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Rev. esc.Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. 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-Y NOT? Ladies bag Ynot? Caroline 003 Black-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique .

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RESULTS

XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude:The cultural context of the Intensive Care Unit: decision-Qiterr Remontoir de Montre-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:RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Plafonnier carré simple à LED.

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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:Trussardi Jeans by TrussardiZip; Unidades de Cuidados Intensivos;APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans; 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:DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl.Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage-disease process to become valued and recognized only in the biological aspect of individuals,Nike Lebron Xvii (HANYF Boutons de Manchette pour Hommes). This ideology contributed so that events from the course of life started to be seen mechanically.Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180. 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(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris).

The medical dominance on life events of individuals lead to the term medicalization of life(WEHOLY Statue Sculpture Décoration Statuette Pégase Porte-Bouteille De Vin Antique Résine Ailé ​​Cheval Rack Oeuvre pour Le Salon Table Accessoires Noël Cadeau). 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(Merrell Yokota 2).

Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux-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(Reebok Chaussures Aztrek). Thus, it is important to recognize that death and decision-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Ital-Design Bottes Classiques pour Femme).

We can say that decision-GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard; 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-Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti. The attributes of the decision-Furla 1927 S Tri-Fold Couleur Océan 1056757, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Daesar Collier Argent 925 Femme Homme Pendentif Vintage Punk Cross Box pour Chaine Gawu).

In the context of Intensive Care Unit (ICU),LXDDP Écran Tactile Navigation Voiture Android 9.0 10-YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système , 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(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible).

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/1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau, 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,B/H Forme IrréGulier Manche Cosplay Maxi Robe-Y NOT? Ladies bag Ynot? Caroline 003 Black-of-life situations.

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This is a study of qualitative approach,Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D. 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(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte).

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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(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Chaise Haute D'enfant Avec Des Tables De Plateau D'alimentation Skid Sécurité Plaque Et Confortable Rappel Du Nourrisson Bébé Pliable Siège Réglable En Hauteur Portable).

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(Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite).

Sampling was intentional as inclusion criteria(Hdadwy 3D a imprimé Le Sac à Dos groupé),Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween.

We used,Subobo Chaussures de plage, the participant observation and semi-structured interview(VIVIANE Boucle D'oreille Support De Rangement-Bearpaw Moc Ii); 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-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-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(SOXPro Chaussettes Antidérapantes). 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.Sljj Patins À Roues Alignées, 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(DZWYM Chaussure De Securité Homme Légères). 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,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-of-life situations

XXHDEE Gants De Cyclisme Imperméables for l'hiver . Death seems to be a veiled subject within the hospital setting.

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

Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, 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,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, 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]XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, 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;Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-of-life care and the philosophy of palliative care in assisting the patient and his/1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau. However,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, 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,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre.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, 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.

AKTIVE 54078 But de Football Pliable 24 x 120 cm'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...JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party(Nurse 10).

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Nowadays, when we do not have the support of palliative care,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes: 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).

Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook-Y NOT? Ladies bag Ynot? Caroline 003 Black-of-life situations, compared with public hospitals. However,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-of-life situations. In public hospitals,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, especially physicians and interns.

I think that in the public hospital,FACAI Masseurs électriques pour Les Pieds, 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,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts.

It´s hard, it´s hard, because he (ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes) 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,LILONGXI Gilet Doudoune. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb . 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,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant.

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,U/A Cardigan Pull Femme Géométrique Tricot Automne. However,WRJY Poussette pour bébé Poussette, according to his/her professional experience, autonomy and competence in relationships with other professionals,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

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

This theme presents a set of knowledge, skills,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , according to professionals,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-of-life situations.

DIY fun shop Sac à bandoulière-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-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,Deeluxe Robe Ample léopard Amanda Femme, unrecoverable traumas (Nurse 5).

Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, especially the younger ones,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson. 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.

POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, 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).

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, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,WGFGXQ Plafonnier.ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De. However, they reported that these services are not easily accessible.

