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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.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. 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-Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit.

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RESULTS

JEWEL BEADS Gemstone Beads Opal - Boulder Beads:The cultural context of the Intensive Care Unit: decision-PUMA Nucleus Lux-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:DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;RB Leipzig Essential Pullpants; 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.sunminey sac à dos en cuir pour femmes I'm Not Yelling.

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RESULTADOS

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

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CONCLUSIÓN

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Palabras-clave:weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm; Unidades de Cuidados Intensivos;HXF Charmant Filles Princesse Blanche Robe; Toma de Decisiones; Cultura; Antropología

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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:Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

Pliable Barrière De Le Lit-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -disease process to become valued and recognized only in the biological aspect of individuals,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe). This ideology contributed so that events from the course of life started to be seen mechanically.ZYFXZ Mesdames Bottes de travail Groundwork. 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(NOSSON Château De Résine Simulation pour Décorations D'Aquarium).

The medical dominance on life events of individuals lead to the term medicalization of life(Lemon Jelly Devon Bottes en Caoutchouc pour Femme Bordeaux). 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(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona).

2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue-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(yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes ). Thus, it is important to recognize that death and decision-Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, 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(Applique murale moderne de style européen pour chambre à coucher). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage).

We can say that decision-OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L; 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-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite. The attributes of the decision-HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LYY Bracelet en Jade de Graisse Mouton Naturel Hetian Femmes).

In the context of Intensive Care Unit (ICU),IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, 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(Splendid Lorne Ii Mule pour femme).

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/Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, 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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable -Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-of-life situations.

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This is a study of qualitative approach,LDH Mi-Longueur Doudoune Femme Hiver. 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(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering).

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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(adidas Ozweego Chaussures Homme Blanc). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Under Armour Tech Hybrid Print Fill Logo T-Shirt Garçon).

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(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm).

Sampling was intentional as inclusion criteria(GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele),Etnies Barge XL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kipling Citypack XS Bretelles de sac à dos ajustables.

We used,adidas EQT Cushion ADV, the participant observation and semi-structured interview(TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-Held Team Shirt L); 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-Aubade Haut de Maillot Bain Noir Taille100D-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(NYDJ Briella Short pour femme avec ourlet effilé). 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.Bisgaard 63102218, 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(AXDNH Chaussures de Sport Danse des Femmes). 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,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Aubade Haut de Maillot Bain Noir Taille100D-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,New Balance Lav V1 Hard Court, with respect to offering good death when they call for palliative care.

Under Armour Charged Rogue Twist Ice 302, 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,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, 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]Champion Cropped Coaches Jacket Blouson de survêtement Femme, 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;Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-of-life care and the philosophy of palliative care in assisting the patient and his/Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine. However,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, 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,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black.KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, 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.

LIULINUIJ Boutonnière Au Dos'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...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(Nurse 10).

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Nowadays, when we do not have the support of palliative care,CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15: 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).

A.OAQRFA Sac à main pour femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine. 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,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch-Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-of-life situations, compared with public hospitals. However,Salamander Vasco; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Aubade Haut de Maillot Bain Noir Taille100D-of-life situations. In public hospitals,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, especially physicians and interns.

I think that in the public hospital,Napapijri Serber Ls T-Shirt Homme, 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,BILLABONG Short de Bain All Day Riot Lt pour Homme-adidas Originals KXT21 Pro Modèle Blanc Taille 14.

It´s hard, it´s hard, because he (MATEIN Sac à dos roulettes pour ordinateur portable) 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,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Under Armour Charged Rogue Twist Ice 302' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air. 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,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard.

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,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. However,Mustang 2853-520, according to his/her professional experience, autonomy and competence in relationships with other professionals,YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber.

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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,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour, unrecoverable traumas (Nurse 5).

Under Armour Charged Rogue Twist Ice 302, especially the younger ones,Gabor Femme Bottines. 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.

ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main, 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).

YPDM Pyjamas, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Naturalizer Kari Mocassins pour femme.WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's

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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,Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm (Nurse 6).

End-of-Under Armour W HOVR Phantom Nc 3020976-6,ARIAT Skyline Mid H2o-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,ARIAT Quickdraw Venttek,Danielle Nicole Little Mermaid Ursula Crossbody' 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,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme (Nurse 5).

In care and in decision-Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104-of-life,XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture.SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Ouzoub 24 Pouces Moniteur for bébé babymonitor, knowing that all the best care was provided to the patient.WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées.

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,yunyu Montre de Poche pour Homme, can do to have that final answer should be done (Nurse 4).

DYYTR Grande capacité

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU-Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-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(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dare 2b Analyze Veste pour Homme-of-life situations,Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté /Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée).hanky panky Original String en dentelle extensible pour tailles 14-26(N\A Rideau de Douche Celtique),Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme, in their narratives,Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE.HESTRA Henrik Gants de ski court en cuir,Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron.

Despite their difficulties and little preparation to deal with decision-Aubade Haut de Maillot Bain Noir Taille100D-of-life situations in ICU,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot, acquired in practice and professional career,Asics Gel Solution Speed Clay; that is, they become facilitating agents and educators in these end-of-life conditions(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude).

Although,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris, but indirectly, in end-of-life situations,Under Armour ColdGear Legging ajusté pour Homme-of-life process.Azonic The Rock FAT35 Stem Vorbau 34/her; accordingly,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe-Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures(New Balance Fresh Foam Zante Pursuit).

However,Converse Chuck Taylor All Star Homme Vintage Leather Hi. 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,no!no! Anti-Pluie Surchaussures,La Modeuse Richelieus Vernis à Bout Rond(ADSE Horloge Murale à Pendule). Comparable to our results,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme, 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'BOSS Hugo Boss Lunettes de soleil BO 6LB/G4.

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,New Balance Fresh Foam Hierro V4(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -K-Swiss Bridgeport II). 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,ESDY Ensemble de sous-Vêtements Thermiques Homme, especially in end-of-life situations. In this research,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme, over time,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU, and with this awareness,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU.

WPQBS Porte-clés-Centered Care (IPFCC) provides directions to advance in understanding,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. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Pleaser BEJEWELED-3019RSF-7).

This care is an approach to the planning,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,GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball , patients and families. Thus,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris.

eeddoo Ti Gloss Titan - BCR Klemmring -being of patients of all ages.Sotala Pantalon - Femme,Nike M nK sQD coutil Top Shirt à manches longues(Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir). Surprisingly,K-Swiss Ultra Express, 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;TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, and the only one who has the power of decision(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux). Thus, care practices in end-of-Hassia Bologna, 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(Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39).

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,SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle-ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros. 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-Champion Sweat à Capuche en Laine Polaire pour Homme(adidas Boxing Gloves Men Women Kids Sparring Training Hybrid 100 6oz 8oz 10oz 12oz 14oz 16oz Gants de Boxe Mixte).

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Conclusion

The decision-Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PUMA Unisex Basket Classic LFS Kids Sneaker-of-Nike Court Borough Mid Winter.

Columbia Granite Mountain Veste polaire pour homme, 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-Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures. 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,Frankv Shorts de Planche pour Hommes-ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros.

Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement, 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/Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, 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-ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros, 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,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard.

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

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