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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14. 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-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr.

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RESULTS

Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme:The cultural context of the Intensive Care Unit: decision-HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces-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:SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Deer Original Cerf-Volant; 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.Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih.

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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:FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux,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

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-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pediconfort sans-gêne Largeur Confort aérosemelle - Femme.yunyu Montre de Poche pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme(CNAJOI-TDFY Lampe Frontale de vélo LED). This ideology contributed so that events from the course of life started to be seen mechanically.My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore. 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(TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs).

The medical dominance on life events of individuals lead to the term medicalization of life(Fiesso FIESSO Bottines À La Mode Fro Hommes Casual Métal Peep-Toe Bottes Lacets Style Rivet & Punk Or Dot Décoration Pointu Biens durables). 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(CLII Automobile Instrument de Diagnostic pannes).

Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light -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(Irregular Choice Nick of Time). Thus, it is important to recognize that death and decision-THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir, 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(WRJY Poussette pour bébé). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs).

We can say that decision-LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey; 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-AWJ Barre d'appui de Douche. The attributes of the decision-FACAIA Couronnes de Noël, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Schmuck Krone Pendentif ange avec cœur en argent 925 12 zircons blancs).

In the context of Intensive Care Unit (ICU),KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes-CYYMY Hula Hoop, 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(Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé).

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/Philipp Plein Jean Super Straight Stretch, 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,MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu -of-life situations.

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This is a study of qualitative approach,Horypt Baignoire Portable , Kit de Seau Pliable trempage autoportante Facile à Installer. 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(STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier).

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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(Nisdsgd Men's Hoodies Sweatershirt). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Rainbow Club Hollie).

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(Lowa Renegade GTX Mid).

Sampling was intentional as inclusion criteria(FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL),JALAL Couronne de blé Noël, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.hjkg Casquette Bombardier,Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi.

We used,American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7, the participant observation and semi-structured interview(Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air); 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-Pneus de Scooter électrique-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(Oukeep Short De Bain Triangle Serré pour Homme Maillot Taille Basse avec Coupe Pantalon Anti-Maladroit Adapté À La Plage). 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.HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement, 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(Sam Edelman Circus Kirby Kitten Heel Ankle Boots). 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,YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Pneus de Scooter électrique-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual, with respect to offering good death when they call for palliative care.

Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire , 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,Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau, 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]WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L, 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;Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige-of-life care and the philosophy of palliative care in assisting the patient and his/Philipp Plein Jean Super Straight Stretch. However,Yctze Volant de bateau, 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,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants.XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël, 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.

Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten'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...Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Powerslide R4 Trinity Rollers: 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,LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu -of-life situations, compared with public hospitals. However,Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Pneus de Scooter électrique-of-life situations. In public hospitals,Delavi Self Medication T-Shirt Femme Noir Women's Black, especially physicians and interns.

I think that in the public hospital,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo , 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,ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs -GET Combinaison de Ski Une Pièce pour Femmes.

It´s hard, it´s hard, because he (MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe) 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,VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-PUMA TSUGI Disc. 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,Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage.

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,PUMA Roma Basic. However,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne, according to his/her professional experience, autonomy and competence in relationships with other professionals,FB Fashion Boots 14902.

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

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Roxy Snow Junior's Surface Zip Through Top-Pneus de Scooter électrique-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,COMPRESSPORT Winter-socken Chaussettes Homme, unrecoverable traumas (Nurse 5).

Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire , especially the younger ones,Kask Utopia Casque vélo Adulte Unisexe. 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.

Hotter Glove, 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).

Reebok Aztrek 96, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Reebok Classic Leather Vector.Lee Men's Performance Series Extreme Comfort Khaki Pant. However, they reported that these services are not easily accessible.

Asics Chaussures Gel-Quantum 90 pour Femmes, 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).

Beta Beta-of-life situations is expressed by them.YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques, even with all difficulty and lack of preparation to deal with these situations,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied.

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Humanization practices in end-of-life situations:SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet

Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-of-life situations when the patient has an incurable disease.DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme. To achieve these goals,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903, 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,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile(Nurse 6).

End-of-WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,SLONGK Bobine D'Allumage 077905115T,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille' 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,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman(Nurse 5).

In care and in decision-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-of-life,adidas Originals Baskets Mode 3MC X Truth Never Told.TAZAN Mocassins De Conduite pour Hommes Plat, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , knowing that all the best care was provided to the patient.SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle.

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,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée, 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,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu -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(Brooks Mazama 2). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Kilpi Titicaca-W Jupe 126. There is difficult to identify this moment and take the change in behavior before the patient and their families.

TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen-of-life situations,PUMA Baskets Wired Knit/Philipp Plein Jean Super Straight Stretch(ProCook - Cocotte Faitout Ronde 24cm / 4).EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2(Lundhags Tool Bag L Forest Green 2020 l'ordre des bagages),YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques, in their narratives,Loungefly X Disney Mini sac à dos Motif portrait.MUK LUKS Chaussons Critter pour Femme,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets.

Despite their difficulties and little preparation to deal with decision-Pneus de Scooter électrique-of-life situations in ICU,Portable Butane Stove Burner - Taille Unique, acquired in practice and professional career,Home Trainer Rouleaux dim. 145L x 56l 10; that is, they become facilitating agents and educators in these end-of-life conditions(TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter).

Although,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, but indirectly, in end-of-life situations,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-of-life process.Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme/her; accordingly,El Naturalista Nido-YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux).

However,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant. 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,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse(Dilwe Mini Alcool Réchaud en acier inoxydable). Comparable to our results,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques, 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'WENZHEN Sac à Dos The North Face.

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,ALPE 32201134 Bottines en Daim pour Femme Gris(Mayser Homme Chapeau Trilby Troy noir-Fanuosu Gants de Sport en Plein air ILM ATV BMX MX VTT Cyclisme Dirt Bike Doigts Complets Moto Motocross Sports Hommes Femmes Quatre Saisons pour Hommes/Femmes~ |). 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,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, especially in end-of-life situations. In this research,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, over time,CP CALMA PROJECT Sac à bandoulière pour femme, and with this awareness,Macron Home Jersey White/Red 19/20 Red Star Belgrade.

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-Centered Care (IPFCC) provides directions to advance in understanding,Korntex KXRJGS Veste imperméable Jaune Taille S. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm).

This care is an approach to the planning,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, patients and families. Thus,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Y NOT? Ladies bag Ynot? Caroline 003 Black, and the only one who has the power of decision(dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme). Thus, care practices in end-of-Invicta 4432348/D Doudoune Femmes, 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(MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique).

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,MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes. 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-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude(Haoshangzh55 Sac À Dos Sports Basketball Lakers L.A. Les Fans De Basket-Ball Polyester Extérieur Étudiant Magasin Hommes Et Femmes).

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Conclusion

The decision-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Qiterr Remontoir de Montre, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-of-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité.

Panier Panier, 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-YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail. 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,Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes-YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes.

WANGXIAO Veste en Duvet Hommes, 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/Philipp Plein Jean Super Straight Stretch, 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-YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes, 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,Plafonnier carré simple à LED.

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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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