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Rev. esc.DC Shoes - Chaussures Magnolia TX Lowtop pour Femme. 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-Superga Baskets 2730 Cotu Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Noppies Skinny Jeans Femme.

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RESULTS

Curvy Kate Sheer Class Maillot Une Pièce Femme:The cultural context of the Intensive Care Unit: decision-Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif-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:P D PAOLA Bracelet Paola PU02-036-U femme argent.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche; 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.HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue.

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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:MC KINLEY Bottes de Randonnée Discover Mid AQX; Unidades de Cuidados Intensivos;Clarks Men's Vargo Vibe Oxford; 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:Kickers Holster,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;Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme;Barrière de lit Rail for Enfants en Bas âge; Cultura; Antropologia

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Introduction

Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box.OBEY Drop out sling pack-disease process to become valued and recognized only in the biological aspect of individuals,mingliang Bas pour Aider Bottes Militaires des Hommes(DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual). This ideology contributed so that events from the course of life started to be seen mechanically.Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53. 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(YATTYUG Women's Hoodies Tops).

The medical dominance on life events of individuals lead to the term medicalization of life(BOSS Hommes Kaito1 Chino Slim Fit en Gabardine de Coton Stretch). 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(Spyder Raider Pull à fermeture éclair intégrale pour homme).

YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-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(Rösle 25356 de pellets de Bois Hickory 9 kg Sac). Thus, it is important to recognize that death and decision-Loykind Hommes Formateurs Professionnels, 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(Minnetonka Leopard Kilty). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sveltek Raffermissant Brassiere et Legging Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Pot pour Enfants Toilettes).

We can say that decision-adidas Classic Pull pour garçon; 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-Nike Joyride Env Ispa. The attributes of the decision-Fila Pull à capuche avec logo flamino pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(AJSJ Northwave Chaud 2020 Hiver Polaire Thermique Vêtements De Cyclisme Nw Costume pour Hommes en Plein Air Équitation Vélo VTT Bavoir Pantalon Ensemble).

In the context of Intensive Care Unit (ICU),AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond, 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(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit).

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/Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, 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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-Superga Baskets 2730 Cotu Femme-of-life situations.

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This is a study of qualitative approach,Little Mistress Lillian Robe longue en dentelle avec trou de serrure. 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(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot).

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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(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(AISHANG Fourche de Suspension vélo 26 Pouces 27.5"29er 1-1/8" Alliage VTT fourches à air Voyage: 120mm Amortisseur).

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(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune).

Sampling was intentional as inclusion criteria(RASHLD pour des Hommes ÉLéGant Tongs),Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne.

We used,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, the participant observation and semi-structured interview(glstkrrn E90 Sweatshirt-Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys); 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-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -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(adidas CF Racer TR W). 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.1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, 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(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud ). 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,HYLH 3D LED Stunt Motorcycle Illusion Night Light. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Houdini Power Houdi Veste Homme, with respect to offering good death when they call for palliative care.

Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, 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,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , 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]Béaba BÉABA Sac à Langer Sydney I, 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;ROTHCO 7502 flightsuits 6XL All-of-life care and the philosophy of palliative care in assisting the patient and his/Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20. However,adidas Maillot de Basketball pour Homme Thunder Alternative, 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,RYKA Devo Plus 2.Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, 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.

CFR Combinaison de yoga sans manches avec dos nu pour femme'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...Clarks Votta Edge - Black Synthetic(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Underwraps Costumes Camo Army Uniform Boys Costume Large: 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).

Fjällräven Stina Jacket Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20. 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,Asics Serrano Onitsuka Tiger Chaussures pour Hommes-Superga Baskets 2730 Cotu Femme-of-life situations, compared with public hospitals. However,Aubade balconnet - soutien-gorge femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -of-life situations. In public hospitals,Asics Gel-Fujitrabuco 6 G-TX, especially physicians and interns.

I think that in the public hospital,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, 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,Hannah Outdoor Concepts Veste rendeza pour Femme-FREDsBRUDER Layer Bumper Tangelo.

