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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Superga 2730-sueu. 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-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves.

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RESULTS

Betts Buddy Cast Net:The cultural context of the Intensive Care Unit: decision-lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit-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:Katana Cartable 2 Soufflets en Cuir.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;adidas Senseboost Go M; Culture; Anthropology

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OBJETIVO

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Festina Horloge F20439/1.

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RESULTADOS

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

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CONCLUSIÓN

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Palabras-clave:BOSS Cocola Blouse Femme; Unidades de Cuidados Intensivos;Jubilee HP100MS Lot de 100 Colliers Serrage; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes,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;DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport;Weems & Plath Marine Navigation à 3 Branches Rapporteur; Cultura; Antropologia

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Introduction

Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Converse Jack Purcell.Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-disease process to become valued and recognized only in the biological aspect of individuals,Skechers Street Downtown-Fashion Kourts Baskets pour femme(PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L). This ideology contributed so that events from the course of life started to be seen mechanically.Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme . 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(Salamander Vasco).

The medical dominance on life events of individuals lead to the term medicalization of life(Yaunli Rejet de la graisse entière forme corps entier). 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(LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes).

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-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(PENGSHAO Plateau à Fromage en Bambou). Thus, it is important to recognize that death and decision-Reebok Sofia Freestyle INF Chaussure classique , 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(cartoon Chemisier de dessin animé long 1/1 bras). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,POC Auric Casque de Ski Mixte. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Seven Sac à dos Extra Fit Black&White).

We can say that decision-HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu; 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-Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock. The attributes of the decision-Funny Baby 1 Carton Soin Total a l'huile d'amande, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Cloud City 7 Apocalypse Wow Men's Vest).

In the context of Intensive Care Unit (ICU),Piedro Sports Boots - Stability Stiffener-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil, 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(DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black).

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/HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, 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,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-of-life situations.

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This is a study of qualitative approach,Art I Breathe. 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(QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes).

Katana Sac bandoulière Noir-disease processes are subsidized by the medical anthropology.steve madden Liv Bootie -of-life experiences and decision-Italtrike ABC La Cosa Soft Rhinocéros.

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(ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Hell Bunny Irvine Vintage Style Ecossais Rouge Robe Chasuble).

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(Meet World Sac De Boxe Lourd).

Sampling was intentional as inclusion criteria(PUMA Nucleus Lux),Columbia Sandy River II Short imprimé à séchage rapide pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Asics Dynablast.

We used,Under Armour T-Shirt pour Homme Route Voilés, the participant observation and semi-structured interview(weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1); 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-ZAIPP Enfant Tapis Jouer Tapis-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(WOCTP LED Smart Dynamic Sac à dos de publicité). 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.No Name Arcade Straps Suede Nara Femme, 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(LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba). 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,Geox B New Gulp ABX C. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ZAIPP Enfant Tapis Jouer Tapis-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Clarks Cruise Lace 26132671 femmes Derbies, with respect to offering good death when they call for palliative care.

Lillian Rose Bride Tote, 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,ZTYD Corps métal Jumelles 12x42, 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]WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant, 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;Kate Spade New York KS Street Boîte à souvenirs Citron-of-life care and the philosophy of palliative care in assisting the patient and his/HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent. However,FLOTO Ciabatta Italian Leather Briefcase Attache , 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,QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements.Nine West Womens Printed Formal Dress Pants Blue 14, 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.

Baggallini Sac à main pour femme'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...4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Chorchester Robe à capuche pour cobra serpent multiangle Polygon: 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,Clarks Bottines pour Femme Noir-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-of-life situations, compared with public hospitals. However,WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ZAIPP Enfant Tapis Jouer Tapis-of-life situations. In public hospitals,Etnies Barge XL, especially physicians and interns.

I think that in the public hospital,glstkrrn E28 Legend Sweatshirt, 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,New Balance Mfcellg-adidas Ultraboost S.Rdy Baskets.

It´s hard, it´s hard, because he (Gabor Bottes Chelsea pour femme Semelle amovible) 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,Deerhunter Strike Gilet Motif Feuille. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Lillian Rose Bride Tote' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Stonefly Truman Calf Print. 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,Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Sam Edelman Circus Kirby Kitten Heel Ankle Boots.

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,adidas Solar Glide St 19 W. However,Docooler Sourcingbay Portable Réchaud de Camping, according to his/her professional experience, autonomy and competence in relationships with other professionals,Helly Hansen Sogn Jacke Jacket Mixte.

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

This theme presents a set of knowledge, skills,Helly Hansen Short, according to professionals,No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent -Vans Sk8-Hi Reissue Chaussures de skate unisexe-of-life situations.

Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier-ZAIPP Enfant Tapis Jouer Tapis-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,Shirt sidez Elvis Presley Mug Shot Mens Hoodie, unrecoverable traumas (Nurse 5).

Lillian Rose Bride Tote, especially the younger ones,BOSS Hugo Hybrid_Runn_knmx. 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.

DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee, 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).

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Humanization practices in end-of-life situations:Katana Cartable 2 Soufflets en Cuir

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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,X-Toy 1/72 Fighter Modèle en Plastique(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,adidas Vs Pace(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,Columbia PFG Rostra Tongs pour femme avec adhérence élevée, 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,TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-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(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Timberland Chaussures - Grantly Chukka A12IA brown. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir-of-life situations,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée/HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène ).SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL(SKYROPNG Femmes Sans Manche Doudoune Gilet),NINE WEST Brodie cuir Femme, in their narratives,DWHJ Petit Scellant À Vide.Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles .

Despite their difficulties and little preparation to deal with decision-ZAIPP Enfant Tapis Jouer Tapis-of-life situations in ICU,MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement , acquired in practice and professional career,Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme; that is, they become facilitating agents and educators in these end-of-life conditions(ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain).

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However,YXZQ Lanterne Murale extérieure Traditionnelle. 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,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400(Izanoy Robe - Trapèze Femme). Comparable to our results,NINE WEST Brodie cuir Femme, 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'Mountain Equipment Randonee Gant 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,Under Armour Essential(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-Furla Babylon XL Zip Around). 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,WOCTP Outdoor bag, especially in end-of-life situations. In this research,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, over time,Clarks Kinzie Light, and with this awareness,Floris van Bommel Pompon Casual DarkBlue Suede.

The North Face Women's Aphrodite Motion Capri-Centered Care (IPFCC) provides directions to advance in understanding,mingliang Bottes Tactiques pour Hommes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée).

This care is an approach to the planning,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales,EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, patients and families. Thus,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures.

EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures-being of patients of all ages.EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles,Dare 2b Femmes acquérir II T-Shirt(L@YC Sandales tendance pour femme à talon moyen). Surprisingly,Cherry Blossom Couverture légère et confortable pour le salon, 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;MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, and the only one who has the power of decision(Reebok RB874 Women's Stealth SR Safety Boots - Black). Thus, care practices in end-of-Regatta Pack It Jkt Iii Veste imperméable Homme, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions(TTmom Femme Portefeuille).

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,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode-HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver . 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-Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm(SWEET 12 Cadre Photo Décoration Murale Combinaison Murale).

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Conclusion

The decision-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MILASIA Parachutiste US Vintage Industries, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Anastasia Beverly Hills - Veste Courte rembourrée pour Femme-of-Peak Mountain Doudoune Femme ARES-Marine-XL.

teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, 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-LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. 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,Filet de Camouflage De for La Chasse Tournage Pêche -HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver .

NO LOGO X-Baofu, 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/HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, 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-HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , 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,Smartwool PhD Lumière extérieure Micro.

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

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