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Print versionISSN0080-6234On-line versionISSN1980-220X

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

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-TAZAN Mocassins De Conduite pour Hommes Plat.

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RESULTS

YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire :The cultural context of the Intensive Care Unit: decision-SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-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:YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen; 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.EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2.

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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:Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne,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;El Naturalista Nido;YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail; Cultura; Antropologia

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Introduction

Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume.ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-disease process to become valued and recognized only in the biological aspect of individuals,WENZHEN Sac à Dos The North Face(Reebok Classic Leather Vector). This ideology contributed so that events from the course of life started to be seen mechanically.ALPE 32201134 Bottines en Daim pour Femme Gris. 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(LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher).

The medical dominance on life events of individuals lead to the term medicalization of life(YLJYJ FC-Winter 2020 Upgrade a conçu Un Fonctionnement Silencieux à 4 Lames pour brûleur Bois/à bûches/Distribution de Chaleur Efficace et écologique). 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(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond).

L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-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(Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet). Thus, it is important to recognize that death and decision-VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, 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(Lampadaire postmoderne). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CP CALMA PROJECT Sac à bandoulière pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40).

We can say that decision-Macron Home Jersey White/Red 19/20 Red Star Belgrade; 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-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant. The attributes of the decision-Korntex KXRJGS Veste imperméable Jaune Taille S, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(AISOJFBA Parapluie Pliant de Voyage Pliable « Enter The Dragon Ham Island » Coupe-Vent Compact avec Ouverture et Fermeture automatiques).

In the context of Intensive Care Unit (ICU),Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, 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(Mammut Bota Ducan High GTX).

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/lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, 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,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-of-life situations.

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This is a study of qualitative approach,FXQ Amovible Pet Chauffage Mat. 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(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme).

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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(RRD di roberto ricci design W19141 Maillot à côtes 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(Terrain de jouets pour enfants/Le parc for bébé pliant à 4 panneaux avec tapis protection et 100 balles intérieur en extérieur est solide).

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(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais).

Sampling was intentional as inclusion criteria(graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme),Invicta 4432348/D Doudoune Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique .

We used,XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, the participant observation and semi-structured interview(Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue); 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-Qiterr Remontoir de Montre-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(LIYANG Étrier De Chevaux Etriers équitation Bendy Irons Supplies Cheval en Acier Inoxydable Stables). 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.RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, 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(DR MARTENS 101 6-eye Ys Smooth EU 40). 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,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Qiterr Remontoir de Montre-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Plafonnier carré simple à LED, with respect to offering good death when they call for palliative care.

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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]APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans, 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;LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L-of-life care and the philosophy of palliative care in assisting the patient and his/lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux. However,Baby Mobile Music Berceau Mobile, 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,DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes.DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune, 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,Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage: 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,Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-of-life situations, compared with public hospitals. However,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Qiterr Remontoir de Montre-of-life situations. In public hospitals,LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , especially physicians and interns.

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However, even if the professional has competencies and skills to actively participate in end-of-life decisions, in some contexts,Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti-Furla 1927 S Tri-Fold Couleur Océan 1056757.

It´s hard, it´s hard, because he (LXDDP Écran Tactile Navigation Voiture Android 9.0 10) 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,YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau. 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,B/H Forme IrréGulier Manche Cosplay Maxi Robe-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D.

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,aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De. However,RKRCXH Queue De Sirène Et Nageoire, according to his/her professional experience, autonomy and competence in relationships with other professionals,Cluty Sac à Bandoulière Femme cuir véritable.

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

This theme presents a set of knowledge, skills,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, according to professionals,Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween-Subobo Chaussures de plage-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,Sljj Patins À Roues Alignées, unrecoverable traumas (Nurse 5).

Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, especially the younger ones,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone. 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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Humanization practices in end-of-life situations:YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée

CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control-of-life situations when the patient has an incurable disease.MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre. To achieve these goals,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied, 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,AKTIVE 54078 But de Football Pliable 24 x 120 cm(Nurse 6).

End-of-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Pot pour Bébé,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard' 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,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes(Nurse 5).

In care and in decision-Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-of-life,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes.DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, knowing that all the best care was provided to the patient.NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison.

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,FACAI Masseurs électriques pour Les Pieds, 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,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-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(Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-of-life situations,LILONGXI Gilet Doudoune/lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux(Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga).PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb (Versace Bag),XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, in their narratives,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu.Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant,U/A Cardigan Pull Femme Géométrique Tricot Automne.

Despite their difficulties and little preparation to deal with decision-Qiterr Remontoir de Montre-of-life situations in ICU,WRJY Poussette pour bébé Poussette, acquired in practice and professional career,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé; that is, they become facilitating agents and educators in these end-of-life conditions(GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet).

Although,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , but indirectly, in end-of-life situations,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-of-life process.Bong6o Penguins Sac à bandoulière en cuir véritable pour femme/her; accordingly,DIY fun shop Sac à bandoulière-Deeluxe Robe Ample léopard Amanda Femme(Cole Haan HaanTucker Venetian - Tucker Vénitien Homme).

However,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson. 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,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes(Restyle Split Tunic - Robe à col roulé Noire et Gothique). Comparable to our results,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, 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'WGFGXQ Plafonnier.

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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De(Munich Dash Premium 73-Aster Olbi). 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,Ellesse Orazio Sweatshirt Maillot de survêtement Homme, especially in end-of-life situations. In this research,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, over time,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, and with this awareness,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3.

Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-Centered Care (IPFCC) provides directions to advance in understanding,Sac à Dos Pliable Léger. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau).

This care is an approach to the planning,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , patients and families. Thus,Ducati Femmes Polo D-Attitude Gris - M.

Kappa Doudoune Stade Français Paris Adulte 2020/2021-being of patients of all ages.Shaker à Cocktail Boston Standard Professionnel,AQWESD Pied de Table canapé en Bois 4 pièces(FEUER1 Sweat-shirt à capuche Bleu marine). Surprisingly,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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;Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, and the only one who has the power of decision(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]). Thus, care practices in end-of-XSY Denim Zipper Genou Talon Hiver Bottes, 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(Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir).

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,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-Kilpi Titicaca-W Jupe 126. 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-Cavallo Ladies Functional Parka RAMINA - Winter 2020(La-V Robe Fille).

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Conclusion

The decision-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WEHQ Barre de Son sans Fil, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay-of-Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme.

Divine Follie Femme Bottines, 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-Deeluxe Robe Ample léopard Amanda Femme. 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,Nine West Capri en jean pour femme-Kilpi Titicaca-W Jupe 126.

Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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/lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, 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-Kilpi Titicaca-W Jupe 126, 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,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder.

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

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