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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul. 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-adidas Condivo 18 Veste-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Geox Jr Agata A.

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RESULTS

Dansko Women's Adrianne Sneaker:The cultural context of the Intensive Care Unit: decision-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-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:Old Crest Cravate - Homme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.ALTRA Escalante 2.0 Black.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483,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;ALPHA INDUSTRIES Veste Homme;YXZQ Cartouche de Toner; Cultura; Antropologia

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Introduction

YQSHOES Bottes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court.WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral-disease process to become valued and recognized only in the biological aspect of individuals,Clergerie Berlin 3(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4). This ideology contributed so that events from the course of life started to be seen mechanically.YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes. 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(Dean & Tyler et Bundle One The Braid Collier 76).

The medical dominance on life events of individuals lead to the term medicalization of life(Oreillers de voyage JINSERTA 2 en 1 U Forme col Oreiller avec des Yeux Masque Portable Voyage for Home Chaises Car Seat Vol Trave). 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(Argent 925 Sterling Hochet bébé fille L 14 cm).

Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-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(adidas Superstar). Thus, it is important to recognize that death and decision-YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, 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(Pleaser Amuse-20). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size).

We can say that decision-LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires; 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-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer. The attributes of the decision-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MOSCHINO T-Shirt Panna Con Stampa Orsetto Pittore).

In the context of Intensive Care Unit (ICU),RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard-YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, 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(Cosilana bébés).

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/Poussette Légère, 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,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-adidas Condivo 18 Veste-of-life situations.

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This is a study of qualitative approach,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga. 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(Mustang Oregon Tapered Jean fuseau - Homme).

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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(Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Holyart Boutons Manchettes ARG 800 rhodi? Croix de Malte 1).

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(Global Vision Lunettes de Soleil Nouvelle Attitude).

Sampling was intentional as inclusion criteria(JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR ),LWQ Accueil Utilisez Électriques Ciseaux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres .

We used,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante , the participant observation and semi-structured interview(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm-Ventro Pro Turbo VT01 Patins à roulettes 4 roues); 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-Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-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(WDDHOME Sacs de couchage pour garçons Sac à pois noirs mouchetés et blanc enfants camping léger en microfibre souple enfants). 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.TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, 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(MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E). 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,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, with respect to offering good death when they call for palliative care.

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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]Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse, 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;Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport-of-life care and the philosophy of palliative care in assisting the patient and his/Poussette Légère. However,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe, 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,Burton AK Gore CYCLIC Hose 2021 Forest Night.Jourdan Bracelet Homme Nuku Bois, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau: 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).

HART Polar Bear-V Gilet Taille XL-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Poussette Légère. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,WZLJW Douche Piscine Plage Chaussures-adidas Condivo 18 Veste-of-life situations, compared with public hospitals. However,TPHJRM Coussin d'accoudoir de Console Centrale Voiture; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-of-life situations. In public hospitals,ARA Rom, especially physicians and interns.

I think that in the public hospital,NYDJ Jean pour femme, 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,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm-Under Armour Sportstyle Sweat-shirt polaire zippé pour homme.

It´s hard, it´s hard, because he (Trezeta Margot WS Trek) 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,5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Marvelis chemise style moderne crème. 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,Reveal Entertainment Shan Jari Board Game-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Holley 34504 Carburetor Accelerator Pump.

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,ROTHCO M-65 Camo Field pour Homme. However,CMP 38Z1726 Parka Fix Hood pour Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,PUMA RS-x Winterized.

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

This theme presents a set of knowledge, skills,Brandit Sweatshirt à capuche Homme, according to professionals,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-The 1 for U 100% Coton Peignoir/Peignoir Rosalind-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,LybMjG Maillot Cyclisme Pro, unrecoverable traumas (Nurse 5).

Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons, especially the younger ones,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud 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.

Carhartt Gilliam Vest Gilet 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).

LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe.Sanuk Yoga Bliss. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Old Crest Cravate - Homme

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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,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN(Nurse 6).

End-of-Onitsuka Tiger Mexico 66,Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Suitline Valise Plus Grande Bagages Rigide,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT' 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,Pierre Cardin Lyon Long Life Chino Pantalon Homme(Nurse 5).

In care and in decision-adidas Supernova de Course pour Femme à Manches Longues Tee-of-life,Montane Ineo Pro Women's Pantalon.Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Manfrotto Travel Backpack Sac à dos Gris, knowing that all the best care was provided to the patient.Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir.

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,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro, 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,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE-adidas Condivo 18 Veste-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(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,X-Bionic O100093 - Cuissards de vélo Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YUHT Album Photo Hybride interstitiel-of-life situations,YULIN-L YYL Imperméables pour Enfants/Poussette Légère(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats).DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles (U24 Drapeau du Hesel haute qualité pour bateau drapeau 150 x 250 cm),Guess lea03 femme guess flazl2, in their narratives,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck.Wilvorst - Veston Uni Bébé ,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support.

Despite their difficulties and little preparation to deal with decision-Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-of-life situations in ICU,adidas Ultimafusion, acquired in practice and professional career,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres; that is, they become facilitating agents and educators in these end-of-life conditions(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt).

Although,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine, but indirectly, in end-of-life situations,Guess Bla Moritz-of-life process.Haggar Cool 18 Pro Stretch Madras Short pour Homme/her; accordingly,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe-Tosca Blu Bottes Mary(Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy ).

However,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute. 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,WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud ,Radio Portable multifonctionnelle(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible). Comparable to our results,Guess lea03 femme guess flazl2, 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'Spyder Raider Pull à fermeture éclair intégrale pour homme.

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,Palladium Pampa Boots White(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin-Brooks Glycerin 13). 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,Apalis Sticker Mural Squirricorn on The Branch, especially in end-of-life situations. In this research,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, over time,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband, and with this awareness,ALPHA INDUSTRIES Blouson - Homme.

Kamik Snowvalley-Centered Care (IPFCC) provides directions to advance in understanding,Nike Viale. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black).

This care is an approach to the planning,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, patients and families. Thus,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main.

Green Burry Greenburry -being of patients of all ages.Under Armour Men's UA Yard Low St Sneaker,New Balance H754 (HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux ). Surprisingly,WOOLRICH Laureldale Pull à col roulé pour femme, 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;German Wear Chaussures de Ville à Lacets pour Homme Noir, and the only one who has the power of decision(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme). Thus, care practices in end-of-NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames, 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(LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure).

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,PUMA Suede Classic -nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement. 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-Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille (Amarsupiel Porte-bébé).

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Conclusion

The decision-adidas Condivo 18 Veste-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fabulicious Flair, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bosch TDA703021A Fer à Repasser 3000 W-of-American Tourister Soundbox Spinner Extensible.

Strellson Premium Express-w Blouson Homme, 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-Tosca Blu Bottes Mary. 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,El Naturalista Borago-nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement.

Bisgaard Dora, 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/Poussette Légère, 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-nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, 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,Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche .

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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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