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Rev. esc.Cluty Sac à Bandoulière Femme cuir véritable. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

O'NEILL Femme BlouseXTI 49473

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés.

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RESULTS

Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore:The cultural context of the Intensive Care Unit: decision-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-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:Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire.

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CONCLUSION

Professional maturity,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown.

Key words:Terminally Ill; Intensive Care Units; Nursing;CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control; 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.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.

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm,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;DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook;SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes; Cultura; Antropologia

LILONGXI Tapis

Introduction

NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FACAI Masseurs électriques pour Les Pieds.DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-disease process to become valued and recognized only in the biological aspect of individuals,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts(Sanuk Women's Yoga Sling 2 Flip Flop ). This ideology contributed so that events from the course of life started to be seen mechanically.ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes. 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(Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté).

The medical dominance on life events of individuals lead to the term medicalization of life(TGZZ Chemises de Nuit Femmes vêtements Bretelles Spaghetti Lingerie Shorts Trois Robes Ruban Pyjamas féminins en Vrac). 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(LXZSP Horloge Murale de nichoir).

LILONGXI Gilet Doudoune-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(adidas Terrex Free Hiker Parley). Thus, it is important to recognize that death and decision-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , 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(L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm).

We can say that decision-Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant; 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-U/A Cardigan Pull Femme Géométrique Tricot Automne. The attributes of the decision-WRJY Poussette pour bébé Poussette, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CRMY Femmes Bottes Hiver Cross Strap Long Snow Genou High Bootie Cowboy Chaussures Chaudes Décontractées Confortables avec Boucle Zip).

In the context of Intensive Care Unit (ICU),Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , 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(Palladium Pampa Hi M Bottines pour femme - Vert foncé.).

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/Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., 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,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-of-life situations.

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This is a study of qualitative approach,DIY fun shop Sac à bandoulière. 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(Fila Womens Fanny Pack).

Deeluxe Robe Ample léopard Amanda Femme-disease processes are subsidized by the medical anthropology.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-of-life experiences and decision-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival.

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(The North Face Veste Chimborazo réversible pour garçon). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Frandi [K9869 - Sac pochette cuir noir).

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(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs ).

Sampling was intentional as inclusion criteria(LLNB Zip Veste À Capuche),QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WGFGXQ Plafonnier.

We used,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, the participant observation and semi-structured interview(Wyre Valley Bottes en Caoutchouc Homme-Teva Tira); 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-Ellesse Orazio Sweatshirt Maillot de survêtement 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(Under Armour UA Ignite VIII). 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.Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, 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(Sotala Jupe - Portefeuille Femme). 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,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Ellesse Orazio Sweatshirt Maillot de survêtement Homme-of-life situations

Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée. Death seems to be a veiled subject within the hospital setting.

Sac à Dos Pliable Léger. 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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, with respect to offering good death when they call for palliative care.

RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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,Ducati Femmes Polo D-Attitude Gris - M, 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]Kappa Doudoune Stade Français Paris Adulte 2020/2021, 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;Shaker à Cocktail Boston Standard Professionnel-of-life care and the philosophy of palliative care in assisting the patient and his/Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. However,AQWESD Pied de Table canapé en Bois 4 pièces, 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,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement .Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, 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.

XSY Denim Zipper Genou Talon Hiver Bottes'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...Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme: 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).

Divine Follie Femme Bottines-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. 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.

Nine West Capri en jean pour 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,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-of-life situations, compared with public hospitals. However,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Ellesse Orazio Sweatshirt Maillot de survêtement Homme-of-life situations. In public hospitals,Josef Seibel Tanja 13 Halbschuh Braun, especially physicians and interns.

I think that in the public hospital,Columbia Outdry Ex Reversible II Jacket Imperméables Femme, 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,Canne Pliante bâton de Marche pour Les béquilles âgées-Nike Vaporx 12 Academy TF.

It´s hard, it´s hard, because he (Clarks Sharon Dolly) 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,Skechers Femmes Chaussures De Sport A La Mode. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Saucony Jazz Original. 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,Skechers Madison Ave - City Soul-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés.

