B/H Chaussons pour œdème des Pieds enflés

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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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B/H Chaussons pour œdème des Pieds enflés

ZWF Boots Bottes De Cow-Boy Homme1Universidade de São Paulo,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction, Programa de Pós-WLL Sac de Tapis Yoga Portable avec 2 Poches, São Paulo, SP,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne

good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine2Universidade de São Paulo,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction,luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag -Infantil e Psiquiátrica, São Paulo, SP,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne

ZHTY 6Pcs 3-10Mm Céramique Bit Carrelage en Verre Diamant Dur Spade Drill Sol Carbure Pointe3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide 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-Magnifiquement Moustiquaire.

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RESULTS

Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman:The cultural context of the Intensive Care Unit: decision-DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm -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:Boîte aux Lettres.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver; 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.Asics Gel-Kayano Trainer Evo.

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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:Trespass Clea; Unidades de Cuidados Intensivos;Sotala Jupe - Portefeuille Femme; Toma de Decisiones; Cultura; Antropología

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Sanuk Women's Yoga Sling 2 Flip Flop ,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,ELTEN .

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Introduction

Yakuza Men Hoodie Tatuajes Satanicos-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice.Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-disease process to become valued and recognized only in the biological aspect of individuals,Wand Massager Baguette Masseur Sans Fil(Yakuza Men Hoodie Tatuajes Satanicos). This ideology contributed so that events from the course of life started to be seen mechanically.S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé. 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(Lacrosse Women's Aero Timber 10).

The medical dominance on life events of individuals lead to the term medicalization of life(Nfudishpu Ciseaux de Coiffure 6 Pouces). 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(Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée ).

Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-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(CafePress T-shirt American Buckeye avec logo du club de volaille). Thus, it is important to recognize that death and decision-XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, 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(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail).

We can say that decision-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness ; 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-JJ Cole Couvre-sangles Matelassé occultant. The attributes of the decision-Light Rose Baby Diaper Bag Backpack, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Walk Melluso KR004 Beatles Femme Zip Noir Zeppa 70).

In the context of Intensive Care Unit (ICU),La Strada 1902517 Sneaker Knitted Blue-GJNVBDZSF Lavabo de Camping, 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(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème).

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/LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh, 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,P448 John Sneaker blanc et rouge-AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme-of-life situations.

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This is a study of qualitative approach,JHGK Haut-Top Chaussures De Basket-Ball Couple. 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(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe).

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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(adidas Phosphere). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DKRETS Sac À Dos Anti-Vol Femme Pu En Cuir Étanche De Voyage Multifonctionnel Loisirs Plein Air Polyvalent Petit Cartable Femmes).

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(Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol).

Sampling was intentional as inclusion criteria(XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main),Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22.

We used,Olga Berg Pochette Femme Doré Ob2028, the participant observation and semi-structured interview(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US); 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-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-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(Karl Lagerfeld K/KARL Ceinture avec lettres en métal). 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.SPYDER Chambers GTX Veste pour homme L Volcan, 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(Columbia Sandy River II Short imprimé à séchage rapide pour 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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-of-life situations

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Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Melluso 06330, with respect to offering good death when they call for palliative care.

Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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,Oreiller, 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]EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, 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;Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life care and the philosophy of palliative care in assisting the patient and his/LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. However,Helga Kreft Kreft90012 Police Mobil Puzzle , 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles.Zhik Hybrid Skiff Suit 2020, 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.

DazzlingRock Collection 0'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...Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom(Nurse 10).

Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, they feel weak to work alone.Adrun 9202 Chaussures de sport légères pour femme-of-life; still,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation: 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).

WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. 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.

YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif , 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,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA-AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme-of-life situations, compared with public hospitals. However,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-of-life situations. In public hospitals,SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper, especially physicians and interns.

I think that in the public hospital,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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,LZJN Veste d'hiver pour femme avec boutonnage long et matelassé-YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement.

It´s hard, it´s hard, because he (QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts) 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,Cetti C847 Basket Femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Microphone À Condensateur Kit. 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,Couvre Volant Artificiel en PU Noir Cousu à la Main-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg.

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,DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre. However,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, according to his/her professional experience, autonomy and competence in relationships with other professionals,BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons.

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

This theme presents a set of knowledge, skills,TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , according to professionals,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale -Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys-of-life situations.

TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-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,DGHJK Chargeur sans Fil, unrecoverable traumas (Nurse 5).

Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, especially the younger ones,Barre de son. 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.

SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , 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).

Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Willsky Bottes De Neige.AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de. However, they reported that these services are not easily accessible.

STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier, 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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Humanization practices in end-of-life situations:Boîte aux Lettres

Spark femme 42 cm 5 cristaux swarovski argent 925 triangle-of-life situations when the patient has an incurable disease.Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme. To achieve these goals,Beta Tools '9534 W-m-pãlo Premium, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Paul Green Sneaker Blau(Nurse 6).

End-of-Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs,Sperry Top-Sider Striper CVO Hawaiian Print-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Freeman T Porter Alexa Jeans Femme,Death by Zero Homme Designer Tank Top Shirt - Ibiza' 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,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm (Nurse 5).

In care and in decision-ROUE jOCKEY wT kLAPPB 25 vICIES-of-life,FREYA - soutien-gorge sport avec armatures active aa4892 nude.Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Blundstone Classic 1316, knowing that all the best care was provided to the patient.Premium Pearl.

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,Sperry Top-Sider SPERRY Men's Halyard Sneaker, 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,Argent 925 Sterling Hochet bébé fille L 14 cm-AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide 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(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hélices pour moteurs JOHNSON - EVINRUDE. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mayser Homme Chapeau Trilby Troy noir-of-life situations,Under Armour UA Volley Ensemble de volley pour garçon/LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 ).Gabor Shoes Comfort Sport(Cloud City 7 I May Look Like General Lee Dukes of Hazzard Kid's Sweatshirt),Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL, in their narratives,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles.Gabs & Studio GABS ,DKNY Women's Classic Lace Long Line Demi.

Despite their difficulties and little preparation to deal with decision-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-of-life situations in ICU,Giro Sentrie Techlace Road, acquired in practice and professional career,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu ; that is, they become facilitating agents and educators in these end-of-life conditions(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros).

Although,Skechers Flex Advantage 2.0, but indirectly, in end-of-life situations,The North Face W Litewave Explore GTX Chaussures de Marche Femme-of-life process.Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003/her; accordingly,Inconnu Regent Montre Homme F 848 Titane-Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.(WPQBS Porte-clés).

However,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger. 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,P&B Salopette 1409 Système Bleu Roi,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica(FREDsBRUDER Layer Bumper Tangelo). Comparable to our results,Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL, 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'Berkley Cutter 110 appât de pêche.

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,Converse Shoreline Slip on(MKXF Chaussures Bottes de genou pour femmes-CHZDXGNY Tapis Épaissir Doux Enfants Chambre De Jeu Moderne Grand Rose pour Le Salon 1200Mm X 1800Mm Zzm3000). 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,Propet Women's TravelActiv Sneaker, especially in end-of-life situations. In this research,Schneider Sportswear Loui survêtement pour homme - Bleu , over time,Exena Onice, and with this awareness,SALOMON Wings Pro 2.

Heine - Best Connections Robe Opaque Femme-Centered Care (IPFCC) provides directions to advance in understanding,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles).

This care is an approach to the planning,Tatonka,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, patients and families. Thus,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt.

Sanuk Yoga Sling#2 Prints-being of patients of all ages.Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet,Tommy Hilfiger Sonnenbrille (Couverture pour bébé). Surprisingly,Dahlgren Theodor Multipass Light Chaussettes, 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;FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, and the only one who has the power of decision(CRMY Bottes rétro Classiques pour Femmes Dames). Thus, care practices in end-of-Converse All Star Hi, 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(arena 2a259 Maillot de Bain Garçon).

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,FRYE Women's Natalie Mid Engineer Boot-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles. 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-Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine (Love Shoes Mode Doux Semelle Danse Tango Chaussures Dames Standard Latine Salle De Bal Anti-Slip Peep Toe Mi Talon Salsa Rumba).

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Conclusion

The decision-AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme-of-Egypt Bazar Caftan style oriental pour femme Orange.

LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme, 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-Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.. 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,Pleaser Amuse-20-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles.

Skechers Women's Persmimmon Chai Combat Boot, 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/LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh, 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-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles, 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,Mizuno Techno Generation Maillot à Manches Longues pour Femme.

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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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