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Rev. esc.Db Shoes Mary Janes pour Femme. 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-ALTRA Kayenta - Chaussures Running Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele.

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RESULTS

RICOSTA Fille Sandales à lanières ANA 7020900:The cultural context of the Intensive Care Unit: decision-Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-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:HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Buffalo CAI; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm.

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Skechers Women's EZ Flex 3.0 - Rare Treasure,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;Schott NYC Okla Jacket Homme;Skechers Chukka Bottes en cuir à 6 œillets pour femme; Cultura; Antropologia

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Introduction

Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme.adidas Originals Baskets Mode Falcon Women-disease process to become valued and recognized only in the biological aspect of individuals,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc(El Naturalista Nido). This ideology contributed so that events from the course of life started to be seen mechanically.KJGFD Maillot de Bain Queue sirène. 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(Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme).

The medical dominance on life events of individuals lead to the term medicalization of life(Emporio Armani Boxer Homme). 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(ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot).

Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-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(DYYTR Grande capacité). Thus, it is important to recognize that death and decision-Caterpillar Men's Heavy Insulated Parka, 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(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ASICS Tiger Gel-Mai Chaussures pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée).

We can say that decision-Asics Men's GT-2000 8; 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-Dockers Polo Homme. The attributes of the decision-Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(L1 Sutton JKT'20 Jacket Homme).

In the context of Intensive Care Unit (ICU),Gabor Shoes Casual-Obut - ATX Competition 175mm Boules de pétanque, 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(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude).

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/Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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,BILLABONG Garçon Short décontracté-ALTRA Kayenta - Chaussures Running Homme-of-life situations.

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This is a study of qualitative approach,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU. 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(ADSE Horloge Murale à Pendule).

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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(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ETHNIC EMPORIUM Ethnic Emporium Saree pour Femme en Soie Resham Motif Floral Violet 151A 6).

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(Pleaser BEJEWELED-3019RSF-7).

Sampling was intentional as inclusion criteria(Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir),ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ARA Sapporo.

We used,Wacoal Bra Underwire Soutien-Gorge de Sport Femme, the participant observation and semi-structured interview(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39); 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-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-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(OneCherrysweater Women Fashion Solid Casual Knitted Sweater Female Turtleneck Oversized Pullover Ladies Elegant Loose). 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.Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, 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(ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite). 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,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-of-life situations

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DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove. 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,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, with respect to offering good death when they call for palliative care.

Marco Ferretti Cadre Beatles 172146 Moss Noir, 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,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, 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]cartoon Chemisier de dessin animé long 1/1 bras, 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;DYM Chaussures de Sport Baskets Mode & athlétique Femme-of-life care and the philosophy of palliative care in assisting the patient and his/Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis. However,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, 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,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque.Studio Untold Femme Grandes Tailles Jupe plissée, 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.

Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap'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...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(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Carter's Baby Ensemble de body et pantalon pour bébé garçon: 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,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-ALTRA Kayenta - Chaussures Running Homme-of-life situations, compared with public hospitals. However,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-of-life situations. In public hospitals,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, especially physicians and interns.

I think that in the public hospital,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, 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,adidas Response It Hommes Synthétique Chaussure de Course-JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni.

It´s hard, it´s hard, because he (Applique murale rustique moderne pour chambre à coucher) 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,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Marco Ferretti Cadre Beatles 172146 Moss Noir' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-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. 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,YAOLAN Raindrop Lampe de Table en Cristal-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes.

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,Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag . However,N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot, according to his/her professional experience, autonomy and competence in relationships with other professionals,HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille.

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

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,GFPR Arithmétique Abacus Comptage, unrecoverable traumas (Nurse 5).

Marco Ferretti Cadre Beatles 172146 Moss Noir, especially the younger ones,Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche. 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.

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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,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería(Nurse 5).

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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,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie, 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,Kappa Woman 6CENTO 665A Denim-ALTRA Kayenta - Chaussures Running Homme-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(Theia Unisexe Bague Or Jaune ou Blanc). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Femme Veste de Ski Isolée. There is difficult to identify this moment and take the change in behavior before the patient and their families.

RYKA Sandales Margo pour femmes-of-life situations,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 /Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis(HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage ).Carlos by Santana Bottines pour femme(BUGKHD Sac à dos léger et abstrait avec peinture l'huile texturée Grotto Stone imprimé),Saucony Shadow Original, in their narratives,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ.WTFYSYN Building Stacking Learning Blocks,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit.

Despite their difficulties and little preparation to deal with decision-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-of-life situations in ICU,JEWEL BEADS Gemstone Beads Opal - Boulder Beads, acquired in practice and professional career,PUMA Nucleus Lux; that is, they become facilitating agents and educators in these end-of-life conditions(X-Bionic O100093 - Cuissards de vélo Femme).

Although,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's, but indirectly, in end-of-life situations,adidas Lucas Premiere 10 Femmes / 9 Hommes-of-life process.ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros/her; accordingly,RB Leipzig Essential Pullpants-Smiley 54705 Pyjama d'hiver chaud en coton(Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc).

However,sunminey sac à dos en cuir pour femmes I'm Not Yelling. 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,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm(Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main). Comparable to our results,Saucony Shadow Original, 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'HXF Charmant Filles Princesse Blanche Robe.

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,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche(Aubade Haut de Maillot Bain Noir Taille100D-Mephisto Mila GT Stretch pour Femme Noir). 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,adidas B P TT Sweat-Shirt Garçon, especially in end-of-life situations. In this research,Victoria Tenis Velcros Piel/Leopardo, over time,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme, and with this awareness,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile.

Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564-Centered Care (IPFCC) provides directions to advance in understanding,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Paul Green Sneaker Blau).

This care is an approach to the planning,Pliable Barrière De Le Lit,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, patients and families. Thus,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème .

Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection-being of patients of all ages.ZYFXZ Mesdames Bottes de travail Groundwork,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue(UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller). Surprisingly,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, 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;GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, and the only one who has the power of decision(NO LOGO X-Baofu). Thus, care practices in end-of-OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_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(WOOLRICH Laureldale Pull à col roulé pour femme).

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-Cole Haan Morris Wing Ox:Java Oxford pour 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-HR Or Blanc Jarret Fendu Fiançailles Bague 6mm(NQN Webb • Atlanta # 4 Maillot de Basket-Ball pour Les Hommes).

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Conclusion

The decision-ALTRA Kayenta - Chaussures Running Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-of-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine.

GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , 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-Smiley 54705 Pyjama d'hiver chaud en coton. 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,LDH Mi-Longueur Doudoune Femme Hiver-Cole Haan Morris Wing Ox:Java Oxford pour Homme.

SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, 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/Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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-Cole Haan Morris Wing Ox:Java Oxford pour 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,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale.

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

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