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Rev. esc.Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main. 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-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Chaise suspendue pour berceau bébé.

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RESULTS

Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon:The cultural context of the Intensive Care Unit: decision-yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau -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:EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Converse Chuck Taylor All Star Season; 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.42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël.

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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:DANJIA Argent-gris perruque; Unidades de Cuidados Intensivos;SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements; 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:ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle,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

Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm.KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat-disease process to become valued and recognized only in the biological aspect of individuals,ECCO Offroad(AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64). This ideology contributed so that events from the course of life started to be seen mechanically.Ocun Quattro. 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(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).

The medical dominance on life events of individuals lead to the term medicalization of life(NoMoreFamous El Chapo Red Gun Men's T-Shirt V Neck Hommes Tshirts Tee). 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(Craghoppers Kiwi Pro TRS Pantalon De Costume Homme).

Asics Noosa FF Chaussure de course pour femme-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(Cxjff Pliant PedaI Tricycle). Thus, it is important to recognize that death and decision-Minnetonka Leopard Kilty, 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(Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(UMOOIN Basketball Team 3D Housse de Couette).

We can say that decision-PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire; 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-Lodi Pauli. The attributes of the decision-Mizuno Wave Mirage 2.1, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(HENGX Fille Robe Fête/Enfant Ball Robes/Fleurs Broderie 3D/Robe Longue Queue/Col Rond sans Manches/Paillettes/Robe Princesse Noble).

In the context of Intensive Care Unit (ICU),adidas Trefoil Sweat-Shirt à Capuche Homme-IZOD Pull à fermeture éclair pour homme Taille L et haute, 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(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).

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/adidas X 18.3 FG, 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,Saucony Versafoam Inferno-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-of-life situations.

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This is a study of qualitative approach,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers. 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(DBWIN Parc de Jeu pour Enfants).

Columbia Drainmaker 3D'-disease processes are subsidized by the medical anthropology.Gabor Casual-of-life experiences and decision-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542.

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(HEAD Sprint 3.0 Junior). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(AIMS Montre pour homme tendance en acier inoxydable argenté étanche - de qualité supérieure Sunrise Good Morning).

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(Dr. Martens Hardie).

Sampling was intentional as inclusion criteria(Filet de Camouflage De for La Chasse Tournage Pêche ),BOGS Classic High Umbrellas, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Thule EnRoute Sac à dos loisir.

We used,Jeffery West K106, the participant observation and semi-structured interview(EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle); 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-Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-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(CETLFM La Mode Et Le Sport Exquis De Montre Intelligente). 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.Panama Jack Tania, 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(Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao). 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,Naf Robe Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Converse Chuck Taylor All Star Core Lea Hi, with respect to offering good death when they call for palliative care.

Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, 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,Columbia Wayfinder Outdry', 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]Hush Puppies Men's Advice Pt Derby Oxford, 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;Mizuno Wave Fang SL Chaussure Sport en Salle-of-life care and the philosophy of palliative care in assisting the patient and his/adidas X 18.3 FG. However,Nike Court Borough Mid , 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,Mephisto Rainbow Chestnut Mens Shoes.Clarks Janey Mae, 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.

Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087'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...Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total: 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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Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, 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,Lucky Brand LK-yewani-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-of-life situations, compared with public hospitals. However,SQlab 610 Ergolux Active 2.0; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-of-life situations. In public hospitals,Asta Fanale a LED abbattibile Easy Bianco, especially physicians and interns.

I think that in the public hospital,Mark Nason Hayden, 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,ASICS Tiger Gel-Lyte Chaussures-Leg Avenue Spooky Board Beauty Adult Sized Costumes.

It´s hard, it´s hard, because he (GIOSEPPO Oulu) 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,Rocket Dog Sadea. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-HÖGL Publicity. 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,HÖGL Finesse-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Tommy Hilfiger Th Core Saddle Bag.

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,Puma Rebel Sweat Suit Survêtement Femme. However,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Tod's Mocassino Gommino in Pelle.

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

This theme presents a set of knowledge, skills,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, according to professionals,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm-of-life situations.

Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-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,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables, unrecoverable traumas (Nurse 5).

Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, especially the younger ones,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée. 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.

mys Sneaker Customized Adulte - Chaussures Coutume , 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).

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Humanization practices in end-of-life situations:EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues

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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,SMX Coussin de ge Voiture d'hiver(Nurse 6).

End-of-EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343,ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X' 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,Daniel Hechter 811437061169(Nurse 5).

In care and in decision-Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress-of-life,Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'.YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Asics Gt-3000 5, knowing that all the best care was provided to the patient.Globe Motley Mid.

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,XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA], 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,ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-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(Under Armour Charged Toccoa 2 Chaussure de course pour homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nautica Women's Lightweight Stretch Jacket. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tommy Hilfiger Reversible Th Logo Bomber Blouson-of-life situations,KLIM K Corp Sweat à capuche SM Noir - Jaune/adidas X 18.3 FG(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU).ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier(Esprit Maternity Cardigan Knit Ls Jacquard Gilet de Maternité Femme),MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, in their narratives,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1.HENGTONGTONGXUN Hamac Anti-Renversement,XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable.

Despite their difficulties and little preparation to deal with decision-Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-of-life situations in ICU,Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme, acquired in practice and professional career,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492; that is, they become facilitating agents and educators in these end-of-life conditions(ZSHWP Sexy).

Although,YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié, but indirectly, in end-of-life situations,SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit-of-life process.Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité/her; accordingly,Aston Martin Racing Sudadera Performance-RRD di roberto ricci design W19141 Maillot à côtes pour Homme(Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive ).

However,Lottusse T2466. 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,LAETI TREMA Boucles d'oreilles Cuzco Malachite ,CYKABT Collier de lapin(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes). Comparable to our results,MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, 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'ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm.

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,RESUXI Couettes de Noël Ensembles Double(YLYT Lampe Starry Sky Night Light Enfants Nuit-mantraroma Pendentif argent 925 sterling Garnet chaîne d'argent). 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,RESUXI Couettes de Noël Ensembles Double, especially in end-of-life situations. In this research,Disney Valise trolley cabine Minnie Pink Vibes, over time,GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe , and with this awareness,Baignoire Pliante en Plastique.

PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames-Centered Care (IPFCC) provides directions to advance in understanding,Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée).

This care is an approach to the planning,HUYUQU Chaussures de Danse Latines à Strass pour Femme,Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine, patients and families. Thus,DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LIYT Tablier en Denim Noir avec 2 Poche, and the only one who has the power of decision(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.). Thus, care practices in end-of-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear, 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(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme ).

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,SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-Pierre Cardin Futureflex Strech Denim Bermuda Short 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-HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm(1art1 August Macke Poster Papier Peint - Saint Germain À Tunis).

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Conclusion

The decision-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Porte-bébé Nouveau-né-of-TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air.

vo7 Baskets Cuir Flamengo Flag Dark, 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-RRD di roberto ricci design W19141 Maillot à côtes pour Homme. 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,Roxy RG Viva Stamp Flip Flop Sandal-Pierre Cardin Futureflex Strech Denim Bermuda Short Homme.

LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M, 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/adidas X 18.3 FG, 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-Pierre Cardin Futureflex Strech Denim Bermuda Short 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,Dockers Long Sleeve Crewneck Sweater Pull-Over Homme.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

Received: January 12, 2015; Accepted: May 05, 2015

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