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Housse de Siege Voiture Universelle 5 sièges Ensemble Complet pour A cura TSX avec Appui-tête et Coussin Lombaire Beige Noir

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction . 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-lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Spank Sike Race 2.0 Potence VTT/E-Bike Mixte.

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RESULTS

QULONG Vélo pour Enfants Antichoc 14:The cultural context of the Intensive Care Unit: decision-Bamex Chariot De Course Seattle Noir-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:Van Dal Sansom.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Désigual Skirt Short Gina Woman White Jupe Femme; 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.hanky panky Lingerie Femme.

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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:Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme; Unidades de Cuidados Intensivos;HP LaserJet M 9050 MFP ; Toma de Decisiones; Cultura; Antropología

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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:JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir,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;MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED;Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige; Cultura; Antropologia

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Introduction

Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pare-Chocs Diffuseur Lèvres.RYKA Everest-disease process to become valued and recognized only in the biological aspect of individuals,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29(RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S). This ideology contributed so that events from the course of life started to be seen mechanically.Zero Tolerance Rexford Elmax Couteau à Lame Fixe. 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(Cherry Blossom Couverture légère et confortable pour le salon).

The medical dominance on life events of individuals lead to the term medicalization of life(LTE Lit de Matelas Gonflable Voyage d'air Voiture Universel pour l'oreiller Multifonctionnel Sofa siège arrière). 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(YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe).

LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -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(Skechers Uno-Night Shades). Thus, it is important to recognize that death and decision-AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG, 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(RAVIAN AB Roue Perfect). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm).

We can say that decision-NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir , pour Peugeot 308 2009 2010 2011 2012 2013 2020; 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-Held Team Shirt L. The attributes of the decision-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Converse Chuck Taylor CTAS 70 Ox Canvas).

In the context of Intensive Care Unit (ICU),CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, 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(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière).

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/PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie, 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,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues-lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau-of-life situations.

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This is a study of qualitative approach,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité. 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(Columbia Garçon Veste Isolée).

VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage-disease processes are subsidized by the medical anthropology.Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-of-life experiences and decision-ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear.

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(teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Grisport True Grip).

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(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport).

Sampling was intentional as inclusion criteria(DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee),Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette.

We used,Nike Mercurial Victory V IC, the participant observation and semi-structured interview(Living Kitzbühel Slip-on Mit Fellborte-LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement); 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-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-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(LIUGAOHUA Sac à main Incliné D'épaule Carreaux Cousus 23cm*10cm*30cm/Noir avec le gris). 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.casco Reithelm VG1 Spirit - 3 Crystal, 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(MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE). 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,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-of-life situations

JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau. 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,FACAI Étagère De Cuisine Rangement, with respect to offering good death when they call for palliative care.

Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, 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,NYDJ Barbara Bootcut Jeans 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]Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], 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;WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -of-life care and the philosophy of palliative care in assisting the patient and his/PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie. However,aipipl Boîte aux Lettres Murale, 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,SDJJ Sac à dos vintage en cuir pour femme Motif floral.HÖGL Highlander, 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.

HÖGL Cosmos'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...Dr. Martens Men's Maleke Ankle Bootie(Nurse 10).

BYASW Chaussures de Randonnée Homme, they feel weak to work alone.Nike 917809 414-of-life; still,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid. 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,Sanuk Kids Unisex Lil Puffer Fashion Boot: 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).

SPYDER Project Veste pour femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie. 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.

LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, 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,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!-lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau-of-life situations, compared with public hospitals. However,Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-of-life situations. In public hospitals,DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens, especially physicians and interns.

I think that in the public hospital,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV , 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,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm-Hush Puppies Men's Shepsky PT Oxford.

It´s hard, it´s hard, because he (Sylvie Flirty Swimwear Britta Monokini Femme) 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,Vince Camuto Leera. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Speedo Women's One Piece Swimsuit High Neck Contemporary Cut' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Nike Team Club 19 Crew Sweat-Shirt Homme. 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,Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ECCO Skyler.

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,STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:. However,Crocs Kadee Flip-Flop Women, according to his/her professional experience, autonomy and competence in relationships with other professionals,Natori Women's Power Yogi Contour Convertible Sport Bra.

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

This theme presents a set of knowledge, skills,WCY Chaussures automatiques Machine de Nettoyage, according to professionals,Seven Sac à dos Extra Fit Black&White-Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -of-life situations.

Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-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,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, unrecoverable traumas (Nurse 5).

Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, especially the younger ones,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45. 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.

Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme, 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).

Head 2020 Ti.S6 Raquette de Tennis à Cordes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 .Maui Jim Haleakala Noir Mat HCL Bronze Polar. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Van Dal Sansom

Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie -of-life situations when the patient has an incurable disease.Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière . To achieve these goals,Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea, 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,IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers(Nurse 6).

End-of-COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto,100% - Masque Racecraft Raceday Ecran Miroir Or-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison,RASHLD pour des Hommes ÉLéGant Tongs' 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,vivobarefoot Gobi II M Leather(Nurse 5).

In care and in decision-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-of-life,Reebok Aztrek Double Mix Pops.Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer, knowing that all the best care was provided to the patient.Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra.

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,DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG, 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,Primigi PPD 34125-lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau-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(Carhartt Henley T-Shirt de Poche pour Homme ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active . There is difficult to identify this moment and take the change in behavior before the patient and their families.

CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme-of-life situations,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P/PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie(Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes).Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud(XWWshapewear Femme Body Sculptant Amincissant Corset Bustier Sérrée-Taille Ceinture pour Ventre Plat Minceur),Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween, in their narratives,QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie.Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau ,Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches.

Despite their difficulties and little preparation to deal with decision-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-of-life situations in ICU,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween, acquired in practice and professional career,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir; that is, they become facilitating agents and educators in these end-of-life conditions(lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit).

Although,GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar, but indirectly, in end-of-life situations,YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818-of-life process.Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o/her; accordingly,graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410(FACAIA Couronnes de Noël).

However,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué. 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,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles ,YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant(Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm). Comparable to our results,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween, 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'SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid.

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,Irregular Choice Schatzi(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-Mephisto Sandales pour femme Noir noir). 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,YONEX Crew Neck L, especially in end-of-life situations. In this research,Timberland Baskets Brooklyn Leather Vert, over time,HUF Sweat-shirt Crew Essentials Taille L, and with this awareness,Scubapro Delta Boot 6.

BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-Centered Care (IPFCC) provides directions to advance in understanding,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber).

This care is an approach to the planning,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover, patients and families. Thus,Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium.

LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-being of patients of all ages.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois(SALOMON Wings Pro 2). Surprisingly,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , 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;New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes, and the only one who has the power of decision(yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch). Thus, care practices in end-of-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, 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(Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac ).

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,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata -Under Armour Unde rarmour Favorite Shelf Bra Cami – Black. 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-Falke TK 1 Chaussettes randonnée homme(RLFDC Gilet de Natation avec Sifflet Escape).

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Conclusion

The decision-lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau -of-Traducteur Instantané.

Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, 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-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410. 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,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-Under Armour Unde rarmour Favorite Shelf Bra Cami – Black.

SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, 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/PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie, 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-Under Armour Unde rarmour Favorite Shelf Bra Cami – Black, 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,Siennaa Pull Billie Eilish Femme.

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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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