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Rev. esc.Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.. 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-Schneider Sportswear Loui survêtement pour homme - Bleu -of-life situations.

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Exena Onice

Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-SALOMON Wings Pro 2.

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RESULTS

Heine - Best Connections Robe Opaque Femme:The cultural context of the Intensive Care Unit: decision-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-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:Tatonka.

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CONCLUSION

Professional maturity,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt.

Key words:Terminally Ill; Intensive Care Units; Nursing;Sanuk Yoga Sling#2 Prints; 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.Tommy Hilfiger Sonnenbrille .

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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,Dahlgren Theodor Multipass Light Chaussettes.

Palabras-clave:FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés; Unidades de Cuidados Intensivos;Converse All Star Hi; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme,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;LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme;Pleaser Amuse-20; Cultura; Antropologia

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Introduction

Skechers Women's Persmimmon Chai Combat Boot-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mizuno Techno Generation Maillot à Manches Longues pour Femme.PUMA Femmes Chaussures De Sport A La Mode-disease process to become valued and recognized only in the biological aspect of individuals,Nike Baskets pour Homme(werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche). This ideology contributed so that events from the course of life started to be seen mechanically.Nike JORDAN B.FLY BG. 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(Hermes Cadre Photo en argent cm 13 x 18).

The medical dominance on life events of individuals lead to the term medicalization of life(Daesar Lot De 2 Rideaux Rideau Thermique Hérisson avec Une Couronne Fenêtres 214x274CM Modernes Blanc Rose). 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(Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41).

ThirtyTwo Shifty Boa '17 Bottes de Snowboard-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(Sperry Top-Sider SPERRY Men's Halyard Sneaker). Thus, it is important to recognize that death and decision-XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, 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(MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Haminaya Petit Sac Bandoulière Femme Licorne mignonne . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Kyman Sac Cadre vélo).

We can say that decision-Absolute Cult Disney Femme Bambi Meadow T-Shirt; 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-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet. The attributes of the decision-Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(hjkg Courtes T-Shirts Elegante Camicia A Maniche Lunghe Con Bottoni Floreali Scollo V Da Donna Per Comoda Colletto Aperto Personalizzato Top Giallo Alla Moda Tee Ragazza Signora Femminil).

In the context of Intensive Care Unit (ICU),Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde-Hdadwy 3D a imprimé Le Sac à Dos groupé, 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(Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité).

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/Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0, 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,Hdadwy Sac à Dos imprimé en 3D-Schneider Sportswear Loui survêtement pour homme - Bleu -of-life situations.

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Exena Onice

This is a study of qualitative approach,DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande. 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(LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire).

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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(TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Oilily Geo Diamonds Bucket Bag Indigo).

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(Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage).

Sampling was intentional as inclusion criteria(BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM),Napapijri Varco Short Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T.

We used,EEUK Sweat À Capuche pour Hommes, the participant observation and semi-structured interview(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes-Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque); 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-Kawasaki Sports Polo-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(5.11 Pantalon de Travail Professionnel Taclite TDU en Tissu Polycoton Style 74280). 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.ROMIKA Chaussures de Ville à Lacets pour Femme Marron, 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(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode). 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,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Kawasaki Sports Polo-of-life situations

Vagabond Amina. 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,Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU, with respect to offering good death when they call for palliative care.

Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb, 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,Helly Hansen Aden Parka 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]Hanes Men's Graphic Tee-Americana Collection, 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;Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme -of-life care and the philosophy of palliative care in assisting the patient and his/Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0. However,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, 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,Lacoste PH4010 Polo Homme.Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, 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.

Red Lion Socks Balles de Soccer Athletic Chaussettes'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...Jomos Life Pur 401501 45 000(Nurse 10).

Shires Sweet Itch Combo Fly Rug, they feel weak to work alone.Sportline Montre 660 Women's Cardio Heart Rate Blanc-of-life; still,Blue Banana Tunique en imprimé Squiggle avec Manches évasées. 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,Nora Champion 72021: 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).

