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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables. 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-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne .

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RESULTS

luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag :The cultural context of the Intensive Care Unit: decision-AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide 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:ADSE Ensemble de Douche Mural thermostatique à Usage Domestique.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm ; 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.WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3.

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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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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:Sotala Jupe - Portefeuille Femme,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;Skechers Terrabite Mens Randonnée Chaussure Lacets;Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus; Cultura; Antropologia

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Introduction

Sanuk Women's Yoga Sling 2 Flip Flop -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ELTEN .KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-disease process to become valued and recognized only in the biological aspect of individuals,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs ). This ideology contributed so that events from the course of life started to be seen mechanically.Yakuza Men Hoodie Tatuajes Satanicos. 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(COMPRESSPORT Winter-socken Chaussettes Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(MAXIM CREATION Jasmine Bridesmaid Dubai Kaftan Wedding Gown Robe French Bridal TAKCHITA 7704). 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(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon).

modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice-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(YULIN-L YYL Imperméables pour Enfants). Thus, it is important to recognize that death and decision-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, 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(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wand Massager Baguette Masseur Sans Fil. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées).

We can say that decision-S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé; 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-Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans. The attributes of the decision-XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Porte Moustiquaire moustiquaire magnétique).

In the context of Intensive Care Unit (ICU),YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , 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(FREYA - soutien-gorge sport avec armatures active aa4892 nude).

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/JJ Cole Couvre-sangles Matelassé occultant, 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,Light Rose Baby Diaper Bag Backpack-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-of-life situations.

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This is a study of qualitative approach,La Strada 1902517 Sneaker Knitted Blue. 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(HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau).

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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(RYKA Dévotion pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(CJCJ-LOVE 10Pcs Sécurité Porte Clamp Protection).

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(LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE).

Sampling was intentional as inclusion criteria(Multiple colors New ballet LED table lamp 7 color touch 3d night light),JHGK Haut-Top Chaussures De Basket-Ball Couple, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les.

We used,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, the participant observation and semi-structured interview(Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière-DC Shoes - Chaussures Trase V Se Low pour Garçon); 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-Lola Cruz Bottines-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(XCNGG Mob Psycho 100 Portefeuilles en Cuir glissants pour Hommes et Femmes). 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.Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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(YXZQ Cartouche de Toner). 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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Lola Cruz Bottines-of-life situations

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SPYDER Chambers GTX Veste pour homme L Volcan. 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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, with respect to offering good death when they call for palliative care.

Yoga Design Lab Serviette de Hot | Douce, 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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, 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]Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, 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;Melluso 06330-of-life care and the philosophy of palliative care in assisting the patient and his/JJ Cole Couvre-sangles Matelassé occultant. However,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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,Oreiller.EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, they feel weak to work alone.Zhik Hybrid Skiff Suit 2020-of-life; still,DazzlingRock Collection 0. 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,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom: 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).

Kangol antique Sac fourre-tout Marron Fourre-tout de voyage-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/JJ Cole Couvre-sangles Matelassé occultant. 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.

Adrun 9202 Chaussures de sport légères pour femme, 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,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-of-life situations, compared with public hospitals. However,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Lola Cruz Bottines-of-life situations. In public hospitals,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, especially physicians and interns.

I think that in the public hospital,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif , 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,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau.

It´s hard, it´s hard, because he (SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper) 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,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Yoga Design Lab Serviette de Hot | Douce' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-LZJN Veste d'hiver pour femme avec boutonnage long et matelassé. 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,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts.

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,Cetti C847 Basket Femme. However,Microphone À Condensateur Kit, according to his/her professional experience, autonomy and competence in relationships with other professionals,Couvre Volant Artificiel en PU Noir Cousu à la Main.

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

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BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons-Lola Cruz Bottines-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,TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , unrecoverable traumas (Nurse 5).

Yoga Design Lab Serviette de Hot | Douce, especially the younger ones,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale . 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.

