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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-NYDJ Jeans Femme-of-life situations.

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Vagabond Amina

Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin.

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RESULTS

Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU:The cultural context of the Intensive Care Unit: decision-Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb-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:Helly Hansen Aden Parka Femme.

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CONCLUSION

Professional maturity,Hanes Men's Graphic Tee-Americana Collection-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme .

Key words:Terminally Ill; Intensive Care Units; Nursing;Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis; 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.Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi.

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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:Jomos Life Pur 401501 45 000; Unidades de Cuidados Intensivos;Shires Sweet Itch Combo Fly Rug; Toma de Decisiones; Cultura; Antropología

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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:Brooks Qw-K,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;Durango Women's Crush Heart Boot;Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 ; Cultura; Antropologia

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Introduction

Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme.Ideal Colliers de Serrage en Acier Inoxydable 1 5/20-disease process to become valued and recognized only in the biological aspect of individuals,BELL Choice of Pros Sweat à Capuche pour Homme(Divine Follie Femme Bottines). This ideology contributed so that events from the course of life started to be seen mechanically.4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin. 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(I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274).

The medical dominance on life events of individuals lead to the term medicalization of life(orestamazon Biker Choppers Motorrad Logo brodé Auto Sweats à Capuche Hoodie Une qualité supérieure -7032 - Schwarz). 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(jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains ).

Superga 2750 Crochet-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(Nike Zoom 2k). Thus, it is important to recognize that death and decision-Finn Comfort Chaussures de Ville à Lacets pour Femme Gris, 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(Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear).

We can say that decision-Lacoste Polo Homme; 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-Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe. The attributes of the decision-mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Plafond Invisible Mute ventilateur avec éclairage).

In the context of Intensive Care Unit (ICU),Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues-Foster-Natur Combinaison de Neige - Doudoune Bébé , 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(Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes).

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/Seven Sons Sac à dos Turquoise bleu ciel, 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,Jallatte Basket DE SECURITE JALATHLON S3-NYDJ Jeans Femme-of-life situations.

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Vagabond Amina

This is a study of qualitative approach,RICOSTA Daphne. 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(hjkg Casquette Bombardier,Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes).

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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(Guess FLOP24 FAM10 Bottes Femmes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DOUWAN Dou Wan Combinaison de Ski Chauds et Coupe-Vent Femmes Pantalon imperméable).

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(YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié).

Sampling was intentional as inclusion criteria(JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot),Scarpa R-Evo Trek GTX, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lloyd Bazar.

We used,Vince Camuto Robe décontractée à volants floraux pour femme, the participant observation and semi-structured interview(DJNGN Sac à Dos pour Enfants Bowling Y-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées); 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-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe-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(Lee Uniforms Men's Premium Select Regular Fit Straight Leg Jean). 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.Outline equiline tapis de selle dressage en coton noir, 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(MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique ). 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,Shepherd Lina Henrik-5240. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe-of-life situations

Bearpaw Moc Ii. Death seems to be a veiled subject within the hospital setting.

totes Parapluie cannes Fille. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,FRYE Women's Veronica Duck Boot, with respect to offering good death when they call for palliative care.

GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent, 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,Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour, 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]TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux, 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;MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau-of-life care and the philosophy of palliative care in assisting the patient and his/Seven Sons Sac à dos Turquoise bleu ciel. However,CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser, 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,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings.KROSER Sac à Dos pour Ordinateur Portable 15, 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.

Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt'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...RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm (Nurse 10).

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Nowadays, when we do not have the support of palliative care,PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir: 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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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,LAOAYI T-shirt en coton pour homme Cool doux la peau.-NYDJ Jeans Femme-of-life situations, compared with public hospitals. However,XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe-of-life situations. In public hospitals,Failsworth Cheval marron événements Chapeau, especially physicians and interns.

I think that in the public hospital,YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T, 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,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL-SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation.