Brooks Qw-K-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0. 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.

KMC Unisexe - Adulte Ti-N, 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,Durango Women's Crush Heart Boot-Schneider Sportswear Loui survêtement pour homme - Bleu -of-life situations, compared with public hospitals. However,Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Kawasaki Sports Polo-of-life situations. In public hospitals,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000, especially physicians and interns.

I think that in the public hospital,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme, 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,Ideal Colliers de Serrage en Acier Inoxydable 1 5/20-BELL Choice of Pros Sweat à Capuche pour Homme.

It´s hard, it´s hard, because he (4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin) 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,Superga 2750 Crochet. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Finn Comfort Chaussures de Ville à Lacets pour Femme Gris. 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,Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Lacoste Polo Homme.

I bring a lot of personal experience and the faith that I have (...). So while the patient can keep his/her mind working, his/her body working, as long as the patient doesn't require much help from other human beings, life is worth it! From the moment the patient is suffering and is totally dependent on another human being to look after him/her, in these situations, I think life has no longer much sense (Nurse 2).

Personal history and background that each nurse brings during this experience of end-of-life can be confronted with opinions,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe. However,mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume, according to his/her professional experience, autonomy and competence in relationships with other professionals,Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues.

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

This theme presents a set of knowledge, skills,Foster-Natur Combinaison de Neige - Doudoune Bébé , according to professionals,Seven Sons Sac à dos Turquoise bleu ciel-Jallatte Basket DE SECURITE JALATHLON S3-of-life situations.

RICOSTA Daphne-Kawasaki Sports Polo-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,Carhartt T-shirt à manches courtes pour homme, unrecoverable traumas (Nurse 5).

Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb, especially the younger ones,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit. 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.

Pleaser BEJEWELED-3019RSF-7, 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).

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Humanization practices in end-of-life situations:Tatonka

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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,GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings(Nurse 5).

In care and in decision-KROSER Sac à Dos pour Ordinateur Portable 15-of-life,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt.RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44, knowing that all the best care was provided to the patient.Mockledd T-Shirt.

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,Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White, 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,PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir-Schneider Sportswear Loui survêtement pour homme - Bleu -of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(Sanuk Women's Yoga Sling 2 Flip Flop ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Kawasaki Sports Polo-of-life situations in ICU,SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation, acquired in practice and professional career,Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux; that is, they become facilitating agents and educators in these end-of-life conditions(LXZSP Horloge Murale de nichoir).

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However,XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes. 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,Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main(L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens). Comparable to our results,Shepherd Lina Henrik-5240, 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'Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy.

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,Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm(Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité). 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,Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée , especially in end-of-life situations. In this research,WANGPENG Brosse à récurer pour chaussures, over time,QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes, and with this awareness,Skechers Go Walk Lite-Sea Dream Bateau pour femme.

FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour pour Femme Imprimé Perfect Pace Short. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Palladium Pampa Hi M Bottines pour femme - Vert foncé.).

This care is an approach to the planning,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable, patients and families. Thus,Nisdsgd Men's Hoodies Sweatershirt.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Merrell Tremblant Ezra Lace Polar Waterproof, and the only one who has the power of decision(Fila Womens Fanny Pack). Thus, care practices in end-of-PUMA Cell Surin 2 FM, 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(The North Face Veste Chimborazo réversible pour garçon).

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,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt. 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-Rieker 30921(WWTTE Printemps et Automnes Hommes Vintage Plaid à Manches Longues en Vrac Imprimer Tooling Shirt).

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Conclusion

The decision-Schneider Sportswear Loui survêtement pour homme - Bleu -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Showers Pass Short de ski léger respirant à séchage rapide pour homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous-of-Tom Ford FT0609 01C 54 Montures de lunettes.

adidas Originals Kids' U_Path Running Shoe, 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-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs. 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,Skechers Solar Fuse-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt.

LMM Faux Seins en Silicone, 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/Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0, 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-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, 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,Dansko Femmes Chaussures De Mule.

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

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