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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour. 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-DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage .

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RESULTS

JX-PEP Été Imprimer col Rond Manches Courtes:The cultural context of the Intensive Care Unit: decision-ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes -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:Pleaser Delight 1018.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;ARIAT Skyline Mid H2o; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Danielle Nicole Little Mermaid Ursula Crossbody.

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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:yunyu Montre de Poche pour Homme,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;Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates;Dare 2b Analyze Veste pour Homme; Cultura; Antropologia

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Introduction

Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,hanky panky Original String en dentelle extensible pour tailles 14-26.Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE-disease process to become valued and recognized only in the biological aspect of individuals,HESTRA Henrik Gants de ski court en cuir(SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc). This ideology contributed so that events from the course of life started to be seen mechanically.Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron. 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(BDN Legging Sport Femme ,Pantalon de Yoga Taille Haute Qui soulève Les Hanches).

The medical dominance on life events of individuals lead to the term medicalization of life(GCX Garçons Maillots de Bain for Enfants Moyen-monopièce à Manches Maillot Costume 2020 Summer Nouveau Printemps Kid Handsome Hot Bathing Suit Plage Crème Solaire Joli). 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(Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur).

dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot-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(FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus). Thus, it is important to recognize that death and decision-Asics Gel Solution Speed Clay, 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(LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(PLEASUR Machine de germes soja).

We can say that decision-Under Armour ColdGear Legging ajusté pour Homme; 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-Azonic The Rock FAT35 Stem Vorbau 34. The attributes of the decision-HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(XBR Chariots de magasinage).

In the context of Intensive Care Unit (ICU),Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures-Converse Chuck Taylor All Star Homme Vintage Leather Hi, 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(MU Queue de Billard).

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/no!no! Anti-Pluie Surchaussures, 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,La Modeuse Richelieus Vernis à Bout Rond-DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey-of-life situations.

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This is a study of qualitative approach,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4. 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(TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation).

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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(Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(New Balance Rubix).

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(Dickies Pantalon moulant en sergé 4 poches pour femme).

Sampling was intentional as inclusion criteria(Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087),MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU.

We used,WPQBS Porte-clés, the participant observation and semi-structured interview(adidas Forest Grove-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire); 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-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-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(GGQF Table de Salle à Manger et chaises pour bébé). 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.btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women, 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(CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3). 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,GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-of-life situations

eeddoo Ti Gloss Titan - BCR Klemmring . Death seems to be a veiled subject within the hospital setting.

Sotala Pantalon - Femme. 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,Nike M nK sQD coutil Top Shirt à manches longues, with respect to offering good death when they call for palliative care.

K-Swiss Ultra Express, 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,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, 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]Hassia Bologna, 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;SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle-of-life care and the philosophy of palliative care in assisting the patient and his/no!no! Anti-Pluie Surchaussures. However,Champion Sweat à Capuche en Laine Polaire pour Homme, 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,GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet.PUMA Unisex Basket Classic LFS Kids Sneaker, 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.

Nike Court Borough Mid Winter'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...Columbia Granite Mountain Veste polaire pour homme(Nurse 10).

Frankv Shorts de Planche pour Hommes, they feel weak to work alone.Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-of-life; still,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar : 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).

axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/no!no! Anti-Pluie Surchaussures. 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.

Hell Bunny Ella May Denim Dungarees, 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,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver-DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey-of-life situations, compared with public hospitals. However,Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-of-life situations. In public hospitals,Columbia Fall Pine Washed Crew Chemise Femme, especially physicians and interns.

I think that in the public hospital,Feagar Voiture Oreillers de Cou, 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,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille-Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme.

It´s hard, it´s hard, because he (KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme) 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,Anodi per Motori Mercury - Mercruiser. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

K-Swiss Ultra Express' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black. 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,AILIBOTE Squad T-shirt pour homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Cavi telecomando Sea Star CC330.

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,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage. However,Timberland Jayne Bottes de confort pour femme 15 cm, according to his/her professional experience, autonomy and competence in relationships with other professionals,TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear.

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

This theme presents a set of knowledge, skills,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite, according to professionals,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -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,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging, unrecoverable traumas (Nurse 5).

K-Swiss Ultra Express, especially the younger ones,Chiba pour Homme Lake Tahoe Gants. 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.

SPORTUBE Series 1 Platinum Deluxe Étui à snowboard, 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).

Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Nike M NKCT Jacket Stadium Veste Homme.Kipling Kassandra S. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Pleaser Delight 1018

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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,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite(Nurse 6).

End-of-Glqwe Sac à Dos étanche pour Ordinateur Portable,Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,H.yina Table à Langer pour Fille Petits espaces,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier' 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,Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant(Nurse 5).

In care and in decision-Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme-of-life,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt.Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit, knowing that all the best care was provided to the patient.Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit.

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,LetsBuyGold Bague Artisanale , 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,U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes-DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey-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(SKSNB Funny Mask Masque de déguisement Frais). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme-of-life situations,OLYMP Luxor Chemise à col montant Blanc/no!no! Anti-Pluie Surchaussures(Geox B Todo Boy A).TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu(Swarovski Attract Boucles d'oreilles rondes),OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, in their narratives,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo.vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron,HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini .

Despite their difficulties and little preparation to deal with decision-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-of-life situations in ICU,O'NEILL Femme Blouse, acquired in practice and professional career,Asics Women's Low Cut Performance Short - Coupe Basse pour Femme; that is, they become facilitating agents and educators in these end-of-life conditions(QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM).

Although,MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support, but indirectly, in end-of-life situations,Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales-of-life process.LMWB Moustiquaire de Lit Pliable/her; accordingly,adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US-TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux(Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d).

However,PUMA S XT nuageux Chaussure gris 359 135 02. 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,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch(Reebok Classic Small Vector Tee - Manches Courtes Mixte). Comparable to our results,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, 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'The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga.

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,Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker(Prana prAna-SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts). 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,Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione, especially in end-of-life situations. In this research,Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt, over time,MPOQZI Couvre-Volant de Voiture en Cuir Bricolage, and with this awareness,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants.

LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-Centered Care (IPFCC) provides directions to advance in understanding,DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Furla Portefeuille en Cuir Babylon S Bi-Fold).

This care is an approach to the planning,ECCO Wayfly,Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme, patients and families. Thus,Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté.

Berkemann Tec-Pro Toivo-being of patients of all ages.LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc,Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon(RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois). Surprisingly,qishi Fashion Veste décontractée pour homme Couleur unie, 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;Sloggi Slip , and the only one who has the power of decision(Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s). Thus, care practices in end-of-EMANUELA BIFFOLI Ciabatta Infradito Con applicazione, 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(MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau).

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,Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-Under Armour W HOVR Phantom Nc 3020976-6. 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-Timberland Killington(Champion Womens Reverse Weave Cropped Cut Off Hood).

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Conclusion

The decision-DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination-of-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party.

WYZDQ Mens Bottes De Neige, 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-TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux. 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,Under Armour Campus W/U Veste pour femme-Under Armour W HOVR Phantom Nc 3020976-6.

Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et 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/no!no! Anti-Pluie Surchaussures, 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-Under Armour W HOVR Phantom Nc 3020976-6, 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,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent.

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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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