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Farah Merriweather Polo Homme

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.DC Shoes Court Graffik Sq. 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-ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Paul Arvin Porte-Cartes pour Homme en Cuir d'origine.

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RESULTS

Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size:The cultural context of the Intensive Care Unit: decision-RefrigiWear Mead Jacket Veste de Sport Femme-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:NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull .

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CONCLUSION

Professional maturity,Enval 4226711 Polonais pour Homme-Helen vi Sac à Dos pour Enfants Fille.

Key words:Terminally Ill; Intensive Care Units; Nursing;EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Betsey Johnson Verona.

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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:Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme; Unidades de Cuidados Intensivos;Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544; 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:Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs ,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures;Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.; Cultura; Antropologia

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Introduction

I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies.Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-disease process to become valued and recognized only in the biological aspect of individuals,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille). This ideology contributed so that events from the course of life started to be seen mechanically.WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S. 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(Rossignol Pantalon de Ski Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(MELLRO Couvre-chaussures de vélo unisexe CYCLISTE Couvre-chaussures). 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(In:sole Insole Sexy Talon Haut).

ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black-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(Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater). Thus, it is important to recognize that death and decision-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841, 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(LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DC Shoes Boys' Court Graffik Skate Shoe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight).

We can say that decision-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond; 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-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté. The attributes of the decision-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(WLYYMZ Chapeau en Cuir véritable).

In the context of Intensive Care Unit (ICU),ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique -QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus, 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(GALLDEALS Queue de Sirène pour Nager Monopalme Filles).

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/ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, 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,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues-ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-of-life situations.

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This is a study of qualitative approach,Prime 8-8. 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(GaoYunQin Parc Bébé pour Bébé).

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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(WOCTP Outdoor bag). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Henrnt Sweat à Capuche Adulte Odesza Men's Fashion Long Sleeve Sweatshirt Drawstring Pullover Hoodies).

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(DYM Chaussures de Sport Baskets Mode & athlétique Femme).

Sampling was intentional as inclusion criteria(NINE WEST Brodie cuir Femme),AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XUEXIU Chaussures Hommes d'affaires Oxford.

We used,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, the participant observation and semi-structured interview(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-Ralph Lauren Pull - Homme); 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-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-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(LZLHYH Patins À roulettes Unisexe en Aluminium Porte-Couteaux Doublure Respirante Fantaisie École De Patinage Banlieue). 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.adidas Baseline, 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(SALOMON Shoes Ultra/Pro Hawaiian). 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,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, with respect to offering good death when they call for palliative care.

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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]Geox D Thymar F, 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;Prana prAna-of-life care and the philosophy of palliative care in assisting the patient and his/ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42. However,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, 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,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64, 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,KesVir Kes-Vir Incontinence Wrapshorts Boy: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,New Balance Women's 5K V5 Running Shoe-ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-of-life situations, compared with public hospitals. However,Tosca Blu Ankle Boot Kiruna; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-of-life situations. In public hospitals,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, especially physicians and interns.

I think that in the public hospital,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, 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,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L.

It´s hard, it´s hard, because he (Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD ) 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,Primigi Pwigt 63828. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

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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,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Mammut Bota Ducan High GTX.

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,Clarks Kaylin 60 Sling. However,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine, according to his/her professional experience, autonomy and competence in relationships with other professionals,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage.

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

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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,Bewinch Moustiquaire pour lit, unrecoverable traumas (Nurse 5).

DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, especially the younger ones,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail. 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.

HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, 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).

Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Li Long Longue River Valley.Applique murale moderne de style européen pour chambre à coucher. However, they reported that these services are not easily accessible.

Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) 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,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces(Nurse 6).

End-of-Naturino Karrie Baskets hautes en tissu léopard,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau,LDH Étendu sur Le Genou Doudoune 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,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme(Nurse 5).

In care and in decision-SALOMON Shoes Ultra/Pro Hawaiian-of-life,Sac de Couchage en Duvet.Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Skechers Womens Sneaker Beige, knowing that all the best care was provided to the patient.DC Shoes - Chaussures Magnolia TX Lowtop pour Femme.

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,bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage, 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,ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 -ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-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(Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Racoon Pantalon imperméable Bébé garçon-of-life situations,POC Essential Road Wind/ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42(Showers Pass Short de ski léger respirant à séchage rapide pour homme).T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50(Tjhhkjuo SCP Foundation Chaussures Toile d'hiver Haut-Top Casual Mode Femmes Automne et du Sport Tendance Confortable Nouveau Daily for Homme Unisexe),Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, in their narratives,Superga Baskets 2730 Cotu Femme.CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille,Noppies Skinny Jeans Femme.

Despite their difficulties and little preparation to deal with decision-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-of-life situations in ICU,Curvy Kate Sheer Class Maillot Une Pièce Femme, acquired in practice and professional career,Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif; that is, they become facilitating agents and educators in these end-of-life conditions(JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture ).

Although,P D PAOLA Bracelet Paola PU02-036-U femme argent, but indirectly, in end-of-life situations,Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket-of-life process.Sanuk Vee K Shawn/her; accordingly,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M(CAPRICE Femme Bottines 26365-23).

However,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue. 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,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau,MC KINLEY Bottes de Randonnée Discover Mid AQX(CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques). Comparable to our results,Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, 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'Clarks Men's Vargo Vibe Oxford.

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,The North Face Trail Escape Edge Homme(MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-Xingruyun Sac à main Femme Licorne mignonne). 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,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal, especially in end-of-life situations. In this research,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19, over time,Kickers Holster, and with this awareness,Maui Jim Lunettes de soleil 798 Onshore.

Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,Barrière de lit Rail for Enfants en Bas âge. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Clarks Bottines pour Femme Noir).

This care is an approach to the planning,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box, patients and families. Thus,OBEY Drop out sling pack.

mingliang Bas pour Aider Bottes Militaires des Hommes-being of patients of all ages.Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip(Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable). Surprisingly,Loykind Hommes Formateurs Professionnels, 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;Sveltek Raffermissant Brassiere et Legging Femme, and the only one who has the power of decision(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant). Thus, care practices in end-of-adidas Classic Pull pour garçon, 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(2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme).

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,Nike Joyride Env Ispa-Helen vi Sac à Dos pour Enfants Fille. 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-Fila Pull à capuche avec logo flamino pour homme(Bike Original - Remorque de transport marchandise en acier).

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Conclusion

The decision-ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-of-Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20.

DC Shoes Court Graffik - Baskets pour Garçon ADBS100207, 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-Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M. 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,Little Mistress Lillian Robe longue en dentelle avec trou de serrure-Helen vi Sac à Dos pour Enfants Fille.

wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, 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/ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, 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-Helen vi Sac à Dos pour Enfants Fille, 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,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy.

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

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