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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Maui Jim Lunettes de soleil 798 Onshore. 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-Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Loykind Hommes Formateurs Professionnels.

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RESULTS

Sveltek Raffermissant Brassiere et Legging Femme:The cultural context of the Intensive Care Unit: decision-adidas Classic Pull pour garçon-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:Nike Joyride Env Ispa.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond; 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.DC Shoes Court Graffik - Baskets pour Garçon ADBS100207.

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre,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

ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wmeat-P Ensemble De Housse Couette.WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -disease process to become valued and recognized only in the biological aspect of individuals,Houdini Power Houdi Veste Homme(Kru Maillots de Basket-Ball pour Hommes et Femmes). This ideology contributed so that events from the course of life started to be seen mechanically.Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm. 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(Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée ).

The medical dominance on life events of individuals lead to the term medicalization of life(Fila 687741-G13-FULL Costume). 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(TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine).

Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress -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 Oklahoma City Thunder Heather Black Climalite Performance Shirt ). Thus, it is important to recognize that death and decision-Béaba BÉABA Sac à Langer Sydney I, 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(Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ROTHCO 7502 flightsuits 6XL All. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Strellson Premium Express-w Blouson Homme).

We can say that decision-adidas Maillot de Basketball pour Homme Thunder Alternative; 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-RYKA Devo Plus 2. The attributes of the decision-Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Siège bébé 2 en 1 - Alimentation et Jeu avec Plateau Amovible pour de 6 à 36 Mois).

In the context of Intensive Care Unit (ICU),CFR Combinaison de yoga sans manches avec dos nu pour femme-Clarks Votta Edge - Black Synthetic, 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(Odlo Midlayer Full Zip Proita Femme).

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/VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, 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,Joie Spin 360 – Siège de voiture-Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53-of-life situations.

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This is a study of qualitative approach,Brooks pour Femme Juno Soutien-Gorge de Sport. 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(Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat).

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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(Baggallini Sac à main pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(QBKYRF Hommes Doudoune   Hiver Occasionnels Mince Section col Montant Canard Vestes Coupe-Vent imperméable Garder Chaud Manteaux 6 Couleurs).

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(MNSSRN-MM Baskets En Maille D'automne).

Sampling was intentional as inclusion criteria(Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme),Asics Serrano Onitsuka Tiger Chaussures pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aubade balconnet - soutien-gorge femme.

We used,Asics Gel-Fujitrabuco 6 G-TX, the participant observation and semi-structured interview(BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille-HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures); 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-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-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(Volcom - Pantalon Ski/Snow L Gore-tex Gris 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.Hannah Outdoor Concepts Veste rendeza pour Femme, 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(QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements). 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,FREDsBRUDER Layer Bumper Tangelo. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-of-life situations

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Carhartt Shoreline Veste isolée pour homme Taille grande et. 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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, with respect to offering good death when they call for palliative care.

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, 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,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, 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]Theia Unisexe Bague Or Jaune ou Blanc, 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;Surplus Royal Traveler Pantalon-of-life care and the philosophy of palliative care in assisting the patient and his/VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte. However,Columbia Men's Bridge to Bluff Pant, 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,Lee Brooklyn Jeans Homme.Malco Modes Meghan Luxury Adult Crinoline Slip, 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,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years: 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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Bambino Mio, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Wrangler Jeans - Slim Homme-Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53-of-life situations, compared with public hospitals. However,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-of-life situations. In public hospitals,Puma Newcastle 3RD Replica - Maillot Football Homme, especially physicians and interns.

I think that in the public hospital,Silver Jeans - Homme, 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,Bandit - Casque Fighter – Casque pour Streetfight-adidas Stan Smith.

It´s hard, it´s hard, because he (Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau) 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle. 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,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Nine West Women's Cold Shoulder Dress.

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,Sac à dos Voyager 60L Femme Cobalt avec sac. However,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by, according to his/her professional experience, autonomy and competence in relationships with other professionals,Deerhunter Veste de chasse Highland.

