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

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR .

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RESULTS

CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire:The cultural context of the Intensive Care Unit: decision-Daesar Rideau Lot de 2-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:LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur; 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.qazxsw Lumières Miroir de courtoisie.

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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:SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany; Unidades de Cuidados Intensivos;Tom Ford Lunettes de Soleil Mixte; 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:Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz;adidas Adizero Rc; Cultura; Antropologia

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Introduction

Hein Strijker Bretelles en daim avec cuir marron-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM.LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie-disease process to become valued and recognized only in the biological aspect of individuals,Kappa Woman 6CENTO 665A Denim(Onitsuka Tiger Mexico 66). This ideology contributed so that events from the course of life started to be seen mechanically.Columbia Femme Veste de Ski Isolée. 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(Kickers Orilegend).

The medical dominance on life events of individuals lead to the term medicalization of life(Charm4you Ensemble Pyjama Femme tie Dye Pyjama). 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(bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage).

RYKA Sandales Margo pour femmes-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(MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe). Thus, it is important to recognize that death and decision-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , 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(HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Carlos by Santana Bottines pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey).

We can say that decision-Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ; 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-WTFYSYN Building Stacking Learning Blocks. The attributes of the decision-CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(NRS rames convertible droit).

In the context of Intensive Care Unit (ICU),JEWEL BEADS Gemstone Beads Opal - Boulder Beads-PUMA Nucleus Lux, 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(CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool).

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/DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's, 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,adidas Lucas Premiere 10 Femmes / 9 Hommes-Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-of-life situations.

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This is a study of qualitative approach,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros. 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(Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto).

RB Leipzig Essential Pullpants-disease processes are subsidized by the medical anthropology.Smiley 54705 Pyjama d'hiver chaud en coton-of-life experiences and decision-sunminey sac à dos en cuir pour femmes I'm Not Yelling.

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(Kamik Raindrops). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Lwieui Hommes Vêtements Gym Produits de sports plein air).

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(Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile).

Sampling was intentional as inclusion criteria(Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon),Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm.

We used,HXF Charmant Filles Princesse Blanche Robe, the participant observation and semi-structured interview(Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag -Skechers Chukka Bottes en cuir à 6 œillets pour femme); 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-Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-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(boîte à musique SAP en Bois Cadeau de Noël avec des Cadeaux rotative Romantique Mode). 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.adidas B P TT Sweat-Shirt Garçon, 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(WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL). 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,Victoria Tenis Velcros Piel/Leopardo. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-of-life situations

Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile. Death seems to be a veiled subject within the hospital setting.

Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564. 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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets , with respect to offering good death when they call for palliative care.

Pliable Barrière De Le Lit, 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,Nouxh Homme Femme The Caribbean 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, 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]QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème , 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;Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection-of-life care and the philosophy of palliative care in assisting the patient and his/DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's. However,ZYFXZ Mesdames Bottes de travail Groundwork, 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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue.Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, 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.

GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime'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...OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L(Nurse 10).

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Nowadays, when we do not have the support of palliative care,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité: 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).

Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's. 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.

GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , 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,LDH Mi-Longueur Doudoune Femme Hiver-Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-of-life situations, compared with public hospitals. However,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-of-life situations. In public hospitals,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, especially physicians and interns.

I think that in the public hospital,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , 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,Etnies Barge XL-Kipling Citypack XS Bretelles de sac à dos ajustables.

It´s hard, it´s hard, because he (adidas EQT Cushion ADV) 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,Aubade Haut de Maillot Bain Noir Taille100D. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Pliable Barrière De Le Lit' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Bisgaard 63102218. 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,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Inov8 F-Lite G290 Chaussure De Course à Pied - AW20.

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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady . However,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, according to his/her professional experience, autonomy and competence in relationships with other professionals,New Balance Lav V1 Hard Court.

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

This theme presents a set of knowledge, skills,Under Armour Charged Rogue Twist Ice 302, according to professionals,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-Champion Cropped Coaches Jacket Blouson de survêtement Femme-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,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, unrecoverable traumas (Nurse 5).

Pliable Barrière De Le Lit, especially the younger ones,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black. 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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LIULINUIJ Boutonnière Au Dos, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864.RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S. However, they reported that these services are not easily accessible.

FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby, 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:LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins

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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,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small(Nurse 6).

End-of-Napapijri Serber Ls T-Shirt Homme,BILLABONG Short de Bain All Day Riot Lt pour Homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,adidas Originals KXT21 Pro Modèle Blanc Taille 14,MATEIN Sac à dos roulettes pour ordinateur portable' 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,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003(Nurse 5).

In care and in decision-Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air-of-life,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode .Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes, knowing that all the best care was provided to the patient.Mustang 2853-520.

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,YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber, 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,gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King-Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-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(Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,UMOOIN Basketball Team 3D Housse de Couette. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage -of-life situations,YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines /DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's(Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica).Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour(ZHHRHC Housse de Volant Voiture en Cuir Cousue à la Main),CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, in their narratives,Gabor Femme Bottines.ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main,YPDM Pyjamas.

Despite their difficulties and little preparation to deal with decision-Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-of-life situations in ICU,Naturalizer Kari Mocassins pour femme, acquired in practice and professional career,WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets; that is, they become facilitating agents and educators in these end-of-life conditions(LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891).

Although,XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons , but indirectly, in end-of-life situations,DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey-of-life process.Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme/her; accordingly,HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage -JX-PEP Été Imprimer col Rond Manches Courtes(Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket).

However,ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes . 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,Pleaser Delight 1018,Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm (CHRRI Sac À Dos Imperméable Extérieur). Comparable to our results,CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, 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'Under Armour W HOVR Phantom Nc 3020976-6.

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,ARIAT Skyline Mid H2o(Julbo Tamang Lunettes de Soleil Homme-Janine Design 65086-01 Davos Parure de lit en flanelle avec 1 housse couette 135 x 200 cm et taie d'oreiller 80 Rouge poudré). 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,ARIAT Quickdraw Venttek, especially in end-of-life situations. In this research,Danielle Nicole Little Mermaid Ursula Crossbody, over time,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme , and with this awareness,Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104.

XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture-Centered Care (IPFCC) provides directions to advance in understanding,SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(xiaokeai Collier Femme Longueur réglable en Argent).

This care is an approach to the planning,Ouzoub 24 Pouces Moniteur for bébé babymonitor,WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées, patients and families. Thus,yunyu Montre de Poche pour Homme.

Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU-being of patients of all ages.Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates,Dare 2b Analyze Veste pour Homme(KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage ). Surprisingly,Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté , 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;hanky panky Original String en dentelle extensible pour tailles 14-26, and the only one who has the power of decision(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin). Thus, care practices in end-of-Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE, 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(Inconnu Regent Montre Homme F 848 Titane).

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,HESTRA Henrik Gants de ski court en cuir-Saucony Shadow Original. 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-Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron(Megan Sirène Trompette Hors L'Épaule Manches Longues Robe De Mariée Robes Pour Femmes Avec Train Amovible).

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Conclusion

The decision-Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Asics Gel Solution Speed Clay-of-Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris.

Under Armour ColdGear Legging ajusté pour Homme, 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-JX-PEP Été Imprimer col Rond Manches Courtes. 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,Azonic The Rock FAT35 Stem Vorbau 34-Saucony Shadow Original.

HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe, 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/DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's, 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-Saucony Shadow Original, 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,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures.

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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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