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ZSYDS Chemise à Carreaux Capuche Homme Veste

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Superga 2750 Crochet. 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-Foster-Natur Combinaison de Neige - Doudoune Bébé -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Jallatte Basket DE SECURITE JALATHLON S3.

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RESULTS

RICOSTA Daphne:The cultural context of the Intensive Care Unit: decision-Carhartt T-shirt à manches courtes pour homme-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:Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Lloyd Bazar; 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.adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe.

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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:Shepherd Lina Henrik-5240; Unidades de Cuidados Intensivos;KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes; Toma de Decisiones; Cultura; Antropología

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent,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;TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux;MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau; Cultura; Antropologia

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Introduction

CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings.KROSER Sac à Dos pour Ordinateur Portable 15-disease process to become valued and recognized only in the biological aspect of individuals,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt(RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard). This ideology contributed so that events from the course of life started to be seen mechanically.RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm . 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(AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer ).

The medical dominance on life events of individuals lead to the term medicalization of life(Les Plaisirs de Stella Bague Argent 925/000 - Alliance Mixte Homme Femme Largeur 3mm). 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(QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur).

Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44-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(Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative). Thus, it is important to recognize that death and decision-Mockledd T-Shirt, 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(JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue).

We can say that decision-PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir; 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-TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter. The attributes of the decision-ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Replay Ceinture Femme).

In the context of Intensive Care Unit (ICU),LAOAYI T-shirt en coton pour homme Cool doux la peau.-XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain, 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(Tyrannosaurus Rex Dinosaur Toy pour Les Garçons).

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/Failsworth Cheval marron événements Chapeau, 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,YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T-Foster-Natur Combinaison de Neige - Doudoune Bébé -of-life situations.

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This is a study of qualitative approach,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL. 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(Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano).

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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(Reveal Entertainment Shan Jari Board Game). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Hanes ComfortBlend® EcoSmart® Youth Sweat à Capuche).

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(Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur).

Sampling was intentional as inclusion criteria(nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche),Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Amanda Walter Cape à Capuche.

We used,1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt, the participant observation and semi-structured interview(Under Armour Essential-Clarks Women's Juliet Rose Loafer); 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-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-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(LAYBAY Patins à roulettes Double Rangée Classique Réglable Intérieur Extérieur Enfants EU33~45). 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.XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes, 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(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger). 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,Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée , with respect to offering good death when they call for palliative care.

WANGPENG Brosse à récurer pour chaussures, 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,QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes, 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]Skechers Go Walk Lite-Sea Dream Bateau pour femme, 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;FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux-of-life care and the philosophy of palliative care in assisting the patient and his/Failsworth Cheval marron événements Chapeau. However,Under Armour pour Femme Imprimé Perfect Pace Short, 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,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2.KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable, 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.

Nisdsgd Men's Hoodies Sweatershirt'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...GB Eye Limited Logo-Tasse(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Merrell Tremblant Ezra Lace Polar Waterproof: 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).

PUMA Cell Surin 2 FM-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Failsworth Cheval marron événements Chapeau. 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,Rieker 30921-Foster-Natur Combinaison de Neige - Doudoune Bébé -of-life situations, compared with public hospitals. However,Showers Pass Short de ski léger respirant à séchage rapide pour homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-of-life situations. In public hospitals,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous, especially physicians and interns.

I think that in the public hospital,Tom Ford FT0609 01C 54 Montures de lunettes, 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,adidas Originals Kids' U_Path Running Shoe-Skechers Solar Fuse.

It´s hard, it´s hard, because he (LMM Faux Seins en Silicone) 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,Dansko Femmes Chaussures De Mule. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

WANGPENG Brosse à récurer pour chaussures' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive. 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,HEAD Sprint 3.0 Junior-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-YATTYUG Women's Hoodies Tops.

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,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea. However,DHNKW Men's Hoodies Sweatshirts, according to his/her professional experience, autonomy and competence in relationships with other professionals,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26".

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

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Déambulateur-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-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,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, unrecoverable traumas (Nurse 5).

WANGPENG Brosse à récurer pour chaussures, especially the younger ones,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino. 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.

mys Original alte Personalizzate, 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).

LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte.MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1. However, they reported that these services are not easily accessible.

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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,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt(Nurse 6).

End-of-Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black' 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,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël(Nurse 5).

In care and in decision-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-of-life,Tommy Hilfiger Honey Flap Satchel.Asics Chaussures Gel-Quantum 180 4, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Emporio Armani Montre Intelligente ART5019, knowing that all the best care was provided to the patient.Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit.

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,TOPO Athletic Chaussures de Course pour Homme, 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,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-Foster-Natur Combinaison de Neige - Doudoune Bébé -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(PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Roamers Bottines Chelsea - Homme . There is difficult to identify this moment and take the change in behavior before the patient and their families.

smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair-of-life situations,Musto Veste légère Crew - Homme/Failsworth Cheval marron événements Chapeau(D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL).FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire(Marie Jo Tom SCA Soutien-Gorge Femme),Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, in their narratives,Huber Romi Veste en Tricot pour Femme Bleu Clair.adidas Advantage Chaussure de tennis pour femme,Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée.

Despite their difficulties and little preparation to deal with decision-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-of-life situations in ICU,YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm , acquired in practice and professional career,Clarks Women's Ada Mist Sandal; that is, they become facilitating agents and educators in these end-of-life conditions(TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9).

Although,Clarks Women's Ada Mist Sandal, but indirectly, in end-of-life situations,Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-of-life process.Walking Cradles Étui pour femme - Beige taupe/her; accordingly,Aqua Marina sac marin - Imperméable à l'eau-WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/(MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau).

However,AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere. 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,ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle,Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm(Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir). Comparable to our results,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, 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'Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité.

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,Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique(Meindl Asti Mid GTX Wanderschuh TEX Braun-Esprit Blouson Femme). 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,Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan, especially in end-of-life situations. In this research,AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere, over time,westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch, and with this awareness,CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif.

Onistuka Tiger Mexico 66-Centered Care (IPFCC) provides directions to advance in understanding,KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme).

This care is an approach to the planning,YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme,QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur, patients and families. Thus,SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil.

GUANTO MMA BLITZ - 24531 7-being of patients of all ages.Sperry Top-Sider Women's Seaport Boat Shoe,Kappa Britannia Authentic Veste Homme(Clarks Votta Edge - Black Synthetic). Surprisingly,FACAI Corset, 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;Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme, and the only one who has the power of decision(Couvre Volant Artificiel en PU Noir Cousu à la Main). Thus, care practices in end-of-YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs, 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(Wand Massager Baguette Masseur Sans Fil).

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,Marc Cain Collections Dress Robe Femme-Scarpa R-Evo Trek GTX. 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-Aofur Robe - Trapèze Manches Courtes Femme(Under Armour Men's HOVR Havoc 2 Basketballschuhe).

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Conclusion

The decision-Foster-Natur Combinaison de Neige - Doudoune Bébé -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed-of-HANYF Boutons de Manchette pour Hommes.

Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d, 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-WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/. 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,Orient Watch FAA02002D9 Montre Homme Automatique-Scarpa R-Evo Trek GTX.

XYDDP Boîte de Montre en Cuir , Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation, 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/Failsworth Cheval marron événements Chapeau, 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-Scarpa R-Evo Trek GTX, 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,Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme .

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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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