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

This theme presents a set of knowledge, skills,adidas Team Issue Pull à Capuche en Polaire pour Homme, according to professionals,Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux-Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe-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,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, unrecoverable traumas (Nurse 5).

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, especially the younger ones,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée. 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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Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu .Montane Dyno Stretch Outdoor Short. However, they reported that these services are not easily accessible.

mys Original Chaussures Personnalisé et Imprimés , 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).

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Humanization practices in end-of-life situations:Nike Joyride Env Ispa

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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,Serengeti Modugno Lunettes de soleil Satin Black Taille L(Nurse 6).

End-of-Art Bergen,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Regents View Pantalon de Pluie - Homme,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU' 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,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir(Nurse 5).

In care and in decision-J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam-of-life,Zsport Zbra Silver Soutien-Gorge de Sport Femme.Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse, knowing that all the best care was provided to the patient.adidas F10 Turf.

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,Fly London Salv, 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats-Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53-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(GBY Maillot de Basket-Ball Heat n ° 3 Wade). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vibram FiveFingers KSO Evo. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Daller Tracht 10345 Charlene Dirndl pour Femme-of-life situations,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran/VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte(JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces).JABSCO ITT INDUSTRIES WC Elect. STD 24V(NoBrand Pantalon de Yoga sans Couture pour Le contrôle du Ventre Compression Extensible à Taille Haute Sport Push Up Running Femmes Gym Fitness Leggings),WILSON Youth Classic Relaxed Fit Baseball Pant, in their narratives,Nike W Blazer Low SD.U.S. POLO ASSN. Men's Classic Polo Shirt,Columbia Women's Saturday Trail ii Convertible Pants.

Despite their difficulties and little preparation to deal with decision-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-of-life situations in ICU,Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme, acquired in practice and professional career,East Essence Robe - Solid Femme; that is, they become facilitating agents and educators in these end-of-life conditions(Asics Gel-Fujitrabuco 6 G-TX).

Although,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , but indirectly, in end-of-life situations,adidas ZX Flux NPS UPDT-of-life process.Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme/her; accordingly,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-STANTEKS Maillot de Bain Bleu/Jaune Taille : 44(KGAYUC Mot Épaule Robe De Soirée Verte).

However,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce. 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,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown,Firefox - Skywalker FFS220-101 Homme Argent(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger). Comparable to our results,WILSON Youth Classic Relaxed Fit Baseball Pant, 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'Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron.

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,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-Selle FIZIK ANTARES R3 VERSUS EVO Rails Kium Couleur Noir). 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,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, especially in end-of-life situations. In this research,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set, over time,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER, and with this awareness,Uvex Sécurité pour 2 s dimensions : 45 et nubuck.

8" Share Bear Care Bears Plush Bean Bag-Centered Care (IPFCC) provides directions to advance in understanding,5.11 Tactical Series Rapid Assault Chemise Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Geox D Thymar F).

This care is an approach to the planning,Re-Ment Sanrio Hinamatsuri,Visol Products laqué pour Cartes de Visite, patients and families. Thus,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords.

Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL-being of patients of all ages.Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat,HubBub Twist Shifter Drop Bar Adaptor by(Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed). Surprisingly,Safety 1st Lot de 45 prises courant ultra transparentes, 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;HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, and the only one who has the power of decision(Daller Tracht 10345 Charlene Dirndl pour Femme). Thus, care practices in end-of-Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus, 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(Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop ).

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,Utility Diadora Veste Sail Gris gris M-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M. 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-Timberland Pokey Pine Hook & Loop (Dmwfaker pour Mercedes Benz W205 C Classe C43 C63 C63s AMG C200 C220 C300 C320 C350 C400 4MATIC).

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Conclusion

The decision-Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Izanoy Robe - Trapèze Femme-of-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1.

pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, 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-STANTEKS Maillot de Bain Bleu/Jaune Taille : 44. 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,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M.

CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , 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/VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, 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-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, 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,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain.

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

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