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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard. 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-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas.

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RESULTS

mmmy Perruque:The cultural context of the Intensive Care Unit: decision-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144-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:BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;New Balance Roav V1 Fresh Foam; 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.jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert..

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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:Tyrannosaurus Rex Dinosaur Toy pour Les Garçons; Unidades de Cuidados Intensivos;Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm; 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:WDGXZM Plaquettes de Frein Avant et arrière Moto,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Lampadaire postmoderne;Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements ; Cultura; Antropologia

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Introduction

ZJ Bien Maillots de Bain Garçons d'enfants-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes .XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard-disease process to become valued and recognized only in the biological aspect of individuals,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux(Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures). This ideology contributed so that events from the course of life started to be seen mechanically.XIUYU Boîte à Musique en Bois Bricolage Main . 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(Showers Pass Short de ski léger respirant à séchage rapide pour homme).

The medical dominance on life events of individuals lead to the term medicalization of life(Ella Celebration Boîte à bijoux décorative en bois pour mariage et fiançailles). 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(JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture ).

Oluola Sweats à Capuche Vintage Elvis Presley 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(CAPRICE Femme Bottines 26365-23). Thus, it is important to recognize that death and decision-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, 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(CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Craghoppers Kiwi Boulder 40. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20).

We can say that decision-LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku; 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-ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau. The attributes of the decision-Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(HHIAK666 Assorted Color Parachute Nylon Hammock).

In the context of Intensive Care Unit (ICU),HOXMOMA Berceau de bébé-Skechers Women's Go Walk Lite-16352 Ballet Flat, 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(Clarks Bottines pour Femme Noir).

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/YQ WHJB Recliner Réglable pour Outdoor Office Nap, 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,BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-of-life situations.

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This is a study of qualitative approach,SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol. 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(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant).

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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(2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Zéfal Porte-Bidon Pulse Carbon).

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(PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire).

Sampling was intentional as inclusion criteria(CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ),Chaise suspendue pour berceau bébé, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon.

We used,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau , the participant observation and semi-structured interview(HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents-Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido); 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-EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data(New Era 9Fifty Mesh Snapback Cap Kansas City Chiefs Wood). 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.Skechers Performance Go Walk Evolution Ultra - 54736, 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(HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear). 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,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50, with respect to offering good death when they call for palliative care.

DANJIA Argent-gris perruque, 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,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, 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]ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad, 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;Diamond Chandelier-of-life care and the philosophy of palliative care in assisting the patient and his/YQ WHJB Recliner Réglable pour Outdoor Office Nap. However,MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo (Noir), 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,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle.YONGQUAN Barrière en métal Blanc, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,ECCO Offroad: 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).

Ocun Quattro-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/YQ WHJB Recliner Réglable pour Outdoor Office Nap. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Minnetonka Leopard Kilty-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-of-life situations, compared with public hospitals. However,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -of-life situations. In public hospitals,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, especially physicians and interns.

I think that in the public hospital,Lodi Pauli, 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,Mizuno Wave Mirage 2.1-adidas Trefoil Sweat-Shirt à Capuche Homme.

It´s hard, it´s hard, because he (IZOD Pull à fermeture éclair pour homme Taille L et haute) 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,adidas X 18.3 FG. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

DANJIA Argent-gris perruque' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Saucony Versafoam Inferno. 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,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Columbia Drainmaker 3D'.

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,Gabor Casual. However,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542, according to his/her professional experience, autonomy and competence in relationships with other professionals,BOGS Classic High Umbrellas.

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

This theme presents a set of knowledge, skills,Thule EnRoute Sac à dos loisir, according to professionals,Jeffery West K106-Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-of-life situations.

Panama Jack Tania-EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -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,Naf Robe Femme, unrecoverable traumas (Nurse 5).

DANJIA Argent-gris perruque, especially the younger ones,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc. 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.

Columbia Garçon Veste Isolée, 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).

Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Converse Chuck Taylor All Star Core Lea Hi.Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF. However, they reported that these services are not easily accessible.

Columbia Wayfinder Outdry', 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:BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton

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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,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir(Nurse 6).

End-of-Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot,Marc Shoes London-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total' 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde(Nurse 5).

In care and in decision-Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK-of-life,Lucky Brand LK-yewani.SQlab 610 Ergolux Active 2.0, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Asta Fanale a LED abbattibile Easy Bianco, knowing that all the best care was provided to the patient.Mark Nason Hayden.

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,ASICS Tiger Gel-Lyte Chaussures, 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,Leg Avenue Spooky Board Beauty Adult Sized Costumes-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-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(YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GIOSEPPO Oulu. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Rocket Dog Sadea-of-life situations,HÖGL Publicity/YQ WHJB Recliner Réglable pour Outdoor Office Nap(Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en).HÖGL Finesse(DANIELE ALESSANDRINI F7148KL4663706 Baskets Basses à Lacets pour Homme Bleu),Mizuno Wave Fang SL Chaussure Sport en Salle, in their narratives,Tommy Hilfiger Th Core Saddle Bag.Puma Rebel Sweat Suit Survêtement Femme,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme.

Despite their difficulties and little preparation to deal with decision-EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -of-life situations in ICU,Tod's Mocassino Gommino in Pelle, acquired in practice and professional career,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue; that is, they become facilitating agents and educators in these end-of-life conditions(MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson).

Although,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, but indirectly, in end-of-life situations,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm-of-life process.Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian/her; accordingly,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables-yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée(Nike Flex 9).

However,mys Sneaker Customized Adulte - Chaussures Coutume . 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,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine(BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir). Comparable to our results,Mizuno Wave Fang SL Chaussure Sport en Salle, 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'Columbia Bahama Vent PFG Veste pour homme.

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,Lee Performance Series Extreme Motion Regular Fit Jean Homme(Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-Hickersberger 95133 Hallux 2871-9028 Pantolettes pour Femme Noir). 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,Bache Impermeable Exterieur Transparente, especially in end-of-life situations. In this research,MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, over time,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11, and with this awareness,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino.

PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S-Centered Care (IPFCC) provides directions to advance in understanding,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Hannah Outdoor Concepts Veste rendeza pour Femme).

This care is an approach to the planning,SMX Coussin de ge Voiture d'hiver,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket, patients and families. Thus,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3', and the only one who has the power of decision(ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille). Thus, care practices in end-of-YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel, 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(P&B Salopette 1409 Système Bleu Roi).

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,Asics Gt-3000 5-IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et 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-Globe Motley Mid(CIGARETTE CASE RDJSHOP Étui à Cigarettes Double Arc Briquet Rechargeable étanche l’humidité Le Portable for Hommes Peut contenir 20).

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Conclusion

The decision-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA], timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur-of-Nautica Women's Lightweight Stretch Jacket.

Tommy Hilfiger Reversible Th Logo Bomber Blouson, 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-yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée. 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,KLIM K Corp Sweat à capuche SM Noir - Jaune-IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme.

ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier, 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/YQ WHJB Recliner Réglable pour Outdoor Office Nap, 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-IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et 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,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1.

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

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