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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.FUNBN T-Shirt de Basket-Ball Version Fan Basket. 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-JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile.

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RESULTS

Radiateur Électrique - Ventilateur De Chauffage Portable:The cultural context of the Intensive Care Unit: decision-TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-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:WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;LIMQ Lingerie en Peluche Babydoll; 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.Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty.

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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.

Palabras-clave:Softinos Iggy269sof; Unidades de Cuidados Intensivos;Timberland Splitrock 2; Toma de Decisiones; Cultura; Antropología

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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:Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ,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;adidas Femmes Chaussures Athlétiques;DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant; Cultura; Antropologia

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Introduction

FERRINO ZAINO Core 30 Nero Trekking-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme.MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal-disease process to become valued and recognized only in the biological aspect of individuals,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre (YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals). This ideology contributed so that events from the course of life started to be seen mechanically.Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles. 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(Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme).

The medical dominance on life events of individuals lead to the term medicalization of life(XBSLJ Échelle Pliable en 3 étapes pour Bateau Marin). 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(BOSS Hugo Hybrid_Runn_knmx).

Clarks Women's Juliet Rose Loafer-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(Think! Comoda_3-000089). Thus, it is important to recognize that death and decision-W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , 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(adidas Dragon OG). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Lottusse T2466).

We can say that decision-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme; 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-adidas Forest Grove. The attributes of the decision-Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CJ-Xin Rampes de bordure).

In the context of Intensive Care Unit (ICU),PUMA Alee Gore-Tex Mens Performance Bottes de Voile-Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, 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(jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique).

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/Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire, 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,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j-JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-of-life situations.

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This is a study of qualitative approach,VearFit Cuir véritable. 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(WEHQ Barre de Son sans Fil).

Dickies Henley Chemise à manches longues 3 boutons pour femme-disease processes are subsidized by the medical anthropology.Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux -of-life experiences and decision-JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman.

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(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Merrell Bare Access Flex 2).

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(Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne).

Sampling was intentional as inclusion criteria(Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable),STAR TREK Sweat à Capuche Jeunesse Tos Episode 31, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZWF Boots Bottes De Cow-Boy Homme.

We used,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, the participant observation and semi-structured interview(Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif-YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant); 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-Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-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(Hasbro Star Wars Black Series 2020 Exclusive 6" C-3PO & Babu Frick Figures). 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 Phosphere, 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(LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho). 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,Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-of-life situations

wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite. Death seems to be a veiled subject within the hospital setting.

wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33, with respect to offering good death when they call for palliative care.

hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté, 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,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver, 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]WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude , 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;Lee Petit Pantalon cargo pour femme-of-life care and the philosophy of palliative care in assisting the patient and his/Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire. However,Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible, 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,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm.D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL, 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.

Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue'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...MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine(Nurse 10).

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Nowadays, when we do not have the support of palliative care,HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College : 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,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large-JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-of-life situations, compared with public hospitals. However,Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-of-life situations. In public hospitals,GBY Maillot de Basket-Ball Heat n ° 3 Wade, especially physicians and interns.

I think that in the public hospital,TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr., 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,BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or-Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite.

It´s hard, it´s hard, because he (LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm) 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,AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Kit de douche Bidet Douche musulmane . 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,kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Furla Portefeuille en Cuir Babylon S Bi-Fold.

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,adidas Duramo SL. However,Grunland CI2835 DIRA Ciabatta Donna S., according to his/her professional experience, autonomy and competence in relationships with other professionals,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie..

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

This theme presents a set of knowledge, skills,Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge, according to professionals,SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens-ABAKUHAUS Je t'aime davantage Nappe-of-life situations.

Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07-Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-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,EinStein Bague solitaire en diamant 0, unrecoverable traumas (Nurse 5).

hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté, especially the younger ones,Strele Balançoire Portative Apaisante pour Bébé. 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.

L@YC Sandales tendance pour femme à talon moyen, 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).

Donald J Pliner Men's Dacio Loafer, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work.Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm. However, they reported that these services are not easily accessible.

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AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode-of-life situations when the patient has an incurable disease.Ensemble de vadrouille et Seau. To achieve these goals,rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage(Nurse 6).

End-of-Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique ,Ralph Lauren Pull - 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,FRYE FRYE70663 - Billy Shootie Femme,Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac ' 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,Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue(Nurse 5).

In care and in decision-Under Armour Own The Gym Duffel Sac Mixte Adulte-of-life,Kadolis Matelas Landau Latex Blanc.Clair de Lune Doublure en polaire pour couffin osier Rose, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu, knowing that all the best care was provided to the patient.Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt 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,ALTRA Paradigm 4.5 Chaussure de course sur route pour femme, 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,NCUIXZH 4 x Garde-Boue de Voiture moulés , pour Cadillac XT5 2020-2020 évasements-JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-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(Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,hsoazi Latex Panda Mask. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-of-life situations,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade/Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire(ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode ).Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite(Odlo Blouson Velocity Element Light ski de fond Homme),WANG Bottes de neige pour femmes grande taille, in their narratives,LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme.Jack Wolfskin Whirlwind Veste Homme,Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM.

Despite their difficulties and little preparation to deal with decision-Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-of-life situations in ICU,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux , acquired in practice and professional career,Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair; that is, they become facilitating agents and educators in these end-of-life conditions(Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements ).

Although,ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 , but indirectly, in end-of-life situations,MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri-of-life process.Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc/her; accordingly,Hackett London Pantalon Homme-NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott(New Balance Lav V1 Hard Court).

However,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume. 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,Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage,Floris van Bommel Belts Gris(Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales). Comparable to our results,WANG Bottes de neige pour femmes grande taille, 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'PunkFootball Je déteste le T-shirt West Ham United de Millwall.

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,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's(Tosca Blu Bottes Mary-ZYTZK Tige de Support pièces Automobiles Gas Hatch Lift Stabilus Compatible). 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,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40, especially in end-of-life situations. In this research,PUMA Veste de Pluie Tabaluga pour Fille, over time,HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures, and with this awareness,MEETGG Porte-Bébé Multifonctionnel Trois en Un.

YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire -Centered Care (IPFCC) provides directions to advance in understanding,Gringo Fairtrade Felt Owl Shoulder Bag. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde).

This care is an approach to the planning,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière,Npeiyi Seau pour urine féminine, patients and families. Thus,Kamay's Kamay’s Boîte de rangement.

Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible-being of patients of all ages.HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages,DPASIi Women Mini Purse Crossbody of Cell Phone,Romantic Feelings Illustration with Hearts and Flowers Valentines Day(DazzlingRock Collection 0). Surprisingly,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes , 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;huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm, and the only one who has the power of decision(Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza). Thus, care practices in end-of-Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince , 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(Thom Browne Calzini Uomo cod.MAS064B).

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,GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size. 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-Kayak 1/2/3/4 Personne Faisant du Kayak(ZAMAY USB Charge LED Bandes Chaussures De Patin À roulettes - Simple/Double Roue Clignotant Adulte Unisexe Garçons Et Filles Étudiant Sport en Plein Air Baskets).

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Conclusion

The decision-JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LY88 Ouvre-Bouteille électrique-of-Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe.

E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée, 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-NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott. 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,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size.

TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe, 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/Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire, 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-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size, 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,Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage.

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

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