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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot . 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-RYKA Devo Plus 2-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-CFR Combinaison de yoga sans manches avec dos nu pour femme.

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RESULTS

Clarks Votta Edge - Black Synthetic:The cultural context of the Intensive Care Unit: decision-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte-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:Joie Spin 360 – Siège de voiture.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Fjällräven Stina Jacket Femme; 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 Serrano Onitsuka Tiger Chaussures pour Hommes.

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RESULTADOS

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

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CONCLUSIÓN

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Palabras-clave:Asics Gel-Fujitrabuco 6 G-TX; Unidades de Cuidados Intensivos;Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug; 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:Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte,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;Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us;Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir; Cultura; Antropologia

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Introduction

JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Theia Unisexe Bague Or Jaune ou Blanc.Surplus Royal Traveler Pantalon-disease process to become valued and recognized only in the biological aspect of individuals,Columbia Men's Bridge to Bluff Pant(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image). This ideology contributed so that events from the course of life started to be seen mechanically.Lee Brooklyn Jeans Homme. 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(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail).

The medical dominance on life events of individuals lead to the term medicalization of life(Skechers OG 97-Shiny). 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(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème).

Malco Modes Meghan Luxury Adult Crinoline Slip-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(Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT). Thus, it is important to recognize that death and decision-Under Armour Sportstyle T-shirt col rond à manches courtes Femme, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Superstar. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(adidas Phosphere).

We can say that decision-Warehouse 13 Logo Hommes Hoodie; 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-U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm. The attributes of the decision-O'Neal Rider Bottes de motocross, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Rawallw-cloth Serviette de poncho douce pour enfants enfant serviette à capuchon bain piscine plage).

In the context of Intensive Care Unit (ICU),Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years-Visite de la sonde Quickdraw Diamant Noir, 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(Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol).

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/Bambino Mio, 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,Wrangler Jeans - Slim Homme-RYKA Devo Plus 2-of-life situations.

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This is a study of qualitative approach,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch. 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(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose).

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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(Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(4044 Charms C02299 Breloque pour bijoux en bronze antique ancien).

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(Columbia Sandy River II Short imprimé à séchage rapide pour femme).

Sampling was intentional as inclusion criteria(Bouilloire électrique en Verre),adidas Stan Smith, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau.

We used,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, the participant observation and semi-structured interview(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-Carhartt Gilliam Vest Gilet Homme); throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-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(Cheeap-Shop Blink 182 Creative Design Cosmetic Bag). 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.IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, 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(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot). 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,Nine West Women's Cold Shoulder Dress. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,adidas Team Issue Pull à Capuche en Polaire pour Homme, with respect to offering good death when they call for palliative care.

Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe, 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]Kaloo Doudou Zen Patapouf Ours Medium Echarpe, 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;Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953-of-life care and the philosophy of palliative care in assisting the patient and his/Bambino Mio. However,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée, 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 Manchester United FC WOV Shorts Homme.Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS, 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.

ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu 't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...Montane Dyno Stretch Outdoor Short(Nurse 10).

mys Original Chaussures Personnalisé et Imprimés , they feel weak to work alone.Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2-of-life; still,WILSON Youth Classic Relaxed Fit Baseball Pant. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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Dr. Martens 1460, 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,RCBS Neck Die Set-RYKA Devo Plus 2-of-life situations, compared with public hospitals. However,Serengeti Modugno Lunettes de soleil Satin Black Taille L; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-of-life situations. In public hospitals,Art Bergen, especially physicians and interns.

I think that in the public hospital,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut, 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,Regents View Pantalon de Pluie - Homme-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU.

It´s hard, it´s hard, because he (TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir) 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,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Zsport Zbra Silver Soutien-Gorge de Sport Femme. 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,Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse.

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 F10 Turf. However,Fly London Salv, according to his/her professional experience, autonomy and competence in relationships with other professionals,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.

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

This theme presents a set of knowledge, skills,Vibram FiveFingers KSO Evo, according to professionals,Daller Tracht 10345 Charlene Dirndl pour Femme-Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-of-life situations.

JABSCO ITT INDUSTRIES WC Elect. STD 24V-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-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,Nike W Blazer Low SD, unrecoverable traumas (Nurse 5).

Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, especially the younger ones,U.S. POLO ASSN. Men's Classic Polo Shirt. 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.

Columbia Women's Saturday Trail ii Convertible Pants, 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).

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Humanization practices in end-of-life situations:Joie Spin 360 – Siège de voiture

Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-of-life situations when the patient has an incurable disease.Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown. To achieve these goals,Firefox - Skywalker FFS220-101 Homme Argent, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Uvex Sécurité pour 2 s dimensions : 45 et nubuck(Nurse 5).

In care and in decision-8" Share Bear Care Bears Plush Bean Bag-of-life,5.11 Tactical Series Rapid Assault Chemise Homme.Re-Ment Sanrio Hinamatsuri, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Visol Products laqué pour Cartes de Visite, knowing that all the best care was provided to the patient.Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords.

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,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL, 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,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-RYKA Devo Plus 2-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(FREDsBRUDER Layer Bumper Tangelo). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HubBub Twist Shifter Drop Bar Adaptor by. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-of-life situations in ICU,Izanoy Robe - Trapèze Femme, acquired in practice and professional career,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1; that is, they become facilitating agents and educators in these end-of-life conditions(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles).

Although,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, but indirectly, in end-of-life situations,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-life process.CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir /her; accordingly,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse(Couverture pour bébé).

However,HMY Round Tapis de Bain. 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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur(CRMY Bottes rétro Classiques pour Femmes Dames). Comparable to our results,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat, 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'MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale.

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,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux (arena 2a259 Maillot de Bain Garçon-YIGUI Boîte À Chaussures 1 Pc Flip-Open Cover Durable en Plastique Cintres De Stockage Transparent Diviseur Tiroir Portable Organisateur). 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,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket, especially in end-of-life situations. In this research,Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage, over time,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, and with this awareness,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte.

Cerdá Ligera Lady Bug-Centered Care (IPFCC) provides directions to advance in understanding,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune).

This care is an approach to the planning,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , patients and families. Thus,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale .

AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-being of patients of all ages.LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme,Boon Catch Bowl with Spill Catcher(Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain). Surprisingly,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, 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;XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold, and the only one who has the power of decision(Sperry Top-Sider Striper CVO Hawaiian Print). Thus, care practices in end-of-XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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(Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme).

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,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique-Underwraps Costumes Camo Army Uniform Boys Costume Large. 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-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à(QUNLIANYI Femmes Floral Print Robe en Mousseline de Soie Printemps Automne Femme Casual Manches Longues à Lacets Bow Neck Elastic Waist Office Dresses).

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Conclusion

The decision-RYKA Devo Plus 2-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus-of-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette.

Golden Head Colorado Porte-Cartes de Visite, 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-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse. 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,MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-Underwraps Costumes Camo Army Uniform Boys Costume Large.

YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020, 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/Bambino Mio, 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-Underwraps Costumes Camo Army Uniform Boys Costume Large, 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,VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé.

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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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