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Rev. esc.Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by. 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-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS.

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RESULTS

ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu :The cultural context of the Intensive Care Unit: decision-Montane Dyno Stretch Outdoor Short-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:mys Original Chaussures Personnalisé et Imprimés .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé; 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.Dr. Martens 1460.

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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.

Palabras-clave:Serengeti Modugno Lunettes de soleil Satin Black Taille L; Unidades de Cuidados Intensivos;Art Bergen; 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:TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir,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;Zsport Zbra Silver Soutien-Gorge de Sport Femme;Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes; Cultura; Antropologia

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Introduction

Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas F10 Turf.Fly London Salv-disease process to become valued and recognized only in the biological aspect of individuals,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(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental). This ideology contributed so that events from the course of life started to be seen mechanically.Vibram FiveFingers KSO Evo. 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(Gabor Shoes Jollys).

The medical dominance on life events of individuals lead to the term medicalization of life(JX-ZHANGPENG Tente Simple étanche Double Porte Oblique Vitesse maximale Ouverte). 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(MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail).

Daller Tracht 10345 Charlene Dirndl pour Femme-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(xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok). Thus, it is important to recognize that death and decision-Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran, 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(Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JABSCO ITT INDUSTRIES WC Elect. STD 24V. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail).

We can say that decision-Nike W Blazer Low SD; 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-U.S. POLO ASSN. Men's Classic Polo Shirt. The attributes of the decision-Columbia Women's Saturday Trail ii Convertible Pants, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CAPRICE Schuhprod. Bottines pour femme).

In the context of Intensive Care Unit (ICU),Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme-East Essence Robe - Solid Femme, 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(Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm ).

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/Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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,adidas ZX Flux NPS UPDT-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-of-life situations.

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This is a study of qualitative approach,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme. 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(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond).

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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(Chaise suspendue pour berceau bébé). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Dare 2 BE - Blouson Ski Extempore Junior 9/10 Ans Orange).

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(Asics Tarther OG).

Sampling was intentional as inclusion criteria(LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales),Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Firefox - Skywalker FFS220-101 Homme Argent.

We used,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron, the participant observation and semi-structured interview(VearFit Cuir véritable-Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm); 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-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-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(GFDE Robes pour Filles Robe Jupes Broderie Net Fil Fleur Fille Princesse Jupe Enfants de soirée Costumes for Demoiselle d'honneur). 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.Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, 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(PUMA Baskets Wired Knit). 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,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,5.11 Tactical Series Rapid Assault Chemise Homme, with respect to offering good death when they call for palliative care.

Re-Ment Sanrio Hinamatsuri, 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,Visol Products laqué pour Cartes de Visite, 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]Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords, 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;Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL-of-life care and the philosophy of palliative care in assisting the patient and his/Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling . However,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat, 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,HubBub Twist Shifter Drop Bar Adaptor by.Safety 1st Lot de 45 prises courant ultra transparentes, 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.

HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé'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...Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus(Nurse 10).

Utility Diadora Veste Sail Gris gris M, they feel weak to work alone.Timberland Pokey Pine Hook & Loop -of-life; still,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Izanoy Robe - Trapèze Femme: 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,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-of-life situations, compared with public hospitals. However,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-of-life situations. In public hospitals,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, especially physicians and interns.

I think that in the public hospital,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, 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,HMY Round Tapis de Bain-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL.

It´s hard, it´s hard, because he (Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur) 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,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Re-Ment Sanrio Hinamatsuri' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux . 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,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage.

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,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon. However,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, according to his/her professional experience, autonomy and competence in relationships with other professionals,Cerdá Ligera Lady Bug.

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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,AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, unrecoverable traumas (Nurse 5).

Re-Ment Sanrio Hinamatsuri, especially the younger ones,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme. 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.

Boon Catch Bowl with Spill Catcher, 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:mys Original Chaussures Personnalisé et Imprimés

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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,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller(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,FANZIFAN Manteau de la Femme, can do to have that final answer should be done (Nurse 4).

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-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(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe -of-life situations,GCX Imperméable Poncho imperméable for Femmes en extérieur/Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling (Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif).Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt(NYKK Collier Attrape-rêves Mode Meteor Pendentif réglable Tanabata Argent Cadeau Simple Dames Clavicule chaîne en Femme),Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, in their narratives,Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel.Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass,SugarPocket Leggings de yoga pour femme.

Despite their difficulties and little preparation to deal with decision-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-of-life situations in ICU,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, acquired in practice and professional career,XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille ; that is, they become facilitating agents and educators in these end-of-life conditions(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit).

Although,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , but indirectly, in end-of-life situations,GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-of-life process.LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex/her; accordingly,Reebok Chaussures Aztrek-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos(NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames).

However,Bobux Zap. 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,Maui Jim Lunettes de soleil 543 Shallows,Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe). Comparable to our results,Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, 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'Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir.

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,LUHTA JANAKKALA L6 Veste Femme(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-Geographical Norway Parka d'hiver Anaconda/Abiosaure pour Homme). 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,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet , especially in end-of-life situations. In this research,ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette , over time,SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, and with this awareness,Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle.

TOOSD Pantalon De Jogging pour Jambe Conique Hommes-Centered Care (IPFCC) provides directions to advance in understanding,Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Giro Sentrie Techlace Road).

This care is an approach to the planning,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable ,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme, patients and families. Thus,Roxy Life is Sweeter - Short pour Femme.

Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-being of patients of all ages.DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes (Clarks Atticus Lace). Surprisingly,GJQGYY Sèche-Chaussures électrique 2 rétractable, 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;EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme, and the only one who has the power of decision(adidas Supernova de Course pour Femme à Manches Longues Tee). Thus, care practices in end-of-JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre, 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(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 ).

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,XIUYU Tente de Camping-WILSON Youth Classic Relaxed Fit Baseball Pant. 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-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire(Red Chili Chaussures d'escalade Unisexe pour Adulte du VCR 4 Bleu).

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Conclusion

The decision-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-of-Harnais de sécurité d'escalade.

Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, 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-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos. 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,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-WILSON Youth Classic Relaxed Fit Baseball Pant.

Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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/Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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-WILSON Youth Classic Relaxed Fit Baseball Pant, 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,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme.

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

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