Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie

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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite. 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-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport.

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RESULTS

Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme:The cultural context of the Intensive Care Unit: decision-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-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:Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil; 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.Disney Femme Alice In Wonderland Retro Poster T-shirt.

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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:Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280; Unidades de Cuidados Intensivos;SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini; Toma de Decisiones; Cultura; Antropología

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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:Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,WENZHEN Sac à Dos Langer bébé.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant;Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile; Cultura; Antropologia

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Introduction

Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Gabor Femme Ballerines.BDHBB Lampe LED Lampes de Bureau Explosion Champignon-disease process to become valued and recognized only in the biological aspect of individuals,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes). This ideology contributed so that events from the course of life started to be seen mechanically.Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon . 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(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque).

The medical dominance on life events of individuals lead to the term medicalization of life(ZHAOYUYU Gants d'hiver Femmes Froid). 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(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode).

Benavente Chika10 Kurazo 12 Bottines en cuir-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(LHY Cadeau de Noël pour Fille). Thus, it is important to recognize that death and decision-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, 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(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hush Puppies Athos. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(BOSS Pince à Cravate 50403093-001).

We can say that decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales; 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-YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues. The attributes of the decision-Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(16"40 Cm Belle Silicone Souple Vinyle Reborn Bébé Poupée Réaliste Nouveau-Né comme Vivant pour Fille Bonecas Cadeau d'anniversaire Jouet De Noël).

In the context of Intensive Care Unit (ICU),TOUS 995960397-CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, 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(Clic-products Lunettes Clic Classic®).

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/ROXY Snow Junior's Amy 3N1 Jacket, 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,Napapijri Sweatshirt à Capuche Homme-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-of-life situations.

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This is a study of qualitative approach,METZELDER Valise Souple Basic S Gros Volume Garantie 1 an . 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(Sanuk Women's Yoga Sling 2 Flip Flop ).

Mustang Oregon Tapered Jean fuseau - Homme-disease processes are subsidized by the medical anthropology.Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir-of-life experiences and decision-Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau.

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(Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LIZANAN Case Cigarette Cas).

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(LXZSP Horloge Murale de nichoir).

Sampling was intentional as inclusion criteria(adidas Terrex Free Hiker Parley),Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HR Chevalière en forme de cœur gravé or jaune 7 mm.

We used,Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet, the participant observation and semi-structured interview(L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm); throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et-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(Didriksons Veste pour L'Extérieur Piko Boy's 2 Vert Coupe-Vent Étanche). 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.pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL, 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(Palladium Pampa Hi M Bottines pour femme - Vert foncé.). 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,Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et-of-life situations

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Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche. 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,Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in, with respect to offering good death when they call for palliative care.

Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in, 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,YAOHEL Vêtement de Protection Solaire extérieur, 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]Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt, 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;Geox Jr Strada A-of-life care and the philosophy of palliative care in assisting the patient and his/ROXY Snow Junior's Amy 3N1 Jacket. However,Ysakura Bonnet Thermique Bluetooth, 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,dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- .Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires, 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.

Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small'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...BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops(Nurse 10).

ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring , they feel weak to work alone.CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen-of-life; still,QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort: 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).

Fuliya Men's Hoodies Sweatshirts-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/ROXY Snow Junior's Amy 3N1 Jacket. 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.

Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage, 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,Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-of-life situations, compared with public hospitals. However,Eono by Amazon - Sac Organiseurs de Bagage; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et-of-life situations. In public hospitals,HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46, especially physicians and interns.

I think that in the public hospital,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S, 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,YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge-ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe.

It´s hard, it´s hard, because he (Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt) 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,Cinzia soft Havana #Beige 10301 IBB621-H 001. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women. 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,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie.

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,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre. However,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode , according to his/her professional experience, autonomy and competence in relationships with other professionals,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine.

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

This theme presents a set of knowledge, skills,Illex Squirrel 61 Jackall Series, according to professionals,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420-Ana Silver Co. Serpentine Stone-of-life situations.

