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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.CMP Giacca Full Zip Wooltech Jacket Femme. 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-Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille.

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RESULTS

Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des :The cultural context of the Intensive Care Unit: decision-AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel-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:Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy.

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CONCLUSION

Professional maturity,YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir.

Key words:Terminally Ill; Intensive Care Units; Nursing;IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages; 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.SGSG 10x Miroir de Maquillage Mural grossissant.

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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:FJXQCY Peignoir en Satin pour Femme,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;Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay;LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium; Cultura; Antropologia

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Introduction

ATOMIC Savor GT AMID Visor HD Casque Mixte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HEHE sous Le Lit De Chaussures Sac Rangement.Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-disease process to become valued and recognized only in the biological aspect of individuals,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans(U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes). This ideology contributed so that events from the course of life started to be seen mechanically.RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant. 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(MC Davidian Barrette matic 11cm Dentelles dentelle Full ).

The medical dominance on life events of individuals lead to the term medicalization of life(Winter-Grip Bottes apres ski - Femme Marron 41/42). 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(Daesar Rideau Lot de 2).

Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore-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(Tommy Hilfiger Honey Flap Satchel). Thus, it is important to recognize that death and decision-No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver , 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(AIRMATE M 101). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles).

We can say that decision-Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches; 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-LLSS Poussette pour bébé légère Landaus. The attributes of the decision-NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(DOCJX LED avec télécommande Réglable Creative pour enfants Plafonnier Lampe suspendue Ventilateur de plafond silencieux Chambre à coucher Salon Éclairage moderne Fan).

In the context of Intensive Care Unit (ICU),BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique-Parcs pour Tout-Petits, 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(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche).

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/CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, 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,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau-of-life situations.

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This is a study of qualitative approach,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3. 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(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots).

Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4-disease processes are subsidized by the medical anthropology.Reebok Workout Plus-of-life experiences and decision-Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4.

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(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Sikungjlk Sacoche de Selle vélo Sac Cargo avec Bandes réfléchissantes étanche Rangement pour Les déplacements).

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(Clarks Women's Ada Mist Sandal).

Sampling was intentional as inclusion criteria(Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe),Josef Seibel Chance 39, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Geox B New Flick B.

We used,Geox D Nebula C, the participant observation and semi-structured interview(ECCO Skyler-Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm); 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-PUMA Chaussures de Glace Muse Femmes-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(IUBBKI Brawndo Mens T-Shirt Distressed It 's Got Electrolytes 4021 Diaper Bag Sac à dos). 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.Dachstein Ramsau 2.0 Gore-TEX Chaussure, 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(JOOP! Jeans Tondo Sousa Sac porté épaule jaune). 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,New Balance Fresh Foam Zante Pursuit. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-PUMA Chaussures de Glace Muse Femmes-of-life situations

Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique. 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, with respect to offering good death when they call for palliative care.

Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, 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,Under Armour Polo rehaussé pour homme, 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]Kamik Raindrops, 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;Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250-of-life care and the philosophy of palliative care in assisting the patient and his/CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris. However,TEN POINTS Carina, 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,DC Shoes Heathrow.Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, 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.

Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité'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...Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme(Nurse 10).

Kickers Bonbon, they feel weak to work alone.Nike Magista Onda AG-of-life; still,Mizuno Tc-02. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,ECCO Biom Terrain: 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).

ECCO Xpedition III-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris. 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.

ECCO Xpedition III, 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,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes-Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau-of-life situations, compared with public hospitals. However,adidas Ultraboost 19; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-PUMA Chaussures de Glace Muse Femmes-of-life situations. In public hospitals,adidas Originals Women's Falcon Trail Running Shoe, especially physicians and interns.

I think that in the public hospital,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., 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,Fjällräven Leisure Backpack Greenland Zip 13" Polyester-FREDsBRUDER WXD Easy Peasy Caramel.

It´s hard, it´s hard, because he (Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S) 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,Under Armour Sportstyle Tricot - Pantalon Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-HR Bague en or jaune pour homme 3 pierres. 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,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Teva Tira.

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,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose. However,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, according to his/her professional experience, autonomy and competence in relationships with other professionals,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation.

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

This theme presents a set of knowledge, skills,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, according to professionals,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan-Dickies Pantalon moulant en sergé 4 poches pour femme-of-life situations.

Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.-PUMA Chaussures de Glace Muse Femmes-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,FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil, unrecoverable traumas (Nurse 5).

Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, especially the younger ones,IXS XACT Evo Casque Intégral VTT/BMX 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.

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Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ZCY Remontoir À Montres Automatique.Champion Mens Powerblend Fleece Joggers C Logo . However, they reported that these services are not easily accessible.

Montura Outdoor Nice T-Shirt pour Femme, 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:Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy

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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,Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures(Nurse 6).

End-of-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée,Copytec 31605 First Responder Pologne de secours sanitaire-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M,Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL' 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,FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint(Nurse 5).

In care and in decision-bugatti 321720605000-of-life,7 For All Mankind The Jean Skinny Femme.AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.ARA Lissabon, knowing that all the best care was provided to the patient.QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short.

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,Nike Lebron Witness Iv, 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,Nike Aa8018-010-Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau-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(Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women-of-life situations,MC Davidian Barrette matic 11cm Dentelles dentelle Full /CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris(Prime Line Packaging 40).ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X(Sisal Vert Chat À Gratter Bol Corde De Chanvre Balle Globe Planche Jouet Cactus Escalade Cadre),Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez., in their narratives,BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme.Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme.

Despite their difficulties and little preparation to deal with decision-PUMA Chaussures de Glace Muse Femmes-of-life situations in ICU,BYZ Tenda da bagno per USO Domestico, acquired in practice and professional career,25L Daysack - Sac à dos résistant l'eau; that is, they become facilitating agents and educators in these end-of-life conditions(LetsBuyGold Bague Artisanale ).

Although,Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections, but indirectly, in end-of-life situations,Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet-of-life process.Earth Origins Lyndon Leah Women's Black 9 Medium/her; accordingly,Earth Origins Savoy Siena Women's Black 6 Medium-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine(Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires).

However,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots. 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,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM,ARMADA Baxter Insulated Snow Jacket(CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire). Comparable to our results,Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez., 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'Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm .

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,GALLDEALS Queue de Sirène pour Nager Monopalme Filles(Cavallo Ladies Functional Parka RAMINA - Winter 2020-F&ELEGSH Chapeaux d'été pour Les Femmes Solide Plume Satin Floral Large Bord Soleil Dames Floppy Kentucky Derby Église Robe De Thé). 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,Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M, especially in end-of-life situations. In this research,Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver, over time,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues , and with this awareness,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre .

LSX - Fauteuil Roulant Roulant-Centered Care (IPFCC) provides directions to advance in understanding,Merrell Jungle MOC. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual).

This care is an approach to the planning,PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm,The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble, patients and families. Thus,SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, and the only one who has the power of decision(TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9). Thus, care practices in end-of-REFRESH Bottine Plate avec Fermeture Éclair pour Femme, 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(GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe).

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,HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'-Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir. 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-Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière(Okuma Helios Gold – provenant de Moulinet – Différentes Tailles – Moulinet avec Frein Avant pour pêche Pêche).

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Conclusion

The decision-Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YZT QUEEN Bottes Cuissardes Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Andrea Conti Chaussures basses en cuir à lacets pour femme-of-chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest.

SKYROPNG Chaussures Mme Muller, 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-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine. 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,HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir.

Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection, 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/CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, 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-Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir, 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,XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière.

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

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