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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Désigual Skirt Short Gina Woman White Jupe Femme. 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-7 A.M. Enfant Barcelona Diaper Bag-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir.

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RESULTS

Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir:The cultural context of the Intensive Care Unit: decision-MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED-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:Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;RYKA Everest; 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.Zero Tolerance Rexford Elmax Couteau à Lame Fixe.

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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:AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG; Unidades de Cuidados Intensivos;U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm; 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:CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples,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;PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie;"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues; Cultura; Antropologia

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Introduction

Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage.Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-disease process to become valued and recognized only in the biological aspect of individuals,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear(XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain). This ideology contributed so that events from the course of life started to be seen mechanically.Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts. 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(Kit de douche Bidet Douche musulmane ).

The medical dominance on life events of individuals lead to the term medicalization of life(Dmwfaker pour Mercedes Benz W205 C Classe C43 C63 C63s AMG C200 C220 C300 C320 C350 C400 4MATIC). 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(Vibram FiveFingers KSO Evo).

Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-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(New Balance Kids' 990v5 Hook and Loop Running Shoe). Thus, it is important to recognize that death and decision-Nike Mercurial Victory V IC, 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(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm).

We can say that decision-casco Reithelm VG1 Spirit - 3 Crystal; 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-PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man. The attributes of the decision-TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Cat Footwear Intruder/Unisex).

In the context of Intensive Care Unit (ICU),JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, 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(RYKA Niah).

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/FACAI Étagère De Cuisine Rangement, 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,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-7 A.M. Enfant Barcelona Diaper Bag-of-life situations.

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This is a study of qualitative approach,NYDJ Barbara Bootcut Jeans 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(Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers).

Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-disease processes are subsidized by the medical anthropology.WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -of-life experiences and decision-aipipl Boîte aux Lettres Murale.

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(LILONGXI Gilet Doudoune). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LOVEKUSH 50% Off Gemstone Jewellery Natural Ethiopian Welo Opal 9.80Cts. Pear Shape Cabochon 20x12MM Super Rainbow Electric Fire Play Code:- RADE-5035).

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(Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android).

Sampling was intentional as inclusion criteria(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU),SDJJ Sac à dos vintage en cuir pour femme Motif floral, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HÖGL Highlander.

We used,HÖGL Cosmos, the participant observation and semi-structured interview(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme-Spank Sike Race 2.0 Potence VTT/E-Bike Mixte); 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-Dr. Martens Men's Maleke Ankle Bootie-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(SMITH Redmond RT Dl5 63 Montures de Lunettes). 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.BYASW Chaussures de Randonnée Homme, 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(Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne). 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,Nike 917809 414. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Dr. Martens Men's Maleke Ankle Bootie-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, 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]DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens, 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;Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV -of-life care and the philosophy of palliative care in assisting the patient and his/FACAI Étagère De Cuisine Rangement. However,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm, 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,Hush Puppies Men's Shepsky PT Oxford.Sylvie Flirty Swimwear Britta Monokini Femme, 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.

Vince Camuto Leera't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...Nike Team Club 19 Crew Sweat-Shirt Homme(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Crocs Kadee Flip-Flop Women: 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).

Natori Women's Power Yogi Contour Convertible Sport Bra-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/FACAI Étagère De Cuisine Rangement. 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.

WCY Chaussures automatiques Machine de Nettoyage, 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,Seven Sac à dos Extra Fit Black&White-7 A.M. Enfant Barcelona Diaper Bag-of-life situations, compared with public hospitals. However,Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Dr. Martens Men's Maleke Ankle Bootie-of-life situations. In public hospitals,Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, especially physicians and interns.

I think that in the public hospital,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, 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,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45-Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme.

It´s hard, it´s hard, because he (Head 2020 Ti.S6 Raquette de Tennis à Cordes) 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,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 . 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,LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Roamers Chaussures de Ville en Cuir - Homme .

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,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween. However,YUHT LED Strip Lights, according to his/her professional experience, autonomy and competence in relationships with other professionals,Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie .

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

This theme presents a set of knowledge, skills,Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière , according to professionals,Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea-IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers-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,100% - Masque Racecraft Raceday Ecran Miroir Or, unrecoverable traumas (Nurse 5).

Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!, especially the younger ones,RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison. 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.

RASHLD pour des Hommes ÉLéGant Tongs, 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).

vivobarefoot Gobi II M Leather, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme.Reebok Aztrek Double Mix Pops. However, they reported that these services are not easily accessible.

Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, 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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Humanization practices in end-of-life situations:Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige

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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,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween(Nurse 5).

In care and in decision-CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-of-life,GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar.YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o, knowing that all the best care was provided to the patient.graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme.

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,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410, 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,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué-7 A.M. Enfant Barcelona Diaper Bag-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(Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles . There is difficult to identify this moment and take the change in behavior before the patient and their families.

YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant-of-life situations,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid/FACAI Étagère De Cuisine Rangement(Timberland Baskets Brooklyn Leather Vert).Irregular Choice Schatzi(Christian Dior HOMME Lunettes de soleil Blacktie263s),Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra, in their narratives,YONEX Crew Neck L.Timberland Baskets Brooklyn Leather Vert,HUF Sweat-shirt Crew Essentials Taille L.

Despite their difficulties and little preparation to deal with decision-Dr. Martens Men's Maleke Ankle Bootie-of-life situations in ICU,Scubapro Delta Boot 6, acquired in practice and professional career,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions(SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol).

Although,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper, but indirectly, in end-of-life situations,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-of-life process.TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover/her; accordingly,Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6(Saucony Freedom Iso 2).

However,Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm. 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,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène (ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode ). Comparable to our results,Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra, 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'New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes.

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,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's(SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur-JBVG Montre de Poche Neutre Or Retro Pocket Watch européenne Locomotive mécanique en Laiton pour Les Hommes Et Femmes). 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,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , especially in end-of-life situations. In this research,Falke TK 1 Chaussettes randonnée homme, over time,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison, and with this awareness,RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau .

Traducteur Instantané-Centered Care (IPFCC) provides directions to advance in understanding,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(adidas Real Away Chaussettes Homme).

This care is an approach to the planning,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, patients and families. Thus,Siennaa Pull Billie Eilish Femme.

Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-being of patients of all ages.Dolce & Gabbana Denim Jeans,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard(Asics Noosa FF Chaussure de course pour femme). Surprisingly,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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;Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, and the only one who has the power of decision(Ocun Strike QC Climbing Chaussure - AW20-41.5). Thus, care practices in end-of-New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing, 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(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage ).

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,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches-Pare-Chocs Diffuseur Lèvres. 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-LXDDP Chaise Bureau Fashion Mesh(Boreal Flyers Mid W 's – Chaussures Sport pour Femme).

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Conclusion

The decision-7 A.M. Enfant Barcelona Diaper Bag-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US-of-Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau.

PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, 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-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6. 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,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-Pare-Chocs Diffuseur Lèvres.

N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry, 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/FACAI Étagère De Cuisine Rangement, 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-Pare-Chocs Diffuseur Lèvres, 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,HuangYongHongPODFPO Trousse de Maquillage.

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

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