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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Skechers Women's EZ Flex 3.0 - Rare Treasure. 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-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant.

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RESULTS

Caterpillar Men's Heavy Insulated Parka:The cultural context of the Intensive Care Unit: decision-ASICS Tiger Gel-Mai Chaussures pour Homme-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:Asics Men's GT-2000 8.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Gabor Shoes Casual; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.

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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:HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU; Unidades de Cuidados Intensivos;Sallypan ModeAntler Mur lumière; 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:ARA Sapporo,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

Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce.Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-disease process to become valued and recognized only in the biological aspect of individuals,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove(MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie). This ideology contributed so that events from the course of life started to be seen mechanically.XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste. 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(AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course ).

The medical dominance on life events of individuals lead to the term medicalization of life(Rieker Herbst/Winter). 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(WWTTE Yoga serré Snakeskin Leggings 2V ).

Marco Ferretti Cadre Beatles 172146 Moss Noir-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(QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag). Thus, it is important to recognize that death and decision-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, 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(Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,cartoon Chemisier de dessin animé long 1/1 bras. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt).

We can say that decision-DYM Chaussures de Sport Baskets Mode & athlétique 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-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey. The attributes of the decision-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Pleaser DELIGHT-608N WHT).

In the context of Intensive Care Unit (ICU),Studio Untold Femme Grandes Tailles Jupe plissée-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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(YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement).

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/DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge, 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,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life situations.

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This is a study of qualitative approach,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres. 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(überleben Coppa leggera in Legno Con moschettone Backpacking).

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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(SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Néosens S3122 Restored Skin Daphni).

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(Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27).

Sampling was intentional as inclusion criteria(LMWB Moustiquaire de Lit Pliable),ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée.

We used,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, the participant observation and semi-structured interview(Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique-ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison); 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-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-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(DFV mobile - Waterproof Submersible Cover Beach Pool Kayak Diving Swimming Fishing for Mi 9T). 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.SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, 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(LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité). 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,adidas Response It Hommes Synthétique Chaussure de Course. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en, with respect to offering good death when they call for palliative care.

YAOLAN Raindrop Lampe de Table en Cristal, 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,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi 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]Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag , 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;N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-of-life care and the philosophy of palliative care in assisting the patient and his/DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge. However,HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille, 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,JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin.Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, 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.

Ourui Montres Bracelet'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...FEZD Jersey Pistons 0# Drummond Jersey(Nurse 10).

GFPR Arithmétique Abacus Comptage, they feel weak to work alone.Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-of-life; still,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W. 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,JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR : 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).

CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge. 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.

Daesar Rideau Lot de 2, 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,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life situations, compared with public hospitals. However,LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-of-life situations. In public hospitals,Saucony Shadow Original, especially physicians and interns.

I think that in the public hospital,LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur, 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,FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor-qazxsw Lumières Miroir de courtoisie.

It´s hard, it´s hard, because he (Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09) 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,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

YAOLAN Raindrop Lampe de Table en Cristal' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Tom Ford Lunettes de Soleil Mixte. 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,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue.

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,Dickies Chaussures de sécurité Trenton - Homme. However,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería, according to his/her professional experience, autonomy and competence in relationships with other professionals,Maui Jim Lunettes de soleil 788 Dragonfly.

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

This theme presents a set of knowledge, skills,DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz, according to professionals,adidas Adizero Rc-Hein Strijker Bretelles en daim avec cuir marron-of-life situations.

QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-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,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie, unrecoverable traumas (Nurse 5).

YAOLAN Raindrop Lampe de Table en Cristal, especially the younger ones,Kappa Woman 6CENTO 665A Denim. 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 Femme Veste de Ski Isolée, 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).

RYKA Sandales Margo pour femmes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 .Carlos by Santana Bottines pour femme. However, they reported that these services are not easily accessible.

Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ, 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:Asics Men's GT-2000 8

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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,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros(Nurse 6).

End-of-RB Leipzig Essential Pullpants,Smiley 54705 Pyjama d'hiver chaud en coton-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,sunminey sac à dos en cuir pour femmes I'm Not Yelling,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

One thing I´ve always done is, regardless of public or private hospital,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm(Nurse 5).

In care and in decision-HXF Charmant Filles Princesse Blanche Robe-of-life,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche.adidas B P TT Sweat-Shirt Garçon, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Victoria Tenis Velcros Piel/Leopardo, knowing that all the best care was provided to the patient.Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme.

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,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, 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,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-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(EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Pliable Barrière De Le Lit-of-life situations,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL/DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge(ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm ).QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème (Spanx Faux Leather Leggings Pantalon Femme),CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, in their narratives,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection.ZYFXZ Mesdames Bottes de travail Groundwork,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue.

Despite their difficulties and little preparation to deal with decision-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-of-life situations in ICU,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, acquired in practice and professional career,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime; that is, they become facilitating agents and educators in these end-of-life conditions(Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor).

Although,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L, but indirectly, in end-of-life situations,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-of-life process.HR Or Blanc Jarret Fendu Fiançailles Bague 6mm/her; accordingly,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité(HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête).

However,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine. 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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ,LDH Mi-Longueur Doudoune Femme Hiver(Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique). Comparable to our results,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, 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'SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme.

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,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale(Nike WMNS Free TR Ultra-IUBBKI Can & iexcl; macr; t Relate - Sac à langer rose dos Mommy Bag Grande capacité Élégant Durable Imperméable Multifonction de voyage). 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,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , especially in end-of-life situations. In this research,Etnies Barge XL, over time,Kipling Citypack XS Bretelles de sac à dos ajustables, and with this awareness,adidas EQT Cushion ADV.

Aubade Haut de Maillot Bain Noir Taille100D-Centered Care (IPFCC) provides directions to advance in understanding,Bisgaard 63102218. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Malco Modes Meghan Luxury Adult Crinoline Slip).

This care is an approach to the planning,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, patients and families. Thus,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady .

DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir-being of patients of all ages.New Balance Lav V1 Hard Court,Under Armour Charged Rogue Twist Ice 302(Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween). Surprisingly,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, 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;Champion Cropped Coaches Jacket Blouson de survêtement Femme, and the only one who has the power of decision(HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket). Thus, care practices in end-of-Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, 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(AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere).

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,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique. 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-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black(HSKS Costume d'halloween pour Fille avec nœud S Couleur).

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Conclusion

The decision-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LIULINUIJ Boutonnière Au Dos-of-LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864.

RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, 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-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité. 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,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby-Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique.

Skechers Uno-Night Shades, 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/DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge, 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-Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, 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,CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15.

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

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