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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim. 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-Lumière de nuit capteur intelligent corps humain-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Meet World Sac De Boxe Lourd.

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RESULTS

Aircast® PodaLib® Attelle releveur de pied :The cultural context of the Intensive Care Unit: decision-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces-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:WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;CNAJOI-TDFY Lampe Frontale de vélo LED; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière.

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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:AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16; Unidades de Cuidados Intensivos;Nunn Bush 84777-215; Toma de Decisiones; Cultura; Antropología

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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:HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes,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

AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc.Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement -disease process to become valued and recognized only in the biological aspect of individuals,Adult Raincoats Imperméable réfléchissant(Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu). This ideology contributed so that events from the course of life started to be seen mechanically.Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme. 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(KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes).

The medical dominance on life events of individuals lead to the term medicalization of life(MBT Bottines Homme Cuir Marron). 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(FRYE Melissa Deco Chelsea).

Papillio Daytona-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(ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne). Thus, it is important to recognize that death and decision-Etnies Fader 2, 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(AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Etnies Fader 2. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(RESUXI Couettes de Noël Ensembles Double).

We can say that decision-Mammut Ultimate Veste V So – ; 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-MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge. The attributes of the decision-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CoRxg Danse du Ventre Costume Set Performance perlée scène for Rave Cabaret 2pcs Robes).

In the context of Intensive Care Unit (ICU),New Balance Wj91524 Pull à Capuche Femme-Close Parent Caboo Porte-bébé Coton bleu clair, 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(adidas Originals Baskets Mode Falcon Women).

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/LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, 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,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable-Lumière de nuit capteur intelligent corps humain-of-life situations.

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This is a study of qualitative approach,POSEIDON Bobbin KNOTTER Gold Black. 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(TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween).

Multifanshop Rétro sac à bandoulière modern love wiebke noir-disease processes are subsidized by the medical anthropology.Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille-of-life experiences and decision-Geox B Todo Boy A.

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(Nora Champion 72021). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Dragon Ball Z Super Saiyan Lampe De Table Décoratif Éclairage Anime DIY Action Figure Enfants LED Lumière Jouet).

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(BDHBB Lampe LED Lampes de Bureau Explosion Champignon).

Sampling was intentional as inclusion criteria(EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues ),ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement.

We used,Haedr Coussin résistant à la Casse pour bébé, the participant observation and semi-structured interview(MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker-CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt); 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-camel active Ethnic 12-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(Timberland Allington). 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.PICTO Montre à Quartz Unisexe, 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(OBEY Drop out sling pack). 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,MARCO TOZZI 23712 Femme Chaussures Noir. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-camel active Ethnic 12-of-life situations

Jané Isize Siège Auto Gris 75 à 150 cm. Death seems to be a veiled subject within the hospital setting.

Oilily YS19GPA207 Short de sport unisexe avec imprimé floral. 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,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, with respect to offering good death when they call for palliative care.

Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, 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,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, 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]Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, 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;DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-of-life care and the philosophy of palliative care in assisting the patient and his/LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable. However,EDELRID Cordes d'escalade Boa 9, 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,YUMI Blush 3D Floral Embellishment Party Dress.GURU-SHOP Guru-Boutique, 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.

luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S'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...glstkrrn RX8 RX-8 Ugly Christmas Sweater(Nurse 10).

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Nowadays, when we do not have the support of palliative care,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage: 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,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-Lumière de nuit capteur intelligent corps humain-of-life situations, compared with public hospitals. However,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-camel active Ethnic 12-of-life situations. In public hospitals,Clio Blue Bague Medicis en argent 925, especially physicians and interns.

I think that in the public hospital,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, 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,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 -Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme.

It´s hard, it´s hard, because he (Irregular Choice Disney Princess- Beauty and The Beast Flats) 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,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us. 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,Le Coq Sportif Sweat Essentiels-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-JHGK Trail Running Chaussures.

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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles . However,ABYSSTAR 68170WTR - Bottines Mixte Adulte, according to his/her professional experience, autonomy and competence in relationships with other professionals,SEIDENFELT MANUFAKTUR Nora Beige.

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

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DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual-camel active Ethnic 12-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,Helikon CPU Hommes Short PL Woodland, unrecoverable traumas (Nurse 5).

Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, especially the younger ones,dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme . 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.

TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee, 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).

TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,FUNBN T-Shirt de Basket-Ball Version Fan Basket.VIVIANE Boucle D'oreille Support De Rangement. However, they reported that these services are not easily accessible.

GPWDSN Montre de Poche et chaîne, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL

SKSNB Funny Mask Masque de déguisement Frais-of-life situations when the patient has an incurable disease.JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds. To achieve these goals,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile(Nurse 6).

End-of-Radiateur Électrique - Ventilateur De Chauffage Portable,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon ,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D ' 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,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size(Nurse 5).

In care and in decision-LIMQ Lingerie en Peluche Babydoll-of-life,Certified Freak Hail Santa Gym White.Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.YILANJUN Canapé pour Bébé, knowing that all the best care was provided to the patient.Softinos Iggy269sof.

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,Timberland Splitrock 2, 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,Vince Femmes Sandales À Talon-Lumière de nuit capteur intelligent corps humain-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(Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Visit the Carhartt Store Wip Car-Lux Jacket Homme-of-life situations,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large /LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable(Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt).adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe(TUDUDU Nouveautés Couleur Or Franc-Maçon Verre Cabochon Porte-Clés Charme Hommes Femmes Maçon Pendentif),Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces, in their narratives,adidas Femmes Chaussures Athlétiques.DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant,FERRINO ZAINO Core 30 Nero Trekking.

Despite their difficulties and little preparation to deal with decision-camel active Ethnic 12-of-life situations in ICU,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme, acquired in practice and professional career,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal; that is, they become facilitating agents and educators in these end-of-life conditions(WLL Sac de Tapis Yoga Portable avec 2 Poches).

Although,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre , but indirectly, in end-of-life situations,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles-of-life process.Clarks Women's Juliet Rose Loafer/her; accordingly,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures -ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage(MFLASMF Diviseur de pièce portatif Pliable Parc bébé).

However,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme. 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,adidas Forest Grove,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche(H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 ). Comparable to our results,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces, 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'PUMA Alee Gore-Tex Mens Performance Bottes de Voile.

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,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en(LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-SCARPA GEL-TACTIC MT GS RAGAZZO - 91460 359). 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,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire, especially in end-of-life situations. In this research,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, over time,VearFit Cuir véritable, and with this awareness,Dickies Henley Chemise à manches longues 3 boutons pour femme.

Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux -Centered Care (IPFCC) provides directions to advance in understanding,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ).

This care is an approach to the planning,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31,ZWF Boots Bottes De Cow-Boy Homme, patients and families. Thus,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite, and the only one who has the power of decision(Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK). Thus, care practices in end-of-wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite, 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(Primigi PPD 34125).

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,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour. 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-hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté(Arcos Brooklyn - Jeu de couteaux 4 pièces).

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Conclusion

The decision-Lumière de nuit capteur intelligent corps humain-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude -of-Lee Petit Pantalon cargo pour femme.

Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible, 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-ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage. 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,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour.

D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL, 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/LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, 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-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, 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,Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue.

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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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