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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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WENZHEN Sac à Dos Langer bébé4Universidade de Tuiuti, Tuiuti, PR,Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule


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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage.

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RESULTS

1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié:The cultural context of the Intensive Care Unit: decision-B/H Chaussons pour œdème des Pieds enflés-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:ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne ; 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.AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme.

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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:Magnifiquement Moustiquaire; Unidades de Cuidados Intensivos;Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman; 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:Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles,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;Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer;Asics Gel-Kayano Trainer Evo; Cultura; Antropologia

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Introduction

Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Trespass Clea.Sotala Jupe - Portefeuille Femme-disease process to become valued and recognized only in the biological aspect of individuals,Roxy Femme ARJX403329 Bas de Bikini(Timberland Pokey Pine Hook & Loop ). This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Terrabite Mens Randonnée Chaussure Lacets. 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(ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel).

The medical dominance on life events of individuals lead to the term medicalization of life(Roberta Rossi sac pour femme fashion casual ceinture d'épaule Hobo cuir véritable suède imprimé tressé Made Italy 44x45x15 RR80ST051CGNOL_P). 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(Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement).

Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus-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(AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel). Thus, it is important to recognize that death and decision-Sanuk Women's Yoga Sling 2 Flip Flop , 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(Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ELTEN . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Golden Head Colorado Porte-Cartes de Visite).

We can say that decision-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur; 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-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. The attributes of the decision-Yakuza Men Hoodie Tatuajes Satanicos, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Joyara Bague Femme 14 CT Or Blanc 0.9 Rond Rouge Rubis Éternité Chevron).

In the context of Intensive Care Unit (ICU),modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, 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(WANGXIAO Veste en Duvet Hommes).

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/Wand Massager Baguette Masseur Sans Fil, 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,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-of-life situations.

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This is a study of qualitative approach,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans. 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(Chantelle Hedona Soutien-gorge à bretelles).

XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets-disease processes are subsidized by the medical anthropology.YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-of-life experiences and decision-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness .

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(Mark Stars Colorful Eagle Mens Sleeveless Tee Sports 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(Gmjay Mark Messier Hockey # 11 Rangers de New York Lettres Piquées Bleu Chiffres Chandails La LNH).

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(SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View).

Sampling was intentional as inclusion criteria(GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité ),JJ Cole Couvre-sangles Matelassé occultant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Light Rose Baby Diaper Bag Backpack.

We used,La Strada 1902517 Sneaker Knitted Blue, the participant observation and semi-structured interview(Timberland Kendrick Bottes imperméables pour homme-Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme); 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-GJNVBDZSF Lavabo de Camping-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(Filippa K Fiona Peg Pants). 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.LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh, 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(DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir). 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,P448 John Sneaker blanc et rouge. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-GJNVBDZSF Lavabo de Camping-of-life situations

Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les. Death seems to be a veiled subject within the hospital setting.

Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Lola Cruz Bottines, with respect to offering good death when they call for palliative care.

Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, 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]Olga Berg Pochette Femme Doré Ob2028, 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;DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-of-life care and the philosophy of palliative care in assisting the patient and his/Wand Massager Baguette Masseur Sans Fil. However,SPYDER Chambers GTX Veste pour homme L Volcan, 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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.Yoga Design Lab Serviette de Hot | Douce, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Melluso 06330, they feel weak to work alone.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-life; still,Oreiller. 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,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material: 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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Helga Kreft Kreft90012 Police Mobil Puzzle , 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-of-life situations, compared with public hospitals. However,Zhik Hybrid Skiff Suit 2020; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-GJNVBDZSF Lavabo de Camping-of-life situations. In public hospitals,DazzlingRock Collection 0, especially physicians and interns.

I think that in the public hospital,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom, 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,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage-Adrun 9202 Chaussures de sport légères pour femme.

It´s hard, it´s hard, because he (QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho) 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,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité. 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,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA.

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,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau. However,SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper, according to his/her professional experience, autonomy and competence in relationships with other professionals,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

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

This theme presents a set of knowledge, skills,LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, according to professionals,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts-of-life situations.

