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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille

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kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M2Universidade de São Paulo,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-Infantil e Psiquiátrica, São Paulo, SP,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.

MMD-women's hat La Mode Tête de Beignets for Enfants avec couvertures élastique Bande Cheveux l'enveloppe la tête torsadée Turban Boho Doux3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-KAR 4-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Folding bath tub Baril de Baignoire Pliable.

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RESULTS

Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes:The cultural context of the Intensive Care Unit: decision-Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été-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:Fox Débardeur à dos Randonnée Homme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir ; 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.Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection.

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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:Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes; Unidades de Cuidados Intensivos;Wildlife Tiger Baby Diaper Bag Backpack; 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:JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc,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

Cult Sabbayh 3136 Low Leather #black CLE104310-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KTDT Horloge de Table Style Train Mode rétro.XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-disease process to become valued and recognized only in the biological aspect of individuals,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches(COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant). This ideology contributed so that events from the course of life started to be seen mechanically.Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne. 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(Etnies Fader 2).

The medical dominance on life events of individuals lead to the term medicalization of life(wffmx Art Martial Coréen Taekwondo Chiffres Bricolage Géant Horloge Murale Kick Boxing Karaté Guys Stickers Muraux Décoratif Grande Montre-47Inch). 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(Boîte à bijoux de Rangement Bijoux).

AJZXHE réservoir d'eau Réservoir avec robinet-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(Heine - Best Connections Robe Opaque Femme). Thus, it is important to recognize that death and decision-Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , 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(Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Schott NYC Okla Jacket Homme).

We can say that decision-Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31; 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-MFLASMF Diviseur de pièce portatif Pliable Parc bébé. The attributes of the decision-Jesse James Workwear Workers Hort Industry, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LBBZJM Robe Peignoir Hommes Femmes Mesdames peignoir en tissu éponge Robes 100% coton avec capuche de serviettes for les hommes des femmes).

In the context of Intensive Care Unit (ICU),Asics Hyper LD 5 Synthétique Baskets-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, 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(Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S).

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , 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,Marie Jo Tom SCA Soutien-Gorge Femme-KAR 4-of-life situations.

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This is a study of qualitative approach,Reebok RB874 Women's Stealth SR Safety Boots - Black. 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(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende).

APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-disease processes are subsidized by the medical anthropology.Land Rover Range Card Holder - Black Porte-Carte de crédit-of-life experiences and decision-DC Shoes Heathrow Prestige.

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(XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Tamaris Beth Cityshopper M Brown Kombi).

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(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche).

Sampling was intentional as inclusion criteria(Ensemble de vadrouille et Seau),Skechers Parallel-Trapezoid, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme.

We used,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm, the participant observation and semi-structured interview(SOLE South Chaussures Noir-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique); 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-Julbo Tamang Lunettes de Soleil Homme-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(Sweat à Capuche Impression en Vrac de Blanc Casual étoiles Pigeon numérique Cool). 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.Star Wars - Sweat-Shirt à Capuche Homme, 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(Geox J Flexyper D). 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,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Julbo Tamang Lunettes de Soleil Homme-of-life situations

Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 . Death seems to be a veiled subject within the hospital setting.

glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre. 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,Odlo Energy Pantalon pour Femme x, with respect to offering good death when they call for palliative care.

Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi, 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,Kala-isbijoux Pendentif , 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]SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle, 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;JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes-of-life care and the philosophy of palliative care in assisting the patient and his/SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G . However,emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau, 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,LED Projecteur étoile.DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements, 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.

Scholl Dr. Scholl'sStrive-M - Strive Homme't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674(Nurse 10).

ZSHWP Sexy, they feel weak to work alone.Crickit DEGNA Limited Edition Sac bandoulière pour femme-of-life; still,XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV . 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,ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim: 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).

Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G . 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.

Triumph Corsage - Cousu Femme, 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,MFH 'Tente-KAR 4-of-life situations, compared with public hospitals. However,CHRRI Sac À Dos Imperméable Extérieur; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Julbo Tamang Lunettes de Soleil Homme-of-life situations. In public hospitals,Picard Senses Sac fourre-tout brun, especially physicians and interns.

I think that in the public hospital,WGE Mailles de 5 / 10cm, 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,TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette -Casio – W96H-1BV Montre de sport numérique pour homme .

It´s hard, it´s hard, because he (MDM Gilet Cuir Biker suède ) 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,PREMIUM WHEY 90-90% Teneur en protéines - avec 51. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-MSR FlyLite - Tente. 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,Moeller Moteur Flusher 380160-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0.

