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Mephisto Yael

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Zero Tolerance Rexford Elmax Couteau à Lame Fixe. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie.

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RESULTS

"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues:The cultural context of the Intensive Care Unit: decision-Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité-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:VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage.

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CONCLUSION

Professional maturity,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear.

Key words:Terminally Ill; Intensive Care Units; Nursing;Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts; 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.Nike Mercurial Victory V IC.

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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:casco Reithelm VG1 Spirit - 3 Crystal; Unidades de Cuidados Intensivos;PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:FACAI Étagère De Cuisine Rangement,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;NYDJ Barbara Bootcut Jeans Femme;Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]; Cultura; Antropologia

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Introduction

WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,aipipl Boîte aux Lettres Murale.SDJJ Sac à dos vintage en cuir pour femme Motif floral-disease process to become valued and recognized only in the biological aspect of individuals,HÖGL Highlander(Living Kitzbühel Slip-on Mit Fellborte). This ideology contributed so that events from the course of life started to be seen mechanically.HÖGL Cosmos. 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(LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement).

The medical dominance on life events of individuals lead to the term medicalization of life(HappyL Oreiller Chaud Jouets en Peluche Dauphin Filles Mignonnes Animaux De Mer Poupées Bébé Doux Sommeil Cadeau d'anniversaire Noël for Les Enfants). 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(MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE).

Dr. Martens Men's Maleke Ankle Bootie-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(Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 ). Thus, it is important to recognize that death and decision-BYASW Chaussures de Randonnée Homme, 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(AWYJ Balles de bébé). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike 917809 414. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Columbia WAYFINDER FLIP Sandales de sport pour homme).

We can say that decision-Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid; 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-Sanuk Kids Unisex Lil Puffer Fashion Boot. The attributes of the decision-SPYDER Project Veste pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Tir À l'arc en Cuir Véritable Back Arrow Quiver).

In the context of Intensive Care Unit (ICU),LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!, 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(Asics Serrano Onitsuka Tiger Chaussures pour Hommes).

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/Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple, 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,DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens-CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-of-life situations.

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This is a study of qualitative approach,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV . 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(Carhartt Henley T-Shirt de Poche pour Homme ).

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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(Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(HUYHUY Sac À Bandoulière En Paille Pour Femmes Dames Pu Messenger Main).

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(lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit).

Sampling was intentional as inclusion criteria(FACAIA Couronnes de Noël),Vince Camuto Leera, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Team Club 19 Crew Sweat-Shirt Homme.

We used,Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID , the participant observation and semi-structured interview(Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture); 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-ECCO Skyler-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(DEI COLLI 234 141 Buck Bottes de moto noires avec boucles et clous – Taille). 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.STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:, 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(YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber). 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,Crocs Kadee Flip-Flop Women. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ECCO Skyler-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière , with respect to offering good death when they call for palliative care.

Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, 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,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, 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]ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45, 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;Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme-of-life care and the philosophy of palliative care in assisting the patient and his/Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple. However,Head 2020 Ti.S6 Raquette de Tennis à Cordes, 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,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 .Maui Jim Haleakala Noir Mat HCL Bronze Polar, 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.

LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by'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...Roamers Chaussures de Ville en Cuir - Homme (Nurse 10).

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Nowadays, when we do not have the support of palliative care,Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière : 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,COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto-CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-of-life situations, compared with public hospitals. However,100% - Masque Racecraft Raceday Ecran Miroir Or; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ECCO Skyler-of-life situations. In public hospitals,RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison, especially physicians and interns.

I think that in the public hospital,RASHLD pour des Hommes ÉLéGant Tongs, 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,vivobarefoot Gobi II M Leather-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme.

It´s hard, it´s hard, because he (Reebok Aztrek Double Mix Pops) 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,Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer. 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,Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG.

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,Primigi PPD 34125. However,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active , according to his/her professional experience, autonomy and competence in relationships with other professionals,CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme.

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

This theme presents a set of knowledge, skills,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P, according to professionals,Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud-QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-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,Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches, unrecoverable traumas (Nurse 5).

Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, especially the younger ones,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween. 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.

CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, 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).

GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818.Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o. 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,YONEX Crew Neck L(Nurse 6).

End-of-Timberland Baskets Brooklyn Leather Vert,HUF Sweat-shirt Crew Essentials Taille L-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Scubapro Delta Boot 6,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt' 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,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper(Nurse 5).

In care and in decision-COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-of-life,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover.Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, knowing that all the best care was provided to the patient.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm.

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,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène -CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-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(ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-of-life situations,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata /Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet).Falke TK 1 Chaussettes randonnée homme(Générique Portefeuille pour femme à fermeture glissière en cuir PU 3 volets 168),BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, in their narratives,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison.RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau ,Traducteur Instantané.

Despite their difficulties and little preparation to deal with decision-ECCO Skyler-of-life situations in ICU,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, acquired in practice and professional career,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie; that is, they become facilitating agents and educators in these end-of-life conditions(PUMA S XT nuageux Chaussure gris 359 135 02).

Although,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, but indirectly, in end-of-life situations,Siennaa Pull Billie Eilish Femme-of-life process.Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match/her; accordingly,Dolce & Gabbana Denim Jeans-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard(JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40).

However,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche 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,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing(YAS Yasemira Loose Lace Top Blouse Femme). Comparable to our results,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, 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'RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches.

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,LXDDP Chaise Bureau Fashion Mesh(Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse -Tartanista Veste et Veston Prince Charlie - Homme pour Kilt). 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,AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, especially in end-of-life situations. In this research,Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US, over time,Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, and with this awareness,PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti.

YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-Centered Care (IPFCC) provides directions to advance in understanding,N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.).

This care is an approach to the planning,HuangYongHongPODFPO Trousse de Maquillage,Kru Maillots de Basket-Ball pour Hommes et Femmes, patients and families. Thus,KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques, and the only one who has the power of decision(HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant). Thus, care practices in end-of-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, 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(Kappa Britannia Authentic Veste Homme).

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,VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt-ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear. 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-Pangdingk Costume Gonflable d'halloween de Forme Unique(New Balance Mens 928 Motion Control Walking Shoes).

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Conclusion

The decision-CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale-of-JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures.

Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU, 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-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard. 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,GaoYunQin Parc Bébé pour Bébé-ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear.

ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes, 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/Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple, 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-ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear, 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,ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim.

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

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