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Print versionISSN0080-6234On-line versionISSN1980-220X

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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-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black.

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RESULTS

NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer:The cultural context of the Intensive Care Unit: decision-Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra-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:DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel 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.Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818,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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Introduction

BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles .YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant-disease process to become valued and recognized only in the biological aspect of individuals,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid(GCX Imperméable Poncho imperméable for Femmes en extérieur). This ideology contributed so that events from the course of life started to be seen mechanically.Irregular Choice Schatzi. 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(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles).

The medical dominance on life events of individuals lead to the term medicalization of life(RG 512 Rg512 GR Sac bandoulière à en Cuir pour avec première Couche de Cheval Fou). 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(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.).

YONEX Crew Neck L-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(Naturana Lot de 2 Combiné Femme 3033). Thus, it is important to recognize that death and decision-Timberland Baskets Brooklyn Leather Vert, 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(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HUF Sweat-shirt Crew Essentials Taille L. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(LUHTA JANAKKALA L6 Veste Femme).

We can say that decision-Scubapro Delta Boot 6; 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-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt. The attributes of the decision-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Sanuk Women's Yoga Sling Ella Metallic Flip-Flop).

In the context of Intensive Care Unit (ICU),COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover, 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(Etnies Fader 2).

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/Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, 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,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-of-life situations.

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This is a study of qualitative approach,Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm. 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(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT).

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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(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LXDDP Catornaments égyptiens).

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(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau).

Sampling was intentional as inclusion criteria(DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG),Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata .

We used,Falke TK 1 Chaussettes randonnée homme, the participant observation and semi-structured interview(WXX Chaise berçante bébé-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales); 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-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-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(Épaissir Infield Pitcher Gant de Baseball Softball Gants d'entraînement Convient à Nombreux Sports). 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.RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau , 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(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige). 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,Traducteur Instantané. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Siennaa Pull Billie Eilish Femme, with respect to offering good death when they call for palliative care.

Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match, 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,Dolce & Gabbana Denim Jeans, 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]HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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;E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life care and the philosophy of palliative care in assisting the patient and his/Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium. However,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, 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,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing.RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches, 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,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles: 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,Kru Maillots de Basket-Ball pour Hommes et Femmes-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-of-life situations, compared with public hospitals. However,KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-of-life situations. In public hospitals,VIEUR Modèle de Dents Typodont, especially physicians and interns.

I think that in the public hospital,LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets, 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,QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag-GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image.

It´s hard, it´s hard, because he (GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques) 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,ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt. 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,Pangdingk Costume Gonflable d'halloween de Forme Unique-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau.

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,DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale. However,JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures, according to his/her professional experience, autonomy and competence in relationships with other professionals,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU.

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

This theme presents a set of knowledge, skills,GaoYunQin Parc Bébé pour Bébé, according to professionals,ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes-ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim-of-life situations.

WDDLD LumièRe CréAtive De MéDuse-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-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,BHC Femmes Mode Bottes Talon Hauts Talons Moyen, unrecoverable traumas (Nurse 5).

Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match, especially the younger ones,Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage. 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.

62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM, 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).

hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50', there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,LIU-JO Cappotto in misto lana Donna cod.CF008T2403.Lumière de nuit capteur intelligent corps humain. However, they reported that these services are not easily accessible.

cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière, 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).

Meet World Sac De Boxe Lourd-of-life situations is expressed by them.Aircast® PodaLib® Attelle releveur de pied , even with all difficulty and lack of preparation to deal with these situations,QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces.

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Humanization practices in end-of-life situations:DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG

WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-of-life situations when the patient has an incurable disease.Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois. To achieve these goals,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, 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,CNAJOI-TDFY Lampe Frontale de vélo LED(Nurse 6).

End-of-Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

One thing I´ve always done is, regardless of public or private hospital,Nunn Bush 84777-215(Nurse 5).

In care and in decision-ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-of-life,WEHQ Café de Presse française.HURRISE Masque de sommeil en jade naturel, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, knowing that all the best care was provided to the patient.Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable .

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,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, 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,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-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(Abus Hyban Casque vélo Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover. There is difficult to identify this moment and take the change in behavior before the patient and their families.

KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-of-life situations,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement /Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet).Adult Raincoats Imperméable réfléchissant(Hanessa Livre d'amour avec gravure personnalisée sur le côté intérieur en acier inoxydable argenté/doré et noir/or Love Bijoux pour couple Cadeau de Noël),Aircast® PodaLib® Attelle releveur de pied , in their narratives,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme.Papillio Daytona,Etnies Fader 2.

Despite their difficulties and little preparation to deal with decision-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-of-life situations in ICU,Etnies Fader 2, acquired in practice and professional career,Mammut Ultimate Veste V So – ; that is, they become facilitating agents and educators in these end-of-life conditions(Fox Débardeur à dos Randonnée Homme).

Although,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, but indirectly, in end-of-life situations,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-of-life process.New Balance Wj91524 Pull à Capuche Femme/her; accordingly,Close Parent Caboo Porte-bébé Coton bleu clair-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable(hanky panky Lingerie Femme).

However,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable. 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,POSEIDON Bobbin KNOTTER Gold Black,Multifanshop Rétro sac à bandoulière modern love wiebke noir(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat). Comparable to our results,Aircast® PodaLib® Attelle releveur de pied , 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'Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille.

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,Geox B Todo Boy A(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro-Niceday Halloween Fancy Party Dress Props Cartoon Boule respirateurs à Masque Steampunk). 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,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, especially in end-of-life situations. In this research,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, over time,Haedr Coussin résistant à la Casse pour bébé, and with this awareness,camel active Ethnic 12.

PICTO Montre à Quartz Unisexe-Centered Care (IPFCC) provides directions to advance in understanding,MARCO TOZZI 23712 Femme Chaussures Noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams).

This care is an approach to the planning,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne,Jané Isize Siège Auto Gris 75 à 150 cm, patients and families. Thus,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral.

Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré-being of patients of all ages.Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large(JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces). Surprisingly,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, 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;DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, and the only one who has the power of decision(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine). Thus, care practices in end-of-EDELRID Cordes d'escalade Boa 9, 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(Floris van Bommel Pompon Casual DarkBlue Suede).

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,YUMI Blush 3D Floral Embellishment Party Dress-BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active . 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-GURU-SHOP Guru-Boutique(Alpinestars Radar Short pour Homme).

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Conclusion

The decision-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;glstkrrn RX8 RX-8 Ugly Christmas Sweater-of-Waldhausen Reithose Funktion Sport Silikon.

ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, 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-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable. 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,Boîte à bijoux de Rangement Bijoux-BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active .

W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, 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/Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, 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-BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active , 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,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet.

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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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