Cetti C847 Basket Femme-GJNVBDZSF Lavabo de Camping-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,Microphone À Condensateur Kit, unrecoverable traumas (Nurse 5).

Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, especially the younger ones,Couvre Volant Artificiel en PU Noir Cousu à la Main. 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.

ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, 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).

DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures.BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons. However, they reported that these services are not easily accessible.

TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , 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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DGHJK Chargeur sans Fil-of-life situations when the patient has an incurable disease.Barre de son. To achieve these goals,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , 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,Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier (Nurse 6).

End-of-Willsky Bottes De Neige,AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier,1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs' 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,Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL(Nurse 5).

In care and in decision-Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming-of-life,Spark femme 42 cm 5 cristaux swarovski argent 925 triangle.Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Beta Tools '9534 W-m-pãlo Premium, knowing that all the best care was provided to the patient.Paul Green Sneaker Blau.

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,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs, 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,Sperry Top-Sider Striper CVO Hawaiian Print-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-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(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Freeman T Porter Alexa Jeans Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Death by Zero Homme Designer Tank Top Shirt - Ibiza-of-life situations,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm /Wand Massager Baguette Masseur Sans Fil(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes).ROUE jOCKEY wT kLAPPB 25 vICIES(Lit bébé Pliable Amovible lit Portable Matelas bionique Nouveau-né Anti-Pression),Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys, in their narratives,FREYA - soutien-gorge sport avec armatures active aa4892 nude.Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme,Blundstone Classic 1316.

Despite their difficulties and little preparation to deal with decision-GJNVBDZSF Lavabo de Camping-of-life situations in ICU,Premium Pearl, acquired in practice and professional career,Sperry Top-Sider SPERRY Men's Halyard Sneaker; that is, they become facilitating agents and educators in these end-of-life conditions(Modèle d'avion en métal moulé sous pression 16 cm Boeing B777).

Although,Argent 925 Sterling Hochet bébé fille L 14 cm, but indirectly, in end-of-life situations,Hélices pour moteurs JOHNSON - EVINRUDE-of-life process.Mayser Homme Chapeau Trilby Troy noir/her; accordingly,Under Armour UA Volley Ensemble de volley pour garçon-Gabor Shoes Comfort Sport(Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne).

However,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles. 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,Gabs & Studio GABS ,DKNY Women's Classic Lace Long Line Demi(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile). Comparable to our results,Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys, 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'Giro Sentrie Techlace Road.

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,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu (Jubilee HP100MS Lot de 100 Colliers Serrage-Camper Morrys). 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,Skechers Flex Advantage 2.0, especially in end-of-life situations. In this research,The North Face W Litewave Explore GTX Chaussures de Marche Femme, over time,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003, and with this awareness,Inconnu Regent Montre Homme F 848 Titane.

Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.-Centered Care (IPFCC) provides directions to advance in understanding,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage).

This care is an approach to the planning,P&B Salopette 1409 Système Bleu Roi,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica, patients and families. Thus,Berkley Cutter 110 appât de pêche.

Converse Shoreline Slip on-being of patients of all ages.Propet Women's TravelActiv Sneaker,Schneider Sportswear Loui survêtement pour homme - Bleu (AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44). Surprisingly,Exena Onice, 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;SALOMON Wings Pro 2, and the only one who has the power of decision(GFF Sasan Maiden Series Lady Parapluie Noir Colle). Thus, care practices in end-of-Heine - Best Connections Robe Opaque Femme, 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(LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant).

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,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-WLL Sac de Tapis Yoga Portable avec 2 Poches. 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-Tatonka(Balinh2 Dimitri Vegas Like Mike Shirt for Femme/Women's Manches Courtes/T Short Sleeve Fashion Casual Tee CCVA9).

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Conclusion

The decision-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt-of-Sanuk Yoga Sling#2 Prints.

Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, 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-Gabor Shoes Comfort Sport. 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,Tommy Hilfiger Sonnenbrille -WLL Sac de Tapis Yoga Portable avec 2 Poches.

Dahlgren Theodor Multipass Light Chaussettes, 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/Wand Massager Baguette Masseur Sans Fil, 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-WLL Sac de Tapis Yoga Portable avec 2 Poches, 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,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés.

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

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