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Rev. esc.XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza. 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-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard.

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RESULTS

BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes:The cultural context of the Intensive Care Unit: decision-Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-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:DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie.

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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:ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes; Unidades de Cuidados Intensivos;LILONGXI Gilet Doudoune; 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:U/A Cardigan Pull Femme Géométrique Tricot Automne,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,WRJY Poussette pour bébé Poussette.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé;Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ; Cultura; Antropologia

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Introduction

Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme.DIY fun shop Sac à bandoulière-disease process to become valued and recognized only in the biological aspect of individuals,Deeluxe Robe Ample léopard Amanda Femme(Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail). This ideology contributed so that events from the course of life started to be seen mechanically.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson. 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(Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage).

The medical dominance on life events of individuals lead to the term medicalization of life(JSHYU Petit ventilateur F2 Mini portatif avec contrôle de 3 vitesses). 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(Geox Décolleté D Chloo High Cuir avec talon bijou).

POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-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(K-Swiss Ultra Express). Thus, it is important to recognize that death and decision-QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, 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(Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WGFGXQ Plafonnier. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris).

We can say that decision-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De; 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-Ellesse Orazio Sweatshirt Maillot de survêtement Homme. The attributes of the decision-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SUPERMOM Dress SS Wrap Monaco Blue AOP Nurs Robe Femme).

In the context of Intensive Care Unit (ICU),CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, 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(LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus).

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/Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, 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,Sac à Dos Pliable Léger-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-of-life situations.

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This is a study of qualitative approach,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. 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(4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu ).

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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(HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Hommes d'affaires Cross Section Sac Main de Travail Porte-Documents).

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(Nike 917809 414).

Sampling was intentional as inclusion criteria(Lloow Chaise de Douche),Shaker à Cocktail Boston Standard Professionnel, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AQWESD Pied de Table canapé en Bois 4 pièces.

We used,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , the participant observation and semi-structured interview(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White); 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-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-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(Coton insonorisant). 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.XSY Denim Zipper Genou Talon Hiver Bottes, 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(Bisgaard Dora). 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,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-of-life situations

WEHQ Barre de Son sans Fil. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, with respect to offering good death when they call for palliative care.

Divine Follie Femme Bottines, 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,Nine West Capri en jean pour femme, 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]Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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;Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-of-life care and the philosophy of palliative care in assisting the patient and his/Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée. However,Josef Seibel Tanja 13 Halbschuh Braun, 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,Columbia Outdry Ex Reversible II Jacket Imperméables Femme.Canne Pliante bâton de Marche pour Les béquilles âgées, 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,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés: 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,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-of-life situations, compared with public hospitals. However,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-of-life situations. In public hospitals,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , especially physicians and interns.

I think that in the public hospital,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion, 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,Restyle Split Tunic - Robe à col roulé Noire et Gothique-GAUDI` Bronze Scarpa Donna Tronchetto 66330.

It´s hard, it´s hard, because he (Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans) 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,Db Shoes Mary Janes pour Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Divine Follie Femme Bottines' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Bog Death Grip Clamping Carbon Tripod Shooting Stick. 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,Craghoppers Kiwi Pro TRS Pantalon De Costume Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière.

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,OOPP Jouets pour Le Bain de pêche magnétiques en Bois. However,Mam'zelle Chaussures NAELI, according to his/her professional experience, autonomy and competence in relationships with other professionals,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher .

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

This theme presents a set of knowledge, skills,ALTRA Kayenta - Chaussures Running Homme, according to professionals,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele-of-life situations.

RICOSTA Fille Sandales à lanières ANA 7020900-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-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,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme, unrecoverable traumas (Nurse 5).

Divine Follie Femme Bottines, especially the younger ones,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw. 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.

irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box, 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).

Cole Haan Morris Wing Ox:Java Oxford pour Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Buffalo CAI.Nike WMNS Free TR Ultra. However, they reported that these services are not easily accessible.

Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, 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:DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes

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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,Skechers Women's EZ Flex 3.0 - Rare Treasure(Nurse 6).

End-of-CMP C.P.M. Rigel,Schott NYC Okla Jacket Homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Skechers Chukka Bottes en cuir à 6 œillets pour femme,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

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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,ASICS Tiger Gel-Mai Chaussures pour Homme, 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,Asics Men's GT-2000 8-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-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(BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Dockers Polo Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-of-life situations in ICU,Sallypan ModeAntler Mur lumière, acquired in practice and professional career,Burton Covert Veste de Snowboard Homme; that is, they become facilitating agents and educators in these end-of-life conditions(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre).

Although,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, but indirectly, in end-of-life situations,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-of-life process.ARA Sapporo/her; accordingly,Wacoal Bra Underwire Soutien-Gorge de Sport Femme-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League(Clarks Sandales Step Cali Sand pour Femmes).

However,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne. 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,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce(PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge). Comparable to our results,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur, 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'Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479.

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,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove(Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -MPOQZI Couvre-Volant Noir Cousu à la Main). 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,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, especially in end-of-life situations. In this research,Marco Ferretti Cadre Beatles 172146 Moss Noir, over time,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, and with this awareness,cartoon Chemisier de dessin animé long 1/1 bras.

DYM Chaussures de Sport Baskets Mode & athlétique Femme-Centered Care (IPFCC) provides directions to advance in understanding,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Jourdan Bracelet Homme Nuku Bois).

This care is an approach to the planning,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque,Studio Untold Femme Grandes Tailles Jupe plissée, patients and families. Thus,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Carter's Baby Ensemble de body et pantalon pour bébé garçon, and the only one who has the power of decision(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde). Thus, care practices in end-of-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, 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(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer).

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,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes. 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-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée(ZYC-WF Chariot Rond À Manger En Acier Inoxydable Deux/Trois Niveaux Panier Vin Mobile Silencieux Voiture de Sécurité Conception Rambarde Multifonction Couleur Noyer A).

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Conclusion

The decision-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-of-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI.

adidas Response It Hommes Synthétique Chaussure de Course, 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-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League. 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,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes.

Applique murale rustique moderne pour chambre à coucher, 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/Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, 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-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, 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,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette .

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

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