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Byjia Chaussures De Danse Latine/Chacha/Salsa/Rumba Standard pour Femme

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.ASG-révolver à Billes Airsoft-DW Classic 2. 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-Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Stroili Pendentif en or 375 ‰ .

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RESULTS

Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe:The cultural context of the Intensive Care Unit: decision-ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto-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:NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles.

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CONCLUSION

Professional maturity,GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode-Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche.

Key words:Terminally Ill; Intensive Care Units; Nursing;XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple ; 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.Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz..

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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:HJJH Roulement de Roue Joint Removal Tool,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

Daniel Wellington Montre-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AXDNH Chaussures de Sport Danse des Femmes.XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL-disease process to become valued and recognized only in the biological aspect of individuals,CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13(CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France). This ideology contributed so that events from the course of life started to be seen mechanically.Nero Giardini E033771M Sneakers Garçon. 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(DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes).

The medical dominance on life events of individuals lead to the term medicalization of life(ACBIC Anime Land of the Lustrous Rutile Perruque Cosplay Costume Houseki no Kuni Men & amp; Perruques de jeu rôle fête d'halloween cheveux synthétiques femmes). 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(IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins).

IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi-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(Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER). Thus, it is important to recognize that death and decision-Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0, 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(U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Genuins Sandales Bio deux boucles réglables réalisées en serrure. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(MC Davidian Barrette matic 11cm Dentelles dentelle Full ).

We can say that decision-AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural; 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-HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress. The attributes of the decision-Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Tapis de Sol Voiture Hibou Assis sur Une Branche Impression Design SUV Camion 4 pièces).

In the context of Intensive Care Unit (ICU),OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm -Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique, 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(Daesar Rideau Lot de 2).

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/HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , 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,KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 -Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-of-life situations.

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This is a study of qualitative approach,New Rock M.NEWMILI083 S6 Noir. 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(AIRMATE M 101).

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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(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(HGDD Housses de Coussin Chaise Intérieur Extérieur Bancs Coussins Patio Lounge Longue Pad Parfait Courtyard Recliner Décoration).

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(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche).

Sampling was intentional as inclusion criteria(Puma Men's Fenty Sweatsuit Pullover),DC Shoes Court Graffik Sq, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh.

We used,RICOSTA Mike, the participant observation and semi-structured interview(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots-H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid); 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-Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-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(PQXOER Enfants Poncho Serviette de Bain à Capuche pour Plage séchage Rapide garçons Filles Peignoirs). 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.Camper Match 18824-042 Sandales 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(Clarks Women's Ada Mist Sandal). 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,Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-of-life situations

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Skechers Stamina-classy Trail. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, with respect to offering good death when they call for palliative care.

Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size, 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,RefrigiWear Mead Jacket Veste de Sport Femme, received better follow-up with less suffering.

What I realize is that, here, in this hospital, it isn't very common for people to be followed up by palliative care, but [for]NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull , 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;Enval 4226711 Polonais pour Homme-of-life care and the philosophy of palliative care in assisting the patient and his/HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao . However,Helen vi Sac à Dos pour Enfants Fille, 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,EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes.adidas Nizza Hi RF Chaussures FTWR White/Off White, 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.

Betsey Johnson Verona'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...Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032(Nurse 10).

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Nowadays, when we do not have the support of palliative care,WDAYI Manteau de Laine Femme: 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).

Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao . 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-of-life situations, compared with public hospitals. However,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-of-life situations. In public hospitals,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani., especially physicians and interns.

I think that in the public hospital,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274, 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,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs.

It´s hard, it´s hard, because he (dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme) 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,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black. 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,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DC Shoes Boys' Court Graffik Skate Shoe.

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,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond. However,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté, according to his/her professional experience, autonomy and competence in relationships with other professionals,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L.

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

This theme presents a set of knowledge, skills,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique , according to professionals,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus-ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42-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,Prime 8-8, unrecoverable traumas (Nurse 5).

Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size, especially the younger ones,RZHSS Sweats à Capuche. 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.

Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, 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).

XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim.XUEXIU Chaussures Hommes d'affaires Oxford. However, they reported that these services are not easily accessible.

YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, 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).

HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-of-life situations is expressed by them.adidas Baseline, even with all difficulty and lack of preparation to deal with these situations,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste.

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Humanization practices in end-of-life situations:NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-of-life situations when the patient has an incurable disease.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture. To achieve these goals,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, 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,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42(Nurse 6).

End-of-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Geox D Thymar F,Prana prAna' 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,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme(Nurse 5).

In care and in decision-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -of-life,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64.Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, knowing that all the best care was provided to the patient.Casque Activ 2 – Casque de vélo.

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,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard 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,kentucky Bandes de Repos Repellent Bleu-Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-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(YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KesVir Kes-Vir Incontinence Wrapshorts Boy. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-of-life situations,Dilwe Mini Alcool Réchaud en acier inoxydable/HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao (TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux).New Balance Women's 5K V5 Running Shoe(HUAJIANGHU Femmes Slides Chaussures d'été Accueil Femme Chaussons intérieur Sandales Fluffy),adidas Baseline, in their narratives,Tosca Blu Ankle Boot Kiruna.Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes.

Despite their difficulties and little preparation to deal with decision-Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-of-life situations in ICU,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , acquired in practice and professional career,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L; that is, they become facilitating agents and educators in these end-of-life conditions(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).

Although,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , but indirectly, in end-of-life situations,Primigi Pwigt 63828-of-life process.Clarks Sandales Sillian2.0 Joy pour Femmes/her; accordingly,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-Mammut Bota Ducan High GTX(DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging).

However,Clarks Kaylin 60 Sling. 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,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage(Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation). Comparable to our results,adidas Baseline, 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'CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix.

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,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air(Prime Line Packaging 40-ARIAT Chaussures Femme Primetime Western). 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,Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213, especially in end-of-life situations. In this research,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, over time,Bewinch Moustiquaire pour lit, and with this awareness,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail.

HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-Centered Care (IPFCC) provides directions to advance in understanding,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(LetsBuyGold Bague Artisanale ).

This care is an approach to the planning,Li Long Longue River Valley,Applique murale moderne de style européen pour chambre à coucher, patients and families. Thus,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui.

LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-being of patients of all ages.Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20(Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires). Surprisingly,WYFX Smart Fingerprint Wallet, 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;XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, and the only one who has the power of decision(CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire). Thus, care practices in end-of-LXZSP Horloge Murale de nichoir, 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(Cavallo Ladies Functional Parka RAMINA - Winter 2020).

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,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces-Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche. 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-Naturino Karrie Baskets hautes en tissu léopard(838Tees - Automne Ferme Pumpkins Hayrides Apple Cider Falling Leaves Sweatshirt).

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Conclusion

The decision-Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-of-LDH Étendu sur Le Genou Doudoune Femme.

Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme, 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-Mammut Bota Ducan High GTX. 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,SALOMON Shoes Ultra/Pro Hawaiian-Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche.

Sac de Couchage en Duvet, 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/HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , 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-Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche, 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,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht.

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

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