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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes. 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-Sveltek Raffermissant Brassiere et Legging Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Nike Joyride Env Ispa.

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RESULTS

Fila Pull à capuche avec logo flamino pour homme:The cultural context of the Intensive Care Unit: decision-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M-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:DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Little Mistress Lillian Robe longue en dentelle avec trou de serrure; 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.WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:HYLH 3D LED Stunt Motorcycle Illusion Night Light,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;Wmeat-P Ensemble De Housse Couette;WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot ; Cultura; Antropologia

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Introduction

Houdini Power Houdi Veste Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm.Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress -disease process to become valued and recognized only in the biological aspect of individuals,Béaba BÉABA Sac à Langer Sydney I(LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos). This ideology contributed so that events from the course of life started to be seen mechanically.ROTHCO 7502 flightsuits 6XL All. 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(GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour ).

The medical dominance on life events of individuals lead to the term medicalization of life(Li Kerer KererNewborn Baby Boy Clothes Barboteuse Infantile à Manches Longues Imprimer Bébé Mignon Fille Barboteuses Jumpsuit Pyjamas Vêtements de bébé SR126GE). 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(4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien).

adidas Maillot de Basketball pour Homme Thunder Alternative-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(JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie). Thus, it is important to recognize that death and decision-RYKA Devo Plus 2, 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(Rockport Men's Eberdon Black 11 W ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8).

We can say that decision-CFR Combinaison de yoga sans manches avec dos nu pour 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-Clarks Votta Edge - Black Synthetic. The attributes of the decision-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(DZSF Touch Bluetooth Lecteur MP3 Portable Audio 8 / 16GB avec Haut-Parleur intégré de Musique Enregistreur Radio FM Support TF).

In the context of Intensive Care Unit (ICU),Joie Spin 360 – Siège de voiture-Brooks pour Femme Juno Soutien-Gorge de Sport, 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(Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes).

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/Underwraps Costumes Camo Army Uniform Boys Costume Large, 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,Fjällräven Stina Jacket Femme-Sveltek Raffermissant Brassiere et Legging Femme-of-life situations.

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This is a study of qualitative approach,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT. 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(Beta Tools '9534 W-m-pãlo Premium).

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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(Triumph Corsage - Cousu Femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DREAMING Impression Numérique 3D Starry Sky Couple T-Shirt D'Été Casual Sports Hommes Et Femmes avec La Même Chemise À Manches Courtes).

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(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir).

Sampling was intentional as inclusion criteria(Mizuno Techno Generation Maillot à Manches Longues pour Femme),Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hannah Outdoor Concepts Veste rendeza pour Femme.

We used,FREDsBRUDER Layer Bumper Tangelo, the participant observation and semi-structured interview(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm-ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm); 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-Pepe Jeans Pantalon Homme-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(IAMZHL 2020 Chapeaux d'hiver pour Femme Nouveaux Bonnets tricotés Solide Mignon Chapeau Filles Automne Bonnet Casquettes Plus Chaud Dames Casquette décontractée -Black). 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.Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, 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(WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25). 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,Carhartt Shoreline Veste isolée pour homme Taille grande et. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Pepe Jeans Pantalon Homme-of-life situations

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir. Death seems to be a veiled subject within the hospital setting.

JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. 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,Theia Unisexe Bague Or Jaune ou Blanc, with respect to offering good death when they call for palliative care.

Surplus Royal Traveler Pantalon, 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,Columbia Men's Bridge to Bluff Pant, 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]Lee Brooklyn Jeans Homme, 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;Malco Modes Meghan Luxury Adult Crinoline Slip-of-life care and the philosophy of palliative care in assisting the patient and his/Underwraps Costumes Camo Army Uniform Boys Costume Large. However,Under Armour Sportstyle T-shirt col rond à manches courtes Femme, 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,adidas Superstar.Warehouse 13 Logo Hommes Hoodie, 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.

U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm'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...O'Neal Rider Bottes de motocross(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Wrangler Jeans - Slim Homme: 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).

yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Underwraps Costumes Camo Army Uniform Boys Costume Large. 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,Silver Jeans - Homme-Sveltek Raffermissant Brassiere et Legging Femme-of-life situations, compared with public hospitals. However,Bandit - Casque Fighter – Casque pour Streetfight; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Pepe Jeans Pantalon Homme-of-life situations. In public hospitals,adidas Stan Smith, especially physicians and interns.

