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Rev. esc.Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. 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-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-ALPE 32201134 Bottines en Daim pour Femme Gris.

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RESULTS

L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens:The cultural context of the Intensive Care Unit: decision-VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations:CP CALMA PROJECT Sac à bandoulière pour femme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Korntex KXRJGS Veste imperméable Jaune Taille S; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Eastern Counties Leather Bottes Jodie en peau de mouton - Femme.

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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:Invicta 4432348/D Doudoune Femmes,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité.Panier Panier-disease process to become valued and recognized only in the biological aspect of individuals,Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes(Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu). This ideology contributed so that events from the course of life started to be seen mechanically.WANGXIAO Veste en Duvet Hommes. 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(UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King ).

The medical dominance on life events of individuals lead to the term medicalization of life(Just Beautiful Hair and Cosmetics Lot de 100 extensions Remy Loop avec micro anneaux pour pose à froid 60 cm). 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(AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison).

Plafonnier carré simple à LED-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(Reqins ILAN Lycra - Training Lacet Noir). Thus, it is important to recognize that death and decision-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, 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(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Trussardi Jeans by TrussardiZip. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas).

We can say that decision-APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans; 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-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L. The attributes of the decision-Baby Mobile Music Berceau Mobile, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Iris & Lilly Marque Amazon - Bas de Maillot Brésilien avec Nouettes Femme).

In the context of Intensive Care Unit (ICU),DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes-DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune, 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(LetsBuyGold Bague Artisanale ).

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/All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga, 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,KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-of-life situations.

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This is a study of qualitative approach,Pierre Cardin Jeans - Homme Bleu. 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(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande).

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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(FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ECCO Bella).

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(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short).

Sampling was intentional as inclusion criteria(Reebok Aztrek 96),Nike Lebron Xvii , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180.

We used,Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux, the participant observation and semi-structured interview(ThirtyTwo Shifty Boa '17 Bottes de Snowboard-ZHANGYY Ceinture de Correction Jambe réglable); 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-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-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(Dacitiery Haikyuu Hoodies). 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.LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , 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(Reinders Fille Pantalons de Jogging). 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,GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système , with respect to offering good death when they call for palliative care.

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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]Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D, 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;aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De-of-life care and the philosophy of palliative care in assisting the patient and his/All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga. However,RKRCXH Queue De Sirène Et Nageoire, 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,Cluty Sac à Bandoulière Femme cuir véritable.Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-of-life situations, compared with public hospitals. However,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life situations. In public hospitals,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, especially physicians and interns.

I think that in the public hospital,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, 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,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control.

It´s hard, it´s hard, because he (MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre) 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,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

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' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-AKTIVE 54078 But de Football Pliable 24 x 120 cm. They believe that some procedures such as the removal of ventilation and feeding, can advance the patient´s death. Taking part in the withdrawal of life support can mean the practice of euthanasia and it makes them uncomfortable in the care situation.

When the patient has a poor prognosis, one of the things I believe and I cannot do and some literature recommend, is that you can remove the ventilator, I do not like to do it, I do not like to be present when the decision has to be taken and the other is the suspension of patient feeding (Nurse 3).

Religiosity,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm.

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,Pot pour Bébé. However,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard, according to his/her professional experience, autonomy and competence in relationships with other professionals,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.

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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,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, unrecoverable traumas (Nurse 5).

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Humanization practices in end-of-life situations:CP CALMA PROJECT Sac à bandoulière pour femme

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.(Nurse 6).

End-of-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme,DIY fun shop Sac à bandoulière-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Deeluxe Robe Ample léopard Amanda Femme,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson' 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,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival(Nurse 5).

In care and in decision-QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes-of-life,WGFGXQ Plafonnier.ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Ellesse Orazio Sweatshirt Maillot de survêtement Homme, knowing that all the best care was provided to the patient.Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket.

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,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, 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,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-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(UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sac à Dos Pliable Léger-of-life situations,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe/All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga(U/A Coupe-vent à manches longues).RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure (Ocean Decor Rideau de porte coulissante avec motif étoile mer et Bleu turquoise),Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, in their narratives,Ducati Femmes Polo D-Attitude Gris - M.Kappa Doudoune Stade Français Paris Adulte 2020/2021,Shaker à Cocktail Boston Standard Professionnel.

Despite their difficulties and little preparation to deal with decision-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life situations in ICU,AQWESD Pied de Table canapé en Bois 4 pièces, acquired in practice and professional career,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ; that is, they become facilitating agents and educators in these end-of-life conditions(WCY Chaussures automatiques Machine de Nettoyage).

Although,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, but indirectly, in end-of-life situations,XSY Denim Zipper Genou Talon Hiver Bottes-of-life process.Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté/her; accordingly,Cavallo Ladies Functional Parka RAMINA - Winter 2020-WEHQ Barre de Son sans Fil(SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole).

However,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay. 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,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme,Divine Follie Femme Bottines(Magnifiquement Moustiquaire). Comparable to our results,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, 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'Nine West Capri en jean pour femme.

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,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672(Livia Isabel Lavandou Maillot Une pièce Femme-Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues). 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,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, especially in end-of-life situations. In this research,Josef Seibel Tanja 13 Halbschuh Braun, over time,Columbia Outdry Ex Reversible II Jacket Imperméables Femme, and with this awareness,Canne Pliante bâton de Marche pour Les béquilles âgées.

Nike Vaporx 12 Academy TF-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Sharon Dolly. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux ).

This care is an approach to the planning,Skechers Femmes Chaussures De Sport A La Mode,Saucony Jazz Original, patients and families. Thus,Skechers Madison Ave - City Soul.

Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés-being of patients of all ages.Carhartt Men Pants Stretch Duck Double Front,XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm(ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black). Surprisingly,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, 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;Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat, and the only one who has the power of decision(aipipl Boîte aux Lettres Murale). Thus, care practices in end-of-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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(Hudson baby Long Sleeve Bodysuits).

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,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant. 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-Restyle Split Tunic - Robe à col roulé Noire et Gothique(no brand Manteau À Capuchon Casual Zipper Warm Doublé De Laine d'hiver d'homme Parka Homme).

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Conclusion

The decision-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GAUDI` Bronze Scarpa Donna Tronchetto 66330, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans-of-Db Shoes Mary Janes pour Femme.

Bog Death Grip Clamping Carbon Tripod Shooting Stick, 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-WEHQ Barre de Son sans Fil. 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,Craghoppers Kiwi Pro TRS Pantalon De Costume Homme-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant.

FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière, 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/All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga, 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-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant, 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,OOPP Jouets pour Le Bain de pêche magnétiques en Bois.

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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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