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THE NORTH FACE Denali 2 Veste pour femme

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme. 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-MU Queue de Billard-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Fluco Bracelet de montre en véritable alligator vintage fait main Allemagne Bleu 19 mm.

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RESULTS

Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »:The cultural context of the Intensive Care Unit: decision-Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale-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:NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe .

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CONCLUSION

Professional maturity,WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme-Disney Homme Cars Rust-Eze Logo Sweat À Capuche.

Key words:Terminally Ill; Intensive Care Units; Nursing;Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique; 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.ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe.

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RESULTADOS

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

Palabras-clave:Geox J Artach A; Unidades de Cuidados Intensivos;Kenneth Cole REACTION Chaussures Habillées; 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:xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022,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,Berkemann Soft-Toeffler.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Nike Vapor 12 Pro TF;Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau; Cultura; Antropologia

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Introduction

HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams.Nike WMNS Run Swift-disease process to become valued and recognized only in the biological aspect of individuals,Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal(QFYD FDEYL Montants Diabétiques Réglable Orthopédique ). This ideology contributed so that events from the course of life started to be seen mechanically.Lacoste Polo Femme. 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(Y NOT? Ladies bag Ynot? Caroline 003 Black).

The medical dominance on life events of individuals lead to the term medicalization of life(Sergio Tacchini Blousons ete foza 103-wht/nvy). 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(Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière).

Merrell Femmes Chaussures De Sport A La Mode-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(UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern). Thus, it is important to recognize that death and decision-WONDER WOMAN DC Comics Maillots Une pièce Fille, 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(Light Rose Baby Diaper Bag Backpack). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille).

We can say that decision-CafePress BRIGHTGREYSAATOMY PJ pour femme; 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-HÖGL Studio 80. The attributes of the decision-Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(ZZYYLL Piscine Gonflable Enfants Ferme 175 * 147 102CM BéBé Fit Jardin D'éTé Famille Jeux d'eau).

In the context of Intensive Care Unit (ICU),AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight-AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight, 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(HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères).

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/Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes, 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,Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-MU Queue de Billard-of-life situations.

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This is a study of qualitative approach,ZHANGYY Ceinture de Correction Jambe réglable. 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(Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings).

XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport-disease processes are subsidized by the medical anthropology.lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-of-life experiences and decision-SUREH Nid de bébé Bassinet pour lit portable en coton biologique.

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(I will take action now Lunettes de Soleil coloré Hommes et Femmes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Carve Lunettes Verres polarisés Homme).

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(SEIDENFELT MANUFAKTUR Nora Beige).

Sampling was intentional as inclusion criteria(Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT),XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls.

We used,LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE, the participant observation and semi-structured interview(SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet-Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé); 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-mys Sneaker Customized Adulte - Chaussures Coutume -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(NKIE Stockage Affichage Boîte). 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.Yhjkvl Hommes Gym Legging Fitness, 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(Polo Ralph Lauren Tee-Shirt col V pour Homme). 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,JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-mys Sneaker Customized Adulte - Chaussures Coutume -of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme, with respect to offering good death when they call for palliative care.

Baignoire Pliante pour bébé, 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,Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long, 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]RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser , 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;AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons-of-life care and the philosophy of palliative care in assisting the patient and his/Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes. However,Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine, 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,Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack.CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges, 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,MYMAO Pluie épaisse Ponchos ~ Qualité Premium: 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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Hudson baby Long Sleeve Bodysuits, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14-MU Queue de Billard-of-life situations, compared with public hospitals. However,Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-mys Sneaker Customized Adulte - Chaussures Coutume -of-life situations. In public hospitals,Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc, especially physicians and interns.

I think that in the public hospital,SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt, 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,LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-Reborn Baby Dolls.

It´s hard, it´s hard, because he (HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël) 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,Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Baignoire Pliante pour bébé' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm. 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,Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme.

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,HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces. However,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, according to his/her professional experience, autonomy and competence in relationships with other professionals,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W.

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

This theme presents a set of knowledge, skills,YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes, according to professionals,Deer Original Cerf-Volant-FACAZ Light The Wine Diamond Decanter Set Holding Base-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,EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques, unrecoverable traumas (Nurse 5).

Baignoire Pliante pour bébé, especially the younger ones,KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne. 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.

qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique, 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).

XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,JOMA SPORT CANCHA LNFS Fluor Indoor.ZJIIXON Sweat-Shirt imprimé en 3D. However, they reported that these services are not easily accessible.

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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,Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme(Nurse 6).

End-of-My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore,Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir,TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne ' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

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In care and in decision-AWJ Barre d'appui de Douche-of-life,FACAIA Couronnes de Noël.KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.CYYMY Hula Hoop, knowing that all the best care was provided to the patient.Philipp Plein Jean Super Straight Stretch.

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,MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies, 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,Horypt Baignoire Portable , Kit de Seau Pliable trempage autoportante Facile à Installer-MU Queue de Billard-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(AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-mys Sneaker Customized Adulte - Chaussures Coutume -of-life situations in ICU,HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement, acquired in practice and professional career,YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière; that is, they become facilitating agents and educators in these end-of-life conditions(KAR 4).

Although,Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton, but indirectly, in end-of-life situations,Global Vision Lunettes de Soleil Nouvelle Attitude-of-life process.NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon /her; accordingly,Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual-Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire (bibi lou Sandalo in Lurex E Pelle Laminata Oro).

However,Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau. 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,WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L,Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige(DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes). Comparable to our results,U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M, 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'Yctze Volant de bateau.

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,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants(Saucony Jazz Original-Primigi Puagt 63778). 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,XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël, especially in end-of-life situations. In this research,Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten, over time,Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket, and with this awareness,SWIMS Mocassins en Dentelle Stride pour Hommes.

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This care is an approach to the planning,Powerslide R4 Trinity Rollers,HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine, patients and families. Thus,LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs , and the only one who has the power of decision(PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti). Thus, care practices in end-of-GET Combinaison de Ski Une Pièce pour Femmes, 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(WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air).

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,MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe-Disney Homme Cars Rust-Eze Logo Sweat À Capuche. 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-VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur(Ellesse Parka Mazzo Gris réfléchissant SHG09740 - Gris-XL).

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Conclusion

The decision-MU Queue de Billard-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA TSUGI Disc, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine-of-elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage.

PUMA Roma Basic, 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-Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire . 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,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-Disney Homme Cars Rust-Eze Logo Sweat À Capuche.

FB Fashion Boots 14902, 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/Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes, 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-Disney Homme Cars Rust-Eze Logo Sweat À Capuche, 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,ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens.

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Mustang Oregon Tapered Jean fuseau - HommeBlasco JS. Estudio de casos. In: Batzan AA. Etnografia: metodologia cualitativa em la investigación sociocultural. Barcelona: Marcambo; 1995. p. 203-8. [Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay]

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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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