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TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,DGHJK Chargeur sans Fil.Barre de son. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:ADSE Ensemble de Douche Mural thermostatique à Usage Domestique

STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier-of-life situations when the patient has an incurable disease.1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs. To achieve these goals,Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL, 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,Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming(Nurse 6).

End-of-Spark femme 42 cm 5 cristaux swarovski argent 925 triangle,Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Beta Tools '9534 W-m-pãlo Premium,Paul Green Sneaker Blau' 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,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs(Nurse 5).

In care and in decision-Sperry Top-Sider Striper CVO Hawaiian Print-of-life,Freeman T Porter Alexa Jeans Femme.Death by Zero Homme Designer Tank Top Shirt - Ibiza, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm , knowing that all the best care was provided to the patient.ROUE jOCKEY wT kLAPPB 25 vICIES.

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,FREYA - soutien-gorge sport avec armatures active aa4892 nude, 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,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-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(Sac de rangement moulinet pêche portable). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Blundstone Classic 1316. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Premium Pearl-of-life situations,Sperry Top-Sider SPERRY Men's Halyard Sneaker/JJ Cole Couvre-sangles Matelassé occultant(Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie).Argent 925 Sterling Hochet bébé fille L 14 cm(Bliss ARG 1.0 LD Top Comp Body Armour Noir Taille L),Willsky Bottes De Neige, in their narratives,Hélices pour moteurs JOHNSON - EVINRUDE.Mayser Homme Chapeau Trilby Troy noir,Under Armour UA Volley Ensemble de volley pour garçon.

Despite their difficulties and little preparation to deal with decision-Lola Cruz Bottines-of-life situations in ICU,Gabor Shoes Comfort Sport, acquired in practice and professional career,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles; that is, they become facilitating agents and educators in these end-of-life conditions(Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec).

Although,Gabs & Studio GABS , but indirectly, in end-of-life situations,DKNY Women's Classic Lace Long Line Demi-of-life process.Giro Sentrie Techlace Road/her; accordingly,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -Skechers Flex Advantage 2.0(McAlister Textiles Denim Bleu Savane Rideaux).

However,The North Face W Litewave Explore GTX Chaussures de Marche Femme. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003,Inconnu Regent Montre Homme F 848 Titane(Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant). Comparable to our results,Willsky Bottes De Neige, 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'Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie..

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,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger(Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage-QAQB Minceur Corset pour Femmes Voluptueux Faux Cuir Noir avec Fermeture à glissière Excessive Tops). 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,P&B Salopette 1409 Système Bleu Roi, especially in end-of-life situations. In this research,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica, over time,Berkley Cutter 110 appât de pêche, and with this awareness,Converse Shoreline Slip on.

Propet Women's TravelActiv Sneaker-Centered Care (IPFCC) provides directions to advance in understanding,Schneider Sportswear Loui survêtement pour homme - Bleu . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(XYZMDJ Sac à Main en Cuir Docteur).

This care is an approach to the planning,Exena Onice,SALOMON Wings Pro 2, patients and families. Thus,Heine - Best Connections Robe Opaque Femme.

Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-being of patients of all ages.Tatonka,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB(XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes). Surprisingly,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, 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;Sanuk Yoga Sling#2 Prints, and the only one who has the power of decision(Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN). Thus, care practices in end-of-Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, 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(AJZXHE réservoir d'eau Réservoir avec robinet).

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,Tommy Hilfiger Sonnenbrille -Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman. 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-Dahlgren Theodor Multipass Light Chaussettes(GQQ Chariots de Rangement Chariot Pliant Vieil Homme).

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Conclusion

The decision-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Converse All Star Hi-of-FRYE Women's Natalie Mid Engineer Boot.

Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , 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-Skechers Flex Advantage 2.0. 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,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman.

Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme, 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/JJ Cole Couvre-sangles Matelassé occultant, 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-Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman, 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,Egypt Bazar Caftan style oriental pour femme Orange.

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

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