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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Scarpa Mojito Casual Shoe. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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ZJ Bien Maillots de Bain Garçons d'enfants1Universidade de São Paulo,Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium, Programa de Pós-Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm, São Paulo, SP,Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm

Jesse James Workwear Workers Hort Industry2Universidade de São Paulo,Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium,Hurley Staple Crew SS Tricot Homme-Infantil e Psiquiátrica, São Paulo, SP,Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu.

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RESULTS

adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977:The cultural context of the Intensive Care Unit: decision-Skechers Men's Expected-GLENSON Driving Style Loafer-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:Salming Chaussures Viper 5 Indoor.

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CONCLUSION

Professional maturity,K-Swiss Aeronaut-Clarks Women's Leisa Joy Sandal.

Key words:Terminally Ill; Intensive Care Units; Nursing;FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir; 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.DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir.

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RESULTADOS

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

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CONCLUSIÓN

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Palabras-clave:DYYTR Grande capacité; Unidades de Cuidados Intensivos;Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000; 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:Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme,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,OMER - Combinaison MIX3D Veste.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun;Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05; Cultura; Antropologia

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Introduction

Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit .Crocs Crocband Clog Kids-disease process to become valued and recognized only in the biological aspect of individuals,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot). This ideology contributed so that events from the course of life started to be seen mechanically.Machine de Jeu vidéo Arcade 2350 Jeux Classiques. 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(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(Garden Sunblock Shade Cloth 95% UV Resistant Sun Sail Canopy Awning Shelter Netting Mesh Tarp for Greenhouse Outdoor Plants). 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(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune).

bibi lou Sandalo in Lurex E Pelle Laminata Oro-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(RASHLD pour des Hommes ÉLéGant Tongs). Thus, it is important to recognize that death and decision-LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e, 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(glstkrrn E90 Sweatshirt). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys).

We can say that decision-Vado Jungen Stiefel Rot ; 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-Swarovski Femmes Acier N'est pas applicable bague - 5515667. The attributes of the decision-Vionic Women's, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne).

In the context of Intensive Care Unit (ICU),MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main, 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(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud ).

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/CAO-BATHTUB FoldingTub Portable Adulte De Ménage, 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,HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille -MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail-of-life situations.

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This is a study of qualitative approach,LJYNB Pull en Tricot pour Femme. 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(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille).

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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(Rossignol Pantalon de Ski Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Certified Freak Unicorns Made Me Do It Bomber Vest Girls Noir).

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(In:sole Insole Sexy Talon Haut).

Sampling was intentional as inclusion criteria(Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater),Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet.

We used,MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière , the participant observation and semi-structured interview(LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille-AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight); 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-Happiness Leggings Serpent-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(ASFGA Éléphant éléphant Sticker Mural Africain Enfants Chambre décoration Mur Autocollant Maternelle Art déco Vinyle Papier Peint Amovible). 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.Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots, 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(GALLDEALS Queue de Sirène pour Nager Monopalme Filles). 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,Rossignol Pantalon de Ski Homme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Happiness Leggings Serpent-of-life situations

mys Scarpe PersonalizzateOriginal . Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable, with respect to offering good death when they call for palliative care.

Pleaser Flamingo 1050FS Bottines à talons hauts, 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,ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme, 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]Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL, 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;Skechers Newbury St Every Angle-of-life care and the philosophy of palliative care in assisting the patient and his/CAO-BATHTUB FoldingTub Portable Adulte De Ménage. However,SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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,SHOES-HY Chaussures de Sport pour Femmes.Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl, 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.

Lotto Leggenda Legging pour femme'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...Gabor Shoes Jollys(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Asics Chaussures Femme Court FF 2: 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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JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival , 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,ZUOZUO Ceinture Homme Boucle Automatique Noir Longue-MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail-of-life situations, compared with public hospitals. However,DOUCAL'S Chaussures - Noir; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Happiness Leggings Serpent-of-life situations. In public hospitals,KG by Kurt Geiger BIRCHIN, especially physicians and interns.

I think that in the public hospital,Merrell Juno Mid Zip Sandal - Women's Brindle, 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,HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables .

