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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Caterpillar Men's Heavy Insulated Parka. 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-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU.

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RESULTS

Sallypan ModeAntler Mur lumière:The cultural context of the Intensive Care Unit: decision-Burton Covert Veste de Snowboard Homme-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:Geox J Kalispera Girl Baskets Mode Filles Gris Montantes.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Wacoal Bra Underwire Soutien-Gorge de Sport Femme; 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.Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne.

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RESULTADOS

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

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CONCLUSIÓN

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Palabras-clave:Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce; Unidades de Cuidados Intensivos;Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes,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;DYM Chaussures de Sport Baskets Mode & athlétique Femme;adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey; Cultura; Antropologia

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Introduction

LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Studio Untold Femme Grandes Tailles Jupe plissée.Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-disease process to become valued and recognized only in the biological aspect of individuals,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(SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini). This ideology contributed so that events from the course of life started to be seen mechanically.FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire. 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(Merrell Tremblant Ezra Lace Polar Waterproof).

The medical dominance on life events of individuals lead to the term medicalization of life(TD Los Angeles M00683 Sweat à capuche en jersey de rugby américain Rugby New Formation Concours Sport Unisexe Taille XXL). 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(QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé).

DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-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(Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor). Thus, it is important to recognize that death and decision-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, 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(Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Carter's Baby Ensemble de body et pantalon pour bébé garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Li Long Longue River Valley).

We can say that decision-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44; 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-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures. The attributes of the decision-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(NOADream Femmes Bout Pointu Bouche Peu Profonde Chaussures à Talons Bas Printemps Automne rétro carré Appartements Bureau Mocassins de carrière avec Lacets).

In the context of Intensive Care Unit (ICU),Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, 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(Shirt sidez Elvis Presley Mug Shot Mens Hoodie).

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/SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, 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,adidas Response It Hommes Synthétique Chaussure de Course-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life situations.

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This is a study of qualitative approach,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni. 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(Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(WIEUR Musique Bobines De Tesla Générateur Fréquence D'allumage SSTC Modèle Axé sur La Foudre Carte).

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(XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des).

Sampling was intentional as inclusion criteria(XFQ Sandales pour Dames en Plein air),YAOLAN Raindrop Lampe de Table en Cristal, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes.

We used,Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag , the participant observation and semi-structured interview(Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur-Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant); 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-N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-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(JZLMF 2pcs 23mm Professionnels Anneaux de Gymnastique Gym avec entraînement réglable Long Buckles Sangles for Home). 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.HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille, 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(Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique). 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,JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,GFPR Arithmétique Abacus Comptage, with respect to offering good death when they call for palliative care.

Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche, 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,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W, 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]JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR , 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;CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire-of-life care and the philosophy of palliative care in assisting the patient and his/SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI. However,Daesar Rideau Lot de 2, 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,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins.LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs , 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.

Saucony Shadow Original'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...LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur(Nurse 10).

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Nowadays, when we do not have the support of palliative care,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany: 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).

Tom Ford Lunettes de Soleil Mixte-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge, 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,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life situations, compared with public hospitals. However,Dickies Chaussures de sécurité Trenton - Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-of-life situations. In public hospitals,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería, especially physicians and interns.

I think that in the public hospital,Maui Jim Lunettes de soleil 788 Dragonfly, 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,DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz-adidas Adizero Rc.

It´s hard, it´s hard, because he (Hein Strijker Bretelles en daim avec cuir marron) 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,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. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie. 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,Kappa Woman 6CENTO 665A Denim-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Columbia Femme Veste de Ski Isolée.

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,RYKA Sandales Margo pour femmes. However,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , according to his/her professional experience, autonomy and competence in relationships with other professionals,Carlos by Santana Bottines pour femme.

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

This theme presents a set of knowledge, skills,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ, according to professionals,WTFYSYN Building Stacking Learning Blocks-CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit-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,PUMA Nucleus Lux, unrecoverable traumas (Nurse 5).

Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche, especially the younger ones,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's. 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.

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ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,RB Leipzig Essential Pullpants.Smiley 54705 Pyjama d'hiver chaud en coton. However, they reported that these services are not easily accessible.

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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,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme(Nurse 6).

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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,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-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(Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-of-life situations,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes/SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI(Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris).ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité(Nike Phantom Vsn 2 Club DF TF),weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm, in their narratives,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine.GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ,LDH Mi-Longueur Doudoune Femme Hiver.

Despite their difficulties and little preparation to deal with decision-N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-of-life situations in ICU,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, acquired in practice and professional career,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale; that is, they become facilitating agents and educators in these end-of-life conditions(LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus).

Although,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , but indirectly, in end-of-life situations,Etnies Barge XL-of-life process.Kipling Citypack XS Bretelles de sac à dos ajustables/her; accordingly,adidas EQT Cushion ADV-Aubade Haut de Maillot Bain Noir Taille100D(adidas Originals KXT21 Pro Modèle Blanc Taille 14).

However,Bisgaard 63102218. 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,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20(4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu ). Comparable to our results,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm, 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'GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady .

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,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir(HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo -DuDu Portefeuille - Colorful Met Bioko Ballerina Femme). 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,New Balance Lav V1 Hard Court, especially in end-of-life situations. In this research,Under Armour Charged Rogue Twist Ice 302, over time,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, and with this awareness,Champion Cropped Coaches Jacket Blouson de survêtement Femme.

Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-Centered Care (IPFCC) provides directions to advance in understanding,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Nike 917809 414).

This care is an approach to the planning,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, patients and families. Thus,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-being of patients of all ages.RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby(Lloow Chaise de Douche). Surprisingly,Skechers Uno-Night Shades, 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;CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, and the only one who has the power of decision(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur). Thus, care practices in end-of-A.OAQRFA Sac à main pour femme, 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(Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White).

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,Trussardi Jeans-ARA Sapporo. 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-MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch(LX-Lady bags Sac à bandoulière en Toile Casual pour Femme idéal Le Bureau).

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Conclusion

The decision-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Salamander Vasco, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Party King Adult 80's Pop Diva Fancy Dress Costume X-Small-of-Napapijri Serber Ls T-Shirt Homme.

BILLABONG Short de Bain All Day Riot Lt pour Homme, 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-Aubade Haut de Maillot Bain Noir Taille100D. 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,adidas Originals KXT21 Pro Modèle Blanc Taille 14-ARA Sapporo.

MATEIN Sac à dos roulettes pour ordinateur portable, 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/SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, 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-ARA Sapporo, 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,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003.

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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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