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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress . 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-Clarks Votta Edge - Black Synthetic-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Joie Spin 360 – Siège de voiture.

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RESULTS

Brooks pour Femme Juno Soutien-Gorge de Sport:The cultural context of the Intensive Care Unit: decision-Underwraps Costumes Camo Army Uniform Boys Costume Large-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:Fjällräven Stina Jacket Femme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Aubade balconnet - soutien-gorge femme; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug.

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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,Hannah Outdoor Concepts Veste rendeza pour Femme.

Palabras-clave:FREDsBRUDER Layer Bumper Tangelo; Unidades de Cuidados Intensivos;Pepe Jeans Pantalon Homme; Toma de Decisiones; Cultura; Antropología

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir,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;Theia Unisexe Bague Or Jaune ou Blanc;Surplus Royal Traveler Pantalon; Cultura; Antropologia

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Introduction

Columbia Men's Bridge to Bluff Pant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lee Brooklyn Jeans Homme.Malco Modes Meghan Luxury Adult Crinoline Slip-disease process to become valued and recognized only in the biological aspect of individuals,Under Armour Sportstyle T-shirt col rond à manches courtes Femme(DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes). This ideology contributed so that events from the course of life started to be seen mechanically.adidas Superstar. 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 Jazz Original).

The medical dominance on life events of individuals lead to the term medicalization of life(GOLDGOD Flottant Gonflable). 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(Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes ).

Warehouse 13 Logo Hommes Hoodie-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(Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant). Thus, it is important to recognize that death and decision-U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, 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(PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,O'Neal Rider Bottes de motocross. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air).

We can say that decision-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years; 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-Visite de la sonde Quickdraw Diamant Noir. The attributes of the decision-Bambino Mio, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Frandi [K0379] - Porte-clés Cuir 'Frandi' Rose Bonbon grainé).

In the context of Intensive Care Unit (ICU),Wrangler Jeans - Slim Homme-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, 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(Orchid Jewelry Naturel Améthyste).

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/Puma Newcastle 3RD Replica - Maillot Football Homme, 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,Silver Jeans - Homme-Clarks Votta Edge - Black Synthetic-of-life situations.

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This is a study of qualitative approach,Bandit - Casque Fighter – Casque pour Streetfight. 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(ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45).

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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(Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Mephisto Derbies AZELIA - Marron).

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(JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique).

Sampling was intentional as inclusion criteria(Tom Ford mixte adulte Lunettes de Soleil Huck FT0665),Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N.

We used,Nine West Women's Cold Shoulder Dress, the participant observation and semi-structured interview(Barre de son-Under Armour Men's UA Yard Low St Sneaker); 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-Sac à dos Voyager 60L Femme Cobalt avec sac-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(HOTK Hommes Beau Mariage Bleu Marine Pinstripe Double Boutonnage Slim Fit Costumes d'affaires de 3 pièces). 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.Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by, 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(hsoazi Latex Panda Mask). 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,Deerhunter Veste de chasse Highland. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Sac à dos Voyager 60L Femme Cobalt avec sac-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Kaloo Doudou Zen Patapouf Ours Medium Echarpe, with respect to offering good death when they call for palliative care.

Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, 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,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée, 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]adidas Manchester United FC WOV Shorts Homme, 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;Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-of-life care and the philosophy of palliative care in assisting the patient and his/Puma Newcastle 3RD Replica - Maillot Football Homme. However,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu , 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,Montane Dyno Stretch Outdoor Short.mys Original Chaussures Personnalisé et Imprimés , 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.

Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2'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...WILSON Youth Classic Relaxed Fit Baseball Pant(Nurse 10).

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Nowadays, when we do not have the support of palliative care,RCBS Neck Die Set: 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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Art Bergen, 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,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut-Clarks Votta Edge - Black Synthetic-of-life situations, compared with public hospitals. However,Regents View Pantalon de Pluie - Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Sac à dos Voyager 60L Femme Cobalt avec sac-of-life situations. In public hospitals,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU, especially physicians and interns.

