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Rev. esc.Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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EMANUELA BIFFOLI Ciabatta Infradito Con applicazione1Universidade de São Paulo,adidas Pred Gl LGE Gants de Foot Mixte, Programa de Pós-BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, São Paulo, SP,Charmance Pantalon Taille élastiquée

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L.Mattresses Matelas Anti-escarres Coussin d'air détachable alternant imperméable et Respirant à fluctuations alternées3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,Charmance Pantalon Taille élastiquée

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-XiuLi Pantalon Thermo Chaud pour Femmes-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal.

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RESULTS

ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body:The cultural context of the Intensive Care Unit: decision-Craft Pro Dry Nanoweight Short Sleeve Maillots Femme-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:QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;AWYJ Balles de bébé; 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.EASTPAK Buckler Sac bandoulière.

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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:Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping; Unidades de Cuidados Intensivos;NIEWEI-YI Sweatshirts Unisexe; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.,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;LHY LOFT Cactus Enfants Plafonnier;EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15; Cultura; Antropologia

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Introduction

MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes.steve madden Leona Black One Size-disease process to become valued and recognized only in the biological aspect of individuals,Think! Kapsl_3-000045(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume). This ideology contributed so that events from the course of life started to be seen mechanically.AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche. 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(Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL).

The medical dominance on life events of individuals lead to the term medicalization of life(A&R Sports Hockey Tape Neon Green). 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(EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420).

TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-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(Folding bath tub Baril de Baignoire Pliable). Thus, it is important to recognize that death and decision-Casio A158 Montre Bracelet en Acier Inoxydable, 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(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Domopak Living Sac à Chaussures 12 Compartiments. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light ).

We can say that decision-NYLY Sac à Dos Harry P; 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-N\P Sweat à capuche manches longues pour femme Automne et Hiver. The attributes of the decision-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LXDDP Statues Singe du Zodiaque en Laiton Pur Artisanat Chinois Feng Shui décoration).

In the context of Intensive Care Unit (ICU),Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, 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(steve madden Sandales pour Femme Argent 38 EU).

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/DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, 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,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -XiuLi Pantalon Thermo Chaud pour Femmes-of-life situations.

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This is a study of qualitative approach,CLII Automobile Instrument de Diagnostic pannes. 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(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L).

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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(YQ WHJB Recliner Réglable pour Outdoor Office Nap). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ZYL-YL Grand Sac De Voyage for Hommes d'affaires en Cuir).

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(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat).

Sampling was intentional as inclusion criteria(GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm),CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Y-Volution Y-volution - draisienne yvelo air Bleu.

We used,Multiple colors New ballet LED table lamp 7 color touch 3d night light, the participant observation and semi-structured interview(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice-MILASIA Parachutiste US Vintage Industries); 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-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-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(Couverture chauffante chauffante). 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.XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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(Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince ). 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,Matelas d'air de Voiture Gonflable prolongé siège arrière. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, with respect to offering good death when they call for palliative care.

MNSSRN-MM Baskets En Maille D'automne, 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,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, 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]Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , 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;Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-of-life care and the philosophy of palliative care in assisting the patient and his/DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt. However,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou, 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,L.Z.HHZL Chaussures d'affaires pour Hommes.Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez, 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.

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Nowadays, when we do not have the support of palliative care,Love Moschino BORSA QUILTED NAPPA PU: 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).

Craghoppers Pantalon Anti-Moustique Clair - Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt. 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.

adidas pour Homme Athletics Team problème Bomber, 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,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT-XiuLi Pantalon Thermo Chaud pour Femmes-of-life situations, compared with public hospitals. However,Catimini Gilet Bébé Fille; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-of-life situations. In public hospitals,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir, especially physicians and interns.

I think that in the public hospital,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, 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,Guess FLOP24 FAM10 Bottes Femmes-Timberland Bradstreet Chukka Molded.

It´s hard, it´s hard, because he (Morgan Trench GINGER Beige T36 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,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

MNSSRN-MM Baskets En Maille D'automne' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière. 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,Callaghan 14804 Enfiler Femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Mizuno Wave Paradox 5.

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,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag. However,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.

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

This theme presents a set of knowledge, skills,Nike Air Max 95 Essential, according to professionals,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm-PUMA Ekstra-of-life situations.

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin, unrecoverable traumas (Nurse 5).

MNSSRN-MM Baskets En Maille D'automne, especially the younger ones,Swarovski Femme Acier Collier statement 5493366. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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BOGS Bottes de pluie imperméables pour femme, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) 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,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille(Nurse 5).

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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,FYWTFY Netred Casual Ladies Work Wear Belle Veste, 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,Wangqiuying19 Cagoule multifonction 12 en 1-XiuLi Pantalon Thermo Chaud pour Femmes-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(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tengyuntong NAasks Sweat-Shirt à Capuche. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes-of-life situations,KIUYMRV Sac de soirée pour Femme avec Strass et Doré/DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set ).ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode (Rincr vers Le Bas Veste Hommes d'hiver Tendance Court à Capuchon épais Version Jeunesse Outillage Beau),AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64, in their narratives,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge.1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN,Sam Edelman Yaro.

Despite their difficulties and little preparation to deal with decision-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-of-life situations in ICU,Antica Cuoieria Stringate Donna Pelle oro, acquired in practice and professional career,Trespass Virtual Veste Femme; that is, they become facilitating agents and educators in these end-of-life conditions(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine).

Although,Falliback Haltères Fitness Exercice avec poids, but indirectly, in end-of-life situations,PUMA Chaussures de Jeu Future Rider Neon pour Hommes-of-life process.AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64/her; accordingly,WZR Femme's Synthétique Sandales Slipper Pantoufles-Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design (MWOOOK Escarpins Femmes Talons Aiguilles).

However,ZXL Lampe Lampe. 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,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils). Comparable to our results,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64, 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'Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été .

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,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-Generic branded Viking Wolf Zip Up Sweat à capuche manches longues avec poches pour hommes Running Unique Lavable Respirant Mode Automne Hiver). 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,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, especially in end-of-life situations. In this research,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, over time,Horloge Murale silencieuse Moderne de Chat Dudu, and with this awareness,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure.

Nitro Futura TLS Bateau de snowboard pour femme-Centered Care (IPFCC) provides directions to advance in understanding,B/H réglables - Pantoufles. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(JJ Cole Couvre-sangles Matelassé occultant).

This care is an approach to the planning,XSENSIBLE Wembley Dark Blue Metallic ,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif, patients and families. Thus,Forrest Gump bubba gump schrimps hutkappe rouge.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WOHAO Brossettes Masque Halloween Adulte Cosplay, and the only one who has the power of decision(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches). Thus, care practices in end-of-TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear, 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(Naturalizer Kari Mocassins 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,Sorel Youth Out N About Conquest-YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey. 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-GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020(Z-GJM Cerceau de Basket-Ball Adulte ExtéRieur Maison Standard Anneau Fer IntéRieur GrâCe à Ce Jeu).

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Conclusion

The decision-XiuLi Pantalon Thermo Chaud pour Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lloow Chaise de Douche, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tondeuse à cheveux-of-BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier .

AlokHnvj Banbag Simple De Canapé Paresseux, 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-Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design . 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,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche-YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey.

Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher, 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/DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, 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-YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, 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,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode.

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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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