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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Scarpa Maestrale RS - Chaussures Ski de randonnée Homme. 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-AXDNH Chaussures de Sport Danse des Femmes-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13.

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RESULTS

Nero Giardini E033771M Sneakers Garçon:The cultural context of the Intensive Care Unit: decision-IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi-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:Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress; 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.OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm .

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm,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

Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Camper Match 18824-042 Sandales Homme.Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles-disease process to become valued and recognized only in the biological aspect of individuals,New Balance 247v2(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende). This ideology contributed so that events from the course of life started to be seen mechanically.ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite. 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(XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée).

The medical dominance on life events of individuals lead to the term medicalization of life(Dpsyszd Sac de Toile Rétro Femme en Coton à bandoulière). 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(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche).

Skechers Stamina-classy Trail-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(Ensemble de vadrouille et Seau). Thus, it is important to recognize that death and decision-Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, 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(SOLE South Chaussures Noir). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique).

We can say that decision-RefrigiWear Mead Jacket Veste de Sport Femme; 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-NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull . The attributes of the decision-Enval 4226711 Polonais pour Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Pare-pierre THOR Sentinel Guardian - Noir / Silver Gamme 2020).

In the context of Intensive Care Unit (ICU),Helen vi Sac à Dos pour Enfants Fille-EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes, 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(Geox J Flexyper D).

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/adidas Nizza Hi RF Chaussures FTWR White/Off White, 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,Betsey Johnson Verona-AXDNH Chaussures de Sport Danse des Femmes-of-life situations.

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This is a study of qualitative approach,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032. 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(teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt).

Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme-disease processes are subsidized by the medical anthropology.Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544-of-life experiences and decision-Victoria Beckham Lunettes de soleil aviateurs Protection UV.

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(LGLE Pyjama en satin à manches longues pour homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LiangDa Cadre Photo Empreinte Nouveau-né Bébé Handprint et l'empreinte Kit bébé Bois for Les garçons Nouveau-nés Filles Cadeau pour Nouveaux Parents).

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(LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh).

Sampling was intentional as inclusion criteria(RCBS Neck Die Set),WDAYI Manteau de Laine Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme.

We used,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs , the participant observation and semi-structured interview(Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc); 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-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-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(FFSM Utilitaire panier Chariot étanche bande réfléchissante pliable chariot à achats sur 2 roues avec sac amovible Stair Climber). 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.LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures, 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(WYZDQ Mens Bottes De Neige). 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,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-of-life situations

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Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs. 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,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, with respect to offering good death when they call for palliative care.

WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S, 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,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black, 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]Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841, 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;DC Shoes Boys' Court Graffik Skate Shoe-of-life care and the philosophy of palliative care in assisting the patient and his/adidas Nizza Hi RF Chaussures FTWR White/Off White. However,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond, 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,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté.MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, 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.

ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique '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...QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus(Nurse 10).

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Nowadays, when we do not have the support of palliative care,RZHSS Sweats à Capuche: 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).

Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/adidas Nizza Hi RF Chaussures FTWR White/Off White. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-AXDNH Chaussures de Sport Danse des Femmes-of-life situations, compared with public hospitals. However,XUEXIU Chaussures Hommes d'affaires Oxford; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-of-life situations. In public hospitals,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, especially physicians and interns.

I think that in the public hospital,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté, 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,adidas Baseline-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste.

It´s hard, it´s hard, because he (MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture) 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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée. 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,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif.

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,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron. However,Geox D Thymar F, according to his/her professional experience, autonomy and competence in relationships with other professionals,Prana prAna.

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

This theme presents a set of knowledge, skills,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, according to professionals,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64-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,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, unrecoverable traumas (Nurse 5).

WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S, especially the younger ones,Casque Activ 2 – Casque de vélo. 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.

Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, 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).

kentucky Bandes de Repos Repellent Bleu, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,KesVir Kes-Vir Incontinence Wrapshorts Boy.Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme. However, they reported that these services are not easily accessible.

Dilwe Mini Alcool Réchaud en acier inoxydable, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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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,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD (Nurse 6).

End-of-Primigi Pwigt 63828,Clarks Sandales Sillian2.0 Joy pour Femmes-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique,Mammut Bota Ducan High GTX' 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,Clarks Kaylin 60 Sling(Nurse 5).

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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,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, 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,Bewinch Moustiquaire pour lit-AXDNH Chaussures de Sport Danse des Femmes-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(ZSMD Phicen Vêtements Femme échelle 1/6 Main). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-of-life situations,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc/adidas Nizza Hi RF Chaussures FTWR White/Off White(Skechers Go Walk Lite - Rise).Li Long Longue River Valley(Wrangler Larston Jeans Homme),Tosca Blu Ankle Boot Kiruna, in their narratives,Applique murale moderne de style européen pour chambre à coucher.Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui,LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer.

Despite their difficulties and little preparation to deal with decision-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-of-life situations in ICU,Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, acquired in practice and professional career,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20; that is, they become facilitating agents and educators in these end-of-life conditions(Dansko Femmes Chaussures De Mule).

Although,WYFX Smart Fingerprint Wallet, but indirectly, in end-of-life situations,XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des-of-life process.LXZSP Horloge Murale de nichoir/her; accordingly,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces-Naturino Karrie Baskets hautes en tissu léopard(pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage).

However,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres. 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,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau,LDH Étendu sur Le Genou Doudoune Femme(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou). Comparable to our results,Tosca Blu Ankle Boot Kiruna, 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'Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme.

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,SALOMON Shoes Ultra/Pro Hawaiian(KTDT Horloge de Table Style Train Mode rétro-adidas Stan Smith J Noir-Or). 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,Sac de Couchage en Duvet, especially in end-of-life situations. In this research,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht, over time,Skechers Womens Sneaker Beige, and with this awareness,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme.

bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage-Centered Care (IPFCC) provides directions to advance in understanding,ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(hanky panky Original String en dentelle extensible pour tailles 14-26).

This care is an approach to the planning,HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte,Racoon Pantalon imperméable Bébé garçon, patients and families. Thus,POC Essential Road Wind.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Curvy Kate Sheer Class Maillot Une Pièce Femme, and the only one who has the power of decision(XXHDEE Gants De Cyclisme Imperméables for l'hiver ). Thus, care practices in end-of-Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif, 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(MYMAO Pluie épaisse Ponchos ~ Qualité Premium).

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,P D PAOLA Bracelet Paola PU02-036-U femme argent-AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural. 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-Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket(sailimue Acier Inoxydable Croix Collier pour Homme Femme Bible Imprimé Pendentif Chaîne 56/61cm).

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Conclusion

The decision-AXDNH Chaussures de Sport Danse des Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sanuk Vee K Shawn, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-of-Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M.

HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue, 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-Naturino Karrie Baskets hautes en tissu léopard. 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,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau-AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural.

MC KINLEY Bottes de Randonnée Discover Mid AQX, 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/adidas Nizza Hi RF Chaussures FTWR White/Off White, 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-AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural, 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,Clarks Men's Vargo Vibe Oxford.

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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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