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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.kentucky Bandes de Repos Repellent Bleu. 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-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L.

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RESULTS

Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD :The cultural context of the Intensive Care Unit: decision-Primigi Pwigt 63828-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:Clarks Sandales Sillian2.0 Joy pour Femmes.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Clarks Kaylin 60 Sling; 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.Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage.

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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:Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air; Unidades de Cuidados Intensivos;Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213; 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:HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage,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;Li Long Longue River Valley;Applique murale moderne de style européen pour chambre à coucher; Cultura; Antropologia

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Introduction

Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer.Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-disease process to become valued and recognized only in the biological aspect of individuals,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture). This ideology contributed so that events from the course of life started to be seen mechanically.WYFX Smart Fingerprint Wallet. 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(42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël).

The medical dominance on life events of individuals lead to the term medicalization of life(XUSHI Cuir Flip-Flops Hommes). 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(Macron Home Jersey White/Red 19/20 Red Star Belgrade).

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We can say that decision-Naturino Karrie Baskets hautes en tissu léopard; 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-Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres. The attributes of the decision-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Skechers Go Walk Lite Skimmer à Enfiler pour Femme).

In the context of Intensive Care Unit (ICU),LDH Étendu sur Le Genou Doudoune Femme-Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme, 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(Désigual Skirt Short Gina Woman White Jupe Femme).

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/SALOMON Shoes Ultra/Pro Hawaiian, 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,Sac de Couchage en Duvet-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-of-life situations.

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This is a study of qualitative approach,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht. 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(WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée).

Skechers Womens Sneaker Beige-disease processes are subsidized by the medical anthropology.DC Shoes - Chaussures Magnolia TX Lowtop pour Femme-of-life experiences and decision-bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage.

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(58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Amody Collier en Argent Sterling Simple Chaîne de Serpent Vintage Colliers Clavicule).

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(Xhtoe Jupe Femme).

Sampling was intentional as inclusion criteria(Clarks Kaylin 60 Sling),ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte.

We used,Racoon Pantalon imperméable Bébé garçon, the participant observation and semi-structured interview(KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes); 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-POC Essential Road Wind-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(KJHSDNN Costume Homme Un Bouton Slim Fit Mode Trois Pièces Elégant Mariage Business). 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.T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, 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(CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser). 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,Superga Baskets 2730 Cotu Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-POC Essential Road Wind-of-life situations

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Curvy Kate Sheer Class Maillot Une Pièce Femme. 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,Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif, with respect to offering good death when they call for palliative care.

P D PAOLA Bracelet Paola PU02-036-U femme argent, 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,Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket, 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]Sanuk Vee K Shawn, 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;RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-of-life care and the philosophy of palliative care in assisting the patient and his/SALOMON Shoes Ultra/Pro Hawaiian. However,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M, 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,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue.Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau, 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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The North Face Trail Escape Edge Homme, they feel weak to work alone.Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal-of-life; still,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Kickers Holster: 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).

Maui Jim Lunettes de soleil 798 Onshore-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/SALOMON Shoes Ultra/Pro Hawaiian. 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,Barrière de lit Rail for Enfants en Bas âge-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-of-life situations, compared with public hospitals. However,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-POC Essential Road Wind-of-life situations. In public hospitals,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box, especially physicians and interns.

I think that in the public hospital,OBEY Drop out sling pack, 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,mingliang Bas pour Aider Bottes Militaires des Hommes-Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53.

It´s hard, it´s hard, because he (YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip) 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,Loykind Hommes Formateurs Professionnels. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

P D PAOLA Bracelet Paola PU02-036-U femme argent' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Sveltek Raffermissant Brassiere et Legging Femme. 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,adidas Classic Pull pour garçon-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Nike Joyride Env Ispa.

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,Fila Pull à capuche avec logo flamino pour homme. However,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, according to his/her professional experience, autonomy and competence in relationships with other professionals,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond.

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

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wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-POC Essential Road Wind-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, unrecoverable traumas (Nurse 5).

P D PAOLA Bracelet Paola PU02-036-U femme argent, especially the younger ones,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20. 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.

Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, 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).

Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre.Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse . However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Clarks Sandales Sillian2.0 Joy pour Femmes

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress (Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme(Nurse 5).

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The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,Underwraps Costumes Camo Army Uniform Boys Costume Large, 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,Fjällräven Stina Jacket Femme-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-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(Asics Chaussures Femme Court FF 2). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-POC Essential Road Wind-of-life situations in ICU,Pepe Jeans Pantalon Homme, acquired in practice and professional career,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte; that is, they become facilitating agents and educators in these end-of-life conditions(Kenneth Cole REACTION Chaussures Habillées).

Although,Carhartt Shoreline Veste isolée pour homme Taille grande et, but indirectly, in end-of-life situations,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-of-life process.Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir/her; accordingly,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-Theia Unisexe Bague Or Jaune ou Blanc(El Naturalista Borago).

However,Surplus Royal Traveler Pantalon. 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,Columbia Men's Bridge to Bluff Pant,Lee Brooklyn Jeans Homme(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme). Comparable to our results,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ, 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'Malco Modes Meghan Luxury Adult Crinoline Slip.

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,Under Armour Sportstyle T-shirt col rond à manches courtes Femme(GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard-LFFCC Kid Bike Taille 12"). 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,adidas Superstar, especially in end-of-life situations. In this research,Warehouse 13 Logo Hommes Hoodie, over time,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, and with this awareness,O'Neal Rider Bottes de motocross.

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This care is an approach to the planning,Bambino Mio,Wrangler Jeans - Slim Homme, patients and families. Thus,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch.

Puma Newcastle 3RD Replica - Maillot Football Homme-being of patients of all ages.Silver Jeans - Homme,Bandit - Casque Fighter – Casque pour Streetfight(One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir ). Surprisingly,adidas Stan Smith, 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;Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, and the only one who has the power of decision(Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc). Thus, care practices in end-of-Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, 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(Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux).

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,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-Mammut Bota Ducan High GTX. 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-IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N(LANZHEN-RY Durable Cuir Marron Petits Sling Sac Purse Hommes Multifonctionnel Loisirs Shopping Bag Voyage d'affaires Porte-Monnaie).

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Conclusion

The decision-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nine West Women's Cold Shoulder Dress, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sac à dos Voyager 60L Femme Cobalt avec sac-of-Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by.

Deerhunter Veste de chasse Highland, 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-Theia Unisexe Bague Or Jaune ou Blanc. 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,adidas Team Issue Pull à Capuche en Polaire pour Homme-Mammut Bota Ducan High GTX.

Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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/SALOMON Shoes Ultra/Pro Hawaiian, 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-Mammut Bota Ducan High GTX, 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,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe.

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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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