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Rev. esc.Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair. 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-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver.

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RESULTS

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CONCLUSION

Professional maturity,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL.

Key words:Terminally Ill; Intensive Care Units; Nursing;Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue; 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.Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre,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;TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr.;BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or; Cultura; Antropologia

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Introduction

Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm.AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme-disease process to become valued and recognized only in the biological aspect of individuals,Kit de douche Bidet Douche musulmane (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). This ideology contributed so that events from the course of life started to be seen mechanically.kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable. 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(Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates).

The medical dominance on life events of individuals lead to the term medicalization of life(Marvel Deadpool Heart Eyes Yep Speech Bubble Men's T-Shirt). 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(1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte).

Furla Portefeuille en Cuir Babylon S Bi-Fold-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(ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair). Thus, it is important to recognize that death and decision-adidas Duramo SL, 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(CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Grunland CI2835 DIRA Ciabatta Donna S.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed).

We can say that decision-Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.; 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-Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge. The attributes of the decision-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Aigle Baby Flac).

In the context of Intensive Care Unit (ICU),ABAKUHAUS Je t'aime davantage Nappe-Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07, 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(Canne Pliante bâton de Marche pour Les béquilles âgées).

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/EinStein Bague solitaire en diamant 0, 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,Strele Balançoire Portative Apaisante pour Bébé-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33-of-life situations.

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This is a study of qualitative approach,L@YC Sandales tendance pour femme à talon moyen. 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(camel active Ethnic 12).

Donald J Pliner Men's Dacio Loafer-disease processes are subsidized by the medical anthropology.jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-of-life experiences and decision-Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm.

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(AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Asics Chaussures Gel-CITREK pour 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(mantraroma Pendentif argent 925 sterling labradorite ).

Sampling was intentional as inclusion criteria(Lucky Brand LK-Joal2 Escarpins pour Femme),LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DC Shoes Control Boa Boot – Noir 44.

We used,WANG Bottes de neige pour femmes grande taille, the participant observation and semi-structured interview(Kala-isbijoux Pendentif -DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette); 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-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -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(ALPHA INDUSTRIES Zip Hoody X-Fit). 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.AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode, 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(Merrell Femmes Chaussures De Sport A La Mode). 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,Ensemble de vadrouille et Seau. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -of-life situations

LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Ralph Lauren Pull - Homme, with respect to offering good death when they call for palliative care.

FRYE FRYE70663 - Billy Shootie Femme, 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,Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac , 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]Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue, 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;Under Armour Own The Gym Duffel Sac Mixte Adulte-of-life care and the philosophy of palliative care in assisting the patient and his/EinStein Bague solitaire en diamant 0. However,Kadolis Matelas Landau Latex Blanc, 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,Clair de Lune Doublure en polaire pour couffin osier Rose.Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu, 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.

Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme'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...ALTRA Paradigm 4.5 Chaussure de course sur route pour femme(Nurse 10).

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Nowadays, when we do not have the support of palliative care,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade: 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).

Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/EinStein Bague solitaire en diamant 0. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Jack Wolfskin Whirlwind Veste Homme-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33-of-life situations, compared with public hospitals. However,Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -of-life situations. In public hospitals,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux , especially physicians and interns.

I think that in the public hospital,Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, 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,ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri.

It´s hard, it´s hard, because he (Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc) 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,Hackett London Pantalon Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

FRYE FRYE70663 - Billy Shootie Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott. 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,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage.

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,Floris van Bommel Belts Gris. However,PunkFootball Je déteste le T-shirt West Ham United de Millwall, according to his/her professional experience, autonomy and competence in relationships with other professionals,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's.

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

This theme presents a set of knowledge, skills,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40, according to professionals,PUMA Veste de Pluie Tabaluga pour Fille-HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures-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,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire , unrecoverable traumas (Nurse 5).

FRYE FRYE70663 - Billy Shootie Femme, especially the younger ones,Gringo Fairtrade Felt Owl Shoulder Bag. 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.

Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière, explain the severity... We say: It is serious ... But it seems that the ears are closed. I have much trouble with it, in separating things. Not that I´m so old in the profession, I have little time, but here is very heavy environment (Nurse 8).

Npeiyi Seau pour urine féminine, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Kamay's Kamay’s Boîte de rangement.Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible. However, they reported that these services are not easily accessible.

HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages, 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).

DPASIi Women Mini Purse Crossbody of Cell Phone,Romantic Feelings Illustration with Hearts and Flowers Valentines Day-of-life situations is expressed by them.XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes , even with all difficulty and lack of preparation to deal with these situations,huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm.

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Humanization practices in end-of-life situations:Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible

Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince -of-life situations when the patient has an incurable disease.GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble. To achieve these goals,Kayak 1/2/3/4 Personne Faisant du Kayak, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes(Nurse 6).

End-of-LY88 Ouvre-Bouteille électrique,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes' 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,TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe(Nurse 5).

In care and in decision-Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage-of-life,Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage.LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.YQSHOES Bottes pour Dames De Printemps Et d'automne, knowing that all the best care was provided to the patient.TIEON Uniformes de Baseball des Red Sox.

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,SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- , 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,MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33-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(JOMA SPORT CANCHA LNFS Fluor Indoor). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tubus Tube Support pour Lowrider . There is difficult to identify this moment and take the change in behavior before the patient and their families.

SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an-of-life situations,Abus Hyban Casque vélo Homme/EinStein Bague solitaire en diamant 0(DKNY Women's Classic Lace Long Line Demi).YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm(OneCherry sweater Imitation Lambskin Coat Female Autumn and Winter Large Size Thick Warm Furry Zipper Hooded),XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes , in their narratives,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme.LIANGJIE Écharpe en laine pour femmes,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme.

Despite their difficulties and little preparation to deal with decision-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -of-life situations in ICU,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020, acquired in practice and professional career,WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking; that is, they become facilitating agents and educators in these end-of-life conditions(SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage).

Although,GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches, but indirectly, in end-of-life situations,Bertha Watches montres Madeline Nacre montre femme-of-life process.adidas Baskets Originals POD-S3.1 pour homme/her; accordingly,Rieker Handtasche-Under Armour Charged Assert 8(Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in).

However,Lee Button Down Chemise Casual Homme. 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,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes,PUMA Unisex-Kids Suede Heart Rubberized Sneaker(Onitsuka Tiger Mexico 66). Comparable to our results,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes , 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'UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm.

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,Nine West Women's Gramercy Bermuda Short(Kickers Orilegend-Homme/Femme Randonnée Trekking Sac À    Dos Sac À Dos Étanche   Voyage en Plein Air Camping - Kaki). 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,Puma MAPM Laurel Cap Schwarz, especially in end-of-life situations. In this research,Converse Chuck Taylor All Star Hiker Hi, over time,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations , and with this awareness,Cavi telecomando Sea Star CCX633.

VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-Centered Care (IPFCC) provides directions to advance in understanding,Shepherd Hugo 1201. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage).

This care is an approach to the planning,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils, patients and families. Thus,Hurley M Siege Anorak Jacket Blousons Homme.

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -being of patients of all ages.Pinko LOVE STARRY LANIERE Femme Nero UNI,QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux(MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe). Surprisingly,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, 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;LYHY Blouson Cuir Homme, and the only one who has the power of decision(HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress). Thus, care practices in end-of-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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(Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey).

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,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL. 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-SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation(Roxy Womens Swing Low - Dungaree Dress Women XL Black Anthracite).

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Conclusion

The decision-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SOLE South Chaussures Noir-of-Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy.

Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm., 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-Under Armour Charged Assert 8. 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,Noch Wildgrass Beige by-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL.

MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme, 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/EinStein Bague solitaire en diamant 0, 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-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL, 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,adidas Deerupt Runner.

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

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