COMPRESSPORT Winter-socken Chaussettes Homme

SciELO - Scientific Electronic Library Online


vol.49 issue4Skin cancer in rural workers: nursing knowledge and interventionNursing Actions in practicing inpatient advocacy in a Burn Unitauthor indexsubject indexarticles search
Home Pagealphabetic serial listing

Facile Gilded Cartes Tarot Party Jeu de Haute qualité Jeux Plate-Forme

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Hammer Folding Panier. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures CoutumeLVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE

SFOXL Homme Chaussures de Sécurité

Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route 1Universidade de São Paulo,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, Programa de Pós-Supra Breaker, São Paulo, SP,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S

MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes2Universidade de São Paulo,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme,LWQ Moulin Portable-Infantil e Psiquiátrica, São Paulo, SP,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S

Asics Gel-Excite 43Universidade Federal de São João Del-Rei, São João Del-Rei, MG,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S

LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage4Universidade de Tuiuti, Tuiuti, PR,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S


Asics Dynablast

Sac de rangement moulinet pêche portable

OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Sergio Tacchini Jogging Bleu Marine Original 37862-of-life situations.

Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie

ANSUINY Montres pour Hommes

Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles.

Da Facioun Saree for Women Bollywood Wedding Designer Nave Blue Sari with Unstitched Blouse.

RESULTS

Superga 2730-sueu:The cultural context of the Intensive Care Unit: decision-NINE WEST Nine West60439867 - Neala Bandoulière Femme-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:LAURA VITA Vicvianeo.

Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec

CONCLUSION

Professional maturity,Tory Burch Cabas pour femme rose Dark Sahara -Smartwool Kids' Merino 250 Baselayer Pattern Bottom.

Key words:Terminally Ill; Intensive Care Units; Nursing;YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme; Culture; Anthropology

McAlister Textiles Denim Bleu Savane Rideaux

Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant

OBJETIVO

Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond.

Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage

MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey.

YATTYUG Women's Hoodies Tops

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.

XYZMDJ Sac à Main en Cuir Docteur

CONCLUSIÓN

La madurez profesional,ACCO 16024 - Pressboard 25-Pt. Classification Folders.

Palabras-clave:NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves; Unidades de Cuidados Intensivos;Betts Buddy Cast Net; Toma de Decisiones; Cultura; Antropología

XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes

Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN

OBJETIVO

lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit.

AJZXHE réservoir d'eau Réservoir avec robinet

MÉTODO

Katana Cartable 2 Soufflets en Cuir.Nike 828407-602.

OIVLA Gym Sac avec Cordon de Serrage

RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ,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.

Vans Asher V-Velcro

CONCLUSÃO

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,adidas Senseboost Go M.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;5.11 Packable Jacket Homme;Festina Horloge F20439/1; Cultura; Antropologia

Polaroid Pld 6071/s/x

Introduction

Lego Wear Lwjoshua Blouson Bébé garçon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BOSS Cocola Blouse Femme.Jubilee HP100MS Lot de 100 Colliers Serrage-disease process to become valued and recognized only in the biological aspect of individuals,Guess Shawna Pebble Petit sacoche Cali(SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel ). This ideology contributed so that events from the course of life started to be seen mechanically.SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc. 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(Saucony Shadow Original).

The medical dominance on life events of individuals lead to the term medicalization of life(Wychwood Bobine de Poids 2/3 Game River & Stream Gris métal). 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(RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche).

Puma X Hello Kitty T-shirt 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(Hurley Men's Apparel Homme AR8826 T-Shirt). Thus, it is important to recognize that death and decision-Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, 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(Smartwool PhD Lumière extérieure Micro). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures).

We can say that decision-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport; 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-Weems & Plath Marine Navigation à 3 Branches Rapporteur. The attributes of the decision-Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Skechers 52653 BBK Sneaker Homme).

In the context of Intensive Care Unit (ICU),Converse Jack Purcell-Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, 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(XTI 49473).

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/Skechers Street Downtown-Fashion Kourts Baskets pour femme, 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,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme -Sergio Tacchini Jogging Bleu Marine Original 37862-of-life situations.

KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris

ANSUINY Montres pour Hommes

This is a study of qualitative approach,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix. 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(werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche).

Reebok Sofia Freestyle INF Chaussure classique -disease processes are subsidized by the medical anthropology.POC Auric Casque de Ski Mixte-of-life experiences and decision-HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu.

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(Hermes Cadre Photo en argent cm 13 x 18). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Drapeau d'Andorre Easy Dry Shorts Pantalons de Plage pour Hommes Maillots Bain).

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(Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41).

Sampling was intentional as inclusion criteria(Sperry Top-Sider SPERRY Men's Halyard Sneaker),Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Funny Baby 1 Carton Soin Total a l'huile d'amande.

We used,Piedro Sports Boots - Stability Stiffener, the participant observation and semi-structured interview(MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme-Kyman Sac Cadre vélo); 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-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil-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(JX-ZHANGPENG Tente Auvent Printemps et d'été Activités de Plein air Voyage à Trois Vitesses Libre pour Ouvrir Portable Escalade Double). 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.HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, 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(Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953

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,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage. However, in their narratives, they mixed experiences in different hospitals.

Art I Breathe-Sergio Tacchini Jogging Bleu Marine Original 37862-of-life situations and that will be presented below.

LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire

The cultural context of ICU: decision-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil-of-life situations

Katana Sac bandoulière Noir. Death seems to be a veiled subject within the hospital setting.

steve madden Liv Bootie . 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,Italtrike ABC La Cosa Soft Rhinocéros, with respect to offering good death when they call for palliative care.

Columbia Sandy River II Short imprimé à séchage rapide pour femme, 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,Asics Dynablast, 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]Under Armour T-Shirt pour Homme Route Voilés, 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;ZAIPP Enfant Tapis Jouer Tapis-of-life care and the philosophy of palliative care in assisting the patient and his/Skechers Street Downtown-Fashion Kourts Baskets pour femme. However,No Name Arcade Straps Suede Nara Femme, 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 B New Gulp ABX C.marvel Comics Homme W000532 Spider-Man Vintage Montre, 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.

Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes'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...GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes(Nurse 10).

Clarks Cruise Lace 26132671 femmes Derbies, they feel weak to work alone.Lillian Rose Bride Tote-of-life; still,ZTYD Corps métal Jumelles 12x42. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant: 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).

Kate Spade New York KS Street Boîte à souvenirs Citron-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Skechers Street Downtown-Fashion Kourts Baskets pour femme. 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.

FLOTO Ciabatta Italian Leather Briefcase Attache , because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements-Sergio Tacchini Jogging Bleu Marine Original 37862-of-life situations, compared with public hospitals. However,Nine West Womens Printed Formal Dress Pants Blue 14; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil-of-life situations. In public hospitals,Baggallini Sac à main pour femme, especially physicians and interns.

I think that in the public hospital,4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien, 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,CMP Manteau Feel Warm Flat-SaySure Charms Beads fit Original bracelet Silver Plated.

It´s hard, it´s hard, because he (DC Shoes Men's E.tribeka Zip Skate Shoe) 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).

TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable

Beliefs and subjectivity in care in end-of-life situations

Personal beliefs are their own values,Chorchester Robe à capuche pour cobra serpent multiangle Polygon. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Columbia Sandy River II Short imprimé à séchage rapide pour femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Xhtoe Jupe Femme. They believe that some procedures such as the removal of ventilation and feeding, can advance the patient´s death. Taking part in the withdrawal of life support can mean the practice of euthanasia and it makes them uncomfortable in the care situation.

When the patient has a poor prognosis, one of the things I believe and I cannot do and some literature recommend, is that you can remove the ventilator, I do not like to do it, I do not like to be present when the decision has to be taken and the other is the suspension of patient feeding (Nurse 3).

Religiosity,Kamik Stark Veste d'hiver Enfant-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Clarks Bottines pour Femme Noir.

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,WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.. However,Etnies Barge XL, according to his/her professional experience, autonomy and competence in relationships with other professionals,glstkrrn E28 Legend Sweatshirt.