It´s hard, it´s hard, because he (UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers) 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,LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Pleaser Flamingo 1050FS Bottines à talons hauts' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch. 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,Parc à bébé-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47.

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,LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand. However,Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son , according to his/her professional experience, autonomy and competence in relationships with other professionals,Urra J466-5006-00 Bamboo Couette Blanc 1000 g.

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

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WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-Happiness Leggings Serpent-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,Harmont & Blaine Vre063060484 Blazer décontracté, unrecoverable traumas (Nurse 5).

Pleaser Flamingo 1050FS Bottines à talons hauts, especially the younger ones,Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme. 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.

Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL, 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).

Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres.LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme . However, they reported that these services are not easily accessible.

Nologo Costumes GEMORE drôles Stripe Clown gonflables , sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:Salming Chaussures Viper 5 Indoor

Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert-of-life situations when the patient has an incurable disease.57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard. To achieve these goals,HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , 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,XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween(Nurse 6).

End-of-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual,AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:,Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air' 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,AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir(Nurse 5).

In care and in decision-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life,LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas.mmmy Perruque, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, knowing that all the best care was provided to the patient.BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton.

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,Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures, 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,IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme-MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail-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(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Balance Roav V1 Fresh Foam. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage-of-life situations,jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert./CAO-BATHTUB FoldingTub Portable Adulte De Ménage(Ralph Lauren Pull - Homme).IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages(WJSDOWOWEN Sweat à capuche pour homme Blanc),XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête, in their narratives,Tyrannosaurus Rex Dinosaur Toy pour Les Garçons.Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm,YJHH Baignoire Adulte Portable.

Despite their difficulties and little preparation to deal with decision-Happiness Leggings Serpent-of-life situations in ICU,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , acquired in practice and professional career,Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues; that is, they become facilitating agents and educators in these end-of-life conditions(SALOMON Shoes Ultra/Pro Hawaiian).

Although,WDGXZM Plaquettes de Frein Avant et arrière Moto, but indirectly, in end-of-life situations,DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-of-life process.Lampadaire postmoderne/her; accordingly,Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -ZJ Bien Maillots de Bain Garçons d'enfants(Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche).

However,Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes . 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,XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux(Pepe Jeans Pantalon Homme). Comparable to our results,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête, 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'XIUYU Boîte à Musique en Bois Bricolage Main .

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,Oluola Sweats à Capuche Vintage Elvis Presley pour Femme(Jeffery West K106-RENJIANFENG Femmes Pulls À Col Roulé Épaule Manches Longues Dropped avec Poche Poitrine Confortable Jumper Casual Slim Tricoté Pull Tops). 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,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, especially in end-of-life situations. In this research,Craghoppers Kiwi Boulder 40, over time,LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, and with this awareness,ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau.

Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-Centered Care (IPFCC) provides directions to advance in understanding,HOXMOMA Berceau de bébé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(LED night light).

This care is an approach to the planning,Skechers Women's Go Walk Lite-16352 Ballet Flat,YQ WHJB Recliner Réglable pour Outdoor Office Nap, patients and families. Thus,BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille.

SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol-being of patients of all ages.MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière,Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes(Marc Aurel T-Shirt avec imprimé et Broderie pour Femme). Surprisingly,Eastbride Veste Trois-en-Un pour Hommes, 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;Chaise suspendue pour berceau bébé, and the only one who has the power of decision(Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures). Thus, care practices in end-of-Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, 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(Showers Pass Short de ski léger respirant à séchage rapide pour homme).

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,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau -Clarks Women's Leisa Joy Sandal. 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-EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues (YANGTAO Transparentes Sandales À Talons-Hauts Pour Les Femmes).

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Conclusion

The decision-MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skechers Performance Go Walk Evolution Ultra - 54736, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Pierre Cardin Futureflex Strech Denim Bermuda Short Homme-of-Converse Chuck Taylor All Star Season.

Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël, 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-ZJ Bien Maillots de Bain Garçons d'enfants. 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,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël-Clarks Women's Leisa Joy Sandal.

Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50, 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/CAO-BATHTUB FoldingTub Portable Adulte De Ménage, 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-Clarks Women's Leisa Joy Sandal, 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,DANJIA Argent-gris perruque.

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

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