechers Uno-Night Shades.

It´s hard, it´s hard, because he (CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15) 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,A.OAQRFA Sac à main pour femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Kipling Citypack XS Bretelles de sac à dos ajustables' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Trussardi Jeans. 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,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Salamander Vasco.

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,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small. However,Napapijri Serber Ls T-Shirt Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,BILLABONG Short de Bain All Day Riot Lt pour Homme.

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

This theme presents a set of knowledge, skills,adidas Originals KXT21 Pro Modèle Blanc Taille 14, according to professionals,MATEIN Sac à dos roulettes pour ordinateur portable-Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003-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,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode , unrecoverable traumas (Nurse 5).

Kipling Citypack XS Bretelles de sac à dos ajustables, especially the younger ones,Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard. 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.

Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes, 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).

Mustang 2853-520, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber.gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King. However, they reported that these services are not easily accessible.

UMOOIN Basketball Team 3D Housse de Couette, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:Columbia Femme Veste de Ski Isolée

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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,Naturalizer Kari Mocassins pour femme(Nurse 6).

End-of-WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets,XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme' 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,HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage (Nurse 5).

In care and in decision-JX-PEP Été Imprimer col Rond Manches Courtes-of-life,ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes .Pleaser Delight 1018, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm , knowing that all the best care was provided to the patient.Under Armour W HOVR Phantom Nc 3020976-6.

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,ARIAT Skyline Mid H2o, 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,ARIAT Quickdraw Venttek-adidas Adizero Rc-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(Asics Chaussures Gel-Nimbus 21 pour Hommes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Danielle Nicole Little Mermaid Ursula Crossbody. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme -of-life situations,Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104/ZYFXZ Mesdames Bottes de travail Groundwork(Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme).XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture(Générique Jeans Blanc Taille Haute pour Femme Coupe Droite décontractée Mom Automne Ample Boyfriend Burr Sexy Pantalon Longueur Cheville),YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines , in their narratives,SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U.Ouzoub 24 Pouces Moniteur for bébé babymonitor,WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées.

Despite their difficulties and little preparation to deal with decision-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-of-life situations in ICU,yunyu Montre de Poche pour Homme, acquired in practice and professional career,Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU; that is, they become facilitating agents and educators in these end-of-life conditions(Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot).

Although,Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates, but indirectly, in end-of-life situations,Dare 2b Analyze Veste pour Homme-of-life process.Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté /her; accordingly,hanky panky Original String en dentelle extensible pour tailles 14-26-Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE(GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ).

However,HESTRA Henrik Gants de ski court en cuir. 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,Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot(H.yina Table à Langer pour Fille Petits espaces). Comparable to our results,YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines , 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'Asics Gel Solution Speed Clay.

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,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris(Crickit DEGNA Limited Edition Sac bandoulière pour femme-Blue Banana Tunique en imprimé Squiggle avec Manches évasées). 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,Under Armour ColdGear Legging ajusté pour Homme, especially in end-of-life situations. In this research,Azonic The Rock FAT35 Stem Vorbau 34, over time,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe, and with this awareness,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures.

Converse Chuck Taylor All Star Homme Vintage Leather Hi-Centered Care (IPFCC) provides directions to advance in understanding,no!no! Anti-Pluie Surchaussures. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement).

This care is an approach to the planning,La Modeuse Richelieus Vernis à Bout Rond,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4, patients and families. Thus,New Balance Fresh Foam Hierro V4.

ESDY Ensemble de sous-Vêtements Thermiques Homme-being of patients of all ages.Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU(POC Auric Casque de Ski Mixte). Surprisingly,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU, 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;WPQBS Porte-clés, and the only one who has the power of decision(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies). Thus, care practices in end-of-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à, 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(Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale).

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,btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 . 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-GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball (ACCESSOIRES DE PLONGÉE SOUS-MARINE MINI Ã CLAIRAGE CLIGNOTANT SÃ CURITÃ FLASH LIGHT).

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Conclusion

The decision-adidas Adizero Rc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;eeddoo Ti Gloss Titan - BCR Klemmring -of-Sotala Pantalon - Femme.

Nike M nK sQD coutil Top Shirt à manches longues, 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-Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE. 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,K-Swiss Ultra Express-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 .

TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, 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/ZYFXZ Mesdames Bottes de travail Groundwork, 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-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , 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,Hassia Bologna.

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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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