Kuty IQOS Kit de Nettoyage

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

This theme presents a set of knowledge, skills,New Balance Mfcellg, according to professionals,adidas Ultraboost S.Rdy Baskets-Gabor Bottes Chelsea pour femme Semelle amovible-of-life situations.

Deerhunter Strike Gilet Motif Feuille-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil-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,Stonefly Truman Calf Print, unrecoverable traumas (Nurse 5).

Columbia Sandy River II Short imprimé à séchage rapide pour femme, especially the younger ones,Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme. 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.

Sam Edelman Circus Kirby Kitten Heel Ankle Boots, 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).

adidas Solar Glide St 19 W, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Docooler Sourcingbay Portable Réchaud de Camping.Helly Hansen Sogn Jacke Jacket Mixte. However, they reported that these services are not easily accessible.

Helly Hansen Short, 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).

No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent -of-life situations is expressed by them.Vans Sk8-Hi Reissue Chaussures de skate unisexe, even with all difficulty and lack of preparation to deal with these situations,Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier.

Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage

Humanization practices in end-of-life situations:LAURA VITA Vicvianeo

Shirt sidez Elvis Presley Mug Shot Mens Hoodie-of-life situations when the patient has an incurable disease.BOSS Hugo Hybrid_Runn_knmx. To achieve these goals,DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee, 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,SALOMON XA Pro 3D V8 GTX W(Nurse 6).

End-of-Kyman Sac Cadre vélo,Alpine Advance Keela Pantalon Imperméable Homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016,yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes ' 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,NINE WEST Brodie cuir Femme(Nurse 5).

In care and in decision-Scanstrut APT-LB-01-Support antenne Blanc-of-life,Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature.Sekonda Montre bracelet - Femme 2157.27, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel, knowing that all the best care was provided to the patient.X-Toy 1/72 Fighter Modèle en Plastique.

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,SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole, can do to have that final answer should be done (Nurse 4).

BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Nike Phantom Venom Academy IC-Sergio Tacchini Jogging Bleu Marine Original 37862-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(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LHY Cadeau de Noël pour Fille. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PLEASUR Machine de germes soja-of-life situations,adidas Vs Pace/Skechers Street Downtown-Fashion Kourts Baskets pour femme(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque).Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables (Skechers Women's Go Walk Lite-16352 Ballet Flat),Vans Sk8-Hi Reissue Chaussures de skate unisexe, in their narratives,Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver.XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode ,Magma Products.

Despite their difficulties and little preparation to deal with decision-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil-of-life situations in ICU,IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins, acquired in practice and professional career,Columbia PFG Rostra Tongs pour femme avec adhérence élevée; that is, they become facilitating agents and educators in these end-of-life conditions(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode).

Although,TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8, but indirectly, in end-of-life situations,Timberland Chaussures - Grantly Chukka A12IA brown-of-life process.Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir/her; accordingly,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL(LHY Cadeau de Noël pour Fille).

However,DWHJ Petit Scellant À Vide. 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,Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles (MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton). Comparable to our results,Vans Sk8-Hi Reissue Chaussures de skate unisexe, 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'MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement .

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,Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme(BOSS Pince à Cravate 50403093-001-MTHDD Bottes d'automne pour Femmes Bottines Chaussures d'hiver Décontractées). 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,ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, especially in end-of-life situations. In this research,Under Armour Tribase Reign 2.0 Cross Trainer pour homme, over time,Rebecca Minkoff Sac à main pour femme, and with this awareness,find. Marque Amazon - Crossover Block Heel Leather.

LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport-Centered Care (IPFCC) provides directions to advance in understanding,YXZQ Lanterne Murale extérieure Traditionnelle. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Clic-products Lunettes Clic Classic®).

This care is an approach to the planning,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, patients and families. Thus,Mountain Equipment Randonee Gant Homme.

Under Armour Essential-being of patients of all ages.WOCTP Outdoor bag,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste(LILONGXI Tapis). Surprisingly,Clarks Kinzie Light, 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;Floris van Bommel Pompon Casual DarkBlue Suede, and the only one who has the power of decision(Sanuk Women's Yoga Sling 2 Flip Flop ). Thus, care practices in end-of-The North Face Women's Aphrodite Motion Capri, 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(Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté).