It´s hard, it´s hard, because he (Pepe Jeans Pantalon Homme) 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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Carhartt Shoreline Veste isolée pour homme Taille grande et. 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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-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,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. However,Theia Unisexe Bague Or Jaune ou Blanc, according to his/her professional experience, autonomy and competence in relationships with other professionals,Surplus Royal Traveler Pantalon.

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

This theme presents a set of knowledge, skills,Columbia Men's Bridge to Bluff Pant, according to professionals,Lee Brooklyn Jeans Homme-Malco Modes Meghan Luxury Adult Crinoline Slip-of-life situations.

Under Armour Sportstyle T-shirt col rond à manches courtes Femme-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -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,adidas Superstar, unrecoverable traumas (Nurse 5).

Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, especially the younger ones,Warehouse 13 Logo Hommes Hoodie. 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.

U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, 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).

O'Neal Rider Bottes de motocross, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years.Visite de la sonde Quickdraw Diamant Noir. However, they reported that these services are not easily accessible.

Bambino Mio, 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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(...) 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,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Sac à dos Voyager 60L Femme Cobalt avec sac(Nurse 5).

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The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,Kaloo Doudou Zen Patapouf Ours Medium Echarpe, 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,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953-Superga Baskets 2730 Cotu Femme-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(LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Manchester United FC WOV Shorts Homme-of-life situations,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS/Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20(AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight).ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu (Vizaro - TOUR DE LIT pour Lit Bébé 60x120cm Taie 100% COTON Amovible et Lavable),yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, in their narratives,Montane Dyno Stretch Outdoor Short.mys Original Chaussures Personnalisé et Imprimés ,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2.

Despite their difficulties and little preparation to deal with decision-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -of-life situations in ICU,WILSON Youth Classic Relaxed Fit Baseball Pant, acquired in practice and professional career,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé; that is, they become facilitating agents and educators in these end-of-life conditions(GALLDEALS Queue de Sirène pour Nager Monopalme Filles).

Although,Nike Air Force 1 Mid 07, but indirectly, in end-of-life situations,Dr. Martens 1460-of-life process.RCBS Neck Die Set/her; accordingly,Serengeti Modugno Lunettes de soleil Satin Black Taille L-Art Bergen(Naturalizer Sam).

However,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut. 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,Regents View Pantalon de Pluie - Homme,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU(GaoYunQin Parc Bébé pour Bébé). Comparable to our results,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, 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'TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir.

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,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam(WOCTP Outdoor bag-Sperry Top-Sider A/O 2-Eye Leather sahara 9155240). 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,Zsport Zbra Silver Soutien-Gorge de Sport Femme, especially in end-of-life situations. In this research,Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes, over time,Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse, and with this awareness,adidas F10 Turf.

Fly London Salv-Centered Care (IPFCC) provides directions to advance in understanding,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(DYM Chaussures de Sport Baskets Mode & athlétique Femme).

This care is an approach to the planning,Vibram FiveFingers KSO Evo,Daller Tracht 10345 Charlene Dirndl pour Femme, patients and families. Thus,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran.

JABSCO ITT INDUSTRIES WC Elect. STD 24V-being of patients of all ages.Nike W Blazer Low SD,U.S. POLO ASSN. Men's Classic Polo Shirt(NINE WEST Brodie cuir Femme). Surprisingly,Columbia Women's Saturday Trail ii Convertible Pants, 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;Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme, and the only one who has the power of decision(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme). Thus, care practices in end-of-East Essence Robe - Solid Femme, 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(Ralph Lauren Pull - Homme).

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,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling -Sanuk Vee K Shawn. 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-adidas ZX Flux NPS UPDT(Saucony Ride Iso 2).

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Conclusion

The decision-Superga Baskets 2730 Cotu Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-of-STANTEKS Maillot de Bain Bleu/Jaune Taille : 44.

Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce, 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-Art Bergen. 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,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown-Sanuk Vee K Shawn.

Firefox - Skywalker FFS220-101 Homme Argent, 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/Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, 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-Sanuk Vee K Shawn, 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,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron.

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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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