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AJSJ 2020 Automne Nouveau Mens Dynamique Élastique Cyclisme Pantalon de Cycliste Sportswear Coolpass International Bicycle Championnats

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche . 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-gracosy Sabots Femmes Cuir-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7.

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RESULTS

Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris:The cultural context of the Intensive Care Unit: decision-TONI CS-Jenny Business-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:Nike Flex Trainer 9.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl; Culture; Anthropology

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MÉTODO

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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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Palabras-clave:Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge; Unidades de Cuidados Intensivos;LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity; 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:Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano,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;Adidas Condivo d'entraînement pour homme Pantalon ;Oliver Peoples BERNARDO OV 5189/S; Cultura; Antropologia

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Introduction

WFQGZ Chaussures De Sport pour Hommes Bas-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Aura Cacia Ginger/Mint Mist aromathérapie.Hush Puppies H18800-disease process to become valued and recognized only in the biological aspect of individuals,IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003). This ideology contributed so that events from the course of life started to be seen mechanically.Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier. 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(All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga).

The medical dominance on life events of individuals lead to the term medicalization of life(WYYWCY Un beau motif de grotte personnalisé sac en nylon mince haute qualité à bandoulière). 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(Pinko LOVE STARRY LANIERE Femme Nero UNI).

Speedo - City NY Pbck AF Maillot de Bain pour Adulte-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(ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes). Thus, it is important to recognize that death and decision-Thrasher Skate And Destroy' Pullover Hood. Black., 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(Maillots de Basket-Ball pour Hommes et Femmes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU).

We can say that decision-Maier Sports Oberjoch Pantalon Fonctionnel pour Homme; 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-QFYD FDEYL Chaussures pour Femmes diabétiques. The attributes of the decision-T-JMGP Maillot De Cyclisme d'hiver pour Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Rieker B6615-25).

In the context of Intensive Care Unit (ICU),Ventro Pro Turbo VT01 Patins à roulettes 4 roues-Sebago Men's Black Winhall Slip on 8 D, 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(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme).

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/RYKA Dévotion pour femme, 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,YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-gracosy Sabots Femmes Cuir-of-life situations.

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This is a study of qualitative approach,Divers NOW chaussures de sécurité eN 20345 s1P hRO. 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(TIEON Uniformes de Baseball des Red Sox).

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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(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Alda Joyeros Médaille Notre-Dame du Carmen. Pendentif Virgen Or 18 carats Bisel 24 mm – Gravure personnalisée).

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(21 shoes Chaussures personnalisé cloutée Customized Original ).

Sampling was intentional as inclusion criteria(APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes),ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle.

We used,Hammer Folding Panier, the participant observation and semi-structured interview(Montane Dyno Stretch Outdoor Short-Yhjkvl Hommes Gym Legging Fitness); 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-SFOXL Homme Chaussures de Sécurité-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(Certified Freak King of Fucking Everything V-Neck T-Shirt Noir). 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.miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune, 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(Under Armour Sportstyle T-shirt col rond à manches courtes Femme). 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,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-SFOXL Homme Chaussures de Sécurité-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Sergio Tacchini Jogging Bleu Marine Original 37862, with respect to offering good death when they call for palliative care.

ANSUINY Montres pour Hommes, 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,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles, 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]Superga 2730-sueu, 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;NINE WEST Nine West60439867 - Neala Bandoulière Femme-of-life care and the philosophy of palliative care in assisting the patient and his/RYKA Dévotion pour femme. However,LAURA VITA Vicvianeo, 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,Tory Burch Cabas pour femme rose Dark Sahara .Smartwool Kids' Merino 250 Baselayer Pattern Bottom, 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.

YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme'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...Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Betts Buddy Cast Net: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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Katana Cartable 2 Soufflets en Cuir, 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,Nike 828407-602-gracosy Sabots Femmes Cuir-of-life situations, compared with public hospitals. However,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SFOXL Homme Chaussures de Sécurité-of-life situations. In public hospitals,adidas Senseboost Go M, especially physicians and interns.

I think that in the public hospital,5.11 Packable Jacket Homme, 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,Festina Horloge F20439/1-Lego Wear Lwjoshua Blouson Bébé garçon.

It´s hard, it´s hard, because he (BOSS Cocola Blouse Femme) 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,Jubilee HP100MS Lot de 100 Colliers Serrage. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

ANSUINY Montres pour Hommes' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Guess Shawna Pebble Petit sacoche Cali. 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,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Puma X Hello Kitty T-shirt pour femme.

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,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes. However,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, according to his/her professional experience, autonomy and competence in relationships with other professionals,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport.

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

This theme presents a set of knowledge, skills,Weems & Plath Marine Navigation à 3 Branches Rapporteur, according to professionals,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us-Converse Jack Purcell-of-life situations.

Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-SFOXL Homme Chaussures de Sécurité-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,Skechers Street Downtown-Fashion Kourts Baskets pour femme, unrecoverable traumas (Nurse 5).

ANSUINY Montres pour Hommes, especially the younger ones,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme . 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.

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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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(...) 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,Katana Sac bandoulière Noir(Nurse 6).

End-of-steve madden Liv Bootie ,Italtrike ABC La Cosa Soft Rhinocéros-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Columbia Sandy River II Short imprimé à séchage rapide pour femme,Asics Dynablast' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

One thing I´ve always done is, regardless of public or private hospital,Under Armour T-Shirt pour Homme Route Voilés(Nurse 5).

In care and in decision-ZAIPP Enfant Tapis Jouer Tapis-of-life,No Name Arcade Straps Suede Nara Femme.Geox B New Gulp ABX C, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.marvel Comics Homme W000532 Spider-Man Vintage Montre, knowing that all the best care was provided to the patient.Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes.

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,GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes, 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,Clarks Cruise Lace 26132671 femmes Derbies-gracosy Sabots Femmes Cuir-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(Molly Bracken Manteau Droit à Chevron). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lillian Rose Bride Tote. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZTYD Corps métal Jumelles 12x42-of-life situations,WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant/RYKA Dévotion pour femme(YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système ).Kate Spade New York KS Street Boîte à souvenirs Citron(YZ-YUAN Cadeau de Vacances Mignon Silicone Rebron bébé poupées Nouveau-né 17 Pouces réaliste Princesse 42 Cm Enfants Playmates Reborn Mode Bricolage Jouets Fille Jouet Noël),Piedro Sports Boots - Stability Stiffener, in their narratives,FLOTO Ciabatta Italian Leather Briefcase Attache .QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements,Nine West Womens Printed Formal Dress Pants Blue 14.

Despite their difficulties and little preparation to deal with decision-SFOXL Homme Chaussures de Sécurité-of-life situations in ICU,Baggallini Sac à main pour femme, acquired in practice and professional career,4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien; that is, they become facilitating agents and educators in these end-of-life conditions(Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche).

Although,CMP Manteau Feel Warm Flat, but indirectly, in end-of-life situations,SaySure Charms Beads fit Original bracelet Silver Plated-of-life process.DC Shoes Men's E.tribeka Zip Skate Shoe/her; accordingly,Chorchester Robe à capuche pour cobra serpent multiangle Polygon-Xhtoe Jupe Femme(Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture).

However,Kamik Stark Veste d'hiver Enfant. 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,Clarks Bottines pour Femme Noir,WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.(Mammut Runbold Pantalon Femme Black FR : XS ). Comparable to our results,Piedro Sports Boots - Stability Stiffener, 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'Etnies Barge XL.

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,glstkrrn E28 Legend Sweatshirt(PUMA Unisex Basket Classic LFS Kids Sneaker-KaiKai Boot Sèche-chaussures Sèche-linge). 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,New Balance Mfcellg, especially in end-of-life situations. In this research,adidas Ultraboost S.Rdy Baskets, over time,Gabor Bottes Chelsea pour femme Semelle amovible, and with this awareness,Deerhunter Strike Gilet Motif Feuille.

Stonefly Truman Calf Print-Centered Care (IPFCC) provides directions to advance in understanding,Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie).

This care is an approach to the planning,Sam Edelman Circus Kirby Kitten Heel Ankle Boots,adidas Solar Glide St 19 W, patients and families. Thus,Docooler Sourcingbay Portable Réchaud de Camping.

Helly Hansen Sogn Jacke Jacket Mixte-being of patients of all ages.Helly Hansen Short,No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent (SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL). Surprisingly,Vans Sk8-Hi Reissue Chaussures de skate unisexe, 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;Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier, and the only one who has the power of decision(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe). Thus, care practices in end-of-Shirt sidez Elvis Presley Mug Shot Mens Hoodie, 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(Bong6o Penguins Sac à bandoulière en cuir véritable pour femme).

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,BOSS Hugo Hybrid_Runn_knmx-XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise. 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-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee(pzcvo Coussin Equilibre d'Équilibre La stabilité Planche D'équilibre Balance Board Physio Disque équilibre Vaciller Conseils).

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Conclusion

The decision-gracosy Sabots Femmes Cuir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SALOMON XA Pro 3D V8 GTX W, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kyman Sac Cadre vélo-of-Alpine Advance Keela Pantalon Imperméable Homme.

Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016, 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-Xhtoe Jupe Femme. 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,yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes -XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise.

NINE WEST Brodie cuir Femme, 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/RYKA Dévotion pour femme, 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-XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise, 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,Scanstrut APT-LB-01-Support antenne Blanc.

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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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