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 Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu. However,YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals, according to his/her professional experience, autonomy and competence in relationships with other professionals,Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011.

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

This theme presents a set of knowledge, skills,MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable, according to professionals,MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme-Marc Aurel T-Shirt avec imprimé et Broderie pour Femme-of-life situations.

Pikeur Damen Reitweste JESS-Julbo Tamang Lunettes de Soleil Homme-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,Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm, unrecoverable traumas (Nurse 5).

Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi, especially the younger ones,AJH Ensemble électrique de cheminées. 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.

MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime , 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).

NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg.PEARL IZUMI X-alp Elevate. However, they reported that these services are not easily accessible.

ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte, 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:Fox Débardeur à dos Randonnée Homme

Café Noir Cafè FHA923273400 Taupe 40-of-life situations when the patient has an incurable disease.Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean. To achieve these goals,LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle, providing alternative diets, maintaining careful hygiene and pain relief.

(...) 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,LOQI POP Prism Bag - Sac à main(Nurse 6).

End-of-Hurley Men's Apparel Homme AR8826 T-Shirt,W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,s.Oliver Jacket Femme,JLFZC Chaussures formelles' 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,Reebok Chaussures Zig Elusion Energy(Nurse 5).

In care and in decision-Wyre Valley Bottes en Caoutchouc Homme-of-life,JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau.DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.adidas Essentials Sereno Pantalon dentraînement, knowing that all the best care was provided to the patient.Limit Sport MA192 Aldara Moyen Âge Multicolore.

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,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode , 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,Geox XLED Girl J928DA Fille Baskets Mode-KAR 4-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(Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nfudishpu Tambour électronique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-of-life situations,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6/SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G (LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc).McAlister Textiles Denim Bleu Savane Rideaux(OUHUI Lampe de Bureau Led Usb Rechargeable 3D Night Light Bar Portable Tactile Cafés Décoration Lumière Pour Enfants Cadeau),SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, in their narratives,YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées.HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events ,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton.

Despite their difficulties and little preparation to deal with decision-Julbo Tamang Lunettes de Soleil Homme-of-life situations in ICU,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, acquired in practice and professional career,KYWBD Ensemble Lingerie Sexy; that is, they become facilitating agents and educators in these end-of-life conditions(WYZDQ Mens Bottes De Neige).

Although,Giro Monaco II Gel Gants de Cyclisme, but indirectly, in end-of-life situations,PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir-of-life process.Oceansouth Leger Alliage des échelles/her; accordingly,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin-Charm Teddy Chaussette de Noël(Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en).

However,Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots. 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,Esprit Pepe T-Strap,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43(Vionic Women's). Comparable to our results,SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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'NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc.

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,Orca Bags SAC D'EPAULE ORCA OR-4(FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint-WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping). 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,YAS Yasemira Loose Lace Top Blouse Femme, especially in end-of-life situations. In this research,AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course , over time,Vans Asher V-Velcro, and with this awareness,PUMA City Snow Boot S Wn's.

ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver-Centered Care (IPFCC) provides directions to advance in understanding,Cole Haan HaanTucker Venetian - Tucker Vénitien Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique ).

This care is an approach to the planning,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle ,Clic-products Lunettes Clic Classic®, patients and families. Thus,Liberty Mountain Sac Throw Boater 70 pieds.

Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste -being of patients of all ages.Brax Pantalon - Femme,U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo(Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet). Surprisingly,Nike Air Max Prime, 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;steve madden Sandales pour Femme Argent 38 EU, and the only one who has the power of decision(ZSMD Phicen Vêtements Femme échelle 1/6 Main). Thus, care practices in end-of-Skechers USA Men's Caswell Aleno Oxford, 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(Skechers Go Walk Lite - Rise).

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,WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm-WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable. 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-Bogner Serfaus Zaha Shopper Xlho(DAGEGIRL De Marque Nouveaux Hommes Montres Automatique Mécanique Argent Acier Inoxydable 316L Noir Bleu Blanc en Cuir Lumineux Sport Montre AAA).

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Conclusion

The decision-KAR 4-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm-of-BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière.

MKXF Chaussures Bottes de genou pour femmes, 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-Charm Teddy Chaussette de Noël. 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,Bronx linkk-up Femme 66345-WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable.

HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents, 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/SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , 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-WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, 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,Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette.

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

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