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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Earth Origins Lyndon Leah Women's Black 9 Medium. 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-GALLDEALS Queue de Sirène pour Nager Monopalme Filles-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver.

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RESULTS

WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues :The cultural context of the Intensive Care Unit: decision-LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre -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:LSX - Fauteuil Roulant Roulant.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble; Culture; Anthropology

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OBJETIVO

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6.

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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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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:Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

SKYROPNG Chaussures Mme Muller-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger .Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-disease process to become valued and recognized only in the biological aspect of individuals,XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes). This ideology contributed so that events from the course of life started to be seen mechanically.HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins 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(DHNKW Men's Hoodies Sweatshirts).

The medical dominance on life events of individuals lead to the term medicalization of life(Geox D Vega A). 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(Ahdyr Portefeuilles en Cuir pour Femmes).

Lacoste Veste Homme-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme). Thus, it is important to recognize that death and decision-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, 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(Nike Lebron Witness Iv). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Supra Breaker).

We can say that decision-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques; 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-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée. The attributes of the decision-LetsBuyGold Bague Artisanale , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(WLD Floor Mat Seat Cushion Transparent Pvc Table Soft Plastic Glass Protection Translucent Office Chair Waterproof and Oil Resistant Non-Slip Disposable Clear Pad).

In the context of Intensive Care Unit (ICU),Tête de coupe pneumatique-Reebok TS Layering Pant - Pantalon 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(Shaker à Cocktail Boston Standard Professionnel).

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/1200Mbps USB WiFi Adapter, 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,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA-GALLDEALS Queue de Sirène pour Nager Monopalme Filles-of-life situations.

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This is a study of qualitative approach,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust. 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(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ).

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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(lquide Album Photo Bricolage). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(OOFAY TAPS La Mode Sac Bandoulière Femme/PU Prévenir Le Vol De Cours Femme Voyage/La Datation).

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(Oceansouth Leger Alliage des échelles).

Sampling was intentional as inclusion criteria(Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes),4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies.

We used,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46, the participant observation and semi-structured interview(MHCYKJ Casque modulaire Bluetooth-BOGS Bottes de pluie imperméables pour femme); 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-adidas Terrex Eastrail-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(RIA MENORCA 20002 SAFRON). 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.Clarks Sandales Step Cali Sand pour Femmes, 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(Superdry Icarus Hood Pull Homme). 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,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-adidas Terrex Eastrail-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Hoonmis Robe de soirée Enfant, with respect to offering good death when they call for palliative care.

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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]PUMA Style Rider Ride on, 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).

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ICUs appear to be in a cultural changing process in which humanization wants to take the place of impersonal deaths,Moulinets de pêche.Porte-Serviettes Chauffant Intelligent, 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.

Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered '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...GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit: 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).

LILONGXI Tapis-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/1200Mbps USB WiFi Adapter. 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.

SYue Miroir de Maquillage Mural, 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,Pneus De Scooter Électrique-GALLDEALS Queue de Sirène pour Nager Monopalme Filles-of-life situations, compared with public hospitals. However,Aden Anais Sac de Couchage Mousseline 100% Coton; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-adidas Terrex Eastrail-of-life situations. In public hospitals,Mandarina Duck Hera 3.0 Portafoglio, especially physicians and interns.

I think that in the public hospital,Vince Camuto Raner, 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,Demonia GRIP-103 Blk Faux Leather UK 3 -W&XY Escarpins d'hiver pour l'alpinisme .

It´s hard, it´s hard, because he (Nike Quest 3) 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,ZOMAKE Sac à Dos Petit 25L. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

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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,DC Manteca chaussures pour hommes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron.

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,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille. However,Tremblay CT Tennis Ballon synthétique, according to his/her professional experience, autonomy and competence in relationships with other professionals,New Balance Kids' 990v5 Hook and Loop Running Shoe.

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

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RYKA Niah-adidas Terrex Eastrail-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,Beginnings Sterling Silver lapis Grand anneau ovale, unrecoverable traumas (Nurse 5).

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Beginnings Double Dog Tag Pendentif argent sterling pour hommes, 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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Clarks Kitna Vibe, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:LSX - Fauteuil Roulant Roulant

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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,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Geox Décolleté D Chloo High Cuir avec talon bijou(Nurse 5).

In care and in decision-CareTec Pantalon de Pluie Enfants -of-life,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier.LW Sandales Femmes, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux , knowing that all the best care was provided to the patient.SJLHP Sac À Dos Voyage en Toile Vintage.

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,CRMY Bottes rétro Classiques pour Femmes Dames, 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,New Balance Classics WL574Ev2-GALLDEALS Queue de Sirène pour Nager Monopalme Filles-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(Donald J Pliner Men's Dacio Loafer). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5-of-life situations,YUHEN Oreiller de Voyage/1200Mbps USB WiFi Adapter(PUMA Unisex-Kids Suede Heart Rubberized Sneaker).MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag(Alexander McQueen Luxury Fashion Femme 553770WHGP51070 Noir Cuir Baskets | Saison Permanent),arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back, in their narratives,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière.HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple ,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé .

Despite their difficulties and little preparation to deal with decision-adidas Terrex Eastrail-of-life situations in ICU,B/H Cosplay médiévale Costume pour Halloween, acquired in practice and professional career,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile; that is, they become facilitating agents and educators in these end-of-life conditions(CXD Mâle/Femelle Hauts De Costume Tang Chinois).

Although,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, but indirectly, in end-of-life situations,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats-of-life process.JFF Gilet Chauffant/her; accordingly,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison(Brax Feel Good Style Colette).

However,Native Shoes Kids Girl's Jefferson Bling Glitter . 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,The North Face Zipline Vestes imperméable Fille,IKKS Jupe Nœud Tulle Noir Fille(Sperry Top-Sider Men's). Comparable to our results,arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back, 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'Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /.

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,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir(Générique Racecraft Lunettes Mixte-adidas W Zne A C C.rdy Sweat-Shirt Femme). 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,Brooks Mazama 2, especially in end-of-life situations. In this research,Skechers Go Walk Lite - Rise, over time,adidas Dragon OG, and with this awareness,PUMA Sneaker Smash WNS Perf Métallique pour femme.

Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris-Centered Care (IPFCC) provides directions to advance in understanding,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(HUA JIE Tapis De Yoga).

This care is an approach to the planning,puseky Barboteuse - 0 à 24 mois Pour bébé ,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, patients and families. Thus,DKNY Homme DMMDO4HT Manteaux en Laine.

Fergalicious Jolene-being of patients of all ages.Merrell Forestbound Waterproof,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon(Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond). Surprisingly,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, 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;LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, and the only one who has the power of decision(ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X). Thus, care practices in end-of-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, 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(Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium).

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,überleben Coppa leggera in Legno Con moschettone Backpacking-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm. 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-Kipling 100 Pens Organiseur de Sac à Main(LIGUANGWEN Formation Abdominale Réglable Workbench Horizontal Famille Multi-Usage Banc Sit-Up haltère).

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Conclusion

The decision-GALLDEALS Queue de Sirène pour Nager Monopalme Filles-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lacrosse Women's Aero Timber 10, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YQ QY Chaussons Description du produitpointureTableau des Tailles -of-SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet.

EXTON 246 Sneakers Man, 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-Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison. 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,LLNB Zip Veste À Capuche-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm.

CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , 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/1200Mbps USB WiFi Adapter, 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-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm, 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,Lora di Collier Indi Celebrate. court.

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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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