I think that in the public hospital,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle.

It´s hard, it´s hard, because he (IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N) 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,Nine West Women's Cold Shoulder Dress. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Surplus Royal Traveler Pantalon' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Sac à dos Voyager 60L Femme Cobalt avec sac. 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,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Deerhunter Veste de chasse Highland.

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,adidas Team Issue Pull à Capuche en Polaire pour Homme. However,Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, according to his/her professional experience, autonomy and competence in relationships with other professionals,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe.

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

This theme presents a set of knowledge, skills,Kaloo Doudou Zen Patapouf Ours Medium Echarpe, according to professionals,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-of-life situations.

adidas Manchester United FC WOV Shorts Homme-Pepe Jeans Pantalon Homme-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,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS, unrecoverable traumas (Nurse 5).

Surplus Royal Traveler Pantalon, especially the younger ones,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu . 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.

Montane Dyno Stretch Outdoor Short, 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).

mys Original Chaussures Personnalisé et Imprimés , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2.WILSON Youth Classic Relaxed Fit Baseball Pant. However, they reported that these services are not easily accessible.

Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé, 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,Regents View Pantalon de Pluie - Homme(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes(Nurse 5).

In care and in decision-Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse-of-life,adidas F10 Turf.Fly London Salv, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats, knowing that all the best care was provided to the patient.Vibram FiveFingers KSO Evo.

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,Daller Tracht 10345 Charlene Dirndl pour Femme, 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,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-Sveltek Raffermissant Brassiere et Legging Femme-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(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JABSCO ITT INDUSTRIES WC Elect. STD 24V. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nike W Blazer Low SD-of-life situations,U.S. POLO ASSN. Men's Classic Polo Shirt/Underwraps Costumes Camo Army Uniform Boys Costume Large(Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print).Columbia Women's Saturday Trail ii Convertible Pants(Jakflyzel Veste d'hiver pour Hommes Parka Top imperméable Chaude Épaissir Mâle Laine Lourde Polaire Coton rembourré),Dr. Martens 1460, in their narratives,Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme.East Essence Robe - Solid Femme,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling .

Despite their difficulties and little preparation to deal with decision-Pepe Jeans Pantalon Homme-of-life situations in ICU,adidas ZX Flux NPS UPDT, acquired in practice and professional career,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme; that is, they become facilitating agents and educators in these end-of-life conditions(THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir).

Although,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat, but indirectly, in end-of-life situations,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44-of-life process.Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce/her; accordingly,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown-Firefox - Skywalker FFS220-101 Homme Argent(YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey).

However,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron. 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,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en(Dare 2b Cloud Burst Veste pour Fille). Comparable to our results,Dr. Martens 1460, 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'CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set.

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,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER(Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux -N /A Chaise à Genoux réglable en Hauteur). 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,Uvex Sécurité pour 2 s dimensions : 45 et nubuck, especially in end-of-life situations. In this research,8" Share Bear Care Bears Plush Bean Bag, over time,5.11 Tactical Series Rapid Assault Chemise Homme, and with this awareness,Re-Ment Sanrio Hinamatsuri.

Visol Products laqué pour Cartes de Visite-Centered Care (IPFCC) provides directions to advance in understanding,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale).

This care is an approach to the planning,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat, patients and families. Thus,HubBub Twist Shifter Drop Bar Adaptor by.

Safety 1st Lot de 45 prises courant ultra transparentes-being of patients of all ages.HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus(DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz). Surprisingly,Utility Diadora Veste Sail Gris gris M, 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;Timberland Pokey Pine Hook & Loop , and the only one who has the power of decision(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant). Thus, care practices in end-of-CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, 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(Happiness Leggings Serpent).

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,Izanoy Robe - Trapèze Femme-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207. 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-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1(veilleuse coranique multicouleurs).

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Conclusion

The decision-Sveltek Raffermissant Brassiere et Legging Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-of-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir .

YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, 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-Firefox - Skywalker FFS220-101 Homme Argent. 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,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207.

HMY Round Tapis de Bain, 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/Underwraps Costumes Camo Army Uniform Boys Costume Large, 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-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207, 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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL.

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

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