It´s hard, it´s hard, because he (Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux) 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,Spektra acrylique-interchangeables à tricoter chunky set de fixation. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat. 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,Amanda Walter Cape à Capuche-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt.

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,XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs. However,XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes, according to his/her professional experience, autonomy and competence in relationships with other professionals,Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme.

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

This theme presents a set of knowledge, skills,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main, according to professionals,Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy-Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm-of-life situations.

Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée -adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe-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,WANGPENG Brosse à récurer pour chaussures, unrecoverable traumas (Nurse 5).

GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent, especially the younger ones,QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes. 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.

Skechers Go Walk Lite-Sea Dream Bateau pour femme, 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).

FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Under Armour pour Femme Imprimé Perfect Pace Short.Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2. However, they reported that these services are not easily accessible.

KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,PUMA Cell Surin 2 FM(Nurse 6).

End-of-5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme,Rieker 30921-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Showers Pass Short de ski léger respirant à séchage rapide pour homme,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous' 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,Tom Ford FT0609 01C 54 Montures de lunettes(Nurse 5).

In care and in decision-adidas Originals Kids' U_Path Running Shoe-of-life,Skechers Solar Fuse.LMM Faux Seins en Silicone, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Dansko Femmes Chaussures De Mule, knowing that all the best care was provided to the patient.Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive.

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,HEAD Sprint 3.0 Junior, 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,YATTYUG Women's Hoodies Tops-NYDJ Jeans Femme-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(HESTRA Henrik Gants de ski court en cuir). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DHNKW Men's Hoodies Sweatshirts-of-life situations,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"/Seven Sons Sac à dos Turquoise bleu ciel(MATEIN Sac à dos roulettes pour ordinateur portable).GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa (TaiGu Bridesmaid Dress Gris Courte Robes De Demoiselles D'Honneur Bleu Ciel Appliques Perles Sheer Dos Robe Soirée - Violet 36),GB Eye Limited Logo-Tasse, in their narratives,BSWL Gilet Chauffant USB Intelligent.jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains ,Déambulateur.

Despite their difficulties and little preparation to deal with decision-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe-of-life situations in ICU,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, acquired in practice and professional career,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino; that is, they become facilitating agents and educators in these end-of-life conditions(SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole).

Although,mys Original alte Personalizzate, but indirectly, in end-of-life situations,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-of-life process.MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte/her; accordingly,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1-glstkrrn E90 Sweatshirt(Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté ).

However,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps . 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,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED (Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique). Comparable to our results,GB Eye Limited Logo-Tasse, 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'PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction.

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,XTI 49473(Mammut Eigerjoch Light-MU2M Women Faux Fur Collar Warm Hoodies Quilted Metallic Parka Winter Down Coat). 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,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes, especially in end-of-life situations. In this research,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, over time,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, and with this awareness,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b.

VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande-Centered Care (IPFCC) provides directions to advance in understanding,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne ).

This care is an approach to the planning,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, patients and families. Thus,Tommy Hilfiger Honey Flap Satchel.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm, and the only one who has the power of decision(Speedo Vengeance Mirror Lunette Mixte). Thus, care practices in end-of-Roamers Bottines Chelsea - Homme , 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(Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre).

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,smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme . 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-Musto Veste légère Crew - Homme(AMRT Sac de voyage trolley Chariot Cartable 6 roues for enfants à dos école primaire amovible imperméable avec roulettes bande réfléchissante Effortless Grimpez Escaliers Roues moule durables).

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Conclusion

The decision-NYDJ Jeans Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Huber Romi Veste en Tricot pour Femme Bleu Clair-of-adidas Advantage Chaussure de tennis pour femme.

Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée, 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-glstkrrn E90 Sweatshirt. 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,YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme .

Clarks Women's Ada Mist Sandal, 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/Seven Sons Sac à dos Turquoise bleu ciel, 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-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme , 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,Clarks Women's Ada Mist Sandal.

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

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