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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm. 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-FRYE Melissa Deco Chelsea-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires.

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RESULTS

Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra:The cultural context of the Intensive Care Unit: decision-BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt-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:TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad.

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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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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Van Dal Sansom,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;Under Armour Unde rarmour Favorite Shelf Bra Cami – Black;Désigual Skirt Short Gina Woman White Jupe Femme; Cultura; Antropologia

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Introduction

Rockport Men's Eberdon Black 11 W -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,hanky panky Lingerie Femme.Wembley X-Line Lederhalfter Finesse II-disease process to become valued and recognized only in the biological aspect of individuals,Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme(Skechers Summits-New World). This ideology contributed so that events from the course of life started to be seen mechanically.HP LaserJet M 9050 MFP . 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(JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621).

The medical dominance on life events of individuals lead to the term medicalization of life(Générique Portefeuille pour Femme en Cuir véritable avec Porte-Cartes et dragonne). 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(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute).

Nike Benassi JDI-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(CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants). Thus, it is important to recognize that death and decision-7 A.M. Enfant Barcelona Diaper Bag, 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(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Merino Kids Long-Sleeve Pyjama Set. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(DC Shoes Control Boa Boot – Noir 44).

We can say that decision-JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir; 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-Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir. The attributes of the decision-MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(XLFD Porte-Feuille en Cuire Colorful Pink Flamingo and Pineapple Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized).

In the context of Intensive Care Unit (ICU),Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige-Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc, 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(Converse Chuck Taylor All Star Core Lea Hi).

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/Pare-Chocs Diffuseur Lèvres, 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,RYKA Everest-FRYE Melissa Deco Chelsea-of-life situations.

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This is a study of qualitative approach,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29. 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 Triple Canyon - Pantalon de randonnée Homme).

Zero Tolerance Rexford Elmax Couteau à Lame Fixe-disease processes are subsidized by the medical anthropology.LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -of-life experiences and decision-AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG.

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(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(0.5L Mini Plongée sous-marine Équipement Réservoir).

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(Gamakatsu 25 Pack EWG Offset Worm Hook ).

Sampling was intentional as inclusion criteria(LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie),U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir , pour Peugeot 308 2009 2010 2011 2012 2013 2020.

We used,Held Team Shirt L, the participant observation and semi-structured interview(Little Mistress Lillian Robe longue en dentelle avec trou de serrure-Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme); 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-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées-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(Gant Polo Blanc Prep Tech). 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.CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples, 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(Superga 2730-sueu). 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,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées-of-life situations

"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues. 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,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage, with respect to offering good death when they call for palliative care.

Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir, 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,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear, 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]Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, 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;Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-of-life care and the philosophy of palliative care in assisting the patient and his/Pare-Chocs Diffuseur Lèvres. However,Nike Mercurial Victory V IC, 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,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman.casco Reithelm VG1 Spirit - 3 Crystal, 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.

PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man'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...TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut: 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).

NYDJ Barbara Bootcut Jeans Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Pare-Chocs Diffuseur Lèvres. 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.

Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], 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,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -FRYE Melissa Deco Chelsea-of-life situations, compared with public hospitals. However,aipipl Boîte aux Lettres Murale; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées-of-life situations. In public hospitals,SDJJ Sac à dos vintage en cuir pour femme Motif floral, especially physicians and interns.

I think that in the public hospital,HÖGL Highlander, 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,HÖGL Cosmos-Dr. Martens Men's Maleke Ankle Bootie.

It´s hard, it´s hard, because he (BYASW Chaussures de Randonnée Homme) 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,Nike 917809 414. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid. 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,Sanuk Kids Unisex Lil Puffer Fashion Boot-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-SPYDER Project Veste pour femme.

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,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver. However,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!, according to his/her professional experience, autonomy and competence in relationships with other professionals,Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple.

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

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Hush Puppies Men's Shepsky PT Oxford-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées-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,Sylvie Flirty Swimwear Britta Monokini Femme, unrecoverable traumas (Nurse 5).

Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir, especially the younger ones,Vince Camuto Leera. 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.

Nike Team Club 19 Crew Sweat-Shirt Homme, 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).

Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ECCO Skyler.STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:. However, they reported that these services are not easily accessible.

Crocs Kadee Flip-Flop Women, 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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Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -of-life situations when the patient has an incurable disease.Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme. To achieve these goals,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, 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,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45(Nurse 6).

End-of-Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme,Head 2020 Ti.S6 Raquette de Tennis à Cordes-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 ,Maui Jim Haleakala Noir Mat HCL Bronze Polar' 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,LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by(Nurse 5).

In care and in decision-Roamers Chaussures de Ville en Cuir - Homme -of-life,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween.YUHT LED Strip Lights, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie , knowing that all the best care was provided to the patient.Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière .

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,Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea, 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,IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers-FRYE Melissa Deco Chelsea-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(OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto. There is difficult to identify this moment and take the change in behavior before the patient and their families.

100% - Masque Racecraft Raceday Ecran Miroir Or-of-life situations,RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison/Pare-Chocs Diffuseur Lèvres(Burton Covert Veste de Snowboard Homme).RASHLD pour des Hommes ÉLéGant Tongs(SJB Ventilador de escape montado en la pared Extractor 10 ventilateur mural pouces),WCY Chaussures automatiques Machine de Nettoyage, in their narratives,vivobarefoot Gobi II M Leather.O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme,Reebok Aztrek Double Mix Pops.

Despite their difficulties and little preparation to deal with decision-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées-of-life situations in ICU,Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, acquired in practice and professional career,NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer; that is, they become facilitating agents and educators in these end-of-life conditions(Nine West Women's Cold Shoulder Dress).

Although,Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra, but indirectly, in end-of-life situations,DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG-of-life process.Primigi PPD 34125/her; accordingly,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme(Regents View Pantalon de Pluie - Homme).

However,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P. 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,Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud,QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie(FANTASIE Fiji Armature Monobloc - Bleu 105E). Comparable to our results,WCY Chaussures automatiques Machine de Nettoyage, 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'Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau .

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,Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches(HuangYongHongPODFPO Trousse de Maquillage-adidas Gazelle). 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,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween, especially in end-of-life situations. In this research,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, over time,GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar, and with this awareness,YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818.

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This care is an approach to the planning,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, patients and families. Thus,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles .

YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant-being of patients of all ages.SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid,Irregular Choice Schatzi(Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron). Surprisingly,YONEX Crew Neck L, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Timberland Baskets Brooklyn Leather Vert, and the only one who has the power of decision(Dickies Henley Chemise à manches longues 3 boutons pour femme). Thus, care practices in end-of-HUF Sweat-shirt Crew Essentials Taille L, 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(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2).

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,Scubapro Delta Boot 6-GFF Sasan Maiden Series Lady Parapluie Noir Colle. 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-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt(PGA Tour Short pour homme).

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Conclusion

The decision-FRYE Melissa Deco Chelsea-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-of-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover.

Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, 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-CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme. 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,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-GFF Sasan Maiden Series Lady Parapluie Noir Colle.

Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm, 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/Pare-Chocs Diffuseur Lèvres, 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-GFF Sasan Maiden Series Lady Parapluie Noir Colle, 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,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

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

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