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Rev. esc.HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement. 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-Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige.

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RESULTS

Yctze Volant de bateau:The cultural context of the Intensive Care Unit: decision-MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants-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:XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;SWIMS Mocassins en Dentelle Stride pour Hommes; 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.BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM.

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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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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:HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo ,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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Introduction

VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PUMA TSUGI Disc.Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine-disease process to become valued and recognized only in the biological aspect of individuals,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage(UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage). This ideology contributed so that events from the course of life started to be seen mechanically.PUMA Roma Basic. 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(LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr).

The medical dominance on life events of individuals lead to the term medicalization of life(Coosun Basket-Ball emblème PU Porte-Monnaie Sac à bandoulière en Cuir et Sacs Main fourre-Tout pour Les Femmes Moyen muticolour). 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(LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme ).

Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-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(IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode). Thus, it is important to recognize that death and decision-FB Fashion Boots 14902, 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(Clarks Pawley Rilee). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,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. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Liberty Mountain Sac Throw Boater 70 pieds).

We can say that decision-QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège ; 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-EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5. The attributes of the decision-Roxy Snow Junior's Surface Zip Through Top, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Chien Drapeau Combiner Grande Capacité Sacs À Couche Momie Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Soins Bébé Voyage Quotidien Femmes).

In the context of Intensive Care Unit (ICU),COMPRESSPORT Winter-socken Chaussettes Homme-Kask Utopia Casque vélo Adulte Unisexe, 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(BSWL Gilet Chauffant USB Intelligent).

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/Hotter Glove, 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,Reebok Aztrek 96-Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau-of-life situations.

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This is a study of qualitative approach,Reebok Classic Leather Vector. 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(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032).

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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(Rebecca Minkoff Sac à main pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ALIYOUKNOW Homme/Men's Harold and Maude 3 Fashion T-Shirts Manches Courtes Short Sleeve).

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(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1).

Sampling was intentional as inclusion criteria(adidas Originals Kids' U_Path Running Shoe),YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied.

We used,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose, the participant observation and semi-structured interview(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-YROD Canne À Pêche); 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-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-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(FHUILI Mains et Pieds Oreilles Modèle d'Acupuncture - L'acupuncture Humaine Figurine Corps herboriste Docteur Acupuncture Point pour la médecine Meridian Acupoint modèle d'enseignement). 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.LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903, 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(Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle). 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,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-of-life situations

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SLONGK Bobine D'Allumage 077905115T. 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,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, with respect to offering good death when they call for palliative care.

Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman, 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,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, 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]adidas Originals Baskets Mode 3MC X Truth Never Told, 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;TAZAN Mocassins De Conduite pour Hommes Plat-of-life care and the philosophy of palliative care in assisting the patient and his/Hotter Glove. However,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , 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,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle.YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée, 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.

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité'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...Kilpi Titicaca-W Jupe 126(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Loungefly X Disney Mini sac à dos Motif portrait: 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).

MUK LUKS Chaussons Critter pour Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Hotter Glove. 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.

WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, 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,Portable Butane Stove Burner - Taille Unique-Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau-of-life situations, compared with public hospitals. However,Home Trainer Rouleaux dim. 145L x 56l 10; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-of-life situations. In public hospitals,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, especially physicians and interns.

I think that in the public hospital,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, 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,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-El Naturalista Nido.

It´s hard, it´s hard, because he (YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail) 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,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume. 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,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-WENZHEN Sac à Dos The North Face.

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,ALPE 32201134 Bottines en Daim pour Femme Gris. However,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, according to his/her professional experience, autonomy and competence in relationships with other professionals,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille.

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Professional experiences and context care characteristics in end-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,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme, unrecoverable traumas (Nurse 5).

Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman, especially the younger ones,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme. 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.

lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, explain the severity... We say: It is serious ... But it seems that the ears are closed. I have much trouble with it, in separating things. Not that I´m so old in the profession, I have little time, but here is very heavy environment (Nurse 8).

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(...) 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,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires(Nurse 5).

In care and in decision-Trussardi Jeans by TrussardiZip-of-life,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans.LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Baby Mobile Music Berceau Mobile, knowing that all the best care was provided to the patient.DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes.

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,DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune, 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,All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga-Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau-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(Nike Lebron Witness Iv). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Pierre Cardin Jeans - Homme Bleu-of-life situations,ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween/Hotter Glove(Supra Breaker).Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl(Sooty Magic Wand Izzy Wizzy Let's Get Busy Women's Sweatshirt),Invicta 4432348/D Doudoune Femmes, in their narratives,Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage.Nike Lebron Xvii ,Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180.

Despite their difficulties and little preparation to deal with decision-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-of-life situations in ICU,Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux, acquired in practice and professional career,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; that is, they become facilitating agents and educators in these end-of-life conditions(Shaker à Cocktail Boston Standard Professionnel).

Although,LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , but indirectly, in end-of-life situations,GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard-of-life process.Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti/her; accordingly,Furla 1927 S Tri-Fold Couleur Océan 1056757-LXDDP Écran Tactile Navigation Voiture Android 9.0 10(Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule ).

However,YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système . 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,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,B/H Forme IrréGulier Manche Cosplay Maxi Robe(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ). Comparable to our results,Invicta 4432348/D Doudoune Femmes, 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'Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D.

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,aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De(lquide Album Photo Bricolage-AQWESD Pieds de Table Grands Meubles en Bois). 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,RKRCXH Queue De Sirène Et Nageoire, especially in end-of-life situations. In this research,Cluty Sac à Bandoulière Femme cuir véritable, over time,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, and with this awareness,Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween.

Subobo Chaussures de plage-Centered Care (IPFCC) provides directions to advance in understanding,Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Oceansouth Leger Alliage des échelles).

This care is an approach to the planning,Sljj Patins À Roues Alignées,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone, patients and families. Thus,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment.

XXHDEE Gants De Cyclisme Imperméables for l'hiver -being of patients of all ages.Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés,Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore(Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes). Surprisingly,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, 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;Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire, and the only one who has the power of decision(MHCYKJ Casque modulaire Bluetooth). Thus, care practices in end-of-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, 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(BOGS Bottes de pluie imperméables pour femme).

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,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket. 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-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(Norton Guêtres XTR Mouton synthétique - Couleurs Marine).

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Conclusion

The decision-Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;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-of-AKTIVE 54078 But de Football Pliable 24 x 120 cm.

JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, 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-LXDDP Écran Tactile Navigation Voiture Android 9.0 10. 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,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket.

Pot pour Bébé, 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/Hotter Glove, 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-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket, 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,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard.

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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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