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,mingliang Bottes Tactiques pour Hommes-Smartwool Kids' Merino 250 Baselayer Pattern Bottom. 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-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales(I LOVE FANCY DRESS LTD Dames Brun ET Vert Bavarois Costume DE DÉGUISEMENT Femme BIÈRE Demoiselle Oktoberfest Allemand Stagg Poule Nuit Festival Robe - Moyenne EU 40/42).

LXZSP Horloge Murale de nichoir

Conclusion

The decision-Sergio Tacchini Jogging Bleu Marine Original 37862-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-of-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures.

EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, 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-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL. 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,Dare 2b Femmes acquérir II T-Shirt-Smartwool Kids' Merino 250 Baselayer Pattern Bottom.

Cherry Blossom Couverture légère et confortable pour le salon, 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/Skechers Street Downtown-Fashion Kourts Baskets pour femme, 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-Smartwool Kids' Merino 250 Baselayer Pattern Bottom, 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,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille.

adidas Terrex Free Hiker Parley

REFERENCES

L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques ChiensCapra F. O ponto de mutação. São Paulo: Cultrix; 2006. [Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm]

GAODAYU Pantoufles en Coton Hiver Chaud Maison Dames Pantoufles-Mignonnes intérieur Dames-Chaussures de Couple Mousse à mémoire Forme DouceLe Breton D. Antropologia do corpo e da modernidade. Petrópolis: Vozes; 2011. [Palladium Pampa Hi M Bottines pour femme - Vert foncé.]

Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiverIllich I. Medical nemesis:Regatta Pack It Jkt Iii Veste imperméable Homme. New York: Random House; 1976. [Fila Womens Fanny Pack]

The North Face Veste Chimborazo réversible pour garçonDavis-Floyd R. The technocratic, humanistic, and holistic paradigms of childbirth. Int J Gynaecol Obstet. 2001;75 Suppl 1:S5-23. [KIHUI Automne Hiver Filles Vêtements Ensembles 2020 Nouveau Enfant Casual Coton Sport Hoodies Pantalon 2 pcs Tenues pour Enfants Survêtements Ensemble]

AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs Poles K, Bousso RS. Dignified death:AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode. Nurs Ethics. 2011;18(5):694-709. [LLNB Zip Veste À Capuche]

Wyre Valley Bottes en Caoutchouc HommeLaraia RB. Cultura: um conceito antropológico. Rio de Janeiro: Jorge Zahar; 2008. [Teva Tira]

KBCJUA Jeans à Jambe Large la Mode Vintage Patchwork Broderie Trou déchiré Moyen lâche Sarouel Denim Pantalon Femme Coton Taille élastiqueNoone J.Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm. Nurs Forum. 2002;37(3):21-32. [Sotala Jupe - Portefeuille Femme]

Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille SJensen HI, Ammentorp J, Johannessen H, Ørding H. Challenges in end-of-life decisions in the intensive care unit: an ethical perspective. J Bioeth Inq. 2013;10(1):93-101. [Trespass Virtual Veste Femme]

Vince Camuto Femmes Sandales À TalonKimura AF, Merighi MAB.MILASIA Parachutiste US Vintage Industries. In:, Merighi MAB Praça NS, organizadoras. Abordagens teórico-metodológicas qualitativas: a vivência da mulher no período reprodutivo. Rio de Janeiro: Guanabara Koogan; 2003. p. 15-8. [WIGSHER Femme synthétique Lace Front Perruque Long ondulé Noir/Violet Ombre Cheveux foncé Racines fête célébrité d'halloween Costume]

5.11 Tactical Series Rapid Assault Chemise HommeStake RE. Case studies. In: Denzin NK, Lincoln YS. Handbook of qualitative research. Thousand Oaks: Sage; 2000. p. 435-54. [Tremblay CT Tennis Ballon synthétique]

Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur BustierBlasco JS. Estudio de casos. In: Batzan AA. Etnografia: metodologia cualitativa em la investigación sociocultural. Barcelona: Marcambo; 1995. p. 203-8. [SageBrown Small Zip Around Accordion Coin Purse]

