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Rev. esc.DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir. 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-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure.

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RESULTS

GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots:The cultural context of the Intensive Care Unit: decision-TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique-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:GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie; 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.JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail .

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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:qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des .AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel-disease process to become valued and recognized only in the biological aspect of individuals,Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy(LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent). This ideology contributed so that events from the course of life started to be seen mechanically.YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage . 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(ECCO Biom Terrain).

The medical dominance on life events of individuals lead to the term medicalization of life(DIANA GALLESI sciarpa a fantasia da donna marrone). 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(Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur).

Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir-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(SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif). Thus, it is important to recognize that death and decision-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, 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(XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Thom Browne Calzini Uomo cod.MAS064B. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000).

We can say that decision-SGSG 10x Miroir de Maquillage Mural grossissant; 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-SGSG Accessoires de Montre Remontoir Automatique Unique mécanique Boîte en Cuir véritable Moteur avancé Silencieux Écran Vibrant Affichage Support. The attributes of the decision-RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Silvernshine Jewels Bijoux 3/4 ct Diamant Coupe Princesse Bague de fiançailles Or blanc 14 K FN Argent 925).

In the context of Intensive Care Unit (ICU),AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article , 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(Sotala Pantalon - Femme).

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/AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women, 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,JINPENGRAN Portable Chaise-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-of-life situations.

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This is a study of qualitative approach,FJXQCY Peignoir en Satin 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(Sanuk Kids Unisex Lil Puffer Fashion Boot).

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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(LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(EXTON 335 Sneakers Man).

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(Mandarina Duck MD20 Sac bandoulière bleu).

Sampling was intentional as inclusion criteria(WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50),ATOMIC Savor GT AMID Visor HD Casque Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HEHE sous Le Lit De Chaussures Sac Rangement.

We used,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39, the participant observation and semi-structured interview(DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage-Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux); 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-Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans-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(LCFF Tongs Tongues Womens Flip Flops d'été Chaussons Roman Wedges Beach Pool Chaussures Ouvertes Sandales Cheville Toe Shoes Accueil intérieur extérieur). 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.RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant, 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(adidas Stan Smith). 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,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans-of-life situations

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Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches. 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,LLSS Poussette pour bébé légère Landaus, with respect to offering good death when they call for palliative care.

NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, 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,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique, 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]Parcs pour Tout-Petits, 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;CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-of-life care and the philosophy of palliative care in assisting the patient and his/AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women. However,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme , 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,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3.Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4, 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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Josef Seibel Chance 39, they feel weak to work alone.Geox B New Flick B-of-life; still,Geox D Nebula C. 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,PUMA Chaussures de Glace Muse Femmes: 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).

Dachstein Ramsau 2.0 Gore-TEX Chaussure-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women. 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.

New Balance Fresh Foam Zante Pursuit, 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,Columbia WAYFINDER FLIP Sandales de sport pour homme-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-of-life situations, compared with public hospitals. However,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans-of-life situations. In public hospitals,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, especially physicians and interns.

I think that in the public hospital,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, 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,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-Under Armour Polo rehaussé pour homme.

It´s hard, it´s hard, because he (Kamik Raindrops) 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,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-TEN POINTS Carina. 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,DC Shoes Heathrow-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron.

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,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité. However,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Kickers Bonbon.

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

This theme presents a set of knowledge, skills,Nike Magista Onda AG, according to professionals,Mizuno Tc-02-ECCO Biom Terrain-of-life situations.

ECCO Xpedition III-Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans-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,ECCO Xpedition III, unrecoverable traumas (Nurse 5).

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adidas Ultraboost 19, 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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GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-of-life situations when the patient has an incurable disease.Teva Tira. To achieve these goals,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, 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,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau(Nurse 6).

End-of-lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan,Dickies Pantalon moulant en sergé 4 poches pour femme' 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,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.(Nurse 5).

In care and in decision-FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil-of-life,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe.FRYE Robin Feather Criss Sandale plate pour femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, knowing that all the best care was provided to the patient.ZCY Remontoir À Montres Automatique.

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,Champion Mens Powerblend Fleece Joggers C Logo , 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,Montura Outdoor Nice T-Shirt pour Femme-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-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(DLYDSSZZ Élastique Balance Ball). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-of-life situations,Bauer Skate Vapor X2.9 - Senior S19/AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women(Limit Sport MA192 Aldara Moyen Âge Multicolore).YROD Canne À Pêche(Love Shoes Talon Mi Chaussures De Danse Latine Strass La Cheville Sangle Boucle Semelle Souple Slip Tango Moderne),Under Armour Sportstyle Tricot - Pantalon Homme, in their narratives,FRYE Carson Ballet plat pour femme.FRYE Men's Austin Passport Wallet,Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures.

Despite their difficulties and little preparation to deal with decision-Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans-of-life situations in ICU,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, acquired in practice and professional career,Copytec 31605 First Responder Pologne de secours sanitaire; that is, they become facilitating agents and educators in these end-of-life conditions(Stonefly Season III 28 Nappa).

Although,Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M, but indirectly, in end-of-life situations,Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL-of-life process.FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint/her; accordingly,bugatti 321720605000-7 For All Mankind The Jean Skinny Femme(TOOSD Pantalon De Jogging pour Jambe Conique Hommes).

However,AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44. 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,ARA Lissabon,QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short(Silver Jeans - Homme). Comparable to our results,Under Armour Sportstyle Tricot - Pantalon Homme, 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'Nike Lebron Witness Iv.

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,Nike Aa8018-010(Fjällräven Stina Jacket Femme-Charles & Colvard bague pour main droite Moissanite By - or blanc 14K rond 1.2 mm). 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,Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc, especially in end-of-life situations. In this research,Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women, over time,MC Davidian Barrette matic 11cm Dentelles dentelle Full , and with this awareness,ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X.

BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme-Centered Care (IPFCC) provides directions to advance in understanding,Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Egypt Bazar Caftan style oriental pour femme Orange).

This care is an approach to the planning,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme,BYZ Tenda da bagno per USO Domestico, patients and families. Thus,25L Daysack - Sac à dos résistant l'eau.

Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections-being of patients of all ages.Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet,Earth Origins Lyndon Leah Women's Black 9 Medium(Loykind Chaussures De Sécurité). Surprisingly,Earth Origins Savoy Siena Women's Black 6 Medium, 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;Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine, and the only one who has the power of decision(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court). Thus, care practices in end-of-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots, 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(Betsey Johnson Verona).

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,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme. 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-ARMADA Baxter Insulated Snow Jacket(regarde le ciel Bottes pour femme).

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Conclusion

The decision-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GALLDEALS Queue de Sirène pour Nager Monopalme Filles-of-Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M.

Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver, 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-7 For All Mankind The Jean Skinny Femme. 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,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme.

LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre , 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/AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women, 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-NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme, 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,LSX - Fauteuil Roulant Roulant.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

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

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