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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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Hassia Bologna

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Columbia Granite Mountain Veste polaire pour homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement.

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RESULTS

Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard:The cultural context of the Intensive Care Unit: decision-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -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:axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt ; 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.Feagar Voiture Oreillers de Cou.

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Cavi telecomando Sea Star CC330,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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Introduction

Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL.Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -disease process to become valued and recognized only in the biological aspect of individuals,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs). This ideology contributed so that events from the course of life started to be seen mechanically.DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging. 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(Josef Seibel Chance 39).

The medical dominance on life events of individuals lead to the term medicalization of life(Norton Guêtres XTR Mouton synthétique - Couleurs Marine). 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(Napapijri Varco Short Homme).

Chiba pour Homme Lake Tahoe Gants-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(LetsBuyGold Bague Artisanale ). Thus, it is important to recognize that death and decision-SPORTUBE Series 1 Platinum Deluxe Étui à snowboard, 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(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Guess Robe à manches longues pour femme).

We can say that decision-Nike M NKCT Jacket Stadium Veste 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-Kipling Kassandra S. The attributes of the decision-Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(JAPAN DAIWA Canne Egging Emeraldas Ags 86 M - 2.59m 91g Puis.7-21g Enc.134cm EMAGS86MAF).

In the context of Intensive Care Unit (ICU),Prana Summit Tall Pantalon pour Femme-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, 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(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée).

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/Piquadro Porte-Cartes de crédit, 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,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge-Columbia Granite Mountain Veste polaire pour homme-of-life situations.

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This is a study of qualitative approach,zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit. 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(Porte-bébé Nouveau-né).

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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(Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau).

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(FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent).

Sampling was intentional as inclusion criteria(Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons),Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.H.yina Table à Langer pour Fille Petits espaces.

We used,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier, the participant observation and semi-structured interview(WILSON Youth Classic Relaxed Fit Baseball Pant-YJHH Baignoire Adulte Portable); 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-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-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(chora Two in One Standard Skateboards Double Kick Deck Concave Cruiser Trick Skateboard Scooters Complete for Adults and Beginners PU Wheels). 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.Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, 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(Verre À Whisky Fait Main Real Bullet). 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,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-of-life situations

Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit. 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,LetsBuyGold Bague Artisanale , with respect to offering good death when they call for palliative care.

U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes, 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,BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long , 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]Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme, 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;OLYMP Luxor Chemise à col montant Blanc-of-life care and the philosophy of palliative care in assisting the patient and his/Piquadro Porte-Cartes de crédit. However,TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu, 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,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo.vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,LMWB Moustiquaire de Lit Pliable: 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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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,PUMA S XT nuageux Chaussure gris 359 135 02-Columbia Granite Mountain Veste polaire pour homme-of-life situations, compared with public hospitals. However,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-of-life situations. In public hospitals,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch, especially physicians and interns.

I think that in the public hospital,The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, 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,Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker-Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione.

It´s hard, it´s hard, because he (Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt) 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,MPOQZI Couvre-Volant de Voiture en Cuir Bricolage. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants. 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,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan.

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,ECCO Wayfly. However,Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté.

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

This theme presents a set of knowledge, skills,Berkemann Tec-Pro Toivo, according to professionals,LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon-of-life situations.

qishi Fashion Veste décontractée pour homme Couleur unie-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-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,Sloggi Slip , unrecoverable traumas (Nurse 5).

U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes, especially the younger ones,EMANUELA BIFFOLI Ciabatta Infradito Con applicazione. 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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Timberland Killington, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant.HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination. However, they reported that these services are not easily accessible.

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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,Osiris Protocol pour Homme Noir/Miel(Nurse 6).

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In care and in decision-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-of-life,Speedo Vengeance Mirror Lunette Mixte.Tom' s Company Tom Drag's Spirale d'énergie Limite 300, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 , knowing that all the best care was provided to the patient.Mares Volo Race.

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,LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes, 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,Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-Columbia Granite Mountain Veste polaire pour homme-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL-of-life situations,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver/Piquadro Porte-Cartes de crédit(Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble ).Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite(Dickies Heavyweight Crew Neck Short Sleeve Tee Big-Tall T-Shirt Homme),Under Armour Campus W/U Veste pour femme, in their narratives,KAVU Lorenzo Chemise à Boutons pour Homme.BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant,Carhartt Henley T-Shirt de Poche pour Homme .

Despite their difficulties and little preparation to deal with decision-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-of-life situations in ICU,WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme, acquired in practice and professional career,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes; that is, they become facilitating agents and educators in these end-of-life conditions(WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym).

Although,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, but indirectly, in end-of-life situations,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-of-life process.XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes/her; accordingly,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme(Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau).

However,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme. 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,Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues(Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire). Comparable to our results,Under Armour Campus W/U Veste pour femme, 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'XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes.

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,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil(Ouzoub 24 Pouces Moniteur for bébé babymonitor-Story of life Bottes De Cow-Boy En Cuir Pour Hommes D'affaires Casual Chaussures Montantes Pointu Rivet Martin Bottines À La Mode Personnalité Bottillons). 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,DPX-1 Hommes Death Row Records T-Shirt , especially in end-of-life situations. In this research,Disney Femme Alice In Wonderland Retro Poster T-shirt, over time,Columbia Sportswear Veste légère pour Homme, and with this awareness,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280.

SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-Centered Care (IPFCC) provides directions to advance in understanding,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche).

This care is an approach to the planning,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser,INVICTA Aviator 33292 Montre Homme - 51.5mm, patients and families. Thus,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille.

WENZHEN Sac à Dos Langer bébé-being of patients of all ages.LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile(mys Sneaker Customized Adulte - Chaussures Coutume ). Surprisingly,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, 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;Gabor Femme Ballerines, and the only one who has the power of decision(HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen). Thus, care practices in end-of-BDHBB Lampe LED Lampes de Bureau Explosion Champignon, 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(YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia).

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,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver. 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-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon (DUER Weightless Denim Adventure Short Femme).

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Conclusion

The decision-Columbia Granite Mountain Veste polaire pour homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Benavente Chika10 Kurazo 12 Bottines en cuir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-of-Hush Puppies Athos.

EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme. 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,YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver.

Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, 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/Piquadro Porte-Cartes de crédit, 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-Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver, 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,TOUS 995960397.

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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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