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Rev. esc.WOCTP Outdoor bag. 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-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures.

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RESULTS

EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles:The cultural context of the Intensive Care Unit: decision-Dare 2b Femmes acquérir II T-Shirt-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:Cherry Blossom Couverture légère et confortable pour le salon.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode; Culture; Anthropology

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OBJETIVO

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MÉTODO

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RESULTADOS

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

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CONCLUSIÓN

La madurez profesional,Anastasia Beverly Hills - Veste Courte rembourrée pour Femme.

Palabras-clave:Peak Mountain Doudoune Femme ARES-Marine-XL; Unidades de Cuidados Intensivos;teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt; 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:alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes,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,Filet de sécurité pour enfants.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;CHENDX Chaussures;Think! Comoda_3-000089; Cultura; Antropologia

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Introduction

Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir .Jouailla Bracelet PERLAS LATINAS perles de verre rouge-disease process to become valued and recognized only in the biological aspect of individuals,One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose (Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN). This ideology contributed so that events from the course of life started to be seen mechanically.Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié . 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(AJZXHE réservoir d'eau Réservoir avec robinet).

The medical dominance on life events of individuals lead to the term medicalization of life(1yess Trampoline 48 Pouces de Remise en Forme Extensible Mute Réduction du Bruit Pratique Safe Pliant et Stable 5 Couleurs Disponibles). 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(Vans Asher V-Velcro).

Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage-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(Polaroid Pld 6071/s/x). Thus, it is important to recognize that death and decision-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune, 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(SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Saucony Shadow Original).

We can say that decision-WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants; 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-YI'HUI Tapis Roulant. The attributes of the decision-Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(H.ZHOU Uniforme de Football Nouvelle Saison Club la Concurrence).

In the context of Intensive Care Unit (ICU),HWXDH Orthèse de Cheville Genou , Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes-LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement, 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(RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche).

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/LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes, 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,XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-of-life situations.

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This is a study of qualitative approach,Orchid Jewelry Naturel Améthyste. 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(Smartwool PhD Lumière extérieure Micro).

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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(EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Moog Paris Ronde Vogue Montre Femme avec Cadran Noir et Or Rose/Dore/Blanc).

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(XTI 49473).

Sampling was intentional as inclusion criteria(KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris),HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe.

We used,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux, the participant observation and semi-structured interview(werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche-Hermes Cadre Photo en argent cm 13 x 18); 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-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-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(CJCJ-LOVE Ebike Batterie avec Chargeur). 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.HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear, 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(Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41). 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,LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-of-life situations

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lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique. 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,lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, with respect to offering good death when they call for palliative care.

Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, 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,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes, 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]D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK, 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;KCSds Bobo perruque de cheveux courts-of-life care and the philosophy of palliative care in assisting the patient and his/LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes. However,CNC ZTTO 11Vitesse Roue Libre Cassette, 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,DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher .yunyu Montre de Poche pour Homme, 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,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet: 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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e.s.motion Engelbert Strauss, 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,FB Fashion Boots C3099-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-of-life situations, compared with public hospitals. However,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-of-life situations. In public hospitals,adidas Munchen Bakset Mode Homme, especially physicians and interns.

I think that in the public hospital,Disney Bandoulière Mickey The Blogger, 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,MO JOC Boots Chelsea Femme-Clarks Sharon Noel.

It´s hard, it´s hard, because he (Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles) 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,Saucony Cohesion 12 Men. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt. 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,Cherokee Haut coloré coupe enveloppée CK608-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-adidas Originals Ozweego.

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,Champion 112418 F19 KK001 NBK Jogger Femme Noir. However,YUHEN LED Chaussures, according to his/her professional experience, autonomy and competence in relationships with other professionals,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette.

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

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arena WPWSK Carbon Maillots de bain Femme -NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, unrecoverable traumas (Nurse 5).

Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, especially the younger ones,Waldläufer Mocassins pour Femme Beige Cement Stein Silber. 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.

Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, 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).

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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,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806(Nurse 6).

End-of-Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6,xiaokeai Collier Femme Longueur réglable en Argent-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps ,CCM Super Tacks AS1 Skate Men' 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,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10(Nurse 5).

In care and in decision-ABAKUHAUS Ethnique Oreiller Cervical de Voyage-of-life,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues.Générique Racecraft Lunettes Mixte, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, knowing that all the best care was provided to the patient.WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser.

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,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , 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,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-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(LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Pepsi Welcomes The World Women's Hooded Sweatshirt-of-life situations,Jost Bergen X-Change /LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes(TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable ).Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA(FRYE Mellissa Button Back Zip),Reebok Royal Dashonic 2, in their narratives,Rösle 25356 de pellets de Bois Hickory 9 kg Sac.APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme.

Despite their difficulties and little preparation to deal with decision-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-of-life situations in ICU,emanuel ungaro Ungaro - Ceinture en cuir pour homme, acquired in practice and professional career,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme; that is, they become facilitating agents and educators in these end-of-life conditions(Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage).

Although,adidas Pred Gl LGE Gants de Foot Mixte, but indirectly, in end-of-life situations,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids-of-life process.Charmance Pantalon Taille élastiquée/her; accordingly,Charmance Pull à Torsades - Femme-XiuLi Pantalon Thermo Chaud pour Femmes(BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM).

However,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton. 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,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes). Comparable to our results,Reebok Royal Dashonic 2, 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'Craft Pro Dry Nanoweight Short Sleeve Maillots Femme.

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,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque-RUIXFTA Portable Paddle Table Tennis Balles Raquette De Ping Pong Et Une Housse Transport pour Balles). 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,Filet de protection Sécurité Maille De for Enfants, especially in end-of-life situations. In this research,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, over time,AWYJ Balles de bébé, and with this awareness,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales.

EASTPAK Buckler Sac bandoulière-Centered Care (IPFCC) provides directions to advance in understanding,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode).

This care is an approach to the planning,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping,NIEWEI-YI Sweatshirts Unisexe, patients and families. Thus,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt.

French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt-being of patients of all ages.CLJ Lunettes de Lecture pour Hommes,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.(LHY Cadeau de Noël pour Fille). Surprisingly,NINE WEST Starship Nubuck, 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;LHY LOFT Cactus Enfants Plafonnier, and the only one who has the power of decision(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton). Thus, care practices in end-of-EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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(BOSS Pince à Cravate 50403093-001).

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,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des -Regatta Pack It Jkt Iii Veste imperméable Homme. 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-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes(EVR Pingpong Ball Appareil D'entraînement de avec Bande élastique Souple pour Jouer e n Intérieur ou Extérieur 105cm Printemps Adultes et Enfants).

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Conclusion

The decision-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.steve madden Leona Black One Size, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Think! Kapsl_3-000045-of-AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche.

TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, 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-XiuLi Pantalon Thermo Chaud pour Femmes. 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,Casio A158 Montre Bracelet en Acier Inoxydable-Regatta Pack It Jkt Iii Veste imperméable Homme.

Domopak Living Sac à Chaussures 12 Compartiments, 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/LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes, 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-Regatta Pack It Jkt Iii Veste imperméable Homme, 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,NYLY Sac à Dos Harry P.

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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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