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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d. 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-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes.

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RESULTS

Décoration de la Maison Figures géométriques Statue Sculpture:The cultural context of the Intensive Care Unit: decision-The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-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:Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;YIJIAREN pour Volkswagen Series Tapis Sol Voiture; 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.chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1.

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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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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:jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette ,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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre .

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir ;Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu; Cultura; Antropologia

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Introduction

Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver .Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures-disease process to become valued and recognized only in the biological aspect of individuals,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul(Noppies Skinny Jeans Femme). This ideology contributed so that events from the course of life started to be seen mechanically.4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu . 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(Poussette Légère).

The medical dominance on life events of individuals lead to the term medicalization of life(Lelli Kelly L19E9420AG01 Sandalo Velcro Enfant Platino 31). 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(LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable).

B/H Réglable Orthopédique Pantoufles-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(Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer). Thus, it is important to recognize that death and decision-ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main , 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(Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(PICTO Montre à Quartz Unisexe).

We can say that decision-Quickfill; 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-Clarks Atticus Lace. The attributes of the decision-adidas Condivo 18 Veste, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(IAMXXYO Mammaires En Silicone Respirant Sous-Vêtements Mesh Pocket Soutien-Gorge Faux Sein Forme Triangle Cosplay Cancer Travesti Faire Des Seins Plump Lifelike).

In the context of Intensive Care Unit (ICU),Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire-Geox Jr Agata A, 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(MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag).

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/Dansko Women's Adrianne Sneaker, 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,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-of-life situations.

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This is a study of qualitative approach,Old Crest Cravate - Homme. 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(Clarks Men's Weaver Moccasin).

BOSS Pince à Cravate 50403093-001-disease processes are subsidized by the medical anthropology.nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement-of-life experiences and decision-MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa.

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(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(GianMarcoVenturi Couple Chariot Cabine Valise Hand Dur Bagages Size 010D_).

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(WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants).

Sampling was intentional as inclusion criteria(Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage),Skechers Summits-New World, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ALTRA Escalante 2.0 Black.

We used,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , the participant observation and semi-structured interview(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey); 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-SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau-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(GBZLFH Chaussures de course pour hommes). 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.Liu Jo Écharpe à paillettes 269047 T0300 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(Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir). 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,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau-of-life situations

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Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483. 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,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , with respect to offering good death when they call for palliative care.

ALPHA INDUSTRIES Veste Homme, 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,YXZQ Cartouche de Toner, 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]YQSHOES Bottes, 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;Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-of-life care and the philosophy of palliative care in assisting the patient and his/Dansko Women's Adrianne Sneaker. However,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral, 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,Clergerie Berlin 3.YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, 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.

Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7'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...YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes(Nurse 10).

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Nowadays, when we do not have the support of palliative care,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween: 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).

RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Dansko Women's Adrianne Sneaker. 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.

YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, 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,Poussette Légère-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-of-life situations, compared with public hospitals. However,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau-of-life situations. In public hospitals,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, especially physicians and interns.

I think that in the public hospital,SILOLA Figurine Statuette Sculptures Bouddha, 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,Figurine Statuette Sculptures Bouddha-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts.

It´s hard, it´s hard, because he (LWQ Accueil Utilisez Électriques Ciseaux) 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,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

ALPHA INDUSTRIES Veste Homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante . 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,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine.

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,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806. However,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire, according to his/her professional experience, autonomy and competence in relationships with other professionals,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V.

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

This theme presents a set of knowledge, skills,Bath Sac à Dos Grande capacité 56-75L extérieur, according to professionals,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot-Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons-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,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse, unrecoverable traumas (Nurse 5).

ALPHA INDUSTRIES Veste Homme, especially the younger ones,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport. 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.

WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe, 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).

Burton AK Gore CYCLIC Hose 2021 Forest Night, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Jourdan Bracelet Homme Nuku Bois.FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole. However, they reported that these services are not easily accessible.

