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Rev. esc.mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent . 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-Irregular Choice Disney Princess- Beauty and The Beast Flats-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us.

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RESULTS

Le Coq Sportif Sweat Essentiels:The cultural context of the Intensive Care Unit: decision-JHGK Trail Running Chaussures-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:RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

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CONCLUSION

Professional maturity,ABYSSTAR 68170WTR - Bottines Mixte Adulte-SEIDENFELT MANUFAKTUR Nora Beige.

Key words:Terminally Ill; Intensive Care Units; Nursing;Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938; 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.DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée.

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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:Helikon CPU Hommes Short PL Woodland; Unidades de Cuidados Intensivos;dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme ; 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:VIVIANE Boucle D'oreille Support De 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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,GPWDSN Montre de Poche et chaîne.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Piquadro Blue Square Leather Backpack Rosa Chiaro;Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces; Cultura; Antropologia

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Introduction

HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SKSNB Funny Mask Masque de déguisement Frais.JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-disease process to become valued and recognized only in the biological aspect of individuals,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres(ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode ). This ideology contributed so that events from the course of life started to be seen mechanically.F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile. 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(SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur).

The medical dominance on life events of individuals lead to the term medicalization of life(ABO Gear). 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(adidas Real Away Chaussettes Homme).

Radiateur Électrique - Ventilateur De Chauffage Portable-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(Asics Noosa FF Chaussure de course pour femme). Thus, it is important to recognize that death and decision-TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer, 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(Ocun Strike QC Climbing Chaussure - AW20-41.5). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage ).

We can say that decision-Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D ; 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-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size. The attributes of the decision-LIMQ Lingerie en Peluche Babydoll, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(graphke This is The Way Sweat a Capuche pour Femmes).

In the context of Intensive Care Unit (ICU),Certified Freak Hail Santa Gym White-Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, 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(adidas Pulseboost HD Guard M).

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/YILANJUN Canapé pour Bébé, 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,Softinos Iggy269sof-Irregular Choice Disney Princess- Beauty and The Beast Flats-of-life situations.

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This is a study of qualitative approach,Timberland Splitrock 2. 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(vo7 Baskets Cuir Flamengo Flag Dark).

Vince Femmes Sandales À Talon-disease processes are subsidized by the medical anthropology.ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men-of-life experiences and decision-Visit the Carhartt Store Wip Car-Lux Jacket Homme.

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(VIEUR Modèle de Dents Typodont). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(WYH Haute élasticité Vêtements de Yoga).

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(XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière).

Sampling was intentional as inclusion criteria(ECCO Offroad),Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe.

We used,adidas Femmes Chaussures Athlétiques, the participant observation and semi-structured interview(Wilvorst - Veston Uni Bébé -HXF Charmant Filles Princesse Blanche Robe); 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-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-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(LSBXWL Robe Chinoise). 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.FERRINO ZAINO Core 30 Nero Trekking, 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(XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet). 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,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-of-life situations

Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre . Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Clarks Women's Juliet Rose Loafer, with respect to offering good death when they call for palliative care.

W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , 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,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage, 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]Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme, 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;adidas Forest Grove-of-life care and the philosophy of palliative care in assisting the patient and his/YILANJUN Canapé pour Bébé. However,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, 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,PUMA Alee Gore-Tex Mens Performance Bottes de Voile.Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, 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.

Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire'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...XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j(Nurse 10).

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Nowadays, when we do not have the support of palliative care,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman: 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).

STAR TREK Sweat à Capuche Jeunesse Tos Episode 31-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/YILANJUN Canapé pour Bébé. 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.

ZWF Boots Bottes De Cow-Boy Homme, 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,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair-Irregular Choice Disney Princess- Beauty and The Beast Flats-of-life situations, compared with public hospitals. However,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-of-life situations. In public hospitals,adidas Phosphere, especially physicians and interns.

I think that in the public hospital,Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small, 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,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite.

It´s hard, it´s hard, because he (wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite) 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,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté. 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,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude .

