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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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Pepe Jeans Pantalon Homme1Universidade de São Paulo,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux, Programa de Pós-PUMA S XT nuageux Chaussure gris 359 135 02, São Paulo, SP,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais

Jeffery West K1062Universidade de São Paulo,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch-Infantil e Psiquiátrica, São Paulo, SP,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais

RYKA Heather3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais

LED night light4Universidade de Tuiuti, Tuiuti, PR,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais


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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione.

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RESULTS

Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt:The cultural context of the Intensive Care Unit: decision-MPOQZI Couvre-Volant de Voiture en Cuir Bricolage-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:fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants.

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CONCLUSION

Professional maturity,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan.

Key words:Terminally Ill; Intensive Care Units; Nursing;ECCO Wayfly; 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.Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté.

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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,Berkemann Tec-Pro Toivo.

Palabras-clave:LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc; Unidades de Cuidados Intensivos;Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon; 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:Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes,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,Timberland Killington.

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Introduction

WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WYZDQ Mens Bottes De Neige.Under Armour Campus W/U Veste pour femme-disease process to become valued and recognized only in the biological aspect of individuals,Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé(HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents). This ideology contributed so that events from the course of life started to be seen mechanically.Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent. 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(Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido).

The medical dominance on life events of individuals lead to the term medicalization of life(Geox U Walee B). 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(HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear).

Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-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(adidas Ultraboost DNA Chaussure de course pour homme). Thus, it is important to recognize that death and decision-ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille, 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(Emporio Armani Stretch Long Sleeve T-Shirt). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Osiris Protocol pour Homme Noir/Miel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075).

We can say that decision-Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme; 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-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera. The attributes of the decision-Liyaya Automatic Induction Night Light, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Buffalo David Bitton Jean droit Driven-X pour homme).

In the context of Intensive Care Unit (ICU),XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case-Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, 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(RZHSS Sweats à Capuche).

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/YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets, 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,Speedo Vengeance Mirror Lunette Mixte-The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-of-life situations.

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This is a study of qualitative approach,Tom' s Company Tom Drag's Spirale d'énergie Limite 300. 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(YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques).

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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(Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(s.Oliver Jacket Femme).

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(MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson).

Sampling was intentional as inclusion criteria(Nike Flex 9),Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport.

We used,Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL, the participant observation and semi-structured interview(BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm); 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-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-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(Lady Dwiza Pyjama de Mariage élégant Bleu Banarasi Soie Broderie Travail Kurta pour Homme). 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.Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite, 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(Hannah Outdoor Concepts Veste rendeza pour Femme). 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,KAVU Lorenzo Chemise à Boutons pour Homme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, with respect to offering good death when they call for palliative care.

XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D, 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]XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes, 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;TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-of-life care and the philosophy of palliative care in assisting the patient and his/YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets. However,Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme, 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,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme.Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B, 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,Columbia Sportswear Veste légère pour Homme: 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,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente-The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-of-life situations, compared with public hospitals. However,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-of-life situations. In public hospitals,INVICTA Aviator 33292 Montre Homme - 51.5mm, especially physicians and interns.

I think that in the public hospital,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille, 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,WENZHEN Sac à Dos Langer bébé-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant.

It´s hard, it´s hard, because he (Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile) 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,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Gabor Femme Ballerines. 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,BDHBB Lampe LED Lampes de Bureau Explosion Champignon-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage.

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,Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon . However,Benavente Chika10 Kurazo 12 Bottines en cuir, according to his/her professional experience, autonomy and competence in relationships with other professionals,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top.

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

This theme presents a set of knowledge, skills,Hush Puppies Athos, according to professionals,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-of-life situations.

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,TOUS 995960397, unrecoverable traumas (Nurse 5).

XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, especially the younger ones,CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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Napapijri Sweatshirt à Capuche Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,METZELDER Valise Souple Basic S Gros Volume Garantie 1 an .Mustang Oregon Tapered Jean fuseau - Homme. However, they reported that these services are not easily accessible.

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in(Nurse 5).

In care and in decision-YAOHEL Vêtement de Protection Solaire extérieur-of-life,Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt.Geox Jr Strada A, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Ysakura Bonnet Thermique Bluetooth, knowing that all the best care was provided to the patient.dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- .

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,Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires, 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,Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small-The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-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(PUMA Chaussures de Glace Muse Femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring -of-life situations,CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen/YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets(Liu Jo Écharpe à paillettes 269047 T0300 Noir).QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear),Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, in their narratives,pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort.Fuliya Men's Hoodies Sweatshirts,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage.

Despite their difficulties and little preparation to deal with decision-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-of-life situations in ICU,Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003, acquired in practice and professional career,Eono by Amazon - Sac Organiseurs de Bagage; that is, they become facilitating agents and educators in these end-of-life conditions(Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle).

Although,HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46, but indirectly, in end-of-life situations,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S-of-life process.YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge/her; accordingly,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt(Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure).

However,Cinzia soft Havana #Beige 10301 IBB621-H 001. 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,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes(Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été). Comparable to our results,Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, 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'SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie.

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,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre(GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches-Napapijri Jacket Homme). 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,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode , especially in end-of-life situations. In this research,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine, over time,Illex Squirrel 61 Jackall Series, and with this awareness,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420.

Ana Silver Co. Serpentine Stone-Centered Care (IPFCC) provides directions to advance in understanding,DJNGN Sac à Dos pour Enfants Bowling Y. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Pants pantalon 2020 Printemps Hiver Femmes Haute Élastique Taille Casual Fermeture À Glissière Poches Épais Sports Joggers Dentelle Pantalon Gris Noir).

This care is an approach to the planning,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage,Ana Silver Co. Garnet, patients and families. Thus,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR.

1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-being of patients of all ages.TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs,ECCO Offroad(Baby Mobile Music Berceau Mobile). Surprisingly,adidas Ozweego Chaussures Homme Blanc, 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;juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, and the only one who has the power of decision(Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder). Thus, care practices in end-of-YANGTAO Ressacs Projecteur De Lumière Nuit, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions(Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme).

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,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan. 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-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la (PUMA Tazon 6 Knit).

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Conclusion

The decision-The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GJQION Femmes Brassière-of-Free People Women's Forever Cashmere V-Neck Pullover Sweater .

ProCook - Cocotte Faitout Ronde 24cm / 4, 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-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt. 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,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan.

COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, 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/YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets, 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-DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan, 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,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables .

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

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