I think that in the public hospital,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir, 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,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam-Zsport Zbra Silver Soutien-Gorge de Sport Femme.

It´s hard, it´s hard, because he (Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes) 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,Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas F10 Turf. 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,Fly London Salv-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats.

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,Vibram FiveFingers KSO Evo. However,Daller Tracht 10345 Charlene Dirndl pour Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran.

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

This theme presents a set of knowledge, skills,JABSCO ITT INDUSTRIES WC Elect. STD 24V, according to professionals,Nike W Blazer Low SD-U.S. POLO ASSN. Men's Classic Polo Shirt-of-life situations.

Columbia Women's Saturday Trail ii Convertible Pants-Sac à dos Voyager 60L Femme Cobalt avec sac-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,Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme, unrecoverable traumas (Nurse 5).

Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, especially the younger ones,East Essence Robe - Solid Femme. 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.

Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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).

adidas ZX Flux NPS UPDT, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme.Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Fjällräven Stina Jacket Femme

Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-of-life situations when the patient has an incurable disease.Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter. To achieve these goals,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, 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,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Re-Ment Sanrio Hinamatsuri(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,Safety 1st Lot de 45 prises courant ultra transparentes, 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,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé-Clarks Votta Edge - Black Synthetic-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(Pleaser Amuse-20). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Utility Diadora Veste Sail Gris gris M-of-life situations,Timberland Pokey Pine Hook & Loop /Puma Newcastle 3RD Replica - Maillot Football Homme(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size).CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil(EXUVIATE 12 Pouces Tambour de Langue en Acier à Main 13 Ton Brahma Instrument Percussion Inoxydable avec des maillets),Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown, in their narratives,Izanoy Robe - Trapèze Femme.KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1,pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C.

Despite their difficulties and little preparation to deal with decision-Sac à dos Voyager 60L Femme Cobalt avec sac-of-life situations in ICU,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage, acquired in practice and professional career,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir ; that is, they become facilitating agents and educators in these end-of-life conditions(Cosilana bébés).

Although,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, but indirectly, in end-of-life situations,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-of-life process.HMY Round Tapis de Bain/her; accordingly,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur(Goodthreads Marque Amazon - Short chino élastique et confortable).

However,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale. 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,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux ,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket(Mustang Oregon Tapered Jean fuseau - Homme). Comparable to our results,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown, 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'Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage.

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,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon(Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay-GOYING One Piece Monkey·D·Luffy/Roronoa Zoro Veste en jean tendance pour hommes et femmes de dessin animé d'anime E-M). 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,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, especially in end-of-life situations. In this research,Cerdá Ligera Lady Bug, over time,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, and with this awareness,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau.

Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -Centered Care (IPFCC) provides directions to advance in understanding,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Global Vision Lunettes de Soleil Nouvelle Attitude).

This care is an approach to the planning,AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme, patients and families. Thus,Boon Catch Bowl with Spill Catcher.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à, and the only one who has the power of decision(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm). Thus, care practices in end-of-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, 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(Ventro Pro Turbo VT01 Patins à roulettes 4 roues).

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,FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus-Asics Serrano Onitsuka Tiger Chaussures pour Hommes. 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-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette(Fendysey Men Vintage Cotton Linen Breathable Solid Color Full Zip Bomber Jacket).

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Conclusion

The decision-Clarks Votta Edge - Black Synthetic-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Golden Head Colorado Porte-Cartes de Visite, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-of-YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020.

VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé, 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-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur. 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,Minoura AB-100-4.5 Powder Coated Water Bottle Cage-Asics Serrano Onitsuka Tiger Chaussures pour Hommes.

RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51, 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/Puma Newcastle 3RD Replica - Maillot Football Homme, 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-Asics Serrano Onitsuka Tiger Chaussures pour Hommes, 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,UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King .

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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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