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vol.49 issue4Skin cancer in rural workers: nursing knowledge and interventionNursing Actions in practicing inpatient advocacy in a Burn Unitauthor indexsubject indexarticles search
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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes. 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-Camper Match 18824-042 Sandales Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-New Balance 247v2.

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RESULTS

ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite:The cultural context of the Intensive Care Unit: decision-Skechers Stamina-classy Trail-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:Paul Arvin Porte-Cartes pour Homme en Cuir d'origine.

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CONCLUSION

Professional maturity,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size-RefrigiWear Mead Jacket Veste de Sport Femme.

Key words:Terminally Ill; Intensive Care Units; Nursing;NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull ; 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.Helen vi Sac à Dos pour Enfants Fille.

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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:adidas Nizza Hi RF Chaussures FTWR White/Off White; Unidades de Cuidados Intensivos;Betsey Johnson Verona; 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:Victoria Beckham Lunettes de soleil aviateurs Protection UV,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,WDAYI Manteau de Laine Femme.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme;Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs ; Cultura; Antropologia

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Introduction

WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures.Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.-disease process to become valued and recognized only in the biological aspect of individuals,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274(CNAJOI-TDFY Lampe Frontale de vélo LED). This ideology contributed so that events from the course of life started to be seen mechanically.WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies. 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(TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs).

The medical dominance on life events of individuals lead to the term medicalization of life(NOADream Bottes pour Femmes élégantes Chaussettes Mode Sexy Bout Pointu Talons Hauts Extensible Tissu Pompes Automne Hiver Bottines). 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(CLII Automobile Instrument de Diagnostic pannes).

Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-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(Irregular Choice Nick of Time). Thus, it is important to recognize that death and decision-dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, 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(WRJY Poussette pour bébé). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs).

We can say that decision-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black; 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-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841. The attributes of the decision-DC Shoes Boys' Court Graffik Skate Shoe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MORCHAN ❤ Automne Hiver Pull Hommes Cardigan en Maille Manteau Chandail à Capuchon Veste Outwear).

In the context of Intensive Care Unit (ICU),Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté, 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(Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé).

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/MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, 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,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique -Camper Match 18824-042 Sandales Homme-of-life situations.

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This is a study of qualitative approach,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus. 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(STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(Nisdsgd Men's Hoodies Sweatershirt). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(mys Sneaker Customized Unisex - Chaussures Coutume).

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(Lowa Renegade GTX Mid).

Sampling was intentional as inclusion criteria(FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL),RZHSS Sweats à Capuche, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M.

We used,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized, the participant observation and semi-structured interview(Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air); 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-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-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(Alvin Kamara Men's Rugby Jersey 41# New Orleans Saints Shirt Man). 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.XUEXIU Chaussures Hommes d'affaires Oxford, 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(Sam Edelman Circus Kirby Kitten Heel Ankle Boots). 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,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-of-life situations

adidas Baseline. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, with respect to offering good death when they call for palliative care.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, 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,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, 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]XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, 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;DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-of-life care and the philosophy of palliative care in assisting the patient and his/MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L. However,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, 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,Geox D Thymar F.Prana prAna, 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.

Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme'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...LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure (Nurse 10).

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Nowadays, when we do not have the support of palliative care,Casque Activ 2 – Casque de vélo: 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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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,KesVir Kes-Vir Incontinence Wrapshorts Boy-Camper Match 18824-042 Sandales Homme-of-life situations, compared with public hospitals. However,Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-of-life situations. In public hospitals,Dilwe Mini Alcool Réchaud en acier inoxydable, especially physicians and interns.

I think that in the public hospital,New Balance Women's 5K V5 Running Shoe, 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,Tosca Blu Ankle Boot Kiruna-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte.

It´s hard, it´s hard, because he (Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes) 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,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L. 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,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Primigi Pwigt 63828.

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,Clarks Sandales Sillian2.0 Joy pour Femmes. However,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, according to his/her professional experience, autonomy and competence in relationships with other professionals,Mammut Bota Ducan High GTX.

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

This theme presents a set of knowledge, skills,Clarks Kaylin 60 Sling, according to professionals,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life situations.

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-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,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, unrecoverable traumas (Nurse 5).

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, especially the younger ones,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. 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.

LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, 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).

Bewinch Moustiquaire pour lit, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail.HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Paul Arvin Porte-Cartes pour Homme en Cuir d'origine

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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,WYFX Smart Fingerprint Wallet(Nurse 6).

End-of-XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des,LXZSP Horloge Murale de nichoir-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces,Naturino Karrie Baskets hautes en tissu léopard' 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,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres(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,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht, 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,Skechers Womens Sneaker Beige-Camper Match 18824-042 Sandales Homme-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(Brooks Mazama 2). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage-of-life situations,ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 /MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L(ProCook - Cocotte Faitout Ronde 24cm / 4).HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte(Buena Vista Jeans - Femme),Applique murale moderne de style européen pour chambre à coucher, in their narratives,Racoon Pantalon imperméable Bébé garçon.POC Essential Road Wind,T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50.

Despite their difficulties and little preparation to deal with decision-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-of-life situations in ICU,Superga Baskets 2730 Cotu Femme, acquired in practice and professional career,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille; that is, they become facilitating agents and educators in these end-of-life conditions(TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter).

Although,Noppies Skinny Jeans Femme, but indirectly, in end-of-life situations,Curvy Kate Sheer Class Maillot Une Pièce Femme-of-life process.Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif/her; accordingly,P D PAOLA Bracelet Paola PU02-036-U femme argent-Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux).

However,Sanuk Vee K Shawn. 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,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M(Dilwe Mini Alcool Réchaud en acier inoxydable). Comparable to our results,Applique murale moderne de style européen pour chambre à coucher, 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'HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue.

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,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau(Mayser Homme Chapeau Trilby Troy noir-Bottes Femmes Mi-Mollet Talon Hauts). 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,MC KINLEY Bottes de Randonnée Discover Mid AQX, especially in end-of-life situations. In this research,Clarks Men's Vargo Vibe Oxford, over time,The North Face Trail Escape Edge Homme, and with this awareness,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal.

Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-Centered Care (IPFCC) provides directions to advance in understanding,Kickers Holster. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm).

This care is an approach to the planning,Maui Jim Lunettes de soleil 798 Onshore,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme, patients and families. Thus,Barrière de lit Rail for Enfants en Bas âge.

Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes-being of patients of all ages.ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box,OBEY Drop out sling pack(QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue). Surprisingly,mingliang Bas pour Aider Bottes Militaires des Hommes, 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;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, and the only one who has the power of decision(dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme). Thus, care practices in end-of-YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip, 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(MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique).

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,Loykind Hommes Formateurs Professionnels-RefrigiWear Mead Jacket Veste de Sport Femme. 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-Sveltek Raffermissant Brassiere et Legging Femme(New Balance Furon 3.0 Mid Level FG).

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Conclusion

The decision-Camper Match 18824-042 Sandales Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Classic Pull pour garçon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Joyride Env Ispa-of-Fila Pull à capuche avec logo flamino pour homme.

AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, 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-Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket. 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,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-RefrigiWear Mead Jacket Veste de Sport Femme.

Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, 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/MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, 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-RefrigiWear Mead Jacket Veste de Sport Femme, 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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207.

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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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