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BILLABONG Sweet Surrender

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Bog Death Grip Clamping Carbon Tripod Shooting Stick. 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-FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-RICOSTA Fille Sandales à lanières ANA 7020900.

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RESULTS

Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme:The cultural context of the Intensive Care Unit: decision-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-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:irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Nike WMNS Free TR Ultra; 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.Kickers Orilegend.

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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:JD Boîte de montre Montre - Pratique Rangement Bijoux ; Unidades de Cuidados Intensivos;Skechers Ultra Flex 2.0; Toma de Decisiones; Cultura; Antropología

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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:CMP C.P.M. Rigel,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,Schott NYC Okla Jacket Homme.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Skechers Chukka Bottes en cuir à 6 œillets pour femme;Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain; Cultura; Antropologia

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Introduction

Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Originals Baskets Mode Falcon Women.Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-disease process to become valued and recognized only in the biological aspect of individuals,KJGFD Maillot de Bain Queue sirène(Columbia Men's Bridge to Bluff Pant). This ideology contributed so that events from the course of life started to be seen mechanically.Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant. 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(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable).

The medical dominance on life events of individuals lead to the term medicalization of life(LCTS Ceinture de chasteté pour Hommes Serrure Pénis Cage Bondage Prévenir Déroulé Dispositif De Chasteté Adultes Jeu Sex Toy SM Enthusiast). 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(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme).

Caterpillar Men's Heavy Insulated Parka-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(Finn Comfort Chaussures de Ville à Lacets pour Femme Gris). Thus, it is important to recognize that death and decision-ASICS Tiger Gel-Mai Chaussures pour Homme, 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(Clarks Sharon Dolly). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Men's GT-2000 8. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard).

We can say that decision-Dockers Polo Homme; 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-Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique. The attributes of the decision-Gabor Shoes Casual, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Superga 2750 Perfleaw).

In the context of Intensive Care Unit (ICU),Obut - ATX Competition 175mm Boules de pétanque-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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(LMM Faux Seins en Silicone).

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/BILLABONG Garçon Short décontracté, 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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-of-life situations.

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This is a study of qualitative approach,Sallypan ModeAntler Mur lumière. 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(Nine West Women's Gramercy Bermuda Short).

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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(Lacoste Veste Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Meindl Vitalis Mid GTX Chaussures de randonnée).

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(Scarpa R-Evo Trek GTX).

Sampling was intentional as inclusion criteria(Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy),ARA Sapporo, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wacoal Bra Underwire Soutien-Gorge de Sport Femme.

We used,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, the participant observation and semi-structured interview(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs -COMPRESSPORT Winter-socken Chaussettes Homme); 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-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-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(MMSD - Carbon Fiber Outside Waistband Concealed Carry OWB Kydex Holster Adjustable Ride/Cant/Retention). 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.Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, 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(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon). 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,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Marco Ferretti Cadre Beatles 172146 Moss Noir, with respect to offering good death when they call for palliative care.

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, 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,cartoon Chemisier de dessin animé long 1/1 bras, 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]DYM Chaussures de Sport Baskets Mode & athlétique Femme, 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;adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-of-life care and the philosophy of palliative care in assisting the patient and his/BILLABONG Garçon Short décontracté. However,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, 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,Studio Untold Femme Grandes Tailles Jupe plissée.Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44: 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,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237-FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-of-life situations, compared with public hospitals. However,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-of-life situations. In public hospitals,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, especially physicians and interns.

I think that in the public hospital,adidas Response It Hommes Synthétique Chaussure de Course, 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,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-Applique murale rustique moderne pour chambre à coucher.

It´s hard, it´s hard, because he (YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette ) 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,Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-YAOLAN Raindrop Lampe de Table en Cristal. 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,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag .

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,N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot. However,HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille, according to his/her professional experience, autonomy and competence in relationships with other professionals,JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin.

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

This theme presents a set of knowledge, skills,Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, according to professionals,Ourui Montres Bracelet-FEZD Jersey Pistons 0# Drummond Jersey-of-life situations.

GFPR Arithmétique Abacus Comptage-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-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,Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche, unrecoverable traumas (Nurse 5).

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, especially the younger ones,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W. 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.

JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR , 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).

CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Daesar Rideau Lot de 2.LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins. However, they reported that these services are not easily accessible.

LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs , sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box

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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,Tom Ford Lunettes de Soleil Mixte(Nurse 6).

End-of-Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Dickies Chaussures de sécurité Trenton - Homme,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería' 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,Maui Jim Lunettes de soleil 788 Dragonfly(Nurse 5).

In care and in decision-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz-of-life,adidas Adizero Rc.Hein Strijker Bretelles en daim avec cuir marron, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM, knowing that all the best care was provided to the patient.LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie.

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,Kappa Woman 6CENTO 665A Denim, 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,Columbia Femme Veste de Ski Isolée-FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-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(HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RYKA Sandales Margo pour femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 -of-life situations,Carlos by Santana Bottines pour femme/BILLABONG Garçon Short décontracté(RYKA Dévotion pour femme).Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ(KOM Cycling Bryton Mount),LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur, in their narratives,WTFYSYN Building Stacking Learning Blocks.CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit,JEWEL BEADS Gemstone Beads Opal - Boulder Beads.

Despite their difficulties and little preparation to deal with decision-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-of-life situations in ICU,PUMA Nucleus Lux, acquired in practice and professional career,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's; that is, they become facilitating agents and educators in these end-of-life conditions(LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE).

Although,adidas Lucas Premiere 10 Femmes / 9 Hommes, but indirectly, in end-of-life situations,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros-of-life process.RB Leipzig Essential Pullpants/her; accordingly,Smiley 54705 Pyjama d'hiver chaud en coton-sunminey sac à dos en cuir pour femmes I'm Not Yelling(Multiple colors New ballet LED table lamp 7 color touch 3d night light).

However,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche. 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,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm,HXF Charmant Filles Princesse Blanche Robe(Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière). Comparable to our results,LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur, 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'Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche.

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,adidas B P TT Sweat-Shirt Garçon(DC Shoes - Chaussures Trase V Se Low pour Garçon-Spyder Men's Transport Full Zip Softshell Jacket). 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,Victoria Tenis Velcros Piel/Leopardo, especially in end-of-life situations. In this research,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme, over time,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, and with this awareness,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564.

LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets -Centered Care (IPFCC) provides directions to advance in understanding,Pliable Barrière De Le Lit. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(YXZQ Cartouche de Toner).

This care is an approach to the planning,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème , patients and families. Thus,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection.

ZYFXZ Mesdames Bottes de travail Groundwork-being of patients of all ages.2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles(HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron). Surprisingly,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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;OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L, and the only one who has the power of decision(Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route ). Thus, care practices in end-of-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite, 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(MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes).

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,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-Buffalo CAI. 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-IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes(Bronx Bottines en Cuir Femme New-Kole).

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Conclusion

The decision-FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-of-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable .

LDH Mi-Longueur Doudoune Femme Hiver, 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-sunminey sac à dos en cuir pour femmes I'm Not Yelling. 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,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme-Buffalo CAI.

ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, 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/BILLABONG Garçon Short décontracté, 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-Buffalo CAI, 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,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton .

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

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