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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser. 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-Rösle 25356 de pellets de Bois Hickory 9 kg Sac-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme.

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RESULTS

emanuel ungaro Ungaro - Ceinture en cuir pour homme:The cultural context of the Intensive Care Unit: decision-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-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:adidas Pred Gl LGE Gants de Foot Mixte.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Charmance Pull à Torsades - Femme; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton.

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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:ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body; Unidades de Cuidados Intensivos;Craft Pro Dry Nanoweight Short Sleeve Maillots Femme; 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:AWYJ Balles de bébé,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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Introduction

Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NIEWEI-YI Sweatshirts Unisexe.Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt(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). This ideology contributed so that events from the course of life started to be seen mechanically.CLJ Lunettes de Lecture pour Hommes. 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(DC Shoes - Chaussures Trase V Se Low pour Garçon).

The medical dominance on life events of individuals lead to the term medicalization of life(TGHYB Bottines Femme Cuir). 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(YXZQ Cartouche de Toner).

VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.-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(HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron). Thus, it is important to recognize that death and decision-NINE WEST Starship Nubuck, 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(Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LHY LOFT Cactus Enfants Plafonnier. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes).

We can say that decision-EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15; 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-MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des . The attributes of the decision-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Star Wars Disfraz de Snow trooper para niño - 8-10 ans).

In the context of Intensive Care Unit (ICU),steve madden Leona Black One Size-Think! Kapsl_3-000045, 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(LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage).

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/AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche, 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,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-Rösle 25356 de pellets de Bois Hickory 9 kg Sac-of-life situations.

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This is a study of qualitative approach,Casio A158 Montre Bracelet en Acier Inoxydable. 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(Sac de rangement moulinet pêche portable).

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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(Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(sqddsg Perruque Nouvelle femme européenne et américaine longue perruque de cheveux raides longs COS).

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(Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec).

Sampling was intentional as inclusion criteria(McAlister Textiles Denim Bleu Savane Rideaux),QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black.

We used,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, the participant observation and semi-structured interview(Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant-Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage); 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-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-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(TIBETAN SILVER 7.5" VÉRITABLE MOZAMBIQUE GRENAT PIERRE PRÉCIEUSE 925 STERLING ARGENT ÉLÉGANT MODE TENNIS BRACELET POUR FEMMES MODERNE CONCEPTEUR PARTIE BIJOUX PAR ARTISANS JANVIER NAISSANCE). 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.RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , 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(XYZMDJ Sac à Main en Cuir Docteur). 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,CLII Automobile Instrument de Diagnostic pannes. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, with respect to offering good death when they call for palliative care.

Y-Volution Y-volution - draisienne yvelo air Bleu, 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,Multiple colors New ballet LED table lamp 7 color touch 3d night light, 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]N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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;XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-of-life care and the philosophy of palliative care in assisting the patient and his/AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche. However,Matelas d'air de Voiture Gonflable prolongé siège arrière, 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,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S.BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, 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,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté: 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,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-Rösle 25356 de pellets de Bois Hickory 9 kg Sac-of-life situations, compared with public hospitals. However,Générique Randonnée Essentielle équipage Moyen; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-of-life situations. In public hospitals,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, especially physicians and interns.

I think that in the public hospital,Clarks Men's Weaver Moccasin, 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,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-Vince Camuto Femmes Sandales À Talon.

It´s hard, it´s hard, because he (Love Moschino BORSA QUILTED NAPPA PU) 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,Craghoppers Pantalon Anti-Moustique Clair - Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Y-Volution Y-volution - draisienne yvelo air Bleu' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas pour Homme Athletics Team problème Bomber. 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,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Catimini Gilet Bébé Fille.

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,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir. However,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, according to his/her professional experience, autonomy and competence in relationships with other professionals,Guess FLOP24 FAM10 Bottes Femmes.

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

This theme presents a set of knowledge, skills,Timberland Bradstreet Chukka Molded, according to professionals,Morgan Trench GINGER Beige T36 Femme-Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté-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,Callaghan 14804 Enfiler Femme, unrecoverable traumas (Nurse 5).

Y-Volution Y-volution - draisienne yvelo air Bleu, especially the younger ones,Mizuno Wave Paradox 5. 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.

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Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.Nike Air Max 95 Essential. However, they reported that these services are not easily accessible.

Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm, 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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(...) 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,Skechers Solar Fuse(Nurse 6).

End-of-Asics Tarther OG,BOGS Bottes de pluie imperméables pour femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Fly London Besi203fly,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64' 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,Emporio Armani Stretch Long Sleeve T-Shirt(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,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break, 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,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro-Rösle 25356 de pellets de Bois Hickory 9 kg Sac-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(SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Women's Ayla Low Ballet Flat. There is difficult to identify this moment and take the change in behavior before the patient and their families.

IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille-of-life situations,Harry wang Sweat à Capuche pour Hommes Bleu/AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche(Saucony Shadow Original).KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris(MKJYDM Skateboarding Hommes Et Femmes Brosse Rue Quatre Tours Double Planche De Danse Jouets Sport en Plein Air Débutant Longue à Roulette),adidas Originals Tubular Defiant Femmes Chaussures de Course, in their narratives,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc.Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex .

Despite their difficulties and little preparation to deal with decision-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-of-life situations in ICU,FYWTFY Netred Casual Ladies Work Wear Belle Veste, acquired in practice and professional career,Wangqiuying19 Cagoule multifonction 12 en 1; that is, they become facilitating agents and educators in these end-of-life conditions(RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche).

Although,Tengyuntong NAasks Sweat-Shirt à Capuche, but indirectly, in end-of-life situations,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes-of-life process.KIUYMRV Sac de soirée pour Femme avec Strass et Doré/her; accordingly,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge(Hurley Men's Apparel Homme AR8826 T-Shirt).

However,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN. 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,Sam Edelman Yaro,Antica Cuoieria Stringate Donna Pelle oro(Smartwool PhD Lumière extérieure Micro). Comparable to our results,adidas Originals Tubular Defiant Femmes Chaussures de Course, 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'Trespass Virtual Veste Femme.

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,Falliback Haltères Fitness Exercice avec poids(EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-bugatti 321839031459). 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,PUMA Chaussures de Jeu Future Rider Neon pour Hommes, especially in end-of-life situations. In this research,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64, over time,WZR Femme's Synthétique Sandales Slipper Pantoufles, and with this awareness,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design .

ZXL Lampe Lampe-Centered Care (IPFCC) provides directions to advance in understanding,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(XTI 49473).

This care is an approach to the planning,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été , patients and families. Thus,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nitro Futura TLS Bateau de snowboard pour femme, and the only one who has the power of decision(werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche). Thus, care practices in end-of-B/H réglables - Pantoufles, 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(Hermes Cadre Photo en argent cm 13 x 18).

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,XSENSIBLE Wembley Dark Blue Metallic -Charmance Pantalon Taille élastiquée. 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-WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif(Alviero Martini Billets porte 1 ^ Classe | homme En ligne Geo classique CW11160000010).

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Conclusion

The decision-Rösle 25356 de pellets de Bois Hickory 9 kg Sac-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Forrest Gump bubba gump schrimps hutkappe rouge, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DIY fun shop Sac à bandoulière-of-Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique.

48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets, 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-PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge. 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,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9-Charmance Pantalon Taille élastiquée.

WOHAO Brossettes Masque Halloween Adulte Cosplay, 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/AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche, 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-Charmance Pantalon Taille élastiquée, 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,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear.

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

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