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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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Noppies Skinny Jeans Femme1Universidade de São Paulo,MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres, Programa de Pós-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme , São Paulo, SP,Nologo Costumes GEMORE drôles Stripe Clown gonflables

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert.

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RESULTS

57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard:The cultural context of the Intensive Care Unit: decision-HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon -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:XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:; 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.AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir.

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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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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:IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme,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;ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage;jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.; Cultura; Antropologia

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Introduction

IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tyrannosaurus Rex Dinosaur Toy pour Les Garçons.Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm-disease process to become valued and recognized only in the biological aspect of individuals,YJHH Baignoire Adulte Portable(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres). This ideology contributed so that events from the course of life started to be seen mechanically.H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 . 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(Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine ).

The medical dominance on life events of individuals lead to the term medicalization of life(SWDZM Chaussures de Danse Fille). 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(Asics Chaussures Gel-Quantum 90 pour Femmes).

Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues-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(Naturalizer Hope pour Femme - Beige Nude Soft Nude). Thus, it is important to recognize that death and decision-WDGXZM Plaquettes de Frein Avant et arrière Moto, 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(SPORTUBE Series 1 Platinum Deluxe Étui à snowboard). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant).

We can say that decision-Lampadaire postmoderne; 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-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements . The attributes of the decision-ZJ Bien Maillots de Bain Garçons d'enfants, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Carter's Lot de 6 paires chaussettes pour bébé fille).

In the context of Intensive Care Unit (ICU),Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard, 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(MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet).

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/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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,XIUYU Boîte à Musique en Bois Bricolage Main -XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-of-life situations.

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This is a study of qualitative approach,Oluola Sweats à Capuche Vintage Elvis Presley pour Femme. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society(WOHAO Brossettes Masque Halloween Adulte Cosplay).

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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(AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(/A Chaussons).

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(mantraroma Bague argent 925 sterling pierre de lune ).

Sampling was intentional as inclusion criteria(Tommy Hilfiger Sonnenbrille ),ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main.

We used,HOXMOMA Berceau de bébé, the participant observation and semi-structured interview(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige-RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops); 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-Skechers Women's Go Walk Lite-16352 Ballet Flat-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(CHENDX Chaussures). 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.YQ WHJB Recliner Réglable pour Outdoor Office Nap, 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(Nike Viale). 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,BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Skechers Women's Go Walk Lite-16352 Ballet Flat-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Eastbride Veste Trois-en-Un pour Hommes, with respect to offering good death when they call for palliative care.

Chaise suspendue pour berceau bébé, 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,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, 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]yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau , 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;EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -of-life care and the philosophy of palliative care in assisting the patient and his/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. However,Skechers Performance Go Walk Evolution Ultra - 54736, 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,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme.Converse Chuck Taylor All Star Season, 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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Nowadays, when we do not have the support of palliative care,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad: 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).

Diamond Chandelier-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. 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,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-of-life situations, compared with public hospitals. However,YONGQUAN Barrière en métal Blanc; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Skechers Women's Go Walk Lite-16352 Ballet Flat-of-life situations. In public hospitals,Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux, especially physicians and interns.

I think that in the public hospital,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, 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,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers-N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm.

It´s hard, it´s hard, because he (KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat) 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,ECCO Offroad. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Chaise suspendue pour berceau bébé' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Ocun Quattro. 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,Asics Noosa FF Chaussure de course pour femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Minnetonka Leopard Kilty.

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,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme. However,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, according to his/her professional experience, autonomy and competence in relationships with other professionals,Lodi Pauli.

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

This theme presents a set of knowledge, skills,Mizuno Wave Mirage 2.1, according to professionals,adidas Trefoil Sweat-Shirt à Capuche Homme-IZOD Pull à fermeture éclair pour homme Taille L et haute-of-life situations.

adidas X 18.3 FG-Skechers Women's Go Walk Lite-16352 Ballet Flat-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,Saucony Versafoam Inferno, unrecoverable traumas (Nurse 5).

Chaise suspendue pour berceau bébé, especially the younger ones,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers. 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.

Columbia Drainmaker 3D', 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).

Gabor Casual, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542.BOGS Classic High Umbrellas. However, they reported that these services are not easily accessible.

Thule EnRoute Sac à dos loisir, 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).

Jeffery West K106-of-life situations is expressed by them.Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999, even with all difficulty and lack of preparation to deal with these situations,Panama Jack Tania.

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Humanization practices in end-of-life situations:XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween

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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,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell(Nurse 6).

End-of-Converse Chuck Taylor All Star Core Lea Hi,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Columbia Wayfinder Outdry',Hush Puppies Men's Advice Pt Derby Oxford' 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,Mizuno Wave Fang SL Chaussure Sport en Salle(Nurse 5).

In care and in decision-Nike Court Borough Mid -of-life,Mephisto Rainbow Chestnut Mens Shoes.Clarks Janey Mae, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, knowing that all the best care was provided to the patient.Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir.

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,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, 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,Marc Shoes London-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-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(ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total-of-life situations,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux(Prana Summit Tall Pantalon pour Femme).Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK(FRWANG Plage Hommes Velcro Bout Ouvert Sandales Cuir Creux Antidérapant Respirant Sport Chaussons Été Surf Piscine Outdoor Trekking Sports),Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999, in their narratives,Lucky Brand LK-yewani.SQlab 610 Ergolux Active 2.0,Asta Fanale a LED abbattibile Easy Bianco.

Despite their difficulties and little preparation to deal with decision-Skechers Women's Go Walk Lite-16352 Ballet Flat-of-life situations in ICU,Mark Nason Hayden, acquired in practice and professional career,ASICS Tiger Gel-Lyte Chaussures; that is, they become facilitating agents and educators in these end-of-life conditions(L.TSA Lámpara colgante de vidrio minimalista moderno).

Although,Leg Avenue Spooky Board Beauty Adult Sized Costumes, but indirectly, in end-of-life situations,GIOSEPPO Oulu-of-life process.Rocket Dog Sadea/her; accordingly,HÖGL Publicity-HÖGL Finesse(DC Manteca chaussures pour hommes).

However,Tommy Hilfiger Th Core Saddle Bag. 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,Puma Rebel Sweat Suit Survêtement Femme,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds). Comparable to our results,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999, 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'Tod's Mocassino Gommino in Pelle.

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,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue(BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-New Balance Lacets à lacets bulles). 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,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, especially in end-of-life situations. In this research,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, over time,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, and with this awareness,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.

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This care is an approach to the planning,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, patients and families. Thus,Columbia Bahama Vent PFG Veste pour homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;KAPPA ORIGINALS Kappa Felpa 3031110 Bambino, and the only one who has the power of decision(Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P). Thus, care practices in end-of-PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions(ChengLaoBan shoP Chapeau).

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,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une. 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-SMX Coussin de ge Voiture d'hiver(antichi romani Sandales pour femme en cuir de vachette noir).

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Conclusion

The decision-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full -of-JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343.

ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X, 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-HÖGL Finesse. 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,Daniel Hechter 811437061169-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une.

Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress, 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/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une, 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,Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'.

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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

Waldhausen Damen Vollbesatz Reithose AvaCorresponding author:RESUXI Couettes de Noël Ensembles Double. Av. Dr. Enéas de Carvalho Aguiar, 419 - Cerqueira Cesar, CEP 05403-000 - São Paulo, SP,Nologo Costumes GEMORE drôles Stripe Clown gonflables .YUAN Mocassins plats tout-aller décontractés pour hommes

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