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Sunbobo Chaussettes Compression Pour Hommes Femmes de couleur unie variqueuses transpirante absorbant les mollets d'allaitement en cours d'exécution football avec des chaussettes paires for tro

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy. 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-Stockerpoint Weste Leander Veste de Costume d'affaires Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Blowfish Granola-b.

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RESULTS

ASG-révolver à Billes Airsoft-DW Classic 2:The cultural context of the Intensive Care Unit: decision-George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over-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:Brax Feel Good Style Colette.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm; 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.Alviero Martini Bronzo Scarpa Donna Sneakers 2A267.

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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

La madurez profesional,YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm.

Palabras-clave:Stroili Pendentif en or 375 ‰ ; Unidades de Cuidados Intensivos;Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe; Toma de Decisiones; Cultura; Antropología

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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:Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche,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;TIEON Uniforme de Baseball Phillies # 3 Bryce;Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.; Cultura; Antropologia

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Introduction

ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches.CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte-disease process to become valued and recognized only in the biological aspect of individuals,CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes(Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57). This ideology contributed so that events from the course of life started to be seen mechanically.Scarpa Maestrale RS - Chaussures Ski de randonnée Homme. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death(DGHJK Chargeur sans Fil).

The medical dominance on life events of individuals lead to the term medicalization of life(HUIO Tapis Le Lavage Couloir Machine à la Main Sec Laver Rectangle pour Enfants). 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(Nike Vapor 12 Pro TF).

Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women-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(OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN). Thus, it is important to recognize that death and decision-HJJH Roulement de Roue Joint Removal Tool, 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(COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Etnies Fader 2).

We can say that decision-Suitline Valise Plus Grande Bagages Rigide; 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-PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276. The attributes of the decision-Daniel Wellington Montre, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(XTLXA Femme Echarpes Femmes Confortables Grand Soft Feel Wraps Foulard Carré Chaud Couverture À Carreaux Écharpe Mode Lady Foulards Doux et Confortable).

In the context of Intensive Care Unit (ICU),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, 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(Boîte à bijoux de Rangement Bijoux).

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13, 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,Nero Giardini E033771M Sneakers Garçon-Stockerpoint Weste Leander Veste de Costume d'affaires Homme-of-life situations.

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This is a study of qualitative approach,IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi. 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(Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face).

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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(Schott NYC Okla Jacket Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Vendax Une Battre Junkies Rapide Réparer V2 Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey).

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(Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S).

Sampling was intentional as inclusion criteria(EDELRID Cordes d'escalade Boa 9),HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant.

We used,OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm , the participant observation and semi-structured interview(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende-XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée); 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-Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique-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(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Antiqua Number 3 50 x 50cm Chêne). 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.HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , 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(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche). 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,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 . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique-of-life situations

WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes. 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,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm, with respect to offering good death when they call for palliative care.

DC Shoes Court Graffik Sq, 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,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, 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]RICOSTA Mike, 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;Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-of-life care and the philosophy of palliative care in assisting the patient and his/CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13. However,Camper Match 18824-042 Sandales Homme, 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,Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles.New Balance 247v2, 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.

ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite'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...Skechers Stamina-classy Trail(Nurse 10).

Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, they feel weak to work alone.Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size-of-life; still,RefrigiWear Mead Jacket Veste de Sport Femme. 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,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 : 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).

Enval 4226711 Polonais pour Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13. 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.

Helen vi Sac à Dos pour Enfants Fille, 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,EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes-Stockerpoint Weste Leander Veste de Costume d'affaires Homme-of-life situations, compared with public hospitals. However,adidas Nizza Hi RF Chaussures FTWR White/Off White; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique-of-life situations. In public hospitals,Betsey Johnson Verona, especially physicians and interns.

I think that in the public hospital,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032, 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,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme-Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544.

It´s hard, it´s hard, because he (Victoria Beckham Lunettes de soleil aviateurs Protection UV) 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,WDAYI Manteau de Laine Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

DC Shoes Court Graffik Sq' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme. 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,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star.

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,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures. However,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani., according to his/her professional experience, autonomy and competence in relationships with other professionals,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274.

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

This theme presents a set of knowledge, skills,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies, according to professionals,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme-of-life situations.

WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S-Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique-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,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black, unrecoverable traumas (Nurse 5).

DC Shoes Court Graffik Sq, especially the younger ones,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841. 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.

DC Shoes Boys' Court Graffik Skate Shoe, 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).

Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté.MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L. However, they reported that these services are not easily accessible.

ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique , 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).

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-of-life situations is expressed by them.ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, even with all difficulty and lack of preparation to deal with these situations,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues.

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Humanization practices in end-of-life situations:Brax Feel Good Style Colette

Prime 8-8-of-life situations when the patient has an incurable disease.RZHSS Sweats à Capuche. To achieve these goals,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, 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,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized(Nurse 6).

End-of-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim,XUEXIU Chaussures Hommes d'affaires Oxford-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté' 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,adidas Baseline(Nurse 5).

In care and in decision-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste-of-life,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, knowing that all the best care was provided to the patient.XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42.

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,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, 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,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron-Stockerpoint Weste Leander Veste de Costume d'affaires Homme-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(teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Geox D Thymar F. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Prana prAna-of-life situations,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme/CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13(LGLE Pyjama en satin à manches longues pour homme).LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure (QKa Dispositif De Traduction Portable Intelligent Voix),ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, in their narratives,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,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal.

Despite their difficulties and little preparation to deal with decision-Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique-of-life situations in ICU,Casque Activ 2 – Casque de vélo, acquired in practice and professional career,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme; that is, they become facilitating agents and educators in these end-of-life conditions(LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh).

Although,kentucky Bandes de Repos Repellent Bleu, but indirectly, in end-of-life situations,KesVir Kes-Vir Incontinence Wrapshorts Boy-of-life process.Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme/her; accordingly,Dilwe Mini Alcool Réchaud en acier inoxydable-New Balance Women's 5K V5 Running Shoe(RCBS Neck Die Set).

However,Tosca Blu Ankle Boot Kiruna. 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,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes(Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires). Comparable to our results,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, 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'GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour .

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,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L(LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc-CAPRICE 28251-24 Sandales à lanières pour femme). 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,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , especially in end-of-life situations. In this research,Primigi Pwigt 63828, over time,Clarks Sandales Sillian2.0 Joy pour Femmes, and with this awareness,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.

Mammut Bota Ducan High GTX-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Kaylin 60 Sling. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(WYZDQ Mens Bottes De Neige).

This care is an approach to the planning,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, patients and families. Thus,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix.

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-being of patients of all ages.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,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue(Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en). Surprisingly,Bewinch Moustiquaire pour lit, 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;NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, and the only one who has the power of decision(Vionic Women's). Thus, care practices in end-of-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, 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(FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint).

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,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set . 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-Li Long Longue River Valley(Superga 2750-meshu).

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Conclusion

The decision-Stockerpoint Weste Leander Veste de Costume d'affaires Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Applique murale moderne de style européen pour chambre à coucher, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-of-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer.

Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, 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-New Balance Women's 5K V5 Running Shoe. 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,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set .

WYFX Smart Fingerprint Wallet, 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/CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13, 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-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set , 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,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.

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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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