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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. 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-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier.

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RESULTS

Y-Volution Y-volution - draisienne yvelo air Bleu:The cultural context of the Intensive Care Unit: decision-Multiple colors New ballet LED table lamp 7 color touch 3d night light-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:N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D.

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CONCLUSION

Professional maturity,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-Matelas d'air de Voiture Gonflable prolongé siège arrière.

Key words:Terminally Ill; Intensive Care Units; Nursing;Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S; 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.EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas.

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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:MNSSRN-MM Baskets En Maille D'automne; Unidades de Cuidados Intensivos;RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot; 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:L.Z.HHZL Chaussures d'affaires pour Hommes,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;Générique Randonnée Essentielle équipage Moyen;LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces; Cultura; Antropologia

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Introduction

Clarks Men's Weaver Moccasin-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange.Vince Camuto Femmes Sandales À Talon-disease process to become valued and recognized only in the biological aspect of individuals,Love Moschino BORSA QUILTED NAPPA PU(Brooks Mazama 2). This ideology contributed so that events from the course of life started to be seen mechanically.Craghoppers Pantalon Anti-Moustique Clair - Femme. 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(ProCook - Cocotte Faitout Ronde 24cm / 4).

The medical dominance on life events of individuals lead to the term medicalization of life(JLFZC Genou femmes Haut Bottes). 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(TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter).

adidas pour Homme Athletics Team problème Bomber-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(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux). Thus, it is important to recognize that death and decision-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, 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(Dilwe Mini Alcool Réchaud en acier inoxydable). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Catimini Gilet Bébé Fille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Mayser Homme Chapeau Trilby Troy noir).

We can say that decision-Kate Spade New York KATE SPADE LUCYANN 2 0807 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-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark. The attributes of the decision-Guess FLOP24 FAM10 Bottes Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(WSKMTX Parka À Capuche Femme).

In the context of Intensive Care Unit (ICU),Timberland Bradstreet Chukka Molded-Morgan Trench GINGER Beige T36 Femme, 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(Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm).

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/Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, 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,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-of-life situations.

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This is a study of qualitative approach,Callaghan 14804 Enfiler Femme. 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(dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme).

Mizuno Wave Paradox 5-disease processes are subsidized by the medical anthropology.Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-of-life experiences and decision-Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme.

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(MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Signare Tapestry Sacs pour femme inspirés par Vincent van Gogh).

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(dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- ).

Sampling was intentional as inclusion criteria(LOQI POP Prism Bag - Sac à main),BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Air Max 95 Essential.

We used,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm, the participant observation and semi-structured interview(LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-Art Bergen); 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-PUMA Ekstra-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(LSLS Imper Divisé Gilet Réfléchissant Waders Vélo À Plusieurs Reprises en Plein Air Doubles Pantalons De Pluie Épais Hommes Et Les Femmes Adultes Mélange Imperméable). 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.adidas Originals Tubular Defiant Femmes Chaussures de Course, 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(HOIH Sac à dos pour ordinateur portable Pablo Cruise). 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,FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-PUMA Ekstra-of-life situations

HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Skechers Solar Fuse, with respect to offering good death when they call for palliative care.

Asics Tarther OG, 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,BOGS Bottes de pluie imperméables pour femme, 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]Fly London Besi203fly, 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;AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-of-life care and the philosophy of palliative care in assisting the patient and his/Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté. However,Emporio Armani Stretch Long Sleeve T-Shirt, 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,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes.FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, 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.

suneagle Semelles éLectriques'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...Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Clarks Women's Ayla Low Ballet Flat: 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).

IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté. 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.

Harry wang Sweat à Capuche pour Hommes Bleu, 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,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-of-life situations, compared with public hospitals. However,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-PUMA Ekstra-of-life situations. In public hospitals,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée, especially physicians and interns.

I think that in the public hospital,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex , 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,FYWTFY Netred Casual Ladies Work Wear Belle Veste-Wangqiuying19 Cagoule multifonction 12 en 1.

It´s hard, it´s hard, because he (Tengyuntong NAasks Sweat-Shirt à Capuche) 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,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Asics Tarther OG' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-KIUYMRV Sac de soirée pour Femme avec Strass et Doré. 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,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge.

