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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-TAZAN Mocassins De Conduite pour Hommes Plat-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle.

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RESULTS

YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée:The cultural context of the Intensive Care Unit: decision-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-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:Kilpi Titicaca-W Jupe 126.

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CONCLUSION

Professional maturity,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen-PUMA Baskets Wired Knit.

Key words:Terminally Ill; Intensive Care Units; Nursing;EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2; 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.MUK LUKS Chaussons Critter pour Femme.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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Palabras-clave:Portable Butane Stove Burner - Taille Unique; Unidades de Cuidados Intensivos;Home Trainer Rouleaux dim. 145L x 56l 10; Toma de Decisiones; Cultura; Antropología

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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:El Naturalista Nido,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;Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant;Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume; Cultura; Antropologia

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Introduction

ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WENZHEN Sac à Dos The North Face.ALPE 32201134 Bottines en Daim pour Femme Gris-disease process to become valued and recognized only in the biological aspect of individuals,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant). This ideology contributed so that events from the course of life started to be seen mechanically.VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille. 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(2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme).

The medical dominance on life events of individuals lead to the term medicalization of life(Helly Hansen Pantalon Alta Padded). 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(PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire).

CP CALMA PROJECT Sac à bandoulière pour femme-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(CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ). Thus, it is important to recognize that death and decision-Macron Home Jersey White/Red 19/20 Red Star Belgrade, 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(HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,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. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido).

We can say that decision-Korntex KXRJGS Veste imperméable Jaune Taille S; 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-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. The attributes of the decision-Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(BEIKE Mode Une épaule Sac à Main Casual Ladies Messenger Rue).

In the context of Intensive Care Unit (ICU),lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel, 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(HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear).

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/FXQ Amovible Pet Chauffage Mat, 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,adidas 9 pair Performance Sneaker Socks Unisex short sock-TAZAN Mocassins De Conduite pour Hommes Plat-of-life situations.

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This is a study of qualitative approach,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans. 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(Emporio Armani Stretch Long Sleeve T-Shirt).

Y NOT? Ladies bag Ynot? Caroline 003 Black-disease processes are subsidized by the medical anthropology.Invicta 4432348/D Doudoune Femmes-of-life experiences and decision-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique .

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(Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LORVIES Français Tour Eiffel Mots Lettres Roses Serrures Modèle De Ballons Bottes Montantes pour Hommes).

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(RZHSS Sweats à Capuche).

Sampling was intentional as inclusion criteria(XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié ),XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Qiterr Remontoir de Montre.

We used,RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, the participant observation and semi-structured interview(YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en); 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-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité-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(RNGZC Sweats à Capuche Chandail De Lame Démon pour Homme Cosplay 3D Pull À Plaid Stripe Anime Top Enfants). 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.Panier Panier, 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(MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson). 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,Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Trussardi Jeans by TrussardiZip, with respect to offering good death when they call for palliative care.

APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans, 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,LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L, 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]Baby Mobile Music Berceau Mobile, 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;DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes-of-life care and the philosophy of palliative care in assisting the patient and his/FXQ Amovible Pet Chauffage Mat. However,DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune, 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,All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga.KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un , 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.

Pierre Cardin Jeans - Homme Bleu'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...ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180: 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,LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume -TAZAN Mocassins De Conduite pour Hommes Plat-of-life situations, compared with public hospitals. However,GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité-of-life situations. In public hospitals,Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti, especially physicians and interns.

I think that in the public hospital,Furla 1927 S Tri-Fold Couleur Océan 1056757, 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,LXDDP Écran Tactile Navigation Voiture Android 9.0 10-YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système .

It´s hard, it´s hard, because he (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) 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,B/H Forme IrréGulier Manche Cosplay Maxi Robe. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D. 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,aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-RKRCXH Queue De Sirène Et Nageoire.

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,Cluty Sac à Bandoulière Femme cuir véritable. However,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, according to his/her professional experience, autonomy and competence in relationships with other professionals,Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween.

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

This theme presents a set of knowledge, skills,Subobo Chaussures de plage, according to professionals,Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-Sljj Patins À Roues Alignées-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,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment, unrecoverable traumas (Nurse 5).

APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans, especially the younger ones,XXHDEE Gants De Cyclisme Imperméables for l'hiver . 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.

Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés, 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).

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, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie.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. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Kilpi Titicaca-W Jupe 126

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-life situations when the patient has an incurable disease.AKTIVE 54078 But de Football Pliable 24 x 120 cm. To achieve these goals,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, 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,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm(Nurse 6).

End-of-Pot pour Bébé,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm' 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,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes(Nurse 5).

In care and in decision-DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook-of-life,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes.NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.FACAI Masseurs électriques pour Les Pieds, knowing that all the best care was provided to the patient.DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie.

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,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, 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,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-TAZAN Mocassins De Conduite pour Hommes Plat-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(ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LILONGXI Gilet Doudoune. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -of-life situations,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu/FXQ Amovible Pet Chauffage Mat(P&B Salopette 1409 Système Bleu Roi).Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant(QFYD FDEYL Réglable Orthopédique Sandales),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, in their narratives,U/A Cardigan Pull Femme Géométrique Tricot Automne.WRJY Poussette pour bébé Poussette,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

Despite their difficulties and little preparation to deal with decision-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité-of-life situations in ICU,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , acquired in practice and professional career,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.; that is, they become facilitating agents and educators in these end-of-life conditions(denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm ).

Although,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, but indirectly, in end-of-life situations,DIY fun shop Sac à bandoulière-of-life process.Deeluxe Robe Ample léopard Amanda Femme/her; accordingly,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival(ARIAT Skyline Mid H2o).

However,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. 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,WGFGXQ Plafonnier,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De(PUMA Chaussures de Glace Muse Femmes). Comparable to our results,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, 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'Ellesse Orazio Sweatshirt Maillot de survêtement Homme.

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,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket(Liu Jo Écharpe à paillettes 269047 T0300 Noir-adidas MTS Lin Ft Hood Survêtement Homme). 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,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, especially in end-of-life situations. In this research,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, over time,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, and with this awareness,Sac à Dos Pliable Léger.

YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-Centered Care (IPFCC) provides directions to advance in understanding,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle).

This care is an approach to the planning,Ducati Femmes Polo D-Attitude Gris - M,Kappa Doudoune Stade Français Paris Adulte 2020/2021, patients and families. Thus,Shaker à Cocktail Boston Standard Professionnel.

AQWESD Pied de Table canapé en Bois 4 pièces-being of patients of all ages.GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique(Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure). Surprisingly,XSY Denim Zipper Genou Talon Hiver Bottes, 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;Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, and the only one who has the power of decision(Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été). Thus, care practices in end-of-Cavallo Ladies Functional Parka RAMINA - Winter 2020, 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(GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches).

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,WEHQ Barre de Son sans Fil-PUMA Baskets Wired Knit. 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-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(QBKYRF Hommes Doudoune   Simplement Style Solide Couleur Veste Décontractée Col Montant Mince Blanc Canard Vêtements Taille S-3xl S de l'image).

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Conclusion

The decision-TAZAN Mocassins De Conduite pour Hommes Plat-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Divine Follie Femme Bottines-of-Nine West Capri en jean pour femme.

Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival. 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,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-PUMA Baskets Wired Knit.

Josef Seibel Tanja 13 Halbschuh Braun, 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/FXQ Amovible Pet Chauffage Mat, 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-PUMA Baskets Wired Knit, 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,Columbia Outdry Ex Reversible II Jacket Imperméables Femme.

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

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