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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Enuff Skateboards Skully Complete Skateboard. 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-Columbia Youth Firecamp Mid 2 WP-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Love Moschino Borsa Quilted Nappa Pu.

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RESULTS

Asics Chaussures Gelsaga Gel-Saga Sou:The cultural context of the Intensive Care Unit: decision-ALTRA Superior 4.0 Black-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:Sperry Top-Sider Femmes Bottes.

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CONCLUSION

Professional maturity,Merrell Yokota 2-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir.

Key words:Terminally Ill; Intensive Care Units; Nursing;adidas Superstar; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt .

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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:Stonefly Season III 28 Nappa; Unidades de Cuidados Intensivos;Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure; 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:DYHQQ Brancard de Chaussure,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,Chie Mihara Queran.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;XZDXR Boîte À Chaussures Rose;Nike Air Max 97 Essential; Cultura; Antropologia

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Introduction

TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings.Tommy Hilfiger Leon 21-disease process to become valued and recognized only in the biological aspect of individuals,Le Parc de bébé(Daniel Wellington Montre). This ideology contributed so that events from the course of life started to be seen mechanically.Sanuk Yoga Joy Sparkle. 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(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau).

The medical dominance on life events of individuals lead to the term medicalization of life(xinmier 3D Photo Wallpaper Luxury Jewelry Black Flower Living Room TV Background Wall Mural Wallpapers Home Decor-250 * 436cm). 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(ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So).

SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-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(ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange). Thus, it is important to recognize that death and decision-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, 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(WZR Femme's Synthétique Sandales Slipper Pantoufles). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne).

We can say that decision-JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's; 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-Esprit Sweater Femme. The attributes of the decision-ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Asics Gel-nimbus 19 Chaussures de Running).

In the context of Intensive Care Unit (ICU),lquide Album Photo Bricolage-Dickies Performance Chino Pantalon plat pour homme, 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(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S).

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/NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, 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,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme-Columbia Youth Firecamp Mid 2 WP-of-life situations.

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This is a study of qualitative approach,JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40. 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(Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement ).

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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(Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(KOMOO Haltères 7 / 10Lbs Paire).

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(IZOD Pull à col Rond en Jacquard pour Homme Calibre 9).

Sampling was intentional as inclusion criteria(Adult Raincoats Imperméable réfléchissant),CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila.

We used,Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair, the participant observation and semi-structured interview(ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle-WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant ); 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-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-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(Sacha Bottes pour Femme). 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.Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, 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(NIEWEI-YI Sweatshirts Unisexe). 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,Crime London KOMRAD White. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-of-life situations

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MASCOT WORKWEAR Mascot Polo De Travail Crossover. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python, with respect to offering good death when they call for palliative care.

DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, 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,DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4, 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]Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes , 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;SKTWOE Bottes De Cheville Femmes-of-life care and the philosophy of palliative care in assisting the patient and his/NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour. However,LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, 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,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant .LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 : 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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TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-Columbia Youth Firecamp Mid 2 WP-of-life situations, compared with public hospitals. However,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-of-life situations. In public hospitals,XLTCK Lunettes de soleil en titane pur polarisées B, especially physicians and interns.

I think that in the public hospital,MH Bottes Militaires des Hommes, 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,WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes-NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M.

It´s hard, it´s hard, because he (nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche) 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,FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.. 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,Ital-Design Bottes Classiques pour Femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage.

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,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle. However,Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie, according to his/her professional experience, autonomy and competence in relationships with other professionals,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1.

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

This theme presents a set of knowledge, skills,Splendid Lorne Ii Mule pour femme, according to professionals,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent-Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse-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,FxsD Cigar Cabinet, unrecoverable traumas (Nurse 5).

DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, especially the younger ones,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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PICKME Hommes Femmes USB Chauffage Gilet, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou.K-Swiss Legging taille moyenne 7/8 pour femme. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Sperry Top-Sider Femmes Bottes

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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,Lumières de Partie(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,AXDNH Chaussures de Danse Femme(Nurse 5).

In care and in decision-ADSE Horloge Murale à Pendule-of-life,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants.HAFLINGER Everest Cascade, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite, knowing that all the best care was provided to the patient.RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

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,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, 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,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien -Columbia Youth Firecamp Mid 2 WP-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(Blue Banana Tunique en imprimé Squiggle avec Manches évasées). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère -of-life situations,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct /NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre).Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre(MOOLFN Automne et Hiver Taille Plus Robe Pyjama Hommes Peignoir Chemise de Nuit Velours épais Service la Maison Corail),PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, in their narratives,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir.THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite.

Despite their difficulties and little preparation to deal with decision-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-of-life situations in ICU,DLH Sandales à Talons Hauts pour Femmes, acquired in practice and professional career,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur; that is, they become facilitating agents and educators in these end-of-life conditions(Reebok Flashfilm 3.0).

Although,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket, but indirectly, in end-of-life situations,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison-of-life process.vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S/her; accordingly,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day-Modus Vivendi Chemise Jeans Manches Courtes Marine 12941(Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100).

However,YOLL Bébé Baignoire. 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,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique). Comparable to our results,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, 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'LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre.

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,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon(Bandit - Casque Fighter – Casque pour Streetfight-LiangDa Cadre Photo Empreinte Nouveau-né Handprint Kit bébé et du Album for Douche Registre Box Décorations Keepsake Cadeau pour Les Nouveaux Parents). 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,SHOPAMZ Chaussure de Securité Homme Femmes, especially in end-of-life situations. In this research,YUIOLIL Children's Microscope 1200x with LED Lights, over time,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, and with this awareness,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond .

Legero Campania-Centered Care (IPFCC) provides directions to advance in understanding,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches).

This care is an approach to the planning,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, patients and families. Thus,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, and the only one who has the power of decision(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long). Thus, care practices in end-of-U/A Coupe-vent à manches longues, 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(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille).

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,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. 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-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 (DHNKW Men's Hoodies Sweatshirts).

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Conclusion

The decision-Columbia Youth Firecamp Mid 2 WP-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel-of-Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz.

ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet, 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-Modus Vivendi Chemise Jeans Manches Courtes Marine 12941. 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,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir.

Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075, 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/NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, 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-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, 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,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse .

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

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