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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur. 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-Schott NYC Okla Jacket Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain.

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RESULTS

Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme:The cultural context of the Intensive Care Unit: decision-adidas Originals Baskets Mode Falcon Women-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:Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Caterpillar Men's Heavy Insulated Parka; 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.Asics Men's GT-2000 8.

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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.

Palabras-clave:Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique; Unidades de Cuidados Intensivos;Gabor Shoes Casual; 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:HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU,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;Burton Covert Veste de Snowboard Homme;Geox J Kalispera Girl Baskets Mode Filles Gris Montantes; Cultura; Antropologia

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Introduction

ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ARA Sapporo.Wacoal Bra Underwire Soutien-Gorge de Sport Femme-disease process to become valued and recognized only in the biological aspect of individuals,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League(GBY Sac à bandoulière pour femme - main tendance). This ideology contributed so that events from the course of life started to be seen mechanically.Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne. 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(Skechers Stamina-classy Trail).

The medical dominance on life events of individuals lead to the term medicalization of life(Thomas Sabo Bague - Argent Sterling 925). 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(PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes).

Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-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(Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement ). Thus, it is important to recognize that death and decision-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, 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(Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL).

We can say that decision-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove; 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-XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste. The attributes of the decision-Marco Ferretti Cadre Beatles 172146 Moss Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MAM nouveau-né repas de Garçon).

In the context of Intensive Care Unit (ICU),WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-cartoon Chemisier de dessin animé long 1/1 bras, 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(XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes).

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/DYM Chaussures de Sport Baskets Mode & athlétique Femme, 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 Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-Schott NYC Okla Jacket Homme-of-life situations.

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This is a study of qualitative approach,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque. 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(BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(Nfudishpu Tambour électronique). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Tapis créatif rond).

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(GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ).

Sampling was intentional as inclusion criteria(Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé),FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres.

We used,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, the participant observation and semi-structured interview(Puma Newcastle 3RD Replica - Maillot Football Homme-Failsworth Millinery Hudson Casquette six pièces - Marron Taille S); 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-Carter's Baby Ensemble de body et pantalon pour bébé garçon-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(Star source 3D Imprimé Pull Sweat-Shirt À Capuche Garçon/Fille/Enfants/Femme Sweat-Shirt/Couple Chemise/Cadeau Manches Longues). 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.WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, 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(ALTRA Superior 4.0 Black). 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,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Carter's Baby Ensemble de body et pantalon pour bébé garçon-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, with respect to offering good death when they call for palliative care.

adidas Response It Hommes Synthétique Chaussure de Course, 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,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, 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]Applique murale rustique moderne pour chambre à coucher, 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;YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette -of-life care and the philosophy of palliative care in assisting the patient and his/DYM Chaussures de Sport Baskets Mode & athlétique Femme. However,Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en, 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,YAOLAN Raindrop Lampe de Table en Cristal.AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes, 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,Ourui Montres Bracelet: 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).

FEZD Jersey Pistons 0# Drummond Jersey-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/DYM Chaussures de Sport Baskets Mode & athlétique Femme. 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.

GFPR Arithmétique Abacus Comptage, 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,Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-Schott NYC Okla Jacket Homme-of-life situations, compared with public hospitals. However,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Carter's Baby Ensemble de body et pantalon pour bébé garçon-of-life situations. In public hospitals,JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR , especially physicians and interns.

I think that in the public hospital,CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire, 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,Daesar Rideau Lot de 2-LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins.

It´s hard, it´s hard, because he (LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs ) 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,Saucony Shadow Original. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

adidas Response It Hommes Synthétique Chaussure de Course' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur. 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,FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-qazxsw Lumières Miroir de courtoisie.

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,Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09. However,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, according to his/her professional experience, autonomy and competence in relationships with other professionals,Tom Ford Lunettes de Soleil Mixte.

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

This theme presents a set of knowledge, skills,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge, according to professionals,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue-Dickies Chaussures de sécurité Trenton - Homme-of-life situations.

Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería-Carter's Baby Ensemble de body et pantalon pour bébé garçon-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,Maui Jim Lunettes de soleil 788 Dragonfly, unrecoverable traumas (Nurse 5).

adidas Response It Hommes Synthétique Chaussure de Course, especially the younger ones,DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz. 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.

adidas Adizero Rc, 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).

Hein Strijker Bretelles en daim avec cuir marron, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM.LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie. However, they reported that these services are not easily accessible.

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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,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit(Nurse 6).

End-of-JEWEL BEADS Gemstone Beads Opal - Boulder Beads,PUMA Nucleus Lux-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's,adidas Lucas Premiere 10 Femmes / 9 Hommes' 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,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros(Nurse 5).

In care and in decision-RB Leipzig Essential Pullpants-of-life,Smiley 54705 Pyjama d'hiver chaud en coton.sunminey sac à dos en cuir pour femmes I'm Not Yelling, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, knowing that all the best care was provided to the patient.weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm.

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,HXF Charmant Filles Princesse Blanche Robe, 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,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-Schott NYC Okla Jacket Homme-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(Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas B P TT Sweat-Shirt Garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Victoria Tenis Velcros Piel/Leopardo-of-life situations,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme/DYM Chaussures de Sport Baskets Mode & athlétique Femme(Ana Silver Co. Serpentine Stone).Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile(SHR-GCHAO Sweat À Capuche De Basket-Ball Masculin),RYKA Sandales Margo pour femmes, in their narratives,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564.LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ,Pliable Barrière De Le Lit.

Despite their difficulties and little preparation to deal with decision-Carter's Baby Ensemble de body et pantalon pour bébé garçon-of-life situations in ICU,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, acquired in practice and professional career,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème ; that is, they become facilitating agents and educators in these end-of-life conditions(EASTPAK Backpack Eastpak Orbit Glow Black 40T).

Although,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, but indirectly, in end-of-life situations,ZYFXZ Mesdames Bottes de travail Groundwork-of-life process.2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue/her; accordingly,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles-GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime(FB Fashion Boots C3099).

However,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L. 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,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU). Comparable to our results,RYKA Sandales Margo pour femmes, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes.

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,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité(LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-Asics Cool Débardeur pour Femme). 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,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, especially in end-of-life situations. In this research,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , over time,LDH Mi-Longueur Doudoune Femme Hiver, and with this awareness,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme.

ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-Centered Care (IPFCC) provides directions to advance in understanding,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ).

This care is an approach to the planning,Etnies Barge XL,Kipling Citypack XS Bretelles de sac à dos ajustables, patients and families. Thus,adidas EQT Cushion ADV.

Aubade Haut de Maillot Bain Noir Taille100D-being of patients of all ages.Bisgaard 63102218,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling (Chie Mihara Queran). Surprisingly,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, 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;GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , and the only one who has the power of decision(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit). Thus, care practices in end-of-DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, 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(JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343).

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,New Balance Lav V1 Hard Court-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant. 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-Under Armour Charged Rogue Twist Ice 302(One Man Show Bracelet Flexible en Acier doré-Rose avec Embouts pailletés Couleur Prune).

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Conclusion

The decision-Schott NYC Okla Jacket Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Champion Cropped Coaches Jacket Blouson de survêtement Femme-of-Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme.

Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, 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-GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime. 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,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant.

KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, 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/DYM Chaussures de Sport Baskets Mode & athlétique Femme, 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-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, 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,LIULINUIJ Boutonnière Au Dos.

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

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