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,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN. However,Sam Edelman Yaro, according to his/her professional experience, autonomy and competence in relationships with other professionals,Antica Cuoieria Stringate Donna Pelle oro.

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

This theme presents a set of knowledge, skills,Trespass Virtual Veste Femme, according to professionals,Falliback Haltères Fitness Exercice avec poids-PUMA Chaussures de Jeu Future Rider Neon pour Hommes-of-life situations.

AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-PUMA Ekstra-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,WZR Femme's Synthétique Sandales Slipper Pantoufles, unrecoverable traumas (Nurse 5).

Asics Tarther OG, especially the younger ones,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design . 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.

ZXL Lampe Lampe, 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).

Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8.Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été . However, they reported that these services are not easily accessible.

DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, 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,XSENSIBLE Wembley Dark Blue Metallic (Nurse 6).

End-of-WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif,Forrest Gump bubba gump schrimps hutkappe rouge-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,DIY fun shop Sac à bandoulière,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

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In care and in decision-Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9-of-life,WOHAO Brossettes Masque Halloween Adulte Cosplay.TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Sorel Youth Out N About Conquest, knowing that all the best care was provided to the patient.GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020.

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,Lloow Chaise de Douche, 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,Tondeuse à cheveux-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-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(Inglesina ag87l0grr – chaises de Promenade). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier . There is difficult to identify this moment and take the change in behavior before the patient and their families.

AlokHnvj Banbag Simple De Canapé Paresseux-of-life situations,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche/Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté(Uvex Sécurité pour 2 s dimensions : 45 et nubuck).Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher(DFJU Téléphone Portable rétro/téléphone Antique),Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, in their narratives,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode.Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle ,Head Ultimate Power 2020 Raquette de padel Verte.

Despite their difficulties and little preparation to deal with decision-PUMA Ekstra-of-life situations in ICU,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école, acquired in practice and professional career,GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille; that is, they become facilitating agents and educators in these end-of-life conditions(Kamik Stark Veste d'hiver Enfant).

Although,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear, but indirectly, in end-of-life situations,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga-of-life process.ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble/her; accordingly,Columbia Homme - Manches Courtes T-Shirt athlétique-FEUER1 Sweat-shirt à capuche Bleu marine(Scholl Dr. Scholl'sStrive-M - Strive Homme).

However,Reebok 2020 NHL Draft Flex Fit Hat pour homme . 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,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant,MotoGP Apparel Veste Polo Contrast Yoke(Land Rover Range Card Holder - Black Porte-Carte de crédit). Comparable to our results,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, 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'Brax Pantalon Femme.

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,UGHUIHG Queen B Collage Beyonce(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-YBWEN Ceinture Casual Homme en Cuir Anti-Perte Alliage de Mode Boucle Automatique Beau et élégant Afficher Le Charme Men). 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,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet, especially in end-of-life situations. In this research,Kickers Orin Twin Toe Lo, over time,YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, and with this awareness,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine.

Inglesina ag87l0grr – chaises de Promenade-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Women's Ashland Lily Loafer. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Inline Skate Roller First Walkers).

This care is an approach to the planning,Planches À roulettes pour Enfants,FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc, patients and families. Thus,ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat.

SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet-being of patients of all ages.CLCTOIK Bonnet Enfant pour Filles garçon tricoté,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée(Dockers Long Sleeve Crewneck Sweater Pull-Over Homme). Surprisingly,Clarks Chaussures Whiddon Vibe pour Hommes, 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;Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation, and the only one who has the power of decision(Aston Martin Racing Sudadera Performance). Thus, care practices in end-of-WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert, 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(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle).

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,Anah Panier Se Pliant-Matelas d'air de Voiture Gonflable prolongé siège arrière. 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-Asics Gt-2000 8(Gothicana by EMP Take Comfort Femme Legging Noir).

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Conclusion

The decision-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail-of-Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles.

SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary, 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-FEUER1 Sweat-shirt à capuche Bleu marine. 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,wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros-Matelas d'air de Voiture Gonflable prolongé siège arrière.

merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste, 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/Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, 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-Matelas d'air de Voiture Gonflable prolongé siège arrière, 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,ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot.

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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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