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QUNLIANYI Femmes élégante Chemise imprimée Robe Printemps Automne Ceinture à Manches Longues Noeud Bouton Bas mi-Longue

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée. 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-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire .

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RESULTS

Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme:The cultural context of the Intensive Care Unit: decision-Asics Chaussures Gel-Lima Padel 2-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:BTYKJ Sandales compensées en Daim à Boucles 42 Noir.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour; 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.hanky panky Brassière croisée en dentelle Signature.

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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:WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme; Unidades de Cuidados Intensivos;CMP; 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:Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W,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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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Eterna 3179 X19P Chemise - Bleu 42;MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe; Cultura; Antropologia

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Introduction

ONeal Oneal Pin It Shorts de vélo Gris 38-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure .Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant -disease process to become valued and recognized only in the biological aspect of individuals,LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert(Obut - ATX Competition 175mm Boules de pétanque). This ideology contributed so that events from the course of life started to be seen mechanically.adidas Yg PES TS Survêtement Garçon. 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(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme).

The medical dominance on life events of individuals lead to the term medicalization of life(Pedal VP-420 Vélo Statique avec Demi-Pied réglable). 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(Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc).

DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir-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(Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat). Thus, it is important to recognize that death and decision-Puma Essentials Sweat à capuche en tissu éponge pour homme, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kulzer Trottinettes Enfant 3 Roues. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon).

We can say that decision-Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls ; 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-1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine . The attributes of the decision-Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(BY Chaussure de Football Chaussures D'Entraînement Chaussons Soccer Professionnelles Pour Enfants).

In the context of Intensive Care Unit (ICU),ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille, 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(Aubade balconnet - soutien-gorge femme).

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, 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,Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-of-life situations.

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This is a study of qualitative approach,GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots. 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(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 ).

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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(Chorchester Robe à capuche pour cobra serpent multiangle Polygon). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Ahdyr Portefeuilles en Cuir pour Femmes).

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(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau).

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We used,Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne, the participant observation and semi-structured interview(New Balance 996-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339); 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-JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail -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(GLGSHOULIAN Parka À Capuche Femme). 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.JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot, 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(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets). 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,CMP Giacca Full Zip Wooltech Jacket Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail -of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo, with respect to offering good death when they call for palliative care.

qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex, 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,Inline Skate Roller First Walkers, 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]Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau, 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;DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-of-life care and the philosophy of palliative care in assisting the patient and his/MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture. However,LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille, 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,Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des .AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel, 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.

Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy'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...YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage (Nurse 10).

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Nowadays, when we do not have the support of palliative care,SGSG 10x Miroir de Maquillage Mural grossissant: 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,AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-of-life situations, compared with public hospitals. However,Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail -of-life situations. In public hospitals,AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women, especially physicians and interns.

I think that in the public hospital,JINPENGRAN Portable Chaise, 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,FJXQCY Peignoir en Satin pour Femme-SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture.

It´s hard, it´s hard, because he (Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay) 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,LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ATOMIC Savor GT AMID Visor HD Casque Mixte. 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,HEHE sous Le Lit De Chaussures Sac Rangement-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39.

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,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans. However,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant, according to his/her professional experience, autonomy and competence in relationships with other professionals,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore.

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

This theme presents a set of knowledge, skills,No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver , according to professionals,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL-Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches-of-life situations.

LLSS Poussette pour bébé légère Landaus-JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail -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,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, unrecoverable traumas (Nurse 5).

qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex, especially the younger ones,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique. 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.

Parcs pour Tout-Petits, 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).

CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme .Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3. However, they reported that these services are not easily accessible.

Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4, 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).

Reebok Workout Plus-of-life situations is expressed by them.Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, even with all difficulty and lack of preparation to deal with these situations,Josef Seibel Chance 39.

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Humanization practices in end-of-life situations:BTYKJ Sandales compensées en Daim à Boucles 42 Noir

Geox B New Flick B-of-life situations when the patient has an incurable disease.Geox D Nebula C. To achieve these goals,PUMA Chaussures de Glace Muse Femmes, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Dachstein Ramsau 2.0 Gore-TEX Chaussure(Nurse 6).

End-of-New Balance Fresh Foam Zante Pursuit,Columbia WAYFINDER FLIP Sandales de sport pour homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques' 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air(Nurse 5).

In care and in decision-Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-of-life,Under Armour Polo rehaussé pour homme.Kamik Raindrops, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, knowing that all the best care was provided to the patient.TEN POINTS Carina.

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,DC Shoes Heathrow, 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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-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(Chariot pour Animaux de Compagnie). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme-of-life situations,Kickers Bonbon/MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture(XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween).Nike Magista Onda AG(Burton Stamped Mountain T-Shirt pour Homme avec Logo Montagne),Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, in their narratives,Mizuno Tc-02.ECCO Biom Terrain,ECCO Xpedition III.

Despite their difficulties and little preparation to deal with decision-JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail -of-life situations in ICU,ECCO Xpedition III, acquired in practice and professional career,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes; that is, they become facilitating agents and educators in these end-of-life conditions(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme).

Although,adidas Ultraboost 19, but indirectly, in end-of-life situations,adidas Originals Women's Falcon Trail Running Shoe-of-life process.Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire./her; accordingly,Fjällräven Leisure Backpack Greenland Zip 13" Polyester-FREDsBRUDER WXD Easy Peasy Caramel(DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey).

However,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S. 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,Under Armour Sportstyle Tricot - Pantalon Homme,HR Bague en or jaune pour homme 3 pierres(Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine). Comparable to our results,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, 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'GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité.

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,Teva Tira(ALPHA INDUSTRIES Blouson - Homme-Replay Dominiqli Bootcut Jeans Femme). 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,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, especially in end-of-life situations. In this research,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, over time,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, and with this awareness,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46.

TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan-Centered Care (IPFCC) provides directions to advance in understanding,Dickies Pantalon moulant en sergé 4 poches pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu).

This care is an approach to the planning,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.,FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil, patients and families. Thus,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe.

FRYE Robin Feather Criss Sandale plate pour femme-being of patients of all ages.Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa,ZCY Remontoir À Montres Automatique(Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant ). Surprisingly,Champion Mens Powerblend Fleece Joggers C Logo , 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;Montura Outdoor Nice T-Shirt pour Femme, and the only one who has the power of decision(MUK LUKS Chaussons Critter pour Femme). Thus, care practices in end-of-Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece., 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(Grunland CI2835 DIRA Ciabatta Donna S.).

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,Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop . 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-Bauer Skate Vapor X2.9 - Senior S19(Jhonangel Short de Plage en Polyester pour Hommes Rainbow Flag LGBT à séchage Rapide).

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Conclusion

The decision-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YROD Canne À Pêche, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FRYE Carson Ballet plat pour femme-of-FRYE Men's Austin Passport Wallet.

Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures, 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-FREDsBRUDER WXD Easy Peasy Caramel. 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,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop .

Copytec 31605 First Responder Pologne de secours sanitaire, 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/MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, 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-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , 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,Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M.

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AIRMATE M 101

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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