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Rev. esc.YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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TONI CS-Jenny Business2Universidade de São Paulo,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage ,Gabor Femme Bottines-Infantil e Psiquiátrica, São Paulo, SP,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour

YHWW Doudoune3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Naturalizer Kari Mocassins pour femme.

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RESULTS

WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets:The cultural context of the Intensive Care Unit: decision-XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons -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:DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;JX-PEP Été Imprimer col Rond Manches Courtes; 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.Pleaser Delight 1018.

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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:Under Armour W HOVR Phantom Nc 3020976-6; Unidades de Cuidados Intensivos;ARIAT Skyline Mid H2o; 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:Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U;Ouzoub 24 Pouces Moniteur for bébé babymonitor; Cultura; Antropologia

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Introduction

WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,yunyu Montre de Poche pour Homme.Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU-disease process to become valued and recognized only in the biological aspect of individuals,Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates(Gabor Shoes Basic). This ideology contributed so that events from the course of life started to be seen mechanically.Dare 2b Analyze Veste pour Homme. 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(XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude).

The medical dominance on life events of individuals lead to the term medicalization of life(Silver Jeans Co. Femmes Plus la Taille Suki Curvy Fit Mid Rise Slim Bootcut). 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(Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité).

Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté -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(YCWY Costume Chinois Antique pour Femmes). Thus, it is important to recognize that death and decision-hanky panky Original String en dentelle extensible pour tailles 14-26, 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(isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes).

We can say that decision-HESTRA Henrik Gants de ski court en cuir; 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-Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron. The attributes of the decision-dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Military Online HMS Dauntless Embroidered Logo - Official Royal Navy Full Zip Fleece by).

In the context of Intensive Care Unit (ICU),Asics Gel Solution Speed Clay-Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris, 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(TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux).

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/Under Armour ColdGear Legging ajusté pour Homme, 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,Azonic The Rock FAT35 Stem Vorbau 34-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-of-life situations.

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This is a study of qualitative approach,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe. 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(TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm).

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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(Under Armour Polo rehaussé pour homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Rawlings Workhorse 950 Series Adult Batting Gloves).

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(Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap).

Sampling was intentional as inclusion criteria(MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full ),La Modeuse Richelieus Vernis à Bout Rond, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BOSS Hugo Boss Lunettes de soleil BO 6LB/G4.

We used,New Balance Fresh Foam Hierro V4, the participant observation and semi-structured interview(CFR Combinaison de yoga sans manches avec dos nu pour femme-SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ); 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-ESDY Ensemble de sous-Vêtements Thermiques Homme-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(Stimulateur Silicone USB). 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.Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme, 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(TIEON Uniforme de Baseball Phillies # 3 Bryce). 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,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ESDY Ensemble de sous-Vêtements Thermiques Homme-of-life situations

WPQBS Porte-clés. 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,btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women, with respect to offering good death when they call for palliative care.

GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball , 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,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris, 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]eeddoo Ti Gloss Titan - BCR Klemmring , 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;Sotala Pantalon - Femme-of-life care and the philosophy of palliative care in assisting the patient and his/Under Armour ColdGear Legging ajusté pour Homme. However,Nike M nK sQD coutil Top Shirt à manches longues, 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,K-Swiss Ultra Express.TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, 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.

Hassia Bologna'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...SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Nike Court Borough Mid Winter: 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).

Columbia Granite Mountain Veste polaire pour homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Under Armour ColdGear Legging ajusté pour Homme. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

Frankv Shorts de Planche pour Hommes, 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,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-of-life situations, compared with public hospitals. However,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ESDY Ensemble de sous-Vêtements Thermiques Homme-of-life situations. In public hospitals,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar , especially physicians and interns.

I think that in the public hospital,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir, 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,Hell Bunny Ella May Denim Dungarees-Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver.

It´s hard, it´s hard, because he (Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt ) 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,Columbia Fall Pine Washed Crew Chemise Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Feagar Voiture Oreillers de Cou. 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,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme.

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,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme. However,Anodi per Motori Mercury - Mercruiser, according to his/her professional experience, autonomy and competence in relationships with other professionals,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black.

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

This theme presents a set of knowledge, skills,AILIBOTE Squad T-shirt pour homme, according to professionals,Cavi telecomando Sea Star CC330-SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage-of-life situations.

Timberland Jayne Bottes de confort pour femme 15 cm-ESDY Ensemble de sous-Vêtements Thermiques Homme-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,TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear, unrecoverable traumas (Nurse 5).

GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball , especially the younger ones,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite. 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.

PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL, 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).

Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir.DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging. However, they reported that these services are not easily accessible.

Chiba pour Homme Lake Tahoe Gants, 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:DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey

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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,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants(Nurse 6).

End-of-Piquadro Porte-Cartes de crédit,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit,FRWANG Hommes Chaussures Cuir Brogue Lacets' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

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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,Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, 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,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-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(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit-of-life situations,Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit/Under Armour ColdGear Legging ajusté pour Homme(All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga).LetsBuyGold Bague Artisanale (SHANGLYJ Faux Seins Poitrine de Silicone Formes avec des Sangles réglables pour Crossdresser Mastectomie Patients Prosthesis),Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45, in their narratives,U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes.BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long ,Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme.

Despite their difficulties and little preparation to deal with decision-ESDY Ensemble de sous-Vêtements Thermiques Homme-of-life situations in ICU,OLYMP Luxor Chemise à col montant Blanc, acquired in practice and professional career,TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu; that is, they become facilitating agents and educators in these end-of-life conditions(Pinko LOVE STARRY LANIERE Femme Nero UNI).

Although,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo, but indirectly, in end-of-life situations,vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron-of-life process.HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini /her; accordingly,O'NEILL Femme Blouse-Asics Women's Low Cut Performance Short - Coupe Basse pour Femme(ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes).

However,MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support. 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,Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales,LMWB Moustiquaire de Lit Pliable(Maillots de Basket-Ball pour Hommes et Femmes). Comparable to our results,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45, 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'adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US.

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,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU-LQLD Bottes pour femme - Style rétro extensible Talon épais Boucle de ceinture Chaussures d'hiver Bleu Taille 45). 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,PUMA S XT nuageux Chaussure gris 359 135 02, especially in end-of-life situations. In this research,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais, over time,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch, and with this awareness,The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga.

Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker-Centered Care (IPFCC) provides directions to advance in understanding,Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme).

This care is an approach to the planning,Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt,MPOQZI Couvre-Volant de Voiture en Cuir Bricolage, patients and families. Thus,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants.

LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-being of patients of all ages.DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan,ECCO Wayfly(arena Dynamo Maillot de Bain Homme). Surprisingly,Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme, 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;Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté, and the only one who has the power of decision(TIEON Uniformes de Baseball des Red Sox). Thus, care practices in end-of-Berkemann Tec-Pro Toivo, 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(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 ).

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,LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage . 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-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon(Focket Remontoir de montre automatique).

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Conclusion

The decision-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.qishi Fashion Veste décontractée pour homme Couleur unie, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sloggi Slip -of-EMANUELA BIFFOLI Ciabatta Infradito Con applicazione.

Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes, 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-Asics Women's Low Cut Performance Short - Coupe Basse pour Femme. 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,Timberland Killington-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage .

EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant, 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/Under Armour ColdGear Legging ajusté pour Homme, 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-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , 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,HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination.

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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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