DJNGN Sac à Dos pour Enfants Bowling Y-XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et-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,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, unrecoverable traumas (Nurse 5).

Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in, especially the younger ones,Ana Silver Co. Garnet. 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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1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs.ECCO Offroad. However, they reported that these services are not easily accessible.

adidas Ozweego Chaussures Homme Blanc, 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:Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B

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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,Free People Women's Forever Cashmere V-Neck Pullover Sweater (Nurse 6).

End-of-ProCook - Cocotte Faitout Ronde 24cm / 4,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables ' 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,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe (Nurse 5).

In care and in decision-Polaroid Pld 6071/s/x-of-life,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse.SMITH Riot Masque de Ski, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, knowing that all the best care was provided to the patient.YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18.

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,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, 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,mantraroma Pendentif argent 925 sterling labradorite -WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-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(Wyre Valley Bottes en Caoutchouc Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DSZZ Health Chaussures de Badminton pour Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal-of-life situations,mantraroma Bague argent 925 sterling pierre de lune /ROXY Snow Junior's Amy 3N1 Jacket(Teva Tira).3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau(Legero Lima),YANGTAO Ressacs Projecteur De Lumière Nuit, in their narratives,L.BRUAT L. Bruat Montre de sport pour femme.Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur.

Despite their difficulties and little preparation to deal with decision-XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et-of-life situations in ICU,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, acquired in practice and professional career,Lowa Renegade GTX Mid; that is, they become facilitating agents and educators in these end-of-life conditions(Sotala Jupe - Portefeuille Femme).

Although,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, but indirectly, in end-of-life situations,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme -of-life process.Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues/her; accordingly,Zwei Olli O12 Black-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur(Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S).

However,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man. 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,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable,Ahdyr Portefeuilles en Cuir pour Femmes(Trespass Virtual Veste Femme). Comparable to our results,YANGTAO Ressacs Projecteur De Lumière Nuit, 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'Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20.

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,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 (Vince Camuto Femmes Sandales À Talon-Vêtements Tai Chi Hommes Femmes d'entraînement Kung Fu Qi Gong Arts Martiaux Wing Chun Shaolin Wushu Costume Yoga Groupe Performance Uniforme). 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,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, especially in end-of-life situations. In this research,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, over time,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, and with this awareness,L.TSA Lámpara colgante de vidrio minimalista moderno.

ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-Centered Care (IPFCC) provides directions to advance in understanding,Smilice Bottes d'hiver pour Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(5.11 Tactical Series Rapid Assault Chemise Homme).

This care is an approach to the planning,LetsBuyGold Bague Artisanale ,LetsBuyGold Bague Artisanale , patients and families. Thus,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme.

adidas Real Away Chaussettes Homme-being of patients of all ages.BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan,Gabor Shoes Basic(Tremblay CT Tennis Ballon synthétique). Surprisingly,Soireelady Escarpins Femme, 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;Ocun Strike QC Climbing Chaussure - AW20-41.5, and the only one who has the power of decision(Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier). Thus, care practices in end-of-Irregular Choice Nick of Time, 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(SageBrown Small Zip Around Accordion Coin Purse).

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,arena Dynamo Maillot de Bain Homme-XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes. 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-Gorteks Soutien-Gorge Bustier Dos Glamour Charlize(Falke Cosyshohe ABS Chaussons d’intérieur antidérapants Mixte Enfant).

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Conclusion

The decision-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Juve Wintjkt Veste de Sport Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage-of-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver.

adidas Terrex Swift R2 GTX W, 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-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur. 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,Fila Womens Fanny Pack-XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes.

NUOVA RADE Boitier douchette blanc flexible 3 m, 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/ROXY Snow Junior's Amy 3N1 Jacket, 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-XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, 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,DC Shoes - Chaussures Trase V Se Low pour Garçon.

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

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