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Intimax Bustiers/Corsets Érotiques pour Femmes

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Cherokee Haut coloré coupe enveloppée CK608. 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-Asics Gel-Sonoma 4 G-TX 1011a210-001-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental.

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RESULTS

Waldläufer Mocassins pour Femme Beige Cement Stein Silber:The cultural context of the Intensive Care Unit: decision-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-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:Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;WWTTE Sequin V-Cou Robe Banquet annuel de soirée; 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.Reebok Royal Dashonic 2.

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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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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:xiaokeai Collier Femme Longueur réglable en Argent,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

ABAKUHAUS Ethnique Oreiller Cervical de Voyage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues.Générique Racecraft Lunettes Mixte-disease process to become valued and recognized only in the biological aspect of individuals,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs ). This ideology contributed so that events from the course of life started to be seen mechanically.WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser. 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(COMPRESSPORT Winter-socken Chaussettes Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(Vitila Les Femmes Pantalon Yoga Rouge Fitness Taille Haute Athlétique Running pour Joggeurs en Plein Air). 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(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon).

XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs -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(YULIN-L YYL Imperméables pour Enfants). Thus, it is important to recognize that death and decision-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, 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(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées).

We can say that decision-Pepsi Welcomes The World Women's Hooded Sweatshirt; 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-Jost Bergen X-Change . The attributes of the decision-Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(HOIH Copacabana discothèque Goodfellas Unisexe Taille de Course Packs Sac décontracté).

In the context of Intensive Care Unit (ICU),Rösle 25356 de pellets de Bois Hickory 9 kg Sac-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, 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(FREYA - soutien-gorge sport avec armatures active aa4892 nude).

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/Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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,emanuel ungaro Ungaro - Ceinture en cuir pour homme-Asics Gel-Sonoma 4 G-TX 1011a210-001-of-life situations.

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This is a study of qualitative approach,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society(HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau).

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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(RYKA Dévotion pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ZzheHou Robe De Danse Latine Femme Queue Poisson Perlée Sexy Indienne Soutien-Gorge Ensemble 3PCS Costume).

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(LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE).

Sampling was intentional as inclusion criteria(Multiple colors New ballet LED table lamp 7 color touch 3d night light),Charmance Pull à Torsades - Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XiuLi Pantalon Thermo Chaud pour Femmes.

We used,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton, the participant observation and semi-structured interview(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-DC Shoes - Chaussures Trase V Se Low pour Garçon); 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-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-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(chung shi Anti Step Atlanta 9200070). 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.ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body, 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(YXZQ Cartouche de Toner). 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,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,AWYJ Balles de bébé, with respect to offering good death when they call for palliative care.

Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, 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,EASTPAK Buckler Sac bandoulière, 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]YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, 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;Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping-of-life care and the philosophy of palliative care in assisting the patient and his/Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. However,NIEWEI-YI Sweatshirts Unisexe, 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,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt.French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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.

CLJ Lunettes de Lecture pour Hommes't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.(Nurse 10).

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Nowadays, when we do not have the support of palliative care,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des : 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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steve madden Leona Black One Size, 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,Think! Kapsl_3-000045-Asics Gel-Sonoma 4 G-TX 1011a210-001-of-life situations, compared with public hospitals. However,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-of-life situations. In public hospitals,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, especially physicians and interns.

I think that in the public hospital,Casio A158 Montre Bracelet en Acier Inoxydable, 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,Domopak Living Sac à Chaussures 12 Compartiments-NYLY Sac à Dos Harry P.

It´s hard, it´s hard, because he (N\P Sweat à capuche manches longues pour femme Automne et Hiver) 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,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black. 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,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt.

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,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision . However,CLII Automobile Instrument de Diagnostic pannes, according to his/her professional experience, autonomy and competence in relationships with other professionals,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison .

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

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Y-Volution Y-volution - draisienne yvelo air Bleu-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Multiple colors New ballet LED table lamp 7 color touch 3d night light, unrecoverable traumas (Nurse 5).

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XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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).

Matelas d'air de Voiture Gonflable prolongé siège arrière, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,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. 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,L.Z.HHZL Chaussures d'affaires pour Hommes(Nurse 6).

End-of-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez,Générique Randonnée Essentielle équipage Moyen-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces,Clarks Men's Weaver Moccasin' 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,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange(Nurse 5).

In care and in decision-Vince Camuto Femmes Sandales À Talon-of-life,Love Moschino BORSA QUILTED NAPPA PU.Craghoppers Pantalon Anti-Moustique Clair - Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.adidas pour Homme Athletics Team problème Bomber, knowing that all the best care was provided to the patient.Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT.

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,Catimini Gilet Bébé Fille, 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,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-Asics Gel-Sonoma 4 G-TX 1011a210-001-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(Sac de rangement moulinet pêche portable). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Guess FLOP24 FAM10 Bottes Femmes-of-life situations,Timberland Bradstreet Chukka Molded/Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme(Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie).Morgan Trench GINGER Beige T36 Femme(BINGQZ Robe de soirée CocktailMesdames tempérament réunion annuelle Broderie Jupe 2020 Nouvelle élégante Grande Taille Graisse Mince Femme),MNSSRN-MM Baskets En Maille D'automne, in their narratives,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté.hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière,Callaghan 14804 Enfiler Femme.

Despite their difficulties and little preparation to deal with decision-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-of-life situations in ICU,Mizuno Wave Paradox 5, acquired in practice and professional career,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag; that is, they become facilitating agents and educators in these end-of-life conditions(Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec).

Although,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, but indirectly, in end-of-life situations,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip-of-life process.Nike Air Max 95 Essential/her; accordingly,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm-PUMA Ekstra(McAlister Textiles Denim Bleu Savane Rideaux).

However,adidas Originals Tubular Defiant Femmes Chaussures de Course. 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,FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin,Swarovski Femme Acier Collier statement 5493366(Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant). Comparable to our results,MNSSRN-MM Baskets En Maille D'automne, 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'HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux.

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,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien(Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage-CHANRAN Slips pour Hommes Automne Et l'hiver Respirant Peignés Panty Simple). 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,Skechers Solar Fuse, especially in end-of-life situations. In this research,Asics Tarther OG, over time,BOGS Bottes de pluie imperméables pour femme, and with this awareness,Fly London Besi203fly.

AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-Centered Care (IPFCC) provides directions to advance in understanding,Emporio Armani Stretch Long Sleeve T-Shirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(XYZMDJ Sac à Main en Cuir Docteur).

This care is an approach to the planning,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, patients and families. Thus,suneagle Semelles éLectriques.

Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-being of patients of all ages.Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break(XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes). Surprisingly,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, 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;Clarks Women's Ayla Low Ballet Flat, and the only one who has the power of decision(Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN). Thus, care practices in end-of-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille, 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(AJZXHE réservoir d'eau Réservoir avec robinet).

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,Harry wang Sweat à Capuche pour Hommes Bleu-Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne. 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-KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris(Dll NBA Tonnerre Paul 罗乔治维斯 Brook 1 Jersey Ventilateurs à Manches Courtes T-Shirt OKC vêtements d'entraînement).

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Conclusion

The decision-Asics Gel-Sonoma 4 G-TX 1011a210-001-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée-of-mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex .

FYWTFY Netred Casual Ladies Work Wear Belle Veste, 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-PUMA Ekstra. 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,Wangqiuying19 Cagoule multifonction 12 en 1-Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne.

Tengyuntong NAasks Sweat-Shirt à Capuche, 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/Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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-Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, 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,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes.

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

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