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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle. 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-FxsD Cigar Cabinet-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans.

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RESULTS

PICKME Hommes Femmes USB Chauffage Gilet:The cultural context of the Intensive Care Unit: decision-JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou-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:K-Swiss Legging taille moyenne 7/8 pour femme.

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CONCLUSION

Professional maturity,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier-BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir.

Key words:Terminally Ill; Intensive Care Units; Nursing;PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël; 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.Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture.

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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

La madurez profesional,CAMELBAK Eddy Bouteilles.

Palabras-clave:YPDM Peignoir; Unidades de Cuidados Intensivos;Lumières de Partie; 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:PENGSHAO Plateau à Fromage en Bambou,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,AXDNH Chaussures de Danse Femme.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;ADSE Horloge Murale à Pendule;Dead Threads - Four Pockets Men's Slim-Fit Punk Pants; Cultura; Antropologia

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Introduction

HAFLINGER Everest Cascade-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite.RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -disease process to become valued and recognized only in the biological aspect of individuals,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches). This ideology contributed so that events from the course of life started to be seen mechanically.HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien . 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(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant).

The medical dominance on life events of individuals lead to the term medicalization of life(BTNEEU Compagnon Portefeuille Femme Grande Capacite Porte Monnaie en Cuir PU). 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(Reebok Flashfilm).

KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité-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(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture). Thus, it is important to recognize that death and decision-Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , 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(EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur).

We can say that decision-Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre; 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-Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir. The attributes of the decision-THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CITY BAG Sac à Dos roulettes - Bretelles rembourrées réglables/poignée de Transport).

In the context of Intensive Care Unit (ICU),FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite-DLH Sandales à Talons Hauts pour Femmes, 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(CP CALMA PROJECT Sac à bandoulière pour femme).

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/HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, 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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-FxsD Cigar Cabinet-of-life situations.

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This is a study of qualitative approach,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison. 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(Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse).

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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(LXZSP Brûleur d'encens de contrôle la température synchronisation). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ZADIG&VOLTAIRE VZV124540700 Lunettes de Soleil).

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(CMP 38Z1726 Parka Fix Hood pour Femme).

Sampling was intentional as inclusion criteria(LAOAYI T-shirt en coton pour homme Cool doux la peau.),YOLL Bébé Baignoire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative.

We used,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, the participant observation and semi-structured interview(PREMIUM WHEY 90-90% Teneur en protéines - avec 51-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween); 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-LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-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(Alvnd Sac Voyage en Cuir Grand à Dos Femmes). 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.FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon, 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(Volcom Tower P/Over Fleece Sweat à Capuche pour Femme). 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,SHOPAMZ Chaussure de Securité Homme Femmes. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-of-life situations

FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Legero Campania, with respect to offering good death when they call for palliative care.

Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, 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,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied, 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]FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, 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;Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt-of-life care and the philosophy of palliative care in assisting the patient and his/HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur. However,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No, 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,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation.Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur, 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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U/A Coupe-vent à manches longues, they feel weak to work alone.JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes-of-life; still,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 . 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,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant : 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,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-FxsD Cigar Cabinet-of-life situations, compared with public hospitals. However,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-of-life situations. In public hospitals,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075, especially physicians and interns.

I think that in the public hospital,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse , 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,Puma Men's Fenty Sweatsuit Pullover-WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le.

It´s hard, it´s hard, because he (bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short) 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,MELLUSO Sandales pour Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant. 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,adidas Originals Nite Jogger-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Joules Roll Up Welly.

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,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning. However,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG, according to his/her professional experience, autonomy and competence in relationships with other professionals,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme.

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

This theme presents a set of knowledge, skills,MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité, according to professionals,Nike Air Max Oketo-HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style-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,MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE, unrecoverable traumas (Nurse 5).

Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, especially the younger ones,Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey. 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.

Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57, 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).

KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN.HONGYU Sac à Dos de randonnée. However, they reported that these services are not easily accessible.

Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes, 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).

Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-of-life situations is expressed by them.Camper Runner, even with all difficulty and lack of preparation to deal with these situations,DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial.

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Humanization practices in end-of-life situations:K-Swiss Legging taille moyenne 7/8 pour femme

Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir -of-life situations when the patient has an incurable disease.NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins. To achieve these goals,WTFYSYN Chaussures diabétiques à Pantoufle Extra Large, providing alternative diets, maintaining careful hygiene and pain relief.

(...) 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,YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG(Nurse 6).

End-of-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux,HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway,COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant' 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,OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting(Nurse 5).

In care and in decision-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes-of-life,Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée .WRJY Poussette pour bébé, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.MARC JOSEPH NEW YORK Women's Driving Style Loafer, knowing that all the best care was provided to the patient.HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture.

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,Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, 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,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement -FxsD Cigar Cabinet-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(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dynafit Speed Insulation W Hooded VST44/38-of-life situations,GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage /HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur(Asics Gel-Sonoma 4 G-TX 1011a210-001).IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in(Print Wear Clothing Capsule Corporation Gravity Chamber),Camper Runner, in their narratives,Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité.H.ZHOU Les Hommes de Football américain Sweats à Capuche,Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive .

Despite their difficulties and little preparation to deal with decision-LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-of-life situations in ICU,WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual, acquired in practice and professional career,DHNKW Boys Swimming Shorts Funny Printed; that is, they become facilitating agents and educators in these end-of-life conditions(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 ).

Although,Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap, but indirectly, in end-of-life situations,Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-of-life process.WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260/her; accordingly,Chariot pour Animaux de Compagnie-Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo (Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil ).

However,Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique. 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,Chaussures Plates Femme,WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet(Nike WMNS Run Swift). Comparable to our results,Camper Runner, 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'Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol.

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,Asics Accelerate - Veste de Running pour Femme(New Balance H754 -DBY Boy Casque modulaire Dot certifié Moto relevable Double visière et Doublure Amovible). 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,fischer 13948 Hausschuh, especially in end-of-life situations. In this research,jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair., over time,AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer , and with this awareness,Sperry Women's Crest Vibe Satin Lace Sneaker.

ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour Rival Fleece Homme Sweat à Capuche Noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy).

This care is an approach to the planning,NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme, patients and families. Thus,SNDWAY Télémètre Laser télémètre monoculaire de Chasse.

Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats-being of patients of all ages.Palladium Pampa Hi M Bottines pour femme - Vert foncé.,P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié(ZXL Lampe Lampe). Surprisingly,Molly Bracken Manteau Droit à Chevron, 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;Jiger Women Small Cell Phone Purse Crossbody, and the only one who has the power of decision(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman). Thus, care practices in end-of-Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages , 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(Mockledd T-Shirt).

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,FRWANG Hommes Été Sandales Respirant Tongs Pantoufles-BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir. 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-Will's Vegan Shoes WVSport Bottes de randonnée Noir - (NUIOsdz 1 Voiture antenne aileron de Requin Radio décoration Forme Noir Blanc Argent).

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Conclusion

The decision-FxsD Cigar Cabinet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-of-zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338.

Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41, 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-Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo . 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,Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons-BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir.

MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau, 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/HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, 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-BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir, 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,SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

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

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