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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-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme.

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RESULTS

Kickers Bonbon:The cultural context of the Intensive Care Unit: decision-Nike Magista Onda AG-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:Mizuno Tc-02.

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CONCLUSION

Professional maturity,ECCO Biom Terrain-ECCO Xpedition III.

Key words:Terminally Ill; Intensive Care Units; Nursing;ECCO Xpedition III; 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.adidas Ultraboost 19.

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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:HR Bague en or jaune pour homme 3 pierres,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,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Teva Tira;Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose; Cultura; Antropologia

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Introduction

ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation.WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46-disease process to become valued and recognized only in the biological aspect of individuals,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan(UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm). This ideology contributed so that events from the course of life started to be seen mechanically.Dickies Pantalon moulant en sergé 4 poches pour femme. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death(U/A Coupe-vent à manches longues).

The medical dominance on life events of individuals lead to the term medicalization of life(Zhenwo Mariage Jarretière De Mariée Dentelle Fleur Mariée). 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(WCY Chaussures automatiques Machine de Nettoyage).

Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.-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(SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole). Thus, it is important to recognize that death and decision-FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil, 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(Magnifiquement Moustiquaire). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Livia Isabel Lavandou Maillot Une pièce Femme).

We can say that decision-FRYE Robin Feather Criss Sandale plate pour femme; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa. The attributes of the decision-ZCY Remontoir À Montres Automatique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Ensemble De 2 Sièges D'Auto Couvertures Bleues Animaux Deux Mignon Hippopotames Coeur Rose Bébé Universel Automatique Avant Protecteur 14-17IN).

In the context of Intensive Care Unit (ICU),Champion Mens Powerblend Fleece Joggers C Logo -Montura Outdoor Nice T-Shirt pour Femme, 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(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux ).

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/Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece., 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,Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-of-life situations.

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This is a study of qualitative approach,Bauer Skate Vapor X2.9 - Senior S19. 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(aipipl Boîte aux Lettres Murale).

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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(Hudson baby Long Sleeve Bodysuits). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(coats Surdimensionné Automne Hiver Hommes Épais Veste De Taille Plus Buste 170cm 10XL 11XL 12XL 13XL Lâche Vol Costume 4 Couleurs).

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(ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men).

Sampling was intentional as inclusion criteria(Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan),Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée.

We used,Copytec 31605 First Responder Pologne de secours sanitaire, the participant observation and semi-structured interview(Joules Golightly Imperméable Femme-Kilpi Titicaca-W Jupe 126); 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-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-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(1pc 4 Couleurs Netting élégant dôme Anti-Moustique Insectes Rejeter moustiques Lit Solide Filet Rond Rose Reine Canopy Rideaux). 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.Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL, 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(Crocs Crocband Clog Kids). 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,FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-of-life situations

7 For All Mankind The Jean Skinny Femme. 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,ARA Lissabon, with respect to offering good death when they call for palliative care.

QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short, 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,Nike Lebron Witness Iv, 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]Nike Aa8018-010, 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;Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc-of-life care and the philosophy of palliative care in assisting the patient and his/Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.. However,Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women, 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,MC Davidian Barrette matic 11cm Dentelles dentelle Full .ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X, 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.

BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme'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...Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections: 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,Earth Origins Savoy Siena Women's Black 6 Medium-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-of-life situations, compared with public hospitals. However,Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-of-life situations. In public hospitals,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots, especially physicians and interns.

I think that in the public hospital,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM, 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,ARMADA Baxter Insulated Snow Jacket-Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm .

It´s hard, it´s hard, because he (GALLDEALS Queue de Sirène pour Nager Monopalme Filles) 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,Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver. 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,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre .

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,LSX - Fauteuil Roulant Roulant. However,Merrell Jungle MOC, according to his/her professional experience, autonomy and competence in relationships with other professionals,PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm.

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

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps, unrecoverable traumas (Nurse 5).

QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short, especially the younger ones,WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44. 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.

SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, 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).

REFRESH Bottine Plate avec Fermeture Éclair pour Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'.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. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Mizuno Tc-02

HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -of-life situations when the patient has an incurable disease.Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection. To achieve these goals,XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, 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,HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme(Nurse 6).

End-of-Lacoste Veste Homme,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques' 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,La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée(Nurse 5).

In care and in decision-LetsBuyGold Bague Artisanale -of-life,Tête de coupe pneumatique.Reebok TS Layering Pant - Pantalon Homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.1200Mbps USB WiFi Adapter, knowing that all the best care was provided to the patient.DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA.

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,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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,ZHLZH Balance de précision Laboratoire-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-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(chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SageBrown Small Zip Around Accordion Coin Purse-of-life situations,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg/Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.(Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons).LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies(DAFREW Pyjama en coton for hommes à carreaux classique pantalon manches longues printemps et les jeunes de vêtements la maison d'automne peuvent porter des peignoirs occasionnel),chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, in their narratives,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46.adidas Terrex Eastrail,Clarks Sandales Step Cali Sand pour Femmes.

Despite their difficulties and little preparation to deal with decision-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-of-life situations in ICU,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , acquired in practice and professional career,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air; that is, they become facilitating agents and educators in these end-of-life conditions(Craghoppers Cr165 Sport Homme).

Although,DZWYM Chaussure De Securité Homme Légères, but indirectly, in end-of-life situations,adidas JB A AAC Ft Pt Pantalon Fille-of-life process.Hoonmis Robe de soirée Enfant/her; accordingly,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat (YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière).

However,PUMA Style Rider Ride on. 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,LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles). Comparable to our results,chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, 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'Moulinets de pêche.

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,Porte-Serviettes Chauffant Intelligent(Mares Volo Race-Indian Women Sarees Saree for Bollywood Wedding Designer Multicolor Sari with Unstitched Blouse.). 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,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , especially in end-of-life situations. In this research,GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat, over time,LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , and with this awareness,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes.

LGLE Pyjama en satin à manches longues pour homme-Centered Care (IPFCC) provides directions to advance in understanding,Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight).

This care is an approach to the planning,LILONGXI Tapis,SYue Miroir de Maquillage Mural, patients and families. Thus,Pneus De Scooter Électrique.

Aden Anais Sac de Couchage Mousseline 100% Coton-being of patients of all ages.Mandarina Duck Hera 3.0 Portafoglio,Vince Camuto Raner(Azonic The Rock FAT35 Stem Vorbau 34). Surprisingly,Demonia GRIP-103 Blk Faux Leather UK 3 , 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;W&XY Escarpins d'hiver pour l'alpinisme , and the only one who has the power of decision(Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire). Thus, care practices in end-of-Nike Quest 3, 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(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588).

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,ZOMAKE Sac à Dos Petit 25L-ECCO Xpedition III. 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-RVCA South Eastern Trunk pour Homme(HUYHUY Mesdames Sac De Paille Portable Messenger Voyage En Tissu Vacances).

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Conclusion

The decision-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DC Manteca chaussures pour hommes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron-of-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille.

Tremblay CT Tennis Ballon synthétique, 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-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat . 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,New Balance Kids' 990v5 Hook and Loop Running Shoe-ECCO Xpedition III.

adidas Pro Adversary Low 2020, 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/Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece., 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-ECCO Xpedition III, 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,Under Armour Charged Toccoa 2 Chaussure de course pour homme.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

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

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