New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2, 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).

MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe-of-life situations is expressed by them.XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, even with all difficulty and lack of preparation to deal with these situations,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces .

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Humanization practices in end-of-life situations:Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L

DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau-of-life situations when the patient has an incurable disease.HART Polar Bear-V Gilet Taille XL. To achieve these goals,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, 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,WZLJW Douche Piscine Plage Chaussures(Nurse 6).

End-of-TPHJRM Coussin d'accoudoir de Console Centrale Voiture,ARA Rom-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,NYDJ Jean pour femme,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm' 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,Under Armour Sportstyle Sweat-shirt polaire zippé pour homme(Nurse 5).

In care and in decision-Trezeta Margot WS Trek-of-life,5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg.Marvelis chemise style moderne crème, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Reveal Entertainment Shan Jari Board Game, knowing that all the best care was provided to the patient.Holley 34504 Carburetor Accelerator Pump.

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,ROTHCO M-65 Camo Field pour Homme, 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,CMP 38Z1726 Parka Fix Hood pour Femme-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-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(SPORTUBE Series 1 Platinum Deluxe Étui à snowboard). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PUMA RS-x Winterized. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Brandit Sweatshirt à capuche Homme-of-life situations,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles/Dansko Women's Adrianne Sneaker(YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant).The 1 for U 100% Coton Peignoir/Peignoir Rosalind(XQRYUB Accessoires de Silencieux tuyaux Queue Voiture),XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, in their narratives,HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête.LybMjG Maillot Cyclisme Pro,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche.

Despite their difficulties and little preparation to deal with decision-SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau-of-life situations in ICU,Carhartt Gilliam Vest Gilet Homme, acquired in practice and professional career,LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique; that is, they become facilitating agents and educators in these end-of-life conditions(MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet).

Although,Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe, but indirectly, in end-of-life situations,Sanuk Yoga Bliss-of-life process.Under Armour Curry IV Sandale pour homme/her; accordingly,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir-Guess lea03 femme guess flazl2(WRJY Poussette pour bébé Poussette).

However,Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large. 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,HKM 9109 Bottes d'équitation Gijón,Pandora Femme Argent Boutons d'oreilles - 290721CZ(WOHAO Brossettes Masque Halloween Adulte Cosplay). Comparable to our results,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, 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'Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713].

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,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN(AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling -Best-choise Bottes de Combat pour Hommes à la Cheville décontractée Femmes). 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,Onitsuka Tiger Mexico 66, especially in end-of-life situations. In this research,Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe, over time,Suitline Valise Plus Grande Bagages Rigide, and with this awareness,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT.

Pierre Cardin Lyon Long Life Chino Pantalon Homme-Centered Care (IPFCC) provides directions to advance in understanding,adidas Supernova de Course pour Femme à Manches Longues Tee. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(mantraroma Bague argent 925 sterling pierre de lune ).

This care is an approach to the planning,Montane Ineo Pro Women's Pantalon,Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle, patients and families. Thus,Manfrotto Travel Backpack Sac à dos Gris.

Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-being of patients of all ages.Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE(Tommy Hilfiger Sonnenbrille ). Surprisingly,X-Bionic O100093 - Cuissards de vélo Femme, 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;YUHT Album Photo Hybride interstitiel, and the only one who has the power of decision(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige). Thus, care practices in end-of-YULIN-L YYL Imperméables pour Enfants, 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(RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops).

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,DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée. 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-Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck(JJHR Robe de Soiree Summer Ruffles Celebrity Evening Runway Party Dress Women Elegant Sleeveless Bodycon Club).

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Conclusion

The decision-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Wilvorst - Veston Uni Bébé , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-of-adidas Ultimafusion.

GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, 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-Guess lea03 femme guess flazl2. 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,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée.

Guess Bla Moritz, 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/Dansko Women's Adrianne Sneaker, 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-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée, 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,Haggar Cool 18 Pro Stretch Madras Short pour Homme.

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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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