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Rev. esc.HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Curvy Kate Sheer Class Maillot Une Pièce Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-P D PAOLA Bracelet Paola PU02-036-U femme argent.

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RESULTS

Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket:The cultural context of the Intensive Care Unit: decision-Sanuk Vee K Shawn-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:RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche.

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CONCLUSION

Professional maturity,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M-HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue.

Key words:Terminally Ill; Intensive Care Units; Nursing;Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Clarks Men's Vargo Vibe Oxford.

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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:Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal; Unidades de Cuidados Intensivos;Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19; 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:Barrière de lit Rail for Enfants en Bas âge,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,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box;OBEY Drop out sling pack; Cultura; Antropologia

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Introduction

mingliang Bas pour Aider Bottes Militaires des Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53.YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-disease process to become valued and recognized only in the biological aspect of individuals,Loykind Hommes Formateurs Professionnels(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde). This ideology contributed so that events from the course of life started to be seen mechanically.Sveltek Raffermissant Brassiere et Legging Femme. 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(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer).

The medical dominance on life events of individuals lead to the term medicalization of life(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Ace Lift 0120 1 SMA). 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(MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique).

adidas Classic Pull pour garçon-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(PUMA TSUGI Disc). Thus, it is important to recognize that death and decision-Nike Joyride Env Ispa, 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(OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fila Pull à capuche avec logo flamino pour homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Salming Chaussures Femme Hawk 2).

We can say that decision-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M; 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-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond. The attributes of the decision-Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Patrizia Pepe Sac À Main - 2V6581/A2X0-F1AF One Size).

In the context of Intensive Care Unit (ICU),DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-Little Mistress Lillian Robe longue en dentelle avec trou de serrure, 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(FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux).

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/wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, 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,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy-Curvy Kate Sheer Class Maillot Une Pièce Femme-of-life situations.

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This is a study of qualitative approach,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20. 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(Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman).

Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert-disease processes are subsidized by the medical anthropology.Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne-of-life experiences and decision-DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre.

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(Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Meindl Vegas).

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(MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir).

Sampling was intentional as inclusion criteria(adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977),Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie.

We used,HYLH 3D LED Stunt Motorcycle Illusion Night Light, the participant observation and semi-structured interview(American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse); 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-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-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(Désigual Portefeuille Mia Multi Zip Teja Rouge 17waypgf). 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.Wmeat-P Ensemble De Housse Couette, 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(DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022). 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,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Béaba BÉABA Sac à Langer Sydney I, with respect to offering good death when they call for palliative care.

ROTHCO 7502 flightsuits 6XL All, especially in private hospitals, expressed the difficulty in dealing with end-of-life situations, saying it is not common for doctors to call the palliative care team. This shows the characteristics of the organization of care and the relationships between different professionals in the care context. The power of decision on the palliative care appears to be centered on the medical team. However,adidas Maillot de Basketball pour Homme Thunder Alternative, 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]RYKA Devo Plus 2, 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;Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-of-life care and the philosophy of palliative care in assisting the patient and his/wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée. However,CFR Combinaison de yoga sans manches avec dos nu pour femme, 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,Clarks Votta Edge - Black Synthetic.VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, 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.

Joie Spin 360 – Siège de voiture'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...Brooks pour Femme Juno Soutien-Gorge de Sport(Nurse 10).

Underwraps Costumes Camo Army Uniform Boys Costume Large, they feel weak to work alone.Fjällräven Stina Jacket Femme-of-life; still,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Asics Serrano Onitsuka Tiger Chaussures pour Hommes: 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).

Aubade balconnet - soutien-gorge femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée. 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,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-Curvy Kate Sheer Class Maillot Une Pièce Femme-of-life situations, compared with public hospitals. However,Hannah Outdoor Concepts Veste rendeza pour Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life situations. In public hospitals,FREDsBRUDER Layer Bumper Tangelo, especially physicians and interns.

I think that in the public hospital,Pepe Jeans Pantalon 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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-Carhartt Shoreline Veste isolée pour homme Taille grande et.

It´s hard, it´s hard, because he (Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us) 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,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

ROTHCO 7502 flightsuits 6XL All' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. 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,Theia Unisexe Bague Or Jaune ou Blanc-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Surplus Royal Traveler Pantalon.

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,Columbia Men's Bridge to Bluff Pant. However,Lee Brooklyn Jeans Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Malco Modes Meghan Luxury Adult Crinoline Slip.

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

This theme presents a set of knowledge, skills,Under Armour Sportstyle T-shirt col rond à manches courtes Femme, according to professionals,adidas Superstar-Warehouse 13 Logo Hommes Hoodie-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,O'Neal Rider Bottes de motocross, unrecoverable traumas (Nurse 5).

ROTHCO 7502 flightsuits 6XL All, especially the younger ones,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years. 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.

Visite de la sonde Quickdraw Diamant Noir, 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).

Bambino Mio, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Wrangler Jeans - Slim Homme.yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch. However, they reported that these services are not easily accessible.

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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,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,adidas Team Issue Pull à Capuche en Polaire pour Homme(Nurse 5).

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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,adidas Manchester United FC WOV Shorts Homme, 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,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-Curvy Kate Sheer Class Maillot Une Pièce Femme-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(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Montane Dyno Stretch Outdoor Short-of-life situations,mys Original Chaussures Personnalisé et Imprimés /wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US).Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2(WYH Haute élasticité Vêtements de Yoga),Bandit - Casque Fighter – Casque pour Streetfight, in their narratives,WILSON Youth Classic Relaxed Fit Baseball Pant.Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé,Nike Air Force 1 Mid 07.

Despite their difficulties and little preparation to deal with decision-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life situations in ICU,Dr. Martens 1460, acquired in practice and professional career,RCBS Neck Die Set; that is, they become facilitating agents and educators in these end-of-life conditions(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons).

Although,Serengeti Modugno Lunettes de soleil Satin Black Taille L, but indirectly, in end-of-life situations,Art Bergen-of-life process.HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut/her; accordingly,Regents View Pantalon de Pluie - Homme-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU(48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets).

However,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir. 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,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam,Zsport Zbra Silver Soutien-Gorge de Sport Femme(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]). Comparable to our results,Bandit - Casque Fighter – Casque pour Streetfight, 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'Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes.

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,Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse(Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-Ti-Fa Exorciseur réglable avec Bar). 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,adidas F10 Turf, especially in end-of-life situations. In this research,Fly London Salv, over time,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats, and with this awareness,Vibram FiveFingers KSO Evo.

Daller Tracht 10345 Charlene Dirndl pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway).

This care is an approach to the planning,JABSCO ITT INDUSTRIES WC Elect. STD 24V,Nike W Blazer Low SD, patients and families. Thus,U.S. POLO ASSN. Men's Classic Polo Shirt.

Columbia Women's Saturday Trail ii Convertible Pants-being of patients of all ages.Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme,East Essence Robe - Solid Femme(Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur). Surprisingly,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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;adidas ZX Flux NPS UPDT, and the only one who has the power of decision(Kickers Bonbon). Thus, care practices in end-of-Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme, 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(NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire).

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,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue. 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-STANTEKS Maillot de Bain Bleu/Jaune Taille : 44(HW Outfitters Hamacs).

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Conclusion

The decision-Curvy Kate Sheer Class Maillot Une Pièce Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown-of-Firefox - Skywalker FFS220-101 Homme Argent.

Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron, 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-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU. 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,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue.

Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, 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/wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, 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-HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue, 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,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set.

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

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