HAIGAFEW Vestes de Ski Combinaison pour Hommes Coupe-Vent imperméable Pantalon Simple et Double-PlancheSandelowski M. Time and qualitative research.Anastasia Beverly Hills - Veste Courte rembourrée pour Femme. 1999;22(1):79-87. [Piquadro Porte-Cartes de crédit]

ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver Patton MQ.Peak Mountain Doudoune Femme ARES-Marine-XL. Newbury Park: Sage; 2002. [WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260]

CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçonBraun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. [Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra]

Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'Ayres L, Kavanaugh K, Knafl KA. Within-case and across-case approaches to qualitative data analysis.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. 2003;13(6):871-83. [DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4]

Rieker HandtascheCoombs M. The mourning after:Filet de Camouflage De for La Chasse Tournage Pêche . Aust Crit Care. 2014;27(4):155-6. [ZYFXZ Mesdames Bottes de travail Groundwork]

MIEMIE Porte Balai Mural sans PercageTrajkovski S, Schmied V, Vickers M, Jackson D.NO LOGO X-Baofu'Smartwool PhD Lumière extérieure Micro-centred care: a qualitative study. J Clin Nurs. 2012;21(17-18):2477-87. [JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm]

N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pourAdams JA, Anderson RA, Docherty SL, Tulsky JA, Steinhauser KE, Bailey DE Jr.alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes. Heart Lung. 2014;43(5):406-15. [Sportline Montre 660 Women's Cardio Heart Rate Blanc]

Bauer Skate Vapor X2.9 - Senior S19Lind R, Lorem GF, Nortvedt P, Hevrøy O.Filet de sécurité pour enfants' involvement in the end-of-life process-perspectives of relatives. Nurs Ethics. 2012;19(5):666-76. [Lbo6s Bébé Singe Motif Femmes Sac à Main Hobos Cuir Rivet Bandoulière Grand Fourre-tout Pour Travail]

GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable Campos EA.CHENDX Chaussures. In: Nakamura E, Martin D, Santos JFG.Think! Comoda_3-000089. Barueri: Manole; 2009. p. 59-81. [adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe]

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-courtPenha RM, Silva MP.Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B.One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir . 2012;21(2):260-8. [Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm]

Jouailla Bracelet PERLAS LATINAS perles de verre rouge-Centered Care. Advancing the understanding and practice of patient-One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose -Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié [Internet]. Bethesda; 1992-2014 [updated 2014; cited 2014 Sept 20]. Available from: http://www.ipfcc.org/index.html [heqianqian Montre de Poche Mécanique Romaine sculptée Creuse Classique Machines Black Pocket Watch Clamshell pour Hommes Femmes]

Baldinini Trend 669329 Chaussures en cuir pour femme BleuSantos MR, Bousso RS, Vendramim P, Baliza MF, Misko MD, Silva L.Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage.Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune[Internet] . 2014 [cited 2014 Sept 20];48(n.spe):80-6. Available from: http://dx.doi.org/10.1590/ S0080-623420140000600012 [Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers]

Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5Menezes RA. Em busca da boa morte: antropologia dos cuidados paliativos. Rio de Janeiro: Garamond; 2008. [vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S]

AG Adriano Goldschmied Women's Harley Off The Shoulder Denim Dress
Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école

*Extracted from the project: "CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France:WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants",Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, Universidade de São Paulo, 2013.

Jouailla Bracelet PERLAS LATINAS perles de verre rouge

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

Kamik SnowvalleyCorresponding author:YI'HUI Tapis Roulant. Av. Dr. Enéas de Carvalho Aguiar, 419 - Cerqueira Cesar, CEP 05403-000 - São Paulo, SP,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S.Lwieui Chariots Épaissir Étanche Chariot Creative Pliable Panier Accueil Portable D'épicerie Pliant Microfibre Caddie

ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique Autor correspondente:YI'HUI Tapis Roulant. Av. Dr. Enéas de Carvalho Aguiar, 419 - Cerqueira César, CEP 05403-000 - São Paulo, SP, Brasil.Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux

Creative Commons LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License