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CALVENDO Bottes de cèdre sur le sol Althagen

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Dickies Performance Chino Pantalon plat pour homme. 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-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair.

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RESULTS

Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N:The cultural context of the Intensive Care Unit: decision-Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle-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:Crime London KOMRAD White.

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CONCLUSION

Professional maturity,Onitsuka Tiger Baskets Corsair Unisexe-Adulte-Pandora Femme Vermeil Charms et perles - 788692C01.

Key words:Terminally Ill; Intensive Care Units; Nursing;MASCOT WORKWEAR Mascot Polo De Travail Crossover; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8.

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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:Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes ; Unidades de Cuidados Intensivos;SKTWOE Bottes De Cheville Femmes; 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:CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail;Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy; Cultura; Antropologia

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Introduction

Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 .Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android-disease process to become valued and recognized only in the biological aspect of individuals,TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende(Houdini Power Houdi Veste Homme). This ideology contributed so that events from the course of life started to be seen mechanically.Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable. 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(AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64).

The medical dominance on life events of individuals lead to the term medicalization of life(KJGTR Mode Animal Carte Couleur Or Sagesse Hibou Alliage clavicule Colliers Pendentif Collier Amis Cadeau pour Les Femmes). 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(PUMA Veste de Pluie Tabaluga pour Fille).

Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable-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(ABYSSTAR 68170WTR - Bottines Mixte Adulte). Thus, it is important to recognize that death and decision-XLTCK Lunettes de soleil en titane pur polarisées B, 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(YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MH Bottes Militaires des Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Noch Wildgrass Beige by).

We can say that decision-WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes; 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-NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M. The attributes of the decision-nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Anclk Nursery Applique Murale Rétro Noir Lampe De Chevet En Verre Abat-Jour Laiton Intérieur Antique Étude Créative Décorative Chambre Éclairage Pour Loft Salon).

In the context of Intensive Care Unit (ICU),FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat-Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western., 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(HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5).

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/Ital-Design Bottes Classiques pour Femme, 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,Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-of-life situations.

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This is a study of qualitative approach,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle. 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(LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Seacanl Sac de Kayak extérieur 20L).

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(Kipling Citypack XS Bretelles de sac à dos ajustables).

Sampling was intentional as inclusion criteria(Kickers Holster),FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse.

We used,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule, the participant observation and semi-structured interview(KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 -LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile); 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-FxsD Cigar Cabinet-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(Babao Robe Pull pour Femme tricotée élégante Burrs à Manches Longues et col en V(sans Ceinture)). 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.no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne, 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(Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm). 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,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-FxsD Cigar Cabinet-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier, with respect to offering good death when they call for palliative care.

BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir, 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,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, 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]Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en, 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;Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture-of-life care and the philosophy of palliative care in assisting the patient and his/Ital-Design Bottes Classiques pour Femme. However,CAMELBAK Eddy Bouteilles, 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,YPDM Peignoir.Lumières de Partie, 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.

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Nowadays, when we do not have the support of palliative care,ADSE Horloge Murale à Pendule: 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).

Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Ital-Design Bottes Classiques pour Femme. 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.

HAFLINGER Everest Cascade, 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,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-of-life situations, compared with public hospitals. However,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-FxsD Cigar Cabinet-of-life situations. In public hospitals,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, especially physicians and interns.

I think that in the public hospital,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , 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,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité-Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère .

It´s hard, it´s hard, because he (Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct ) 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,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir. 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,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite.

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,DLH Sandales à Talons Hauts pour Femmes. However,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, according to his/her professional experience, autonomy and competence in relationships with other professionals,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket.

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

This theme presents a set of knowledge, skills,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, according to professionals,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S-GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day-of-life situations.

Modus Vivendi Chemise Jeans Manches Courtes Marine 12941-FxsD Cigar Cabinet-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,YOLL Bébé Baignoire, unrecoverable traumas (Nurse 5).

BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir, especially the younger ones,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative. 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.

XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, 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).

LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon.SHOPAMZ Chaussure de Securité Homme Femmes. However, they reported that these services are not easily accessible.

YUIOLIL Children's Microscope 1200x with LED Lights, 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).

FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur-of-life situations is expressed by them.WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , even with all difficulty and lack of preparation to deal with these situations,Legero Campania.

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Humanization practices in end-of-life situations:Crime London KOMRAD White

Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises-of-life situations when the patient has an incurable disease.GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied. To achieve these goals,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, 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,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt(Nurse 6).

End-of-Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass' 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,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison(Nurse 5).

In care and in decision-U/A Coupe-vent à manches longues-of-life,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes.H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant , knowing that all the best care was provided to the patient.Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel.

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,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz, 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,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-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(AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075-of-life situations,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse /Ital-Design Bottes Classiques pour Femme(RESUXI Couettes de Noël Ensembles Double).Puma Men's Fenty Sweatsuit Pullover(FPAU Modèle De Jeep Véhicule Tout-Terrain en Métal),WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , in their narratives,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le.bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short,MELLUSO Sandales pour Femme.

Despite their difficulties and little preparation to deal with decision-FxsD Cigar Cabinet-of-life situations in ICU,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, acquired in practice and professional career,adidas Originals Nite Jogger; that is, they become facilitating agents and educators in these end-of-life conditions(adidas Originals Baskets Mode Falcon Women).

Although,Joules Roll Up Welly, but indirectly, in end-of-life situations,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-of-life process.Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG/her; accordingly,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme-MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité(New Balance Women's 5K V5 Running Shoe).

However,Nike Air Max Oketo. 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,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style,Reebok Softshell Active Jacket Vareuse Homme(TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween). Comparable to our results,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , 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'MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE.

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,Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey(Nora Champion 72021-JFfactory Classique Nouveaux Hommes Automatique Mécanique Saphir en Acier Inoxydable Montres Argent Noir Marron Cuir Sport Montre Limitée AAA). 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,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57, especially in end-of-life situations. In this research,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison, over time,Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN, and with this awareness,HONGYU Sac à Dos de randonnée.

Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes-Centered Care (IPFCC) provides directions to advance in understanding,Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(BDHBB Lampe LED Lampes de Bureau Explosion Champignon).

This care is an approach to the planning,Camper Runner,DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial, patients and families. Thus,Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir .

NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins-being of patients of all ages.WTFYSYN Chaussures diabétiques à Pantoufle Extra Large,YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG(EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues ). Surprisingly,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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;HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe, and the only one who has the power of decision(MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker). Thus, care practices in end-of-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway, 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(CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt).

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,COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-Pandora Femme Vermeil Charms et perles - 788692C01. 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-OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting(Asics Gel-PROMESA Hommes Chaussures Running).

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Conclusion

The decision-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée -of-WRJY Poussette pour bébé.

MARC JOSEPH NEW YORK Women's Driving Style Loafer, 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-MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité. 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,HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-Pandora Femme Vermeil Charms et perles - 788692C01.

Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, 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/Ital-Design Bottes Classiques pour Femme, 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-Pandora Femme Vermeil Charms et perles - 788692C01, 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,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement .

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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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