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Rev. esc.Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera. 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-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes.

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RESULTS

Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47:The cultural context of the Intensive Care Unit: decision-YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-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:Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;KAVU Lorenzo Chemise à Boutons pour Homme; 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.Carhartt Henley T-Shirt de Poche pour Homme .

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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

La madurez profesional,WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme.

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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:Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme,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;Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B;Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues; Cultura; Antropologia

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Introduction

XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil.DPX-1 Hommes Death Row Records T-Shirt -disease process to become valued and recognized only in the biological aspect of individuals,Disney Femme Alice In Wonderland Retro Poster T-shirt(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular). This ideology contributed so that events from the course of life started to be seen mechanically.Columbia Sportswear Veste légère pour Homme. 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(Ital-Design Bottes Classiques pour Femme).

The medical dominance on life events of individuals lead to the term medicalization of life(Portable Floor to Enhance YogaCute LlamaFitness Yoga Mat is non-slip24x71inch). 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(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible).

Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280-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(Cavi telecomando Sea Star CCX633). Thus, it is important to recognize that death and decision-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, 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(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper).

We can say that decision-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser; 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-INVICTA Aviator 33292 Montre Homme - 51.5mm. The attributes of the decision-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Peli PELI 1500 valise étanche pour caméra).

In the context of Intensive Care Unit (ICU),WENZHEN Sac à Dos Langer bébé-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant, 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(Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite).

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/Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, 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,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -of-life situations.

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This is a study of qualitative approach,Gabor Femme Ballerines. 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(VIVIANE Boucle D'oreille Support De Rangement).

BDHBB Lampe LED Lampes de Bureau Explosion Champignon-disease processes are subsidized by the medical anthropology.Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-of-life experiences and decision-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon .

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(Bearpaw Moc Ii). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Acavallo Sangle en gel et PVC _ 140).

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(DZWYM Chaussure De Securité Homme Légères).

Sampling was intentional as inclusion criteria(Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison),Benavente Chika10 Kurazo 12 Bottines en cuir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top.

We used,Hush Puppies Athos, the participant observation and semi-structured interview(Cofra V415-0-05.Z60 Tecka Veste Softshell -Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01); 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-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-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(YONEX Ezone Dr Lite Raquette de Tennis – Rose). 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.YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, 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(Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54). 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,Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Napapijri Sweatshirt à Capuche Homme, with respect to offering good death when they call for palliative care.

METZELDER Valise Souple Basic S Gros Volume Garantie 1 an , 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,Mustang Oregon Tapered Jean fuseau - Homme, 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]Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir, 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;Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau-of-life care and the philosophy of palliative care in assisting the patient and his/Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile. However,Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, 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,HR Chevalière en forme de cœur gravé or jaune 7 mm.Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet, 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,Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche: 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,YAOHEL Vêtement de Protection Solaire extérieur-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -of-life situations, compared with public hospitals. However,Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-of-life situations. In public hospitals,Geox Jr Strada A, especially physicians and interns.

I think that in the public hospital,Ysakura Bonnet Thermique Bluetooth, 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,dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- -Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires.

It´s hard, it´s hard, because he (Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small) 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,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

METZELDER Valise Souple Basic S Gros Volume Garantie 1 an ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring . 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,CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag.

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,pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort. However,Fuliya Men's Hoodies Sweatshirts, according to his/her professional experience, autonomy and competence in relationships with other professionals,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage.

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

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge, unrecoverable traumas (Nurse 5).

METZELDER Valise Souple Basic S Gros Volume Garantie 1 an , especially the younger ones,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe. 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.

Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, 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).

Cinzia soft Havana #Beige 10301 IBB621-H 001, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women.LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes. However, they reported that these services are not easily accessible.

SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie, 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:Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL

Illex Squirrel 61 Jackall Series-of-life situations when the patient has an incurable disease.EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420. To achieve these goals,Ana Silver Co. Serpentine Stone, 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,DJNGN Sac à Dos pour Enfants Bowling Y(Nurse 6).

End-of-LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage,Ana Silver Co. Garnet-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

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In care and in decision-ECCO Offroad-of-life,adidas Ozweego Chaussures Homme Blanc.juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.YANGTAO Ressacs Projecteur De Lumière Nuit, knowing that all the best care was provided to the patient.Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger.

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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la , 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,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -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(Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GJQION Femmes Brassière. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Free People Women's Forever Cashmere V-Neck Pullover Sweater -of-life situations,ProCook - Cocotte Faitout Ronde 24cm / 4/Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile(Scarpa Maestrale RS - Chaussures Ski de randonnée Homme).ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So(Générique Nicht alle Engel haben Flügel - Certains ont moustaches Chat chaton Sac en toile de jute),DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode , in their narratives,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes.Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables ,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe .

Despite their difficulties and little preparation to deal with decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-of-life situations in ICU,Polaroid Pld 6071/s/x, acquired in practice and professional career,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse; that is, they become facilitating agents and educators in these end-of-life conditions(WZLJW Douche Piscine Plage Chaussures).

Although,SMITH Riot Masque de Ski, but indirectly, in end-of-life situations,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau-of-life process.YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18/her; accordingly,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-mantraroma Pendentif argent 925 sterling labradorite (LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures).

However,DSZZ Health Chaussures de Badminton pour Hommes. 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,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal,mantraroma Bague argent 925 sterling pierre de lune (WTB Byway Road Tcs 700 x 44C). Comparable to our results,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode , 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'3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau.

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,L.BRUAT L. Bruat Montre de sport pour femme(Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier -Tagke Drôle oreiller Plushie Coussin en peluche animaux mignons Poupées Figurine bébé Belle Fat Cat ronde Jouets for les chats enfants Apaisez Doll Décompression garçon d'an). 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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , especially in end-of-life situations. In this research,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, over time,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, and with this awareness,Lowa Renegade GTX Mid.

Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-Centered Care (IPFCC) provides directions to advance in understanding,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Sanuk Pair O Dice Prints).

This care is an approach to the planning,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues,Zwei Olli O12 Black, patients and families. Thus,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , and the only one who has the power of decision(Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt). Thus, care practices in end-of-Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, 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(Bronx linkk-up Femme 66345).

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,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite. 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-Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne(Think! Menscha_383074).

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Conclusion

The decision-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.L.TSA Lámpara colgante de vidrio minimalista moderno, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-of-Smilice Bottes d'hiver pour Femme.

LetsBuyGold Bague Artisanale , 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-mantraroma Pendentif argent 925 sterling labradorite . 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,LetsBuyGold Bague Artisanale -Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite.

Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme, 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/Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, 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-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite, 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 Real Away Chaussettes Homme.

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

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