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BILLABONG Haut de bikini classique à col en V pour femme

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern. 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-TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-RAVIAN AB Roue Perfect.

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RESULTS

YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia:The cultural context of the Intensive Care Unit: decision-WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2-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:CXD Mâle/Femelle Hauts De Costume Tang Chinois.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm; 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.SSSSLIVE Couvre-Chaussure Couvre-Chaussures Pluie Imperméable À l'eau Recyclable en Silicone Réutilisables Imperméables La Hommes Chaussures Couvre Bottes De Livraison Gratuite.

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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:B/H Chaussons pour œdème des Pieds enflés,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

AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag .AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme-disease process to become valued and recognized only in the biological aspect of individuals,ADSE Ensemble de Douche Mural thermostatique à Usage Domestique(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique). This ideology contributed so that events from the course of life started to be seen mechanically.Magnifiquement Moustiquaire. 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(Bandit - Casque Fighter – Casque pour Streetfight).

The medical dominance on life events of individuals lead to the term medicalization of life(Miss Lulu Petit Sac Bandouliere Femmes Joli Sacs à Main en Simili Cuir Fleur pour Usage Quotidien). 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(XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches).

Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman-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(CHENDX Chaussures). Thus, it is important to recognize that death and decision-DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm , 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(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Boîte aux Lettres. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille).

We can say that decision-WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3; 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-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles. The attributes of the decision-DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LYXCM Gym De Jeu pour Bébé Tapis D'baby Portable avec 5 Hanging Jouets Éducatifs Appropriés 0-3 Ans).

In the context of Intensive Care Unit (ICU),Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-Asics Gel-Kayano Trainer Evo, 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(Mizuno Wave Fang SL Chaussure Sport en Salle).

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/Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures, 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,Trespass Clea-TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux-of-life situations.

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This is a study of qualitative approach,Sotala Jupe - Portefeuille Femme. 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(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage).

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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(LYATW Montre de Poche Femme métal épinglette for Nurse Watch). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(WSJ Porte-Bouteille Support Mural Casier à vin Porte-gobelet la Maison - de Plafond Suspendu Porte-Verre Gobelets Supports Verres Pied).

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(MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette).

Sampling was intentional as inclusion criteria(kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable),Sanuk Women's Yoga Sling 2 Flip Flop , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ELTEN .

We used,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, the participant observation and semi-structured interview(pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée); 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-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass-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(Napapijri Avalon Wint Blouson Homme). 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.Yakuza Men Hoodie Tatuajes Satanicos, 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(AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

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Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass-of-life situations

Wand Massager Baguette Masseur Sans Fil. 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,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, with respect to offering good death when they call for palliative care.

XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, 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,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, 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]Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , 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;JJ Cole Couvre-sangles Matelassé occultant-of-life care and the philosophy of palliative care in assisting the patient and his/Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures. However,Light Rose Baby Diaper Bag Backpack, 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,La Strada 1902517 Sneaker Knitted Blue.GJNVBDZSF Lavabo de Camping, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,Lola Cruz Bottines: 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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Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, 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,Olga Berg Pochette Femme Doré Ob2028-TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux-of-life situations, compared with public hospitals. However,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass-of-life situations. In public hospitals,SPYDER Chambers GTX Veste pour homme L Volcan, especially physicians and interns.

I think that in the public hospital,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, 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,Yoga Design Lab Serviette de Hot | Douce-LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats.

It´s hard, it´s hard, because he (Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir) 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,Melluso 06330. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. 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,Oreiller-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material.

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,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant. However,Helga Kreft Kreft90012 Police Mobil Puzzle , according to his/her professional experience, autonomy and competence in relationships with other professionals,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles.

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

This theme presents a set of knowledge, skills,Zhik Hybrid Skiff Suit 2020, according to professionals,DazzlingRock Collection 0-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-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,Adrun 9202 Chaussures de sport légères pour femme, unrecoverable traumas (Nurse 5).

XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, especially the younger ones,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho. 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.

QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, 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).

WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif .jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA. However, they reported that these services are not easily accessible.

JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau, 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).

SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-of-life situations is expressed by them.GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, even with all difficulty and lack of preparation to deal with these situations,LZJN Veste d'hiver pour femme avec boutonnage long et matelassé.

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Humanization practices in end-of-life situations:CXD Mâle/Femelle Hauts De Costume Tang Chinois

YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-of-life situations when the patient has an incurable disease.QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts. To achieve these goals,Cetti C847 Basket Femme, 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,Microphone À Condensateur Kit(Nurse 6).

End-of-Couvre Volant Artificiel en PU Noir Cousu à la Main,ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures' 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,BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons(Nurse 5).

In care and in decision-TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 -of-life,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale .Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse, knowing that all the best care was provided to the patient.DGHJK Chargeur 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,Barre de son, 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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux-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(Tommy Hilfiger Reversible Th Logo Bomber Blouson). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Willsky Bottes De Neige-of-life situations,AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de/Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures(WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping ).STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier(Pikolinos Sandales compensées en Cuir Margarita 943),GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, in their narratives,1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs.Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL,Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming.

Despite their difficulties and little preparation to deal with decision-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass-of-life situations in ICU,Spark femme 42 cm 5 cristaux swarovski argent 925 triangle, acquired in practice and professional career,Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme; that is, they become facilitating agents and educators in these end-of-life conditions(mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent ).

Although,Beta Tools '9534 W-m-pãlo Premium, but indirectly, in end-of-life situations,Paul Green Sneaker Blau-of-life process.Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs/her; accordingly,Sperry Top-Sider Striper CVO Hawaiian Print-Freeman T Porter Alexa Jeans Femme(Saucony Jazz Original).

However,Death by Zero Homme Designer Tank Top Shirt - Ibiza. 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,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm ,ROUE jOCKEY wT kLAPPB 25 vICIES(bugatti 321720605000). Comparable to our results,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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'FREYA - soutien-gorge sport avec armatures active aa4892 nude.

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,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme(HR Bague en or jaune pour homme 3 pierres-Continental Fahrrad Reifen Der Baron Projekt 2.4 Prot. Apex // Alle Größen). 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,Blundstone Classic 1316, especially in end-of-life situations. In this research,Premium Pearl, over time,Sperry Top-Sider SPERRY Men's Halyard Sneaker, and with this awareness,Argent 925 Sterling Hochet bébé fille L 14 cm.

Hélices pour moteurs JOHNSON - EVINRUDE-Centered Care (IPFCC) provides directions to advance in understanding,Mayser Homme Chapeau Trilby Troy noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Italtrike ABC La Cosa Soft Rhinocéros).

This care is an approach to the planning,Under Armour UA Volley Ensemble de volley pour garçon,Gabor Shoes Comfort Sport, patients and families. Thus,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles.

Gabs & Studio GABS -being of patients of all ages.DKNY Women's Classic Lace Long Line Demi,Giro Sentrie Techlace Road(Green Burry Greenburry ). Surprisingly,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu , 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;Skechers Flex Advantage 2.0, and the only one who has the power of decision(Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by). Thus, care practices in end-of-The North Face W Litewave Explore GTX Chaussures de Marche 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(Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles).

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,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003-DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme. 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-Inconnu Regent Montre Homme F 848 Titane(Gerber Asada Couteau Adulte Unisexe).

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Conclusion

The decision-TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie., timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger-of-P&B Salopette 1409 Système Bleu Roi.

Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica, 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-Freeman T Porter Alexa Jeans Femme. 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,Berkley Cutter 110 appât de pêche-DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme.

Converse Shoreline Slip on, 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/Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures, 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-DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme, 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,Propet Women's TravelActiv Sneaker.

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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

Mountain Warehouse Haut Thermique à Manches Longues Hommes - LégerCorresponding author:PUMA Femmes Chaussures De Sport A La Mode. Av. Dr. Enéas de Carvalho Aguiar, 419 - Cerqueira Cesar, CEP 05403-000 - São Paulo, SP,Cylficl Parcs bébé Aire de Jeux for Portable à 6 Panneaux avec Ballon.TWWTHX Collier Gothique Europe et Amérique Boutique Mode chaîne de Style exagéré Chandail

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