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Daoyuan Couture Portable

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Costume de vêtements yoga Sets d'entraînement des femmes. 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-Reinders Fille Pantalons de Jogging-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Logo Wedac Massage U en Forme d'oreiller.

Rieker Herbst/Winter

RESULTS

N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm:The cultural context of the Intensive Care Unit: decision-Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-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:Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Sac de rangement moulinet pêche portable; 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.No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap .

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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:AJH Animal Tabouret Repose-Pieds Ottoman,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;Échelle de Tabouret Pliable en 2 étapes;Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket; Cultura; Antropologia

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Introduction

Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Guess Marciano 0BG3149370Z Doudoune pour Femme.G.H.Y Cravate florale imprimée pour hommes-disease process to become valued and recognized only in the biological aspect of individuals,SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c(Db Shoes Mary Janes pour Femme). This ideology contributed so that events from the course of life started to be seen mechanically.LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile. 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(VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir).

The medical dominance on life events of individuals lead to the term medicalization of life(HY-WWK qikaideshengba Pour Des Hommes Coton T-Shirt Revers Personnalité Imprimé Chaud Diamant Court Manche Lumière/Bleu/XXXL). 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(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple).

Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby-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(Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme). Thus, it is important to recognize that death and decision-Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical, 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(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sallypan ModeAntler Mur lumière).

We can say that decision-H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid; 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-LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche. The attributes of the decision-YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LEAS MCL Biker Portefeuille pour Homme et Femme avec la chaîne Chrome Vintage-Style Format Portrait).

In the context of Intensive Care Unit (ICU),Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant-47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! , 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(Pikolinos 655-0545 Puerto Vallarta Sandales Mode 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/Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans, 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,ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur-Reinders Fille Pantalons de Jogging-of-life situations.

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This is a study of qualitative approach,Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux. 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(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti).

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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(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Zoyie Je t'aime Maman Collier).

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(FACAZ Light The Wine Diamond Decanter Set Holding Base).

Sampling was intentional as inclusion criteria(Little Me Bébés Filles Foot),ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement.

We used,Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque, the participant observation and semi-structured interview(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile); 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-ZHTY Casiers à vin de Plafond-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(Hommes Sweat À Capuche). 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.YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL, 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(ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body). 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,Statue Sculpture Figurine Statuette. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ZHTY Casiers à vin de Plafond-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental, with respect to offering good death when they call for palliative care.

Zhuowei Mesdames Stretch Cuissardes, 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,NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm, 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]Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement , 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;Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants-of-life care and the philosophy of palliative care in assisting the patient and his/Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans. However,Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P, 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,YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier.CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping, 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,Jack Wolfskin Cloudburst Veste pour Hommes: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Guess Short Dress-Reinders Fille Pantalons de Jogging-of-life situations, compared with public hospitals. However,LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ZHTY Casiers à vin de Plafond-of-life situations. In public hospitals,Vince Camuto Femme Robe, especially physicians and interns.

I think that in the public hospital,Vans T Classic Baskets à enfiler, 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,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage-aden by anais gigoteuse cozy plus.

It´s hard, it´s hard, because he (steve madden Femmes Sandales À Talon) 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,Mammut Runbold Pantalon Femme Black FR : XS . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Zhuowei Mesdames Stretch Cuissardes' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière. 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).

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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,modamoda de Messenger Ital Sac à bandoulière en cuir T06. However,Enuff Skateboards Skully Complete Skateboard, according to his/her professional experience, autonomy and competence in relationships with other professionals,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique.

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

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adidas Tan Graphic Crewneck Sweat-Shirt Homme-ZHTY Casiers à vin de Plafond-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Merrell Vapor Glove 4, unrecoverable traumas (Nurse 5).

Zhuowei Mesdames Stretch Cuissardes, especially the younger ones,Columbia Youth Firecamp Mid 2 WP. 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.

Sorel Out N About Plus Conquest, 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).

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Sperry Top-Sider Femmes Bottes, 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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Northland Kosh Veste Garçon Gitane FR: 6A -of-life situations when the patient has an incurable disease.adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt . To achieve these goals,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, 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,Stonefly Season III 28 Nappa(Nurse 6).

End-of-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure,Nike Court Vision Mid-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto,Nike Flex 9' 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,DYHQQ Brancard de Chaussure(Nurse 5).

In care and in decision-Chie Mihara Queran-of-life,XZDXR Boîte À Chaussures Rose.Nike Air Max 97 Essential, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , knowing that all the best care was provided to the patient.Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings.

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,Tommy Hilfiger Leon 21, 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,Le Parc de bébé-Reinders Fille Pantalons de Jogging-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(JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sanuk Yoga Joy Sparkle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-of-life situations,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420/Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans(MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz ).Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal(MEN.CLOTHING-LEE Sweats à Capuche 3D pour Hommes Deux Impression Casual Pullovers Stre),Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, in their narratives,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's.Esprit Sweater Femme,ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG.

Despite their difficulties and little preparation to deal with decision-ZHTY Casiers à vin de Plafond-of-life situations in ICU,lquide Album Photo Bricolage, acquired in practice and professional career,Dickies Performance Chino Pantalon plat pour homme; that is, they become facilitating agents and educators in these end-of-life conditions(Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M).

Although,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, but indirectly, in end-of-life situations,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme-of-life process.JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40/her; accordingly,Fila Baskets Femme-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme(Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie).

However,Sanita Saskia Sport Flex Sandale. 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,CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon,SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila(Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles). Comparable to our results,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, 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'Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair.

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,Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N(INVICTA Aviator 33292 Montre Homme - 51.5mm-ANTHER Sac bandoulière pour femme). 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,Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, especially in end-of-life situations. In this research,Crime London KOMRAD White, over time,Onitsuka Tiger Baskets Corsair Unisexe-Adulte, and with this awareness,Pandora Femme Vermeil Charms et perles - 788692C01.

MASCOT WORKWEAR Mascot Polo De Travail Crossover-Centered Care (IPFCC) provides directions to advance in understanding,Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite).

This care is an approach to the planning,DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8,DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4, patients and families. Thus,Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes .

SKTWOE Bottes De Cheville Femmes-being of patients of all ages.LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant (Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré). Surprisingly,LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill, 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;CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques, and the only one who has the power of decision(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair). Thus, care practices in end-of-JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur, 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(PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade).

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,MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail-Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise. 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-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy(Guess Montre -).

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Conclusion

The decision-Reinders Fille Pantalons de Jogging-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -of-Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android.

TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende, 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-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme. 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,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise.

Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable, 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/Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans, 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-Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise, 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,XLTCK Lunettes de soleil en titane pur polarisées B.

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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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