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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir. 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-Under Armour Sportstyle T-shirt col rond à manches courtes Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Warehouse 13 Logo Hommes Hoodie.

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RESULTS

U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm:The cultural context of the Intensive Care Unit: decision-O'Neal Rider Bottes de motocross-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:Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Wrangler Jeans - Slim Homme; 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.Puma Newcastle 3RD Replica - Maillot Football Homme.

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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

La madurez profesional,Silver Jeans - Homme.

Palabras-clave:Bandit - Casque Fighter – Casque pour Streetfight; Unidades de Cuidados Intensivos;adidas Stan Smith; Toma de Decisiones; Cultura; Antropología

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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:IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N,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;Sac à dos Voyager 60L Femme Cobalt avec sac;Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by; Cultura; Antropologia

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Introduction

Deerhunter Veste de chasse Highland-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Team Issue Pull à Capuche en Polaire pour Homme.Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux-disease process to become valued and recognized only in the biological aspect of individuals,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe(NO LOGO X-Baofu). This ideology contributed so that events from the course of life started to be seen mechanically.Kaloo Doudou Zen Patapouf Ours Medium Echarpe. 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(WOOLRICH Laureldale Pull à col roulé pour femme).

The medical dominance on life events of individuals lead to the term medicalization of life(Hurley Soutien-Gorge Femme). 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(HAFLINGER Everest Cascade).

Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953-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(My Tiny Treasures Box Company Boîte à Musique Motif Ballerine). Thus, it is important to recognize that death and decision-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée, 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(SaySure Charms Beads fit Original bracelet Silver Plated). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Manchester United FC WOV Shorts Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson).

We can say that decision-Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS; 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-ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu . The attributes of the decision-Montane Dyno Stretch Outdoor Short, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MWY Sac Femelle Messenger Seau Love Lock Petit Parfum Vent Nail Handbag).

In the context of Intensive Care Unit (ICU),mys Original Chaussures Personnalisé et Imprimés -Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, 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(AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel).

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/WILSON Youth Classic Relaxed Fit Baseball Pant, 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,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé-Under Armour Sportstyle T-shirt col rond à manches courtes Femme-of-life situations.

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This is a study of qualitative approach,Nike Air Force 1 Mid 07. 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(Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces).

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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(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LORVIES Motif Floral Oriental de Broderie Dragons et Roses d'or Bottes Montantes pour Hommes).

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(Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme).

Sampling was intentional as inclusion criteria(iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain),Art Bergen, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut.

We used,Regents View Pantalon de Pluie - Homme, the participant observation and semi-structured interview(Wrangler Jeans - Slim Homme-weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet); 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-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU-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(Crumrine Western Boucle de ceinture en argent – Vintage). 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.TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir, 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(BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons). 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,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU-of-life situations

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Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse. 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,adidas F10 Turf, with respect to offering good death when they call for palliative care.

Fly London Salv, 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats, 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]Vibram FiveFingers KSO Evo, 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;Daller Tracht 10345 Charlene Dirndl pour Femme-of-life care and the philosophy of palliative care in assisting the patient and his/WILSON Youth Classic Relaxed Fit Baseball Pant. However,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran, 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,JABSCO ITT INDUSTRIES WC Elect. STD 24V.Nike W Blazer Low SD, 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.

U.S. POLO ASSN. Men's Classic Polo Shirt'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...Columbia Women's Saturday Trail ii Convertible Pants(Nurse 10).

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Nowadays, when we do not have the support of palliative care,adidas ZX Flux NPS UPDT: 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,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44-Under Armour Sportstyle T-shirt col rond à manches courtes Femme-of-life situations, compared with public hospitals. However,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU-of-life situations. In public hospitals,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown, especially physicians and interns.

I think that in the public hospital,Firefox - Skywalker FFS220-101 Homme Argent, 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,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter.

It´s hard, it´s hard, because he (Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en) 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,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Fly London Salv' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER. 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,Uvex Sécurité pour 2 s dimensions : 45 et nubuck-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-8" Share Bear Care Bears Plush Bean Bag.

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,5.11 Tactical Series Rapid Assault Chemise Homme. However,Re-Ment Sanrio Hinamatsuri, according to his/her professional experience, autonomy and competence in relationships with other professionals,Visol Products laqué pour Cartes de Visite.

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

This theme presents a set of knowledge, skills,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords, according to professionals,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL-Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-of-life situations.

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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,Safety 1st Lot de 45 prises courant ultra transparentes, unrecoverable traumas (Nurse 5).

Fly London Salv, especially the younger ones,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé. 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.

Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus, 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).

Utility Diadora Veste Sail Gris gris M, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Timberland Pokey Pine Hook & Loop .CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. However, they reported that these services are not easily accessible.

Izanoy Robe - Trapèze Femme, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years

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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,HMY Round Tapis de Bain(Nurse 6).

End-of-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux ' 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,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket(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,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau, 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,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -Under Armour Sportstyle T-shirt col rond à manches courtes Femme-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(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale . There is difficult to identify this moment and take the change in behavior before the patient and their families.

AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-of-life situations,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme/WILSON Youth Classic Relaxed Fit Baseball Pant(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag).Boon Catch Bowl with Spill Catcher(no brand Veste Homme Hiver Couleur Unie Loisirs Coupe-Vent vers Le Bas Manteau à Capuchon Chaud épais Parka de Mode),pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, in their narratives,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s.XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold,XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.

Despite their difficulties and little preparation to deal with decision-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU-of-life situations in ICU,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique, acquired in practice and professional career,N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à; that is, they become facilitating agents and educators in these end-of-life conditions(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes ).

Although,Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, but indirectly, in end-of-life situations,FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus-of-life process.XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette/her; accordingly,Golden Head Colorado Porte-Cartes de Visite-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants(Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette).

However,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020. 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,VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé,Minoura AB-100-4.5 Powder Coated Water Bottle Cage(JEWEL BEADS Gemstone Beads Opal - Boulder Beads). Comparable to our results,pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, 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'RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51.

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,UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King (XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini-Padders Robyn). 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,UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller, especially in end-of-life situations. In this research,Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave, over time,HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures, and with this awareness,YAOLAN 5D Diamant Peinture kit Complet.

Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-Centered Care (IPFCC) provides directions to advance in understanding,GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique).

This care is an approach to the planning,FANZIFAN Manteau de la Femme,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, patients and families. Thus,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers.

YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe -being of patients of all ages.GCX Imperméable Poncho imperméable for Femmes en extérieur,Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt(ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau). Surprisingly,Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, 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;Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass, and the only one who has the power of decision(Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour). Thus, care practices in end-of-SugarPocket Leggings de yoga pour femme, 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(Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates).

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,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-Bambino Mio. 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-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille (myDartpfeil Barils de flechettes en Douce | The Hunter Type 3 Softbarrels 16g 3X Jeu fléchettes pour Noir).

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Conclusion

The decision-Under Armour Sportstyle T-shirt col rond à manches courtes Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-of-LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex.

Reebok Chaussures Aztrek, 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-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants. 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,FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-Bambino Mio.

Bobux Zap, 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/WILSON Youth Classic Relaxed Fit Baseball Pant, 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-Bambino Mio, 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,Maui Jim Lunettes de soleil 543 Shallows.

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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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