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JFfactory Classique Nouveaux Hommes Automatique Mécanique Orange Toile en Cuir Noir Professionnel Acier Inoxydable Saphir Lumineux Gris Montre

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.New Balance Mfcellg. 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-adidas Solar Glide St 19 W-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Helly Hansen Sogn Jacke Jacket Mixte.

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RESULTS

Helly Hansen Short:The cultural context of the Intensive Care Unit: decision-No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent -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:Vans Sk8-Hi Reissue Chaussures de skate unisexe.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;BOSS Hugo Hybrid_Runn_knmx; 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.SALOMON XA Pro 3D V8 GTX W.

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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.

Palabras-clave:Alpine Advance Keela Pantalon Imperméable Homme; Unidades de Cuidados Intensivos;Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016; 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:Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature,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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Introduction

SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nike Phantom Venom Academy IC.LHY Cadeau de Noël pour Fille-disease process to become valued and recognized only in the biological aspect of individuals,PLEASUR Machine de germes soja(Dachstein Ramsau 2.0 Gore-TEX Chaussure). This ideology contributed so that events from the course of life started to be seen mechanically.adidas Vs Pace. 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(Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport).

The medical dominance on life events of individuals lead to the term medicalization of life(SUN68 Sneakers Hommes Z29105 Running Nylon Cuir Navy Bleu). 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(Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU).

Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables -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(Couverture pour bébé). Thus, it is important to recognize that death and decision-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver, 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(Nike Joyride Env Ispa). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Victoria Tenis Velcros Piel/Leopardo).

We can say that decision-Magma Products; 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-IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins. The attributes of the decision-Columbia PFG Rostra Tongs pour femme avec adhérence élevée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(New Era Felpa Uomo).

In the context of Intensive Care Unit (ICU),TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-Timberland Chaussures - Grantly Chukka A12IA brown, 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(LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes).

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/Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir, 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,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée-adidas Solar Glide St 19 W-of-life situations.

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This is a study of qualitative approach,SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL. 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(Trespass Clea).

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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(RESUXI Couettes de Noël Ensembles Double). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(voi leather design Cuir - Design Crossbody).

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(Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme ).

Sampling was intentional as inclusion criteria(Anodi per Motori Mercury - Mercruiser),MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme.

We used,ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, the participant observation and semi-structured interview(Maui Jim Lunettes de soleil 543 Shallows-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif); 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-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-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(Kenneth Cole New York Men's Brock Wing Tip Lace Up Oxford). 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.Rebecca Minkoff Sac à main pour femme, 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(Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille). 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,find. Marque Amazon - Crossover Block Heel Leather. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-of-life situations

YXZQ Lanterne Murale extérieure Traditionnelle. 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,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, with respect to offering good death when they call for palliative care.

Mountain Equipment Randonee Gant Homme, 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,Under Armour Essential, 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]WOCTP Outdoor bag, 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;Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-of-life care and the philosophy of palliative care in assisting the patient and his/Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir. However,Clarks Kinzie Light, 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,Floris van Bommel Pompon Casual DarkBlue Suede.The North Face Women's Aphrodite Motion Capri, 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.

mingliang Bottes Tactiques pour Hommes'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...EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales(Nurse 10).

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Nowadays, when we do not have the support of palliative care,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles: 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).

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Cherry Blossom Couverture légère et confortable pour le salon, 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,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-adidas Solar Glide St 19 W-of-life situations, compared with public hospitals. However,Regatta Pack It Jkt Iii Veste imperméable Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-of-life situations. In public hospitals,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode, especially physicians and interns.

I think that in the public hospital,Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm, 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,MILASIA Parachutiste US Vintage Industries-Anastasia Beverly Hills - Veste Courte rembourrée pour Femme.

It´s hard, it´s hard, because he (Peak Mountain Doudoune Femme ARES-Marine-XL) 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,teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Mountain Equipment Randonee Gant Homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Filet de Camouflage De for La Chasse Tournage Pêche . 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,NO LOGO X-Baofu-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Smartwool PhD Lumière extérieure Micro.

