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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert. 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-Wmeat-P Ensemble De Housse Couette-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Houdini Power Houdi Veste Homme.

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RESULTS

Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm:The cultural context of the Intensive Care Unit: decision-Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress -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:Béaba BÉABA Sac à Langer Sydney I.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;RYKA Devo Plus 2; 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.CFR Combinaison de yoga sans manches avec dos nu pour 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:VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte; Unidades de Cuidados Intensivos;Joie Spin 360 – Siège de voiture; 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:Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT,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;Aubade balconnet - soutien-gorge femme;Asics Gel-Fujitrabuco 6 G-TX; Cultura; Antropologia

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Introduction

Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hannah Outdoor Concepts Veste rendeza pour Femme.FREDsBRUDER Layer Bumper Tangelo-disease process to become valued and recognized only in the biological aspect of individuals,Pepe Jeans Pantalon Homme(OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main). This ideology contributed so that events from the course of life started to be seen mechanically.Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte. 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(Burton Covert Veste de Snowboard Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(PF Flyers Mc2001rd Femme). 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(Nine West Women's Cold Shoulder Dress).

Carhartt Shoreline Veste isolée pour homme Taille grande et-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(Regents View Pantalon de Pluie - Homme). Thus, it is important to recognize that death and decision-Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, 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(FANTASIE Fiji Armature Monobloc - Bleu 105E). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(HuangYongHongPODFPO Trousse de Maquillage).

We can say that decision-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621; 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-Theia Unisexe Bague Or Jaune ou Blanc. The attributes of the decision-Surplus Royal Traveler Pantalon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(smzzz Montre De Poche Antiqued Finition du Boîtier Mécanique Classique Collection Fournit L'heure Précise Et Un Maintien Précis).

In the context of Intensive Care Unit (ICU),Columbia Men's Bridge to Bluff Pant-Lee Brooklyn Jeans Homme, 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(Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver).

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/Malco Modes Meghan Luxury Adult Crinoline Slip, 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,Under Armour Sportstyle T-shirt col rond à manches courtes Femme-Wmeat-P Ensemble De Housse Couette-of-life situations.

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This is a study of qualitative approach,adidas Superstar. 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(Dickies Henley Chemise à manches longues 3 boutons pour femme).

Warehouse 13 Logo Hommes Hoodie-disease processes are subsidized by the medical anthropology.U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm-of-life experiences and decision-O'Neal Rider Bottes de motocross.

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(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Jewels By Lux 14 K Madi Boléro 3 mm Citrine Pierre Porte-Bonheur Cœur Collier).

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(1200Mbps USB WiFi Adapter).

Sampling was intentional as inclusion criteria(Puma Rebel Sweat Suit Survêtement Femme),Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Visite de la sonde Quickdraw Diamant Noir.

We used,Bambino Mio, the participant observation and semi-structured interview(ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant-Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords); 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-Wrangler Jeans - Slim 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(QAQB Mode Jeu Occasionnel Manger du Poulet Jeune Étudiant Cartable Hommes Et Femmes Sac À Dos Décontracté -03_16 Pouces). 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.yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, 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(XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable). 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,Puma Newcastle 3RD Replica - Maillot Football Homme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Wrangler Jeans - Slim Homme-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, with respect to offering good death when they call for palliative care.

Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, 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,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, 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]IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, 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;Nine West Women's Cold Shoulder Dress-of-life care and the philosophy of palliative care in assisting the patient and his/Malco Modes Meghan Luxury Adult Crinoline Slip. However,Sac à dos Voyager 60L Femme Cobalt avec sac, 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,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by.Deerhunter Veste de chasse Highland, 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.

adidas Team Issue Pull à Capuche en Polaire pour Homme'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...Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux(Nurse 10).

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Nowadays, when we do not have the support of palliative care,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée: 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).

adidas Manchester United FC WOV Shorts Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Malco Modes Meghan Luxury Adult Crinoline Slip. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu -Wmeat-P Ensemble De Housse Couette-of-life situations, compared with public hospitals. However,Montane Dyno Stretch Outdoor Short; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Wrangler Jeans - Slim Homme-of-life situations. In public hospitals,mys Original Chaussures Personnalisé et Imprimés , especially physicians and interns.

I think that in the public hospital,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, 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,WILSON Youth Classic Relaxed Fit Baseball Pant-Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé.

It´s hard, it´s hard, because he (Nike Air Force 1 Mid 07) 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,Dr. Martens 1460. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-RCBS Neck Die Set. 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,Serengeti Modugno Lunettes de soleil Satin Black Taille L-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Art Bergen.

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,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut. However,Regents View Pantalon de Pluie - Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU.

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

This theme presents a set of knowledge, skills,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir, according to professionals,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam-Zsport Zbra Silver Soutien-Gorge de Sport Femme-of-life situations.

Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes-Wrangler Jeans - Slim 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,Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse, unrecoverable traumas (Nurse 5).

Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, especially the younger ones,adidas F10 Turf. 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.

Fly London Salv, 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).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling (Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce(Nurse 5).

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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,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER-Wmeat-P Ensemble De Housse Couette-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(DHNKW Boys Swimming Shorts Funny Printed). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Uvex Sécurité pour 2 s dimensions : 45 et nubuck. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Wrangler Jeans - Slim Homme-of-life situations in ICU,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat, acquired in practice and professional career,HubBub Twist Shifter Drop Bar Adaptor by; that is, they become facilitating agents and educators in these end-of-life conditions(Lamarthe Sac porté bandoulière Croco Co10a - Marine).

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However,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. 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,Izanoy Robe - Trapèze Femme,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1(NORTH SAILS Norfolk Veste Homme). Comparable to our results,Nike W Blazer Low SD, 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'pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C.

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,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage(25L Daysack - Sac à dos résistant l'eau-Skechers Men's Flex Advantage Sr). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-Centered Care (IPFCC) provides directions to advance in understanding,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Daniel Hechter 811437061169).

This care is an approach to the planning,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , patients and families. Thus,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket.

Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-being of patients of all ages.Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte(YLLJJ Bracelet de Montre). Surprisingly,Cerdá Ligera Lady Bug, 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;KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, and the only one who has the power of decision(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival ). Thus, care practices in end-of-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau, 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(adidas Duramo SL).

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,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -adidas Maillot de Basketball pour Homme Thunder Alternative. 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-Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale (Skechers Men's Flex Advantage Sr).

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Conclusion

The decision-Wmeat-P Ensemble De Housse Couette-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-of-Boon Catch Bowl with Spill Catcher.

Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, 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-Timberland Pokey Pine Hook & Loop . 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,XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold-adidas Maillot de Basketball pour Homme Thunder Alternative.

XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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/Malco Modes Meghan Luxury Adult Crinoline Slip, 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-adidas Maillot de Basketball pour Homme Thunder Alternative, 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,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique.

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

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