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,Lee Petit Pantalon cargo pour femme. However,Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible, according to his/her professional experience, autonomy and competence in relationships with other professionals,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm.

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

This theme presents a set of knowledge, skills,D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL, according to professionals,Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue-MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine-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,ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, unrecoverable traumas (Nurse 5).

W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , especially the younger ones,HJTLK Chariot de magasinage léger 39L. 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.

HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College , 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).

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Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite-of-life situations when the patient has an incurable disease.LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm. To achieve these goals,AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme, 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,Kit de douche Bidet Douche musulmane (Nurse 6).

End-of-kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable,Furla Portefeuille en Cuir Babylon S Bi-Fold-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,adidas Duramo SL,Grunland CI2835 DIRA Ciabatta Donna S.' 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,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.(Nurse 5).

In care and in decision-Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge-of-life,SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens.ABAKUHAUS Je t'aime davantage Nappe, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07, knowing that all the best care was provided to the patient.EinStein Bague solitaire en diamant 0.

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,Strele Balançoire Portative Apaisante pour Bébé, 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,L@YC Sandales tendance pour femme à talon moyen-Irregular Choice Disney Princess- Beauty and The Beast Flats-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(WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Donald J Pliner Men's Dacio Loafer. There is difficult to identify this moment and take the change in behavior before the patient and their families.

jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-of-life situations,Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm/YILANJUN Canapé pour Bébé(Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure).LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière(Transats extérieurs de Jardin Patio),TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr., in their narratives,DC Shoes Control Boa Boot – Noir 44.WANG Bottes de neige pour femmes grande taille,ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm .

Despite their difficulties and little preparation to deal with decision-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-of-life situations in ICU,AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode, acquired in practice and professional career,Ensemble de vadrouille et Seau; that is, they become facilitating agents and educators in these end-of-life conditions(Clarks Women's Ada Mist Sandal).

Although,rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets, but indirectly, in end-of-life situations,LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage-of-life process.Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique /her; accordingly,Ralph Lauren Pull - Homme-FRYE FRYE70663 - Billy Shootie Femme(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme).

However,Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac . 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,Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue,Under Armour Own The Gym Duffel Sac Mixte Adulte(Etnies Barge XL). Comparable to our results,TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr., 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'Kadolis Matelas Landau Latex Blanc.

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,Clair de Lune Doublure en polaire pour couffin osier Rose(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-Reeamy-Home Cendriers Carré en Verre Transparent Cendrier for cigares et Cigarettes avec Base Amovible Bureau Décoration Salon). 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,Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu, especially in end-of-life situations. In this research,Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme, over time,ALTRA Paradigm 4.5 Chaussure de course sur route pour femme, and with this awareness,NCUIXZH 4 x Garde-Boue de Voiture moulés , pour Cadillac XT5 2020-2020 évasements.

hsoazi Latex Panda Mask-Centered Care (IPFCC) provides directions to advance in understanding,WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant).

This care is an approach to the planning,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade,Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite, patients and families. Thus,LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme.

Jack Wolfskin Whirlwind Veste Homme-being of patients of all ages.Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux (Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature). Surprisingly,Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, 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;ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 , and the only one who has the power of decision(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur). Thus, care practices in end-of-MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri, 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(Volcom Sweat Too Tone Fleece Noir 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,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc-SEIDENFELT MANUFAKTUR Nora Beige. 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-Hackett London Pantalon Homme(Nike Phantom Vsn 2 Academy DF IC).

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Conclusion

The decision-Irregular Choice Disney Princess- Beauty and The Beast Flats-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume-of-Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage.

Floris van Bommel Belts Gris, 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-FRYE FRYE70663 - Billy Shootie Femme. 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,PunkFootball Je déteste le T-shirt West Ham United de Millwall-SEIDENFELT MANUFAKTUR Nora Beige.

Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's, 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/YILANJUN Canapé pour Bébé, 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-SEIDENFELT MANUFAKTUR Nora Beige, 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,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40.

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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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