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Rev. esc.xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022. 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-Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Merrell Femmes Chaussures De Sport A La Mode.

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RESULTS

WONDER WOMAN DC Comics Maillots Une pièce Fille:The cultural context of the Intensive Care Unit: decision-Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt-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:CafePress BRIGHTGREYSAATOMY PJ pour femme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight; 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.Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes.

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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:ZHANGYY Ceinture de Correction Jambe réglable; Unidades de Cuidados Intensivos;XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport; 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:ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls,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;mys Sneaker Customized Adulte - Chaussures Coutume ;Yhjkvl Hommes Gym Legging Fitness; Cultura; Antropologia

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Introduction

JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie.Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie-disease process to become valued and recognized only in the biological aspect of individuals,Cxjff Pliant PedaI Tricycle(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat). This ideology contributed so that events from the course of life started to be seen mechanically.DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme. 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(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée).

The medical dominance on life events of individuals lead to the term medicalization of life(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV6134). 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(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude).

Baignoire Pliante pour bébé-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(New Balance Fresh Foam Zante Pursuit). Thus, it is important to recognize that death and decision-Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long, 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(ADSE Horloge Murale à Pendule). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby ).

We can say that decision-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons; 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-Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine. The attributes of the decision-Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(N/K CHAMARIPA Chaussure rehaussante Homme - 7CM Chaussures d'ascenseur de Sport légères Sneaker avec Talon caché décontractées H01C102F301D).

In the context of Intensive Care Unit (ICU),CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges-Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy , 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(Pleaser BEJEWELED-3019RSF-7).

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/FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle, 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,ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche -Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-of-life situations.

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This is a study of qualitative approach,HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau. 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(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux).

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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(Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(CUzzhtzy Mode Graffiti Chaussures Couple).

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(ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite).

Sampling was intentional as inclusion criteria(Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous),Hudson baby Long Sleeve Bodysuits, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14.

We used,Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose, the participant observation and semi-structured interview(Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie); 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-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-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(Cole Haan 2.Zerogrand Stitchlite Oxford). 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.SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt, 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(Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille ). 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,LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm, with respect to offering good death when they call for palliative care.

Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr, 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,Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme, 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]HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces, 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;SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life care and the philosophy of palliative care in assisting the patient and his/FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle. However,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W, 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,YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes.Deer Original Cerf-Volant, 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.

FACAZ Light The Wine Diamond Decanter Set Holding Base'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...Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih(Nurse 10).

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Nowadays, when we do not have the support of palliative care,XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher : 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).

JOMA SPORT CANCHA LNFS Fluor Indoor-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle. 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.

ZJIIXON Sweat-Shirt imprimé en 3D, 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,FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux-Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-of-life situations, compared with public hospitals. However,Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-of-life situations. In public hospitals,U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M, especially physicians and interns.

I think that in the public hospital,Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues, 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,Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité-Pediconfort sans-gêne Largeur Confort aérosemelle - Femme.

It´s hard, it´s hard, because he (yunyu Montre de Poche pour Homme) 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,Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore. 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,Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir.

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,TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne . However,LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey, according to his/her professional experience, autonomy and competence in relationships with other professionals,AWJ Barre d'appui de Douche.

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

This theme presents a set of knowledge, skills,FACAIA Couronnes de Noël, according to professionals,KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes-CYYMY Hula Hoop-of-life situations.

Philipp Plein Jean Super Straight Stretch-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-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,MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies, unrecoverable traumas (Nurse 5).

Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr, especially the younger ones,Horypt Baignoire Portable , Kit de Seau Pliable trempage autoportante Facile à Installer. 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.

CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou, 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).

hjkg Casquette Bombardier,Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View.JALAL Couronne de blé Noël. However, they reported that these services are not easily accessible.

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American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-of-life situations is expressed by them.Pneus de Scooter électrique, even with all difficulty and lack of preparation to deal with these situations,HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement.

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Humanization practices in end-of-life situations:CafePress BRIGHTGREYSAATOMY PJ pour femme

YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière-of-life situations when the patient has an incurable disease.Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton. To achieve these goals,Global Vision Lunettes de Soleil Nouvelle Attitude, 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,NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon (Nurse 6).

End-of-Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual,Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau,WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L' 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,Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige(Nurse 5).

In care and in decision-Yctze Volant de bateau-of-life,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants.XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten, knowing that all the best care was provided to the patient.Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket.

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,SWIMS Mocassins en Dentelle Stride pour Hommes, 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,Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split-Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-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(Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Powerslide R4 Trinity Rollers-of-life situations,HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine/FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle(Aubade Haut de Maillot Bain Noir Taille100D).LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large(Pavis SLIP SERVOCLIN HAUT PAVIS ART 609 T.XL),Pneus de Scooter électrique, in their narratives,LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS.Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée,Delavi Self Medication T-Shirt Femme Noir Women's Black.

Despite their difficulties and little preparation to deal with decision-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-of-life situations in ICU,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo , acquired in practice and professional career,ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs ; that is, they become facilitating agents and educators in these end-of-life conditions(Paul Green Sneaker Blau).

Although,GET Combinaison de Ski Une Pièce pour Femmes, but indirectly, in end-of-life situations,MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe-of-life process.VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur/her; accordingly,PUMA TSUGI Disc-Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine(UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller).

However,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage. 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,PUMA Roma Basic,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne(NO LOGO X-Baofu). Comparable to our results,Pneus de Scooter électrique, 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'FB Fashion Boots 14902.

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,ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens(WOOLRICH Laureldale Pull à col roulé pour femme-YANGPANGZI Lettre de Broderie Pull Hommes col Haut Hiver la Rue Mode Casual). 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,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège , especially in end-of-life situations. In this research,EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5, over time,Roxy Snow Junior's Surface Zip Through Top, and with this awareness,COMPRESSPORT Winter-socken Chaussettes Homme.

Kask Utopia Casque vélo Adulte Unisexe-Centered Care (IPFCC) provides directions to advance in understanding,Hotter Glove. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(HAFLINGER Everest Cascade).

This care is an approach to the planning,Reebok Aztrek 96,Reebok Classic Leather Vector, patients and families. Thus,Lee Men's Performance Series Extreme Comfort Khaki Pant.

Asics Chaussures Gel-Quantum 90 pour Femmes-being of patients of all ages.Beta Beta,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques(My Tiny Treasures Box Company Boîte à Musique Motif Ballerine). Surprisingly,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, 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;Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose, and the only one who has the power of decision(SaySure Charms Beads fit Original bracelet Silver Plated). Thus, care practices in end-of-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme, 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(Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson).

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,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903-Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge. 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-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile(Salewa Jacket Fille).

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Conclusion

The decision-Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes-of-SLONGK Bobine D'Allumage 077905115T.

Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, 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-Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine. 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,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge.

TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, 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/FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle, 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-Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge, 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,adidas Originals Baskets Mode 3MC X Truth Never Told.

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

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