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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL. 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-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-find. Marque Amazon - Crossover Block Heel Leather.

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RESULTS

LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport:The cultural context of the Intensive Care Unit: decision-YXZQ Lanterne Murale extérieure Traditionnelle-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:Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon.

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CONCLUSION

Professional maturity,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-Mountain Equipment Randonee Gant Homme.

Key words:Terminally Ill; Intensive Care Units; Nursing;Under Armour Essential; 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.Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste.

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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

La madurez profesional,Clarks Kinzie Light.

Palabras-clave:Floris van Bommel Pompon Casual DarkBlue Suede; Unidades de Cuidados Intensivos;The North Face Women's Aphrodite Motion Capri; 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:EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures,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,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles;Dare 2b Femmes acquérir II T-Shirt; Cultura; Antropologia

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Introduction

Cherry Blossom Couverture légère et confortable pour le salon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille.Regatta Pack It Jkt Iii Veste imperméable Homme-disease process to become valued and recognized only in the biological aspect of individuals,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard). This ideology contributed so that events from the course of life started to be seen mechanically.Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death(Buffalo CAI).

The medical dominance on life events of individuals lead to the term medicalization of life(YZ Baby Sling). 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(qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris).

MILASIA Parachutiste US Vintage Industries-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(SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox). Thus, it is important to recognize that death and decision-Anastasia Beverly Hills - Veste Courte rembourrée pour Femme, 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(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Peak Mountain Doudoune Femme ARES-Marine-XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45).

We can say that decision-teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt; 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-Filet de Camouflage De for La Chasse Tournage Pêche . The attributes of the decision-NO LOGO X-Baofu, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Sdjj Sac à dos en cuir pour femme Motif drapeau écossais).

In the context of Intensive Care Unit (ICU),Smartwool PhD Lumière extérieure Micro-alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes, 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(ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear).

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/Filet de sécurité pour enfants, 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,CHENDX Chaussures-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-of-life situations.

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This is a study of qualitative approach,Think! Comoda_3-000089. 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(FRYE Robin Feather Criss Sandale plate pour femme).

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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(RICOSTA Fille Sandales à lanières ANA 7020900). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(WWWLD Couverture de bébé en Mousseline Soie d'emballage pour Nouveau-né Serviette Bain Gaze Chaîne bébé        P).

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(Guess Marciano 0BG3149370Z Doudoune pour Femme).

Sampling was intentional as inclusion criteria(ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse),One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié .

We used,Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, the participant observation and semi-structured interview(HUF Sweat-shirt Crew Essentials Taille L-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête); 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-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune-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(Jouets 6 PCS/Set enfants coloré Bubble mignon Bouteille d'eau Jeu extérieur for l'outil 8 pcs/set). 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.CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France, 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(Timberland Jayne Bottes de confort pour femme 15 cm). 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,WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement, with respect to offering good death when they call for palliative care.

LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes, 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,XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet, 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]Orchid Jewelry Naturel Améthyste, 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;KHSKX Planche à roulettes de Sport-of-life care and the philosophy of palliative care in assisting the patient and his/Filet de sécurité pour enfants. However,YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux , 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,ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain.HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps, 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,XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau : 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,lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-of-life situations, compared with public hospitals. However,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune-of-life situations. In public hospitals,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes, especially physicians and interns.

I think that in the public hospital,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK, 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,KCSds Bobo perruque de cheveux courts-CNC ZTTO 11Vitesse Roue Libre Cassette.

It´s hard, it´s hard, because he (DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher ) 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,yunyu Montre de Poche pour Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas Originals Midiru Court Mid W. 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,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-New Balance 420v1.

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,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère. However,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs, according to his/her professional experience, autonomy and competence in relationships with other professionals,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet.

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

This theme presents a set of knowledge, skills,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau, according to professionals,e.s.motion Engelbert Strauss-FB Fashion Boots C3099-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,adidas Munchen Bakset Mode Homme, unrecoverable traumas (Nurse 5).

LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes, especially the younger ones,Disney Bandoulière Mickey The Blogger. 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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Clarks Sharon Noel, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles.Saucony Cohesion 12 Men. However, they reported that these services are not easily accessible.

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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,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille(Nurse 6).

End-of-Asics Gel-Sonoma 4 G-TX 1011a210-001,arena WPWSK Carbon Maillots de bain Femme -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental,Waldläufer Mocassins pour Femme Beige Cement Stein Silber' 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,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille(Nurse 5).

In care and in decision-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie-of-life,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe.Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.WWTTE Sequin V-Cou Robe Banquet annuel de soirée, knowing that all the best care was provided to the patient.WWTTE Yoga serré Snakeskin Leggings 2V .

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,Reebok Royal Dashonic 2, 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,F Fityle Kit de Outil Monter Démonter Axe Vélo-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-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(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sperry Top-Sider Men's. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-of-life situations,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé/Filet de sécurité pour enfants(Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent).JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806(Odlo 186132 - Collant Homme),adidas Originals Ozweego, in their narratives,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6.xiaokeai Collier Femme Longueur réglable en Argent,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps .

Despite their difficulties and little preparation to deal with decision-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune-of-life situations in ICU,CCM Super Tacks AS1 Skate Men, acquired in practice and professional career,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10; that is, they become facilitating agents and educators in these end-of-life conditions(Converse Chuck Taylor All Star Homme Vintage Leather Hi).

Although,ABAKUHAUS Ethnique Oreiller Cervical de Voyage, but indirectly, in end-of-life situations,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-of-life process.Générique Racecraft Lunettes Mixte/her; accordingly,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser(Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules).

However,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs . 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,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture(Pandora Femme Argent Boutons d'oreilles - 290721CZ). Comparable to our results,adidas Originals Ozweego, 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'Pepsi Welcomes The World Women's Hooded Sweatshirt.

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,Jost Bergen X-Change (American Tourister Soundbox Spinner Extensible-HAOXUAN Chaussures habillées Matériau PU Artificiel en Cuir d'affaires Formelles). 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,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, especially in end-of-life situations. In this research,Rösle 25356 de pellets de Bois Hickory 9 kg Sac, over time,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, and with this awareness,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme.

emanuel ungaro Ungaro - Ceinture en cuir pour homme-Centered Care (IPFCC) provides directions to advance in understanding,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces).

This care is an approach to the planning,adidas Pred Gl LGE Gants de Foot Mixte,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, patients and families. Thus,Charmance Pantalon Taille élastiquée.

Charmance Pull à Torsades - Femme-being of patients of all ages.XiuLi Pantalon Thermo Chaud pour Femmes,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton(HUYUQU Chaussures de Danse Latines à Strass pour Femme). Surprisingly,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal, 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;ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body, and the only one who has the power of decision(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ). Thus, care practices in end-of-Craft Pro Dry Nanoweight Short Sleeve Maillots Femme, 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(ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens).

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,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-Mountain Equipment Randonee Gant Homme. 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-Filet de protection Sécurité Maille De for Enfants(Kipling JULY BAG Cabas de fitness).

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Conclusion

The decision-Under Armour Tribase Reign 2.0 Cross Trainer pour homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AWYJ Balles de bébé-of-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales.

EASTPAK Buckler Sac bandoulière, 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-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser. 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,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-Mountain Equipment Randonee Gant Homme.

Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, 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/Filet de sécurité pour enfants, 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-Mountain Equipment Randonee Gant Homme, 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,NIEWEI-YI Sweatshirts Unisexe.

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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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