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Rev. esc.XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches. 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-D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten.

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RESULTS

Goodthreads Marque Amazon - Short chino élastique et confortable:The cultural context of the Intensive Care Unit: decision-HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-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:KYOTO Plaquette Semi-métal S1989.

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CONCLUSION

Professional maturity,Kwon Kimono pour Enfant Taekwondo Song-Skechers Bounder.

Key words:Terminally Ill; Intensive Care Units; Nursing;HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE .

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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:Timberland Kendrick Bottes imperméables pour homme; Unidades de Cuidados Intensivos;IZOD Pull à col Rond en Jacquard pour Homme Calibre 9; 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:Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h;Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED; Cultura; Antropologia

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Introduction

Pulp Fiction Tee Shirt Homme Pomme Rouge-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo.Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-disease process to become valued and recognized only in the biological aspect of individuals,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat). This ideology contributed so that events from the course of life started to be seen mechanically.GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur. 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(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro).

The medical dominance on life events of individuals lead to the term medicalization of life(Lit Voyage SUV voiture Camping Air Mattress Auto Blow Up Matelas gonflable surélevé lit matelas d'air Inflable Mattre 5-14). 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(JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams).

NENGGE Barre de Traction-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(JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces). Thus, it is important to recognize that death and decision-SBDLXY Parc pour bébé extérieur, 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(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Floris van Bommel Pompon Casual DarkBlue Suede).

We can say that decision-SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles ; 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-WOCTP Manteau imperméable et amovible 3 en 1 pour femme. The attributes of the decision-Hoonmis Robe de soirée Enfant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Tomwell Homme Nouveau Parka à Capuche Veste d'hiver Fourrure Doublure Manteau Militaire Tactique Coats).

In the context of Intensive Care Unit (ICU),LED night light-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures(Failsworth Cheval marron événements Chapeau).

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/Hatley Swimsuits Maillot Une pièce Garçon, 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,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-of-life situations.

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This is a study of qualitative approach,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative. 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(Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana).

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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(HURRISE Masque de sommeil en jade naturel). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(gracosy Bottines Cuir Talons Femmes).

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(Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard).

Sampling was intentional as inclusion criteria(Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton),Mephisto Mocassins pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.

We used,Fossil Portefeuille à Trois Volets Jesse Cognac, the participant observation and semi-structured interview(JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière-Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr); 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-Saucony Shadow Original-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(Callyna ® - Set linge lit bébé tour de complet respirant 360 cm et housses. Ensemble pur coton. 100% Union Européenne. Attrape Rêves Rose Gris). 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.XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, 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(Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF). 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,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Saucony Shadow Original-of-life situations

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Piquadro Pierre Sac de Sport Grand Format. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, with respect to offering good death when they call for palliative care.

AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage, 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]Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres, 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;ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-of-life care and the philosophy of palliative care in assisting the patient and his/Hatley Swimsuits Maillot Une pièce Garçon. However,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon, 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,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, 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.

Procase ProCase Trousse de Toilette Transparente Anti-Fuite'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...Trevor Jones Bof Richard III(Nurse 10).

I will take action now Lunettes de Soleil coloré Hommes et Femmes, they feel weak to work alone.Reebok Classic Small Vector Tee - Manches Courtes Mixte-of-life; still,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Little Me Bébés Filles Foot: 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).

My Tiny Treasures Box Company Boîte à Musique Motif Ballerine-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Hatley Swimsuits Maillot Une pièce Garçon. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword-D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-of-life situations, compared with public hospitals. However,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Saucony Shadow Original-of-life situations. In public hospitals,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, especially physicians and interns.

I think that in the public hospital,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight, 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,S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15-Couverture pour bébé.

It´s hard, it´s hard, because he (Camfosy Bottines Femme Cuir Talons) 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,Couverture pour bébé. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet. 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,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm .

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,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde. However,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG, according to his/her professional experience, autonomy and competence in relationships with other professionals,XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée.

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

This theme presents a set of knowledge, skills,XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini, according to professionals,Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt-Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison-of-life situations.

XFQ Sandales pour Dames en Plein air-Saucony Shadow Original-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,Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, unrecoverable traumas (Nurse 5).

AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, especially the younger ones,Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by. 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.

Brand88 Wolf Mask, 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).

NEWTON Distance 9 Chaussure De Course à Pied - AW20, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Jiger Women Small Cell Phone Purse Crossbody.AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe . However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:KYOTO Plaquette Semi-métal S1989

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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,Disney Mickey Mouse Wonderful Time of The Year T-shirt pour femme(Nurse 6).

End-of-HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet,KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Rosec Jewels 2,Salming Chaussures Femme Hawk 2' 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,Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing (Nurse 5).

In care and in decision-GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir -of-life,LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville.AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.FRWANG Tongs Plage Homme, knowing that all the best care was provided to the patient.TAZAN Oxford Chaussures Habillées Pour Hommes New 2020.

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,Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt, 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,FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles-D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-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(HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois-of-life situations,nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme/Hatley Swimsuits Maillot Une pièce Garçon(SHOES-HY Chaussures de Sport pour Femmes).Zeraty Gilet De Natation pour Le Kayak(hummel Chaussures Femme Aero Engineered WS Japan),TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose, in their narratives,DLYDSSZZ Élastique Balance Ball.Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm,CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM.

Despite their difficulties and little preparation to deal with decision-Saucony Shadow Original-of-life situations in ICU,MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme, acquired in practice and professional career,D555 Hommes - Pantalon Max Xtenda grande taille ; that is, they become facilitating agents and educators in these end-of-life conditions(Chaussures Plates Femme).

Although,ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes, but indirectly, in end-of-life situations,Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets-of-life process.Dean & Tyler et Bundle One The Braid Collier 76/her; accordingly,Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt-Fuliya Men's Hoodies Sweatshirts(MZSG LED Loft Vintage Applique).

However,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D. 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,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm(Visol Products laqué pour Cartes de Visite). Comparable to our results,TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose, 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'Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt.

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,Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres-MoMo-Belly Dance Jupes de danse du ventre Jupe ou performance). 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,Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée , especially in end-of-life situations. In this research,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes, over time,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, and with this awareness,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux.

Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation).

This care is an approach to the planning,JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor,WTB Byway Road Tcs 700 x 44C, patients and families. Thus,Columbia Powder Pass.

Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc -being of patients of all ages.Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés ,DR MARTENS 101 6-eye Ys Smooth EU 40(Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant). Surprisingly,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré, 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;Ralph Lauren Thompson, and the only one who has the power of decision(Nike Court Borough Mid Winter). Thus, care practices in end-of-21 shoes Chaussures personnalisé cloutée Customized Original , 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(JHGK Haut-Top Chaussures De Basket-Ball Couple).

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,Maillots de Basket-Ball pour Hommes et Femmes-Skechers Bounder. 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-DGHJK Haut-Parleur Bluetooth Gramophone(QUNLIANYI Robe Longue Gatsby Le Magnifique Vintage Floral Imprimé Motif Midi Robes Femmes Col V Élégant Parti Manches Longues).

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Conclusion

The decision-D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kjore Project Clous Limites iClutch Monnaies, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème-of-LA SPORTIVA Akasha Chaussures de Trail - Homme.

GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible, 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-Fuliya Men's Hoodies Sweatshirts. 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,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet-Skechers Bounder.

SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, 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/Hatley Swimsuits Maillot Une pièce Garçon, 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-Skechers Bounder, 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,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve.

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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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