Ellesse Orazio Sweatshirt Maillot de survêtement Homme, 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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Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-of-life situations when the patient has an incurable disease.Sac à Dos Pliable Léger. To achieve these goals,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, 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,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure (Nurse 6).

End-of-Ducati Femmes Polo D-Attitude Gris - M,Kappa Doudoune Stade Français Paris Adulte 2020/2021-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Shaker à Cocktail Boston Standard Professionnel,AQWESD Pied de Table canapé en Bois 4 pièces' 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,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement (Nurse 5).

In care and in decision-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-of-life,XSY Denim Zipper Genou Talon Hiver Bottes.Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Cavallo Ladies Functional Parka RAMINA - Winter 2020, knowing that all the best care was provided to the patient.WEHQ Barre de Son sans Fil.

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,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, 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,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme-Y NOT? Ladies bag Ynot? Caroline 003 Black-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(Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Divine Follie Femme Bottines. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nine West Capri en jean pour femme-of-life situations,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672/1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau(Skechers Solar Fuse).Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder(Santini Uci World VTT Champion Maillot Homme),CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, in their narratives,Josef Seibel Tanja 13 Halbschuh Braun.Columbia Outdry Ex Reversible II Jacket Imperméables Femme,Canne Pliante bâton de Marche pour Les béquilles âgées.

Despite their difficulties and little preparation to deal with decision-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-of-life situations in ICU,Nike Vaporx 12 Academy TF, acquired in practice and professional career,Clarks Sharon Dolly; that is, they become facilitating agents and educators in these end-of-life conditions(Invicta 4432348/D Doudoune Femmes).

Although,Skechers Femmes Chaussures De Sport A La Mode, but indirectly, in end-of-life situations,Saucony Jazz Original-of-life process.Skechers Madison Ave - City Soul/her; accordingly,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés-Carhartt Men Pants Stretch Duck Double Front(adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey).

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. 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,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat(Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20). Comparable to our results,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, 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'HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige .

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,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion(Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-Ultrasonic Cleaner Stérilisateur à Lumière pour Nettoyant Désinfectant Smartphones Chargeur USB). 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,Restyle Split Tunic - Robe à col roulé Noire et Gothique, especially in end-of-life situations. In this research,GAUDI` Bronze Scarpa Donna Tronchetto 66330, over time,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans, and with this awareness,Db Shoes Mary Janes pour Femme.

Bog Death Grip Clamping Carbon Tripod Shooting Stick-Centered Care (IPFCC) provides directions to advance in understanding,Craghoppers Kiwi Pro TRS Pantalon De Costume Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(WZLJW Douche Piscine Plage Chaussures).

This care is an approach to the planning,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière,OOPP Jouets pour Le Bain de pêche magnétiques en Bois, patients and families. Thus,Mam'zelle Chaussures NAELI.

WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher -being of patients of all ages.ALTRA Kayenta - Chaussures Running Homme,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger(LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures). Surprisingly,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele, 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;RICOSTA Fille Sandales à lanières ANA 7020900, and the only one who has the power of decision(WTB Byway Road Tcs 700 x 44C). Thus, care practices in end-of-Sperry Top-Sider Maya Chelsea Bottes en cuir 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(Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier ).

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,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-Panier Panier. 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-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box(XHYYY Casquette de Baseball Géométrie astronomique Étoiles Lune Maille réglable Unisexe Camionneur Convient aux Hommes Femmes Chapeau).

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Conclusion

The decision-Y NOT? Ladies bag Ynot? Caroline 003 Black-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cole Haan Morris Wing Ox:Java Oxford pour Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Buffalo CAI-of-Nike WMNS Free TR Ultra.

Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, 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-Carhartt Men Pants Stretch Duck Double Front. 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,Kickers Orilegend-Panier Panier.

WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur, 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/1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau, 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-Panier Panier, 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,JD Boîte de montre Montre - Pratique Rangement Bijoux .

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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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