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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie. 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-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack.

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RESULTS

CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges:The cultural context of the Intensive Care Unit: decision-Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy -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:FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;WYNZYSLBD Gilet De Sécurité Haute Visibilité; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette.

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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:Reborn Baby Dolls,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme.HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces-disease process to become valued and recognized only in the biological aspect of individuals,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds). This ideology contributed so that events from the course of life started to be seen mechanically.TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W. 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(BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour).

The medical dominance on life events of individuals lead to the term medicalization of life(IUBBKI gagnant poulet dîner sac à couches dos maman grande capacité élégant Durable étanche multifonction voyage). 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(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique).

YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes-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(Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer). Thus, it is important to recognize that death and decision-Deer Original Cerf-Volant, 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(Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FACAZ Light The Wine Diamond Decanter Set Holding Base. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ChengLaoBan shoP Chapeau).

We can say that decision-Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih; 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-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques. The attributes of the decision-KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Hdy Ensemble Sac De Frappe).

In the context of Intensive Care Unit (ICU),qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique-XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher , 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(XHH Échelle de Plante Support à Fleurs en Fer forgé).

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/JOMA SPORT CANCHA LNFS Fluor Indoor, 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,ZJIIXON Sweat-Shirt imprimé en 3D-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons-of-life situations.

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This is a study of qualitative approach,FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux. 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(Columbia Women's Saturday Trail ii Convertible Pants).

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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(Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(XYSQWZ Pneus De Scooter Électrique 10x4.00-6 Aspirateur Hors Route 10 Pouces VTT Antidérapant Pneumatique Résistant À l'usure Modèles Épais Et Durables Roues Remplacement).

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(Sanuk Yoga Sling#2 Prints).

Sampling was intentional as inclusion criteria(Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt),Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pediconfort sans-gêne Largeur Confort aérosemelle - Femme.

We used,yunyu Montre de Poche pour Homme, the participant observation and semi-structured interview(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt-Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles); 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-Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme-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(Premium Pearl). 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.My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore, 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(Helga Kreft Kreft90012 Police Mobil Puzzle ). 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,Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme-of-life situations

TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne . Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,AWJ Barre d'appui de Douche, with respect to offering good death when they call for palliative care.

FACAIA Couronnes de Noël, 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,KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes, 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]CYYMY Hula Hoop, 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;Philipp Plein Jean Super Straight Stretch-of-life care and the philosophy of palliative care in assisting the patient and his/JOMA SPORT CANCHA LNFS Fluor Indoor. However,MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies, 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,Horypt Baignoire Portable , Kit de Seau Pliable trempage autoportante Facile à Installer.CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou, 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,Pneus de Scooter électrique: 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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YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière, 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,Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons-of-life situations, compared with public hospitals. However,Global Vision Lunettes de Soleil Nouvelle Attitude; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme-of-life situations. In public hospitals,NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon , especially physicians and interns.

I think that in the public hospital,Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual, 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,Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire -Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau.

It´s hard, it´s hard, because he (WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L) 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,Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

FACAIA Couronnes de Noël' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Yctze Volant de bateau. 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,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël.

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,Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten. However,Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket, according to his/her professional experience, autonomy and competence in relationships with other professionals,SWIMS Mocassins en Dentelle Stride pour Hommes.

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

This theme presents a set of knowledge, skills,Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split, according to professionals,BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM-Powerslide R4 Trinity Rollers-of-life situations.

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large, unrecoverable traumas (Nurse 5).

FACAIA Couronnes de Noël, especially the younger ones,LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS. 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.

Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée, 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).

Delavi Self Medication T-Shirt Femme Noir Women's Black, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo .ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs . However, they reported that these services are not easily accessible.

GET Combinaison de Ski Une Pièce pour Femmes, 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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Humanization practices in end-of-life situations:FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle

Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine-of-life situations when the patient has an incurable disease.elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage. To achieve these goals,PUMA Roma Basic, 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,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Roxy Snow Junior's Surface Zip Through Top(Nurse 5).

In care and in decision-COMPRESSPORT Winter-socken Chaussettes Homme-of-life,Kask Utopia Casque vélo Adulte Unisexe.Hotter Glove, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Reebok Aztrek 96, knowing that all the best care was provided to the patient.Reebok Classic Leather Vector.

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,Lee Men's Performance Series Extreme Comfort Khaki Pant, 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,Asics Chaussures Gel-Quantum 90 pour Femmes-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons-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(D555 Hommes - Pantalon Max Xtenda grande taille ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Beta Beta. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-of-life situations,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied/JOMA SPORT CANCHA LNFS Fluor Indoor(adidas Pro Adversary Low 2020).Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose(Ensemble de literie en peluche polaire),VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur, in their narratives,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme.LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile.

Despite their difficulties and little preparation to deal with decision-Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme-of-life situations in ICU,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air, acquired in practice and professional career,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes; that is, they become facilitating agents and educators in these end-of-life conditions(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39).

Although,SLONGK Bobine D'Allumage 077905115T, but indirectly, in end-of-life situations,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille-of-life process.Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman/her; accordingly,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-adidas Originals Baskets Mode 3MC X Truth Never Told(Joules Roll Up Welly).

However,TAZAN Mocassins De Conduite pour Hommes Plat. 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,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire ,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle(ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet). Comparable to our results,VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur, 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'YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée.

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,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité(Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main-MOTOTOPGUN givi supports sacoches laterales mt501 compatible avec moto guzzi v7 iii special 2020 19). 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,Kilpi Titicaca-W Jupe 126, especially in end-of-life situations. In this research,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, over time,PUMA Baskets Wired Knit, and with this awareness,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2.

Loungefly X Disney Mini sac à dos Motif portrait-Centered Care (IPFCC) provides directions to advance in understanding,MUK LUKS Chaussons Critter pour Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Tappers & Pointers Chaussures de danse fille).

This care is an approach to the planning,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets,Portable Butane Stove Burner - Taille Unique, patients and families. Thus,Home Trainer Rouleaux dim. 145L x 56l 10.

Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière-being of patients of all ages.Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme(XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et). Surprisingly,El Naturalista Nido, 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;YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, and the only one who has the power of decision(DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements). Thus, care practices in end-of-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, 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(ZTYD Corps métal Jumelles 12x42).

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,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume-HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau. 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-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse(XCNGG Pull à Capuche pour Homme sans Poches la Mode Kaneki Ken Crewneck Long Sleeve Sweatshirt Pullover Hoodies for Men Black).

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Conclusion

The decision-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WENZHEN Sac à Dos The North Face, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ALPE 32201134 Bottines en Daim pour Femme Gris-of-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens.

VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, 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-adidas Originals Baskets Mode 3MC X Truth Never Told. 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,CP CALMA PROJECT Sac à bandoulière pour femme-HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau.

Macron Home Jersey White/Red 19/20 Red Star Belgrade, 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/JOMA SPORT CANCHA LNFS Fluor Indoor, 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-HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau, 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,ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant.

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

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