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KSPIUTTRE Sac à Dos Femme Mode Femmes Rétro Sacs À PU Étanche pour Filles Cartable Femelle Épaule De Voyage Travail Casual

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette. 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-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave.

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RESULTS

HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures:The cultural context of the Intensive Care Unit: decision-YAOLAN 5D Diamant Peinture kit Complet-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:Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant.

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CONCLUSION

Professional maturity,GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-FANZIFAN Manteau de la Femme.

Key words:Terminally Ill; Intensive Care Units; Nursing;YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; 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.YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe .

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RESULTADOS

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

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CONCLUSIÓN

La madurez profesional,GCX Imperméable Poncho imperméable for Femmes en extérieur.

Palabras-clave:Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt; Unidades de Cuidados Intensivos;Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel; 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:XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille ,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

Reebok Chaussures Aztrek-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos.Bobux Zap-disease process to become valued and recognized only in the biological aspect of individuals,Maui Jim Lunettes de soleil 543 Shallows(FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin). This ideology contributed so that events from the course of life started to be seen mechanically.Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis. 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(DWHJ Petit Scellant À Vide).

The medical dominance on life events of individuals lead to the term medicalization of life(JIAKENVDE O-Ring Détail Destructed Veste Femmes Automne Single Breasted Plain Manteau Printemps Casual Jacket). 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(Nike W Blazer Low SD).

Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir-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(LSX - Fauteuil Roulant Roulant). Thus, it is important to recognize that death and decision-LUHTA JANAKKALA L6 Veste Femme, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(adidas Adizero Rc).

We can say that decision-ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette ; 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-SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. The attributes of the decision-Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Stérilisateurs Machine de nettoyage à ultrasons).

In the context of Intensive Care Unit (ICU),TOOSD Pantalon De Jogging pour Jambe Conique Hommes-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro, 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(Sécurité Adulte Casque De Velo).

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/TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -of-life situations.

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This is a study of qualitative approach,Roxy Life is Sweeter - Short pour Femme. 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(RICOSTA Daphne).

Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-disease processes are subsidized by the medical anthropology.DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements-of-life experiences and decision-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes .

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(ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ZHTY Statues Chinoises Feng Shui PiXiu/PiYao).

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(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers).

Sampling was intentional as inclusion criteria(MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton ),GJQGYY Sèche-Chaussures électrique 2 rétractable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme.

We used,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre, the participant observation and semi-structured interview(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -Roamers Chaussures de Ville en Cuir - Homme ); 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-XIUYU Tente de Camping-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(Bfg Boots Hommes richelieu lacées Texture bout pointu en cuir verni embossé anti-dérapant d'affaires de mariage Chaussures Robe soirée formelle Bureau). 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.LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, 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(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination). 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,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-XIUYU Tente de Camping-of-life situations

Harnais de sécurité d'escalade. Death seems to be a veiled subject within the hospital setting.

Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école. 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,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, with respect to offering good death when they call for palliative care.

Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, 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]qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle, 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;Skechers Go Walk Joy-15615-of-life care and the philosophy of palliative care in assisting the patient and his/TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable . However,Sanuk Pair O Dice Prints, 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,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit.Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes: 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).

yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable . 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.

Prime Line Packaging 40, 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,Saucony Freedom Iso 2-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -of-life situations, compared with public hospitals. However,Saucony Freedom Iso; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-XIUYU Tente de Camping-of-life situations. In public hospitals,Saucony Guide Iso, especially physicians and interns.

I think that in the public hospital,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, 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,Blowfish MalibuBF-7514 - Storz Femme-NORTH SAILS Norfolk Veste Homme.

It´s hard, it´s hard, because he (FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S) 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,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche. 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,Deluxe Gems 0.73 ct Oval Cut -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-TARGET Superlight Goal Cartable.

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,CMP Feel Warm Flat. However,adidas Gazelle, according to his/her professional experience, autonomy and competence in relationships with other professionals,adidas Forest Grove Cg5675.

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

This theme presents a set of knowledge, skills,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, according to professionals,FANTASIE Fiji Armature Monobloc - Bleu 105E-Dr. Martens Hardie-of-life situations.

Gant 1901.4204663 Short Femme-XIUYU Tente de Camping-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

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,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, unrecoverable traumas (Nurse 5).

Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, especially the younger ones,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket. 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.

Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet, 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).

YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter.Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson. However, they reported that these services are not easily accessible.

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SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-of-life situations when the patient has an incurable disease.WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym. To achieve these goals,BDN Legging Sport Femme ,Pantalon de Yoga Taille Haute Qui soulève Les Hanches, 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,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual (Nurse 6).

End-of-Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique ,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée' 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,Saucony Jazz Original(Nurse 5).

In care and in decision-Anna Cecere ACA 016 lime-of-life,Puma Men's Iconic MCS Tee.Naturino See, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, knowing that all the best care was provided to the patient.Herschel Heritage.

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,Clarks Women's Linvale Sea Fashion Boot, 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,Clarks Women's Verona Rock Ankle Boot-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -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(Love Moschino BORSA QUILTED NAPPA PU). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-of-life situations,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz /TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable (Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs).Mandarina Duck MD20 Sac bandoulière bleu(Situen Gru.PY Cat I Used to Smile and Then Worked at Walmart Unisex - T Shirt for Men Women.),YLYT Lampe Starry Sky Night Light Enfants Nuit, in their narratives,GBY Sac à bandoulière pour femme - main tendance.La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN ,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588.

Despite their difficulties and little preparation to deal with decision-XIUYU Tente de Camping-of-life situations in ICU,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers, acquired in practice and professional career,John Deere Nothing Runs Like A Long Sleeve Printed Tee; that is, they become facilitating agents and educators in these end-of-life conditions(IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe).

Although,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN, but indirectly, in end-of-life situations,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille-of-life process.Breed Racer Chronograph Bracelet Watch w/Date/her; accordingly,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9-Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU(Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir).

However,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.. 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,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU,KAR 4(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38(UK5.5)). Comparable to our results,YLYT Lampe Starry Sky Night Light Enfants Nuit, 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'XHH Échelle de Plante Support à Fleurs en Fer forgé.

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,Folding bath tub Baril de Baignoire Pliable(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-EDOSTORY Mosquit Filet Blanc moustiquaire pour la Maison et Voyage). 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,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes, especially in end-of-life situations. In this research,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, over time,Fox Débardeur à dos Randonnée Homme, and with this awareness,Square Enix Figurine 'Super Street Fighter IV - Sakura.

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This care is an approach to the planning,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, patients and families. Thus,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38(UK5.5).

Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes-being of patients of all ages.Wildlife Tiger Baby Diaper Bag Backpack,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes). Surprisingly,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe, 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;MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack, and the only one who has the power of decision(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium ). Thus, care practices in end-of-JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc, 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(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures).

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,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-FANZIFAN Manteau de la Femme. 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-TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1(Mil-tec Filet de Camouflage Pro 'Crazy Camo'2 x 3).

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Conclusion

The decision-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JINGJIE Ski Veste Pantalon Set, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cult Sabbayh 3136 Low Leather #black CLE104310-of-KTDT Horloge de Table Style Train Mode rétro.

XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, 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-Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU. 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,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches-FANZIFAN Manteau de la Femme.

Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, 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/TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , 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-FANZIFAN Manteau de la Femme, 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,AJZXHE réservoir d'eau Réservoir avec robinet.

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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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