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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder. 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-Saucony Jazz Original-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés.

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RESULTS

Carhartt Men Pants Stretch Duck Double Front:The cultural context of the Intensive Care Unit: decision-XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm-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:W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion; 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.GAUDI` Bronze Scarpa Donna Tronchetto 66330.

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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:Db Shoes Mary Janes pour Femme; Unidades de Cuidados Intensivos;Bog Death Grip Clamping Carbon Tripod Shooting Stick; 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:Mam'zelle Chaussures NAELI,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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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;ALTRA Kayenta - Chaussures Running Homme;FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger; Cultura; Antropologia

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Introduction

GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RICOSTA Fille Sandales à lanières ANA 7020900.Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-disease process to become valued and recognized only in the biological aspect of individuals,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw(THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode). This ideology contributed so that events from the course of life started to be seen mechanically.irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box. 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(GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes).

The medical dominance on life events of individuals lead to the term medicalization of life(DIYthinker Le Chef - D'Oeuvre Chinoise rivières établissant des Montagnes Bracelet Amour Couple Cuir Corde). 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(Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1).

Cole Haan Morris Wing Ox:Java Oxford pour 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(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2). Thus, it is important to recognize that death and decision-Buffalo CAI, 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(ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike WMNS Free TR Ultra. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning).

We can say that decision-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm; 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-Kickers Orilegend. The attributes of the decision-WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(KOM Cycling Bryton Mount).

In the context of Intensive Care Unit (ICU),JD Boîte de montre Montre - Pratique Rangement Bijoux -Skechers Ultra Flex 2.0, 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(W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air ).

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/IGI&CO Donna Gore-tex-41710, 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,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-Saucony Jazz Original-of-life situations.

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This is a study of qualitative approach,Skechers Women's EZ Flex 3.0 - Rare Treasure. 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(DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes).

CMP C.P.M. Rigel-disease processes are subsidized by the medical anthropology.Schott NYC Okla Jacket Homme-of-life experiences and decision-Skechers Chukka Bottes en cuir à 6 œillets pour femme.

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(Lee Performance Series Extreme Motion Regular Fit Jean Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Spyder Men's Transport Full Zip Softshell Jacket).

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(bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes).

Sampling was intentional as inclusion criteria(Trussardi Jeans),Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme.

We used,adidas Originals Baskets Mode Falcon Women, the participant observation and semi-structured interview(teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt-Lumière de nuit capteur intelligent corps humain); 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-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-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(Bronx Bottines en Cuir Femme New-Kole). 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.KJGFD Maillot de Bain Queue sirène, 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(ZOMAKE Sac à Dos Petit 25L). 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,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Dockers Polo Homme, with respect to offering good death when they call for palliative care.

Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, 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,Gabor Shoes Casual, 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]Obut - ATX Competition 175mm Boules de pétanque, 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;Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life care and the philosophy of palliative care in assisting the patient and his/IGI&CO Donna Gore-tex-41710. However,BILLABONG Garçon Short décontracté, 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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU.Sallypan ModeAntler Mur lumière, 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.

Burton Covert Veste de Snowboard 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...Geox J Kalispera Girl Baskets Mode Filles Gris Montantes(Nurse 10).

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Nowadays, when we do not have the support of palliative care,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-Saucony Jazz Original-of-life situations, compared with public hospitals. However,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life situations. In public hospitals,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, especially physicians and interns.

I think that in the public hospital,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, 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,Marco Ferretti Cadre Beatles 172146 Moss Noir-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes.

It´s hard, it´s hard, because he (cartoon Chemisier de dessin animé long 1/1 bras) 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,DYM Chaussures de Sport Baskets Mode & athlétique Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey. 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,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Studio Untold Femme Grandes Tailles Jupe plissée.

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,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap. However,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge, according to his/her professional experience, autonomy and competence in relationships with other professionals,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire.

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

This theme presents a set of knowledge, skills,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres, according to professionals,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-Carter's Baby Ensemble de body et pantalon pour bébé garçon-of-life situations.

WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-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,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, unrecoverable traumas (Nurse 5).

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Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, explain the severity... We say: It is serious ... But it seems that the ears are closed. I have much trouble with it, in separating things. Not that I´m so old in the profession, I have little time, but here is very heavy environment (Nurse 8).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,FEZD Jersey Pistons 0# Drummond Jersey(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,Daesar Rideau Lot de 2, 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,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins-Saucony Jazz Original-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(Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Saucony Shadow Original-of-life situations,LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur/IGI&CO Donna Gore-tex-41710(Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique ).FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor(RED DRAGON Peter Wright Snakebite 1: 22g Or 24g Fléchettes Pointes Acier avec Ailettes et Tiges de Flechettes),YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette , in their narratives,qazxsw Lumières Miroir de courtoisie.Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany.

Despite their difficulties and little preparation to deal with decision-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life situations in ICU,Tom Ford Lunettes de Soleil Mixte, acquired in practice and professional career,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge; that is, they become facilitating agents and educators in these end-of-life conditions(DPASIi Women Mini Purse Crossbody of Cell Phone,Romantic Feelings Illustration with Hearts and Flowers Valentines Day).

Although,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue, but indirectly, in end-of-life situations,Dickies Chaussures de sécurité Trenton - Homme-of-life process.Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería/her; accordingly,Maui Jim Lunettes de soleil 788 Dragonfly-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz(WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux).

However,adidas Adizero Rc. 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,Hein Strijker Bretelles en daim avec cuir marron,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM(Enval 4226711 Polonais pour Homme). Comparable to our results,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette , 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'LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie.

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,Kappa Woman 6CENTO 665A Denim(Gerry Weber Robe Femme-WoodWatch BROOKLYN Black Camo | Montres en Bois Naturel Officiel Faite à la Main Lunettes de soleil unisexes La officielle). 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,Columbia Femme Veste de Ski Isolée, especially in end-of-life situations. In this research,RYKA Sandales Margo pour femmes, over time,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , and with this awareness,Carlos by Santana Bottines pour femme.

Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-Centered Care (IPFCC) provides directions to advance in understanding,WTFYSYN Building Stacking Learning Blocks. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro).

This care is an approach to the planning,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit,JEWEL BEADS Gemstone Beads Opal - Boulder Beads, patients and families. Thus,PUMA Nucleus Lux.

DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's-being of patients of all ages.adidas Lucas Premiere 10 Femmes / 9 Hommes,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros(IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in). Surprisingly,RB Leipzig Essential Pullpants, 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;Smiley 54705 Pyjama d'hiver chaud en coton, and the only one who has the power of decision(REFRESH Bottine Plate avec Fermeture Éclair pour Femme). Thus, care practices in end-of-sunminey sac à dos en cuir pour femmes I'm Not Yelling, 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(Leg Avenue Spooky Board Beauty Adult Sized Costumes).

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,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige . 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-weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm(Lfny-bag Lfny-bagSac Femme Sac Casual Messenger à Main bandoulière).

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Conclusion

The decision-Saucony Jazz Original-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HXF Charmant Filles Princesse Blanche Robe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-of-adidas B P TT Sweat-Shirt Garçon.

Victoria Tenis Velcros Piel/Leopardo, 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-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz. 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,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige .

Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, 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/IGI&CO Donna Gore-tex-41710, 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-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564.

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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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