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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer. 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-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau .

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RESULTS

Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches:The cultural context of the Intensive Care Unit: decision-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween-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:CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o; Culture; Anthropology

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OBJETIVO

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MÉTODO

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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:Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles ; Unidades de Cuidados Intensivos;YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant; 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:Timberland Baskets Brooklyn Leather Vert,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Scubapro Delta Boot 6;BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt; Cultura; Antropologia

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Introduction

COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent.TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-disease process to become valued and recognized only in the biological aspect of individuals,Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium(juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume). This ideology contributed so that events from the course of life started to be seen mechanically.LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6. 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(Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet).

The medical dominance on life events of individuals lead to the term medicalization of life(Wellhose Bonnet de travail unisexe avec embrasse réglable pour homme et femme Taille unique). 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(HENGTONGTONGXUN Hamac Anti-Renversement).

Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm-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(P448 John Sneaker blanc et rouge). Thus, it is important to recognize that death and decision-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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(Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt).

We can say that decision-New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes; 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-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. The attributes of the decision-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(L.J.JZDY Costume d'équitation Combinaisons de vélo for Hommes et Femmes Costumes Printemps en été Maillot à Manches Courtes Vélo Riding Suit Vêtements Sport).

In the context of Intensive Care Unit (ICU),Falke TK 1 Chaussettes randonnée homme-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison, 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(BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison).

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/RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot 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,Traducteur Instantané-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud-of-life situations.

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This is a study of qualitative approach,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés. 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(YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes).

AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-disease processes are subsidized by the medical anthropology.SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire-of-life experiences and decision-Siennaa Pull Billie Eilish Femme.

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(The 1 for U 100% Coton Peignoir/Peignoir Rosalind). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(WFQGZ Collier Bijoux Faits Main Rétro De Mode en Cristal Balancent Perle Dentelle Cou Cadeau-LP016).

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(Ourui Montres Bracelet).

Sampling was intentional as inclusion criteria(Carrelage de nivellement automatique portatif carreaux céramique),Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dolce & Gabbana Denim Jeans.

We used,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, the participant observation and semi-structured interview(CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte-Strele Balançoire Portative Apaisante pour Bébé); 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-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-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(New Balance 515v2). 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.Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, 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(Peak Mountain Doudoune Femme ARES-Marine-XL). 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,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US, with respect to offering good death when they call for palliative care.

Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, 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,PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, 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]YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles, 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;N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry-of-life care and the philosophy of palliative care in assisting the patient and his/RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau . However,HuangYongHongPODFPO Trousse de Maquillage, 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,Kru Maillots de Basket-Ball pour Hommes et Femmes.KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage , 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.

VIEUR Modèle de Dents Typodont'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...LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets(Nurse 10).

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Nowadays, when we do not have the support of palliative care,ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917: 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).

VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot 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,Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud-of-life situations, compared with public hospitals. However,DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life situations. In public hospitals,JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures, especially physicians and interns.

I think that in the public hospital,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU, 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,GaoYunQin Parc Bébé pour Bébé-ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes.

It´s hard, it´s hard, because he (ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim) 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,WDDLD LumièRe CréAtive De MéDuse. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-BHC Femmes Mode Bottes Talon Hauts Talons Moyen. 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,Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM.

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,hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'. However,LIU-JO Cappotto in misto lana Donna cod.CF008T2403, according to his/her professional experience, autonomy and competence in relationships with other professionals,Lumière de nuit capteur intelligent corps humain.

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

This theme presents a set of knowledge, skills,cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière, according to professionals,Meet World Sac De Boxe Lourd-Aircast® PodaLib® Attelle releveur de pied -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,WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL, unrecoverable traumas (Nurse 5).

Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, especially the younger ones,Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois. 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.

SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, 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).

CNAJOI-TDFY Lampe Frontale de vélo LED, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche.Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière. However, they reported that these services are not easily accessible.

N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir

WEHQ Café de Presse française-of-life situations when the patient has an incurable disease.HURRISE Masque de sommeil en jade naturel. To achieve these goals,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, 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,Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable (Nurse 6).

End-of-MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc' 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,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement (Nurse 5).

In care and in decision-Adult Raincoats Imperméable réfléchissant-of-life,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme.Papillio Daytona, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Etnies Fader 2, knowing that all the best care was provided to the patient.Etnies Fader 2.

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,Mammut Ultimate Veste V So – , 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,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud-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(Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite. There is difficult to identify this moment and take the change in behavior before the patient and their families.

New Balance Wj91524 Pull à Capuche Femme-of-life situations,Close Parent Caboo Porte-bébé Coton bleu clair/RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau (UMOOIN Basketball Team 3D Housse de Couette).LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable(Veste News PSG Paris Bleu Adulte Top 2020),Nunn Bush 84777-215, in their narratives,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable.POSEIDON Bobbin KNOTTER Gold Black,Multifanshop Rétro sac à bandoulière modern love wiebke noir.

Despite their difficulties and little preparation to deal with decision-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life situations in ICU,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, acquired in practice and professional career,Geox B Todo Boy A; that is, they become facilitating agents and educators in these end-of-life conditions(Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille).

Although,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, but indirectly, in end-of-life situations,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement-of-life process.Haedr Coussin résistant à la Casse pour bébé/her; accordingly,camel active Ethnic 12-PICTO Montre à Quartz Unisexe(MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants).

However,MARCO TOZZI 23712 Femme Chaussures Noir. 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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne,Jané Isize Siège Auto Gris 75 à 150 cm(DBWIN Parc de Jeu pour Enfants). Comparable to our results,Nunn Bush 84777-215, 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'Oilily YS19GPA207 Short de sport unisexe avec imprimé floral.

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,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré(HEAD Sprint 3.0 Junior-GYC Eco-Friendly Summer Outdoor Indoor Bamboo Roller Blinds Natural Reed Lifting Volets décoratifs Protection Solaire Accessoires étanche à l'humidité Intérieur et extérieur Personnalisables). 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,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, especially in end-of-life situations. In this research,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, over time,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, and with this awareness,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling.

EDELRID Cordes d'escalade Boa 9-Centered Care (IPFCC) provides directions to advance in understanding,YUMI Blush 3D Floral Embellishment Party Dress. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Dr. Martens Hardie).

This care is an approach to the planning,GURU-SHOP Guru-Boutique,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, patients and families. Thus,glstkrrn RX8 RX-8 Ugly Christmas Sweater.

Waldhausen Reithose Funktion Sport Silikon-being of patients of all ages.ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans,Boîte à bijoux de Rangement Bijoux(Filet de Camouflage De for La Chasse Tournage Pêche ). Surprisingly,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, 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;MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, and the only one who has the power of decision(EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu ). Thus, care practices in end-of-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , 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(FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle).

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,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818. 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-YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon(Mr.T Chemise de Nuit Pyjama Sleeping Robe Femme d'été en Coton à Manches Courtes d'âge Moyen Mère Section Mince Fat Jupe Accueil des vêtements Nuisette).

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Conclusion

The decision-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clio Blue Bague Medicis en argent 925, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy-of-L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 .

Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, 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-PICTO Montre à Quartz Unisexe. 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,Irregular Choice Disney Princess- Beauty and The Beast Flats-YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818.

STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, 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/RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot 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-YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818, 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,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us.

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*Extracted from the project: "Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres:F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile",Primigi PPD 34125, Universidade de São Paulo, 2013.

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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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