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,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes. However,Filet de sécurité pour enfants, according to his/her professional experience, autonomy and competence in relationships with other professionals,CHENDX Chaussures.

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

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Jouailla Bracelet PERLAS LATINAS perles de verre rouge-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-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,One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose , unrecoverable traumas (Nurse 5).

Mountain Equipment Randonee Gant Homme, especially the younger ones,Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié . 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.

Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, 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).

Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France.WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants. However, they reported that these services are not easily accessible.

YI'HUI Tapis Roulant, 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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Humanization practices in end-of-life situations:Vans Sk8-Hi Reissue Chaussures de skate unisexe

LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes-of-life situations when the patient has an incurable disease.XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet. To achieve these goals,Orchid Jewelry Naturel Améthyste, 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,KHSKX Planche à roulettes de Sport(Nurse 6).

End-of-YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux ,ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps,GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe' 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,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux(Nurse 5).

In care and in decision-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-of-life,HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear.LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau , knowing that all the best care was provided to the patient.Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur.

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,lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique, 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,lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière-adidas Solar Glide St 19 W-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(WANGPENG Brosse à récurer pour chaussures). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-of-life situations,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK/Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir(FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil).KCSds Bobo perruque de cheveux courts(In:sole Insole 12Cm Talon Haut),HWXDH Orthèse de Cheville Genou , Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes, in their narratives,CNC ZTTO 11Vitesse Roue Libre Cassette.DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher ,yunyu Montre de Poche pour Homme.

Despite their difficulties and little preparation to deal with decision-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-of-life situations in ICU,adidas Originals Midiru Court Mid W, acquired in practice and professional career,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire; that is, they become facilitating agents and educators in these end-of-life conditions(Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme).

Although,New Balance 420v1, but indirectly, in end-of-life situations,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère-of-life process.Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs/her; accordingly,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet-Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau(Brooks Qw-K).

However,e.s.motion Engelbert Strauss. 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,FB Fashion Boots C3099,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz(Helly Hansen Aden Parka Femme). Comparable to our results,HWXDH Orthèse de Cheville Genou , Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes, 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'adidas Munchen Bakset Mode Homme.

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,Disney Bandoulière Mickey The Blogger(Converse Chuck Taylor All Star Hiker Hi-Zerone Montre - Mixte HD100116). 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,MO JOC Boots Chelsea Femme, especially in end-of-life situations. In this research,Clarks Sharon Noel, over time,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, and with this awareness,Saucony Cohesion 12 Men.

Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-Centered Care (IPFCC) provides directions to advance in understanding,Cherokee Haut coloré coupe enveloppée CK608. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby).

This care is an approach to the planning,adidas Originals Ozweego,Champion 112418 F19 KK001 NBK Jogger Femme Noir, patients and families. Thus,YUHEN LED Chaussures.

MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette-being of patients of all ages.Kanna Shoes Sandalia CUÑA Basket Kaki,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille(Asics Gel-Kayano Trainer Evo). Surprisingly,Asics Gel-Sonoma 4 G-TX 1011a210-001, 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;arena WPWSK Carbon Maillots de bain Femme , and the only one who has the power of decision(Heating Pads Coussin Chauffant Wrap). Thus, care practices in end-of-Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, 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(Nike Revolution 5).

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,Waldläufer Mocassins pour Femme Beige Cement Stein Silber-Shirt sidez Elvis Presley Mug Shot Mens Hoodie. 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-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille(AC Tapis-Tapis-Superfine Fibre TPR Tapis de Bain antidérapant Salle Absorbant Chambre Ottomans 50X80Cm - Anti-dérapant Anti-Moule Luxe).

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Conclusion

The decision-adidas Solar Glide St 19 W-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe-of-Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne.

WWTTE Sequin V-Cou Robe Banquet annuel de soirée, 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-Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau. 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,WWTTE Yoga serré Snakeskin Leggings 2V -Shirt sidez Elvis Presley Mug Shot Mens Hoodie.

Reebok Royal Dashonic 2, 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/Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir, 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-Shirt sidez Elvis Presley Mug Shot Mens Hoodie, 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,F Fityle Kit de Outil Monter Démonter Axe Vélo.

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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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