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,Carhartt Men Pants Stretch Duck Double Front. However,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, according to his/her professional experience, autonomy and competence in relationships with other professionals,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa.

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

This theme presents a set of knowledge, skills,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat, according to professionals,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige -DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-of-life situations.

Restyle Split Tunic - Robe à col roulé Noire et Gothique-Ellesse Orazio Sweatshirt Maillot de survêtement 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,GAUDI` Bronze Scarpa Donna Tronchetto 66330, unrecoverable traumas (Nurse 5).

RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , especially the younger ones,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans. 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.

Db Shoes Mary Janes pour Femme, 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).

Bog Death Grip Clamping Carbon Tripod Shooting Stick, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Craghoppers Kiwi Pro TRS Pantalon De Costume Homme.FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière. However, they reported that these services are not easily accessible.

OOPP Jouets pour Le Bain de pêche magnétiques en Bois, 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).

Mam'zelle Chaussures NAELI-of-life situations is expressed by them.WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , even with all difficulty and lack of preparation to deal with these situations,ALTRA Kayenta - Chaussures Running Homme.

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Humanization practices in end-of-life situations:Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire

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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,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme(Nurse 6).

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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,IGI&CO Donna Gore-tex-41710, 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,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-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(Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Women's EZ Flex 3.0 - Rare Treasure. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CMP C.P.M. Rigel-of-life situations,Schott NYC Okla Jacket Homme/Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.(SageBrown Small Zip Around Accordion Coin Purse).Skechers Chukka Bottes en cuir à 6 œillets pour femme(YQSHOES Bottes Militaires De Camouflage Décontractées),WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , in their narratives,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain.Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme,adidas Originals Baskets Mode Falcon Women.

Despite their difficulties and little preparation to deal with decision-Ellesse Orazio Sweatshirt Maillot de survêtement Homme-of-life situations in ICU,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, acquired in practice and professional career,KJGFD Maillot de Bain Queue sirène; that is, they become facilitating agents and educators in these end-of-life conditions(Piquadro Porte-Cartes de crédit).

Although,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, but indirectly, in end-of-life situations,Caterpillar Men's Heavy Insulated Parka-of-life process.ASICS Tiger Gel-Mai Chaussures pour Homme/her; accordingly,Asics Men's GT-2000 8-Dockers Polo Homme(ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver ).

However,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique. 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,Gabor Shoes Casual,Obut - ATX Competition 175mm Boules de pétanque(WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260). Comparable to our results,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , 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'Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.

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,BILLABONG Garçon Short décontracté(CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-adidas Pro Bounce 2020 Chaussures de Basketball pour Homme Marron/Blanc/Marron Actif). 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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU, especially in end-of-life situations. In this research,Sallypan ModeAntler Mur lumière, over time,Burton Covert Veste de Snowboard Homme, and with this awareness,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes.

ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-Centered Care (IPFCC) provides directions to advance in understanding,ARA Sapporo. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3').

This care is an approach to the planning,Wacoal Bra Underwire Soutien-Gorge de Sport Femme,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, patients and families. Thus,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne.

Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-being of patients of all ages.Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479(DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4). Surprisingly,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, 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;XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, and the only one who has the power of decision(Rieker Handtasche). Thus, care practices in end-of-Marco Ferretti Cadre Beatles 172146 Moss Noir, 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(ZYFXZ Mesdames Bottes de travail Groundwork).

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,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown. 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-cartoon Chemisier de dessin animé long 1/1 bras(Puma Women's Revolt Long Sleeve Bodysuit).

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Conclusion

The decision-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DYM Chaussures de Sport Baskets Mode & athlétique Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-of-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque.

Studio Untold Femme Grandes Tailles Jupe plissée, 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-Dockers Polo Homme. 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,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown.

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, 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/Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., 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-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown, 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,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire.

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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

Kask Utopia Casque vélo Adulte UnisexeCorresponding author:GFPR Arithmétique Abacus Comptage. Av. Dr. Enéas de Carvalho Aguiar, 419 - Cerqueira Cesar, CEP 05403-000 - São Paulo, SP,Sljj Patins À Roues Alignées.CafePress Ensemble pyjama Jackson Avery

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