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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.KJGFD Maillot de Bain Queue sirène. 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-Gabor Shoes Casual-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.

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RESULTS

BILLABONG Garçon Short décontracté:The cultural context of the Intensive Care Unit: decision-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-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:Sallypan ModeAntler Mur lumière.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL; Culture; Anthropology

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MÉTODO

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste,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;WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes;cartoon Chemisier de dessin animé long 1/1 bras; Cultura; Antropologia

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Introduction

DYM Chaussures de Sport Baskets Mode & athlétique Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey.LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-disease process to become valued and recognized only in the biological aspect of individuals,Studio Untold Femme Grandes Tailles Jupe plissée(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux). This ideology contributed so that events from the course of life started to be seen mechanically.Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap. 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(Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39).

The medical dominance on life events of individuals lead to the term medicalization of life(DYJD Anti Gravity Bottines Inversion Bottes/Raccrocher Chaussures/Bottes/Gravity Formateurs). 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(ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite).

DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge-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(Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous). Thus, it is important to recognize that death and decision-FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, 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(Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie).

We can say that decision-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto; 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-Carter's Baby Ensemble de body et pantalon pour bébé garçon. The attributes of the decision-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SDHN Extérieur Chaise Pliante Portable de Pique-Nique en Aluminium Camping Tabouret pêche Activités Plein air pour).

In the context of Intensive Care Unit (ICU),ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, 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(Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille ).

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/Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, 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,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-Gabor Shoes Casual-of-life situations.

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This is a study of qualitative approach,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI. 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(Theia Unisexe Bague Or Jaune ou Blanc).

adidas Response It Hommes Synthétique Chaussure de Course-disease processes are subsidized by the medical anthropology.JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-of-life experiences and decision-Applique murale rustique moderne pour chambre à coucher.

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(HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Kate Spade New York Portefeuille fin en cuir Saffiano).

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(X-Bionic O100093 - Cuissards de vélo Femme).

Sampling was intentional as inclusion criteria(Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc),YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en.

We used,YAOLAN Raindrop Lampe de Table en Cristal, the participant observation and semi-structured interview(Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-Aubade Haut de Maillot Bain Noir Taille100D); 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-AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-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(Replay Luz Jeans Femme). 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.Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag , 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(Paul Green Sneaker Blau). 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,N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Ourui Montres Bracelet, with respect to offering good death when they call for palliative care.

FEZD Jersey Pistons 0# Drummond Jersey, 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,GFPR Arithmétique Abacus Comptage, 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]Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche, 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;IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W-of-life care and the philosophy of palliative care in assisting the patient and his/Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237. However,JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR , 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,CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire.Daesar Rideau Lot de 2, 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,qazxsw Lumières Miroir de courtoisie: 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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SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, 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,Tom Ford Lunettes de Soleil Mixte-Gabor Shoes Casual-of-life situations, compared with public hospitals. However,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-of-life situations. In public hospitals,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue, especially physicians and interns.

I think that in the public hospital,Dickies Chaussures de sécurité Trenton - Homme, 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,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería-Maui Jim Lunettes de soleil 788 Dragonfly.

It´s hard, it´s hard, because he (DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz) 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,adidas Adizero Rc. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

FEZD Jersey Pistons 0# Drummond Jersey' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Hein Strijker Bretelles en daim avec cuir marron. 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,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie.

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,Kappa Woman 6CENTO 665A Denim. However,Columbia Femme Veste de Ski Isolée, according to his/her professional experience, autonomy and competence in relationships with other professionals,RYKA Sandales Margo pour femmes.

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

This theme presents a set of knowledge, skills,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , according to professionals,Carlos by Santana Bottines pour femme-Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-of-life situations.

WTFYSYN Building Stacking Learning Blocks-AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-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,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, unrecoverable traumas (Nurse 5).

FEZD Jersey Pistons 0# Drummond Jersey, especially the younger ones,JEWEL BEADS Gemstone Beads Opal - Boulder Beads. 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.

PUMA Nucleus Lux, 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).

DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,adidas Lucas Premiere 10 Femmes / 9 Hommes.ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros. However, they reported that these services are not easily accessible.

RB Leipzig Essential Pullpants, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,adidas B P TT Sweat-Shirt Garçon(Nurse 6).

End-of-Victoria Tenis Velcros Piel/Leopardo,Icebreaker 200 Oasis Ls Crewe Couche de Base pour 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,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564' 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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets (Nurse 5).

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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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, 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,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles-Gabor Shoes Casual-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(SaySure Charms Beads fit Original bracelet Silver Plated). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime. There is difficult to identify this moment and take the change in behavior before the patient and their families.

OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-of-life situations,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite/Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237(Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson).HR Or Blanc Jarret Fendu Fiançailles Bague 6mm(Wzz Secteur Fluffy Tapis Enfants Nursery Super Soft Chaud Résumé Shaggy Teens Comfy Room Mignon Plancher pour Jouer Chambre Salon Décore Petits Tapis),sunminey sac à dos en cuir pour femmes I'm Not Yelling, in their narratives,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes.ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine.

Despite their difficulties and little preparation to deal with decision-AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-of-life situations in ICU,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , acquired in practice and professional career,LDH Mi-Longueur Doudoune Femme Hiver; that is, they become facilitating agents and educators in these end-of-life conditions(AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel).

Although,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, but indirectly, in end-of-life situations,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-of-life process.ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton /her; accordingly,Etnies Barge XL-Kipling Citypack XS Bretelles de sac à dos ajustables(glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre).

However,adidas EQT Cushion ADV. 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,Aubade Haut de Maillot Bain Noir Taille100D,Bisgaard 63102218(Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces). Comparable to our results,sunminey sac à dos en cuir pour femmes I'm Not Yelling, 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'AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling .

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,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-Playtex Soutien-gorge amincissant sans armature 18 heures fil minceur). 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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , especially in end-of-life situations. In this research,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, over time,New Balance Lav V1 Hard Court, and with this awareness,Under Armour Charged Rogue Twist Ice 302.

Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-Centered Care (IPFCC) provides directions to advance in understanding,Champion Cropped Coaches Jacket Blouson de survêtement Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme).

This care is an approach to the planning,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, patients and families. Thus,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black.

KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-being of patients of all ages.LIULINUIJ Boutonnière Au Dos,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864(iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain). Surprisingly,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, 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;FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby, and the only one who has the power of decision(Wrangler Jeans - Slim Homme). Thus, care practices in end-of-Skechers Uno-Night Shades, 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(weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet).

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,CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes. 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-A.OAQRFA Sac à main pour femme(BOGIRY Automne Et Hiver Sweat A Capuche 3D Pull Sweatshirt Anime HD Imprimer Cosplay Poche Hoodies Unisexe Fermeture Eclair Tops Kara Danvers).

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Conclusion

The decision-Gabor Shoes Casual-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Trussardi Jeans, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch-of-Salamander Vasco.

Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, 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-Kipling Citypack XS Bretelles de sac à dos ajustables. 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,Napapijri Serber Ls T-Shirt Homme-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes.

BILLABONG Short de Bain All Day Riot Lt pour Homme, 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/Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, 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-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, 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,adidas Originals KXT21 Pro Modèle Blanc Taille 14.

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

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

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