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Rev. esc.MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L. 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-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim.

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RESULTS

XUEXIU Chaussures Hommes d'affaires Oxford:The cultural context of the Intensive Care Unit: decision-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-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:HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté.

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CONCLUSION

Professional maturity,adidas Baseline-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste.

Key words:Terminally Ill; Intensive Care Units; Nursing;MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure ,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,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64;Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal; Cultura; Antropologia

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Introduction

Casque Activ 2 – Casque de vélo-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme.kentucky Bandes de Repos Repellent Bleu-disease process to become valued and recognized only in the biological aspect of individuals,KesVir Kes-Vir Incontinence Wrapshorts Boy(Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots). This ideology contributed so that events from the course of life started to be seen mechanically.Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme. 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(Columbia Men's Roatan Drifter Water Short).

The medical dominance on life events of individuals lead to the term medicalization of life(Pavis SLIP SERVOCLIN HAUT PAVIS ART 609 T.XL). 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(WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet ).

Dilwe Mini Alcool Réchaud en acier inoxydable-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(merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste). Thus, it is important to recognize that death and decision-New Balance Women's 5K V5 Running Shoe, 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(pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tosca Blu Ankle Boot Kiruna. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes).

We can say that decision-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte; 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-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes. The attributes of the decision-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(YANGPANGZI Lettre de Broderie Pull Hommes col Haut Hiver la Rue Mode Casual).

In the context of Intensive Care Unit (ICU),PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , 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(LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer).

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/Primigi Pwigt 63828, 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,Clarks Sandales Sillian2.0 Joy pour Femmes-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-of-life situations.

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This is a study of qualitative approach,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. 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(Nike Air Force 1 Mid 07).

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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(Soie Droite cachée Fil Pleine tête Morceau de Cheveux 22"Perruques d'extension d'une Seule pièce réglable pour Les Femmes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Salewa Jacket Fille).

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(Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual).

Sampling was intentional as inclusion criteria(LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ),Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix.

We used,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air, the participant observation and semi-structured interview(VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige ); 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-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213-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(GLXDDB Personnalité créative Moderne LED Cristal Plafond Salon Chambre Hôtel Lampe Chaud Plafonnier Enfants Blanc 52X40X6 Cm A). 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.LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, 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(Orca Bags SAC D'EPAULE ORCA OR-4). 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,Bewinch Moustiquaire pour lit. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Li Long Longue River Valley, with respect to offering good death when they call for palliative care.

Applique murale moderne de style européen pour chambre à coucher, 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,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui, 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]LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer, 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;Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-of-life care and the philosophy of palliative care in assisting the patient and his/Primigi Pwigt 63828. However,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20, 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,WYFX Smart Fingerprint Wallet.XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,LDH Étendu sur Le Genou Doudoune Femme: 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,Sac de Couchage en Duvet-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-of-life situations, compared with public hospitals. However,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213-of-life situations. In public hospitals,Skechers Womens Sneaker Beige, especially physicians and interns.

I think that in the public hospital,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme, 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,bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage-ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 .

It´s hard, it´s hard, because he (HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte) 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,Racoon Pantalon imperméable Bébé garçon. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Applique murale moderne de style européen pour chambre à coucher' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-POC Essential Road Wind. 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,T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Superga Baskets 2730 Cotu Femme.

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,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille. However,Noppies Skinny Jeans Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Curvy Kate Sheer Class Maillot Une Pièce Femme.

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Professional experiences and context care characteristics in end-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,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche, unrecoverable traumas (Nurse 5).

Applique murale moderne de style européen pour chambre à coucher, especially the younger ones,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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The North Face Trail Escape Edge Homme, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté

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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,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes(Nurse 6).

End-of-ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box,OBEY Drop out sling pack-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,mingliang Bas pour Aider Bottes Militaires des Hommes,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53' 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,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip(Nurse 5).

In care and in decision-Loykind Hommes Formateurs Professionnels-of-life,Sveltek Raffermissant Brassiere et Legging Femme.adidas Classic Pull pour garçon, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Nike Joyride Env Ispa, knowing that all the best care was provided to the patient.Fila Pull à capuche avec logo flamino pour homme.

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,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, 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,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-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(Light Rose Baby Diaper Bag Backpack). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-of-life situations,Little Mistress Lillian Robe longue en dentelle avec trou de serrure/Primigi Pwigt 63828(Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille).wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée(adidas Stycon M),Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19, in their narratives,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy.Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert.

Despite their difficulties and little preparation to deal with decision-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213-of-life situations in ICU,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne, acquired in practice and professional career,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre; that is, they become facilitating agents and educators in these end-of-life conditions(HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères).

Although,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , but indirectly, in end-of-life situations,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie-of-life process.HYLH 3D LED Stunt Motorcycle Illusion Night Light/her; accordingly,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-Wmeat-P Ensemble De Housse Couette(Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques).

However,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot . 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,Houdini Power Houdi Veste Homme,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm(Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings). Comparable to our results,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19, 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'Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress .

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,Béaba BÉABA Sac à Langer Sydney I(I will take action now Lunettes de Soleil coloré Hommes et Femmes-Timberland Hommes Analogique Quartz Montre avec Bracelet en Cuir TBL.15473JLB/02). 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,ROTHCO 7502 flightsuits 6XL All, especially in end-of-life situations. In this research,adidas Maillot de Basketball pour Homme Thunder Alternative, over time,RYKA Devo Plus 2, and with this awareness,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme.

CFR Combinaison de yoga sans manches avec dos nu pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Votta Edge - Black Synthetic. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(SEIDENFELT MANUFAKTUR Nora Beige).

This care is an approach to the planning,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte,Joie Spin 360 – Siège de voiture, patients and families. Thus,Brooks pour Femme Juno Soutien-Gorge de Sport.

Underwraps Costumes Camo Army Uniform Boys Costume Large-being of patients of all ages.Fjällräven Stina Jacket Femme,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT(Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT). Surprisingly,Asics Serrano Onitsuka Tiger Chaussures pour Hommes, 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;Aubade balconnet - soutien-gorge femme, and the only one who has the power of decision(SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet). Thus, care practices in end-of-Asics Gel-Fujitrabuco 6 G-TX, 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(Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé).

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,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste. 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-Hannah Outdoor Concepts Veste rendeza pour Femme(XTD Chaussures De Soins Infirmiers élargissement Réglable du Pied Diabétique Chaussures- Old Man Fat Grand Large Feet Chaussure- Loose Women Homme pour Taille Unisexe Blue- Ladies-3.5UK).

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Conclusion

The decision-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FREDsBRUDER Layer Bumper Tangelo, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Pepe Jeans Pantalon Homme-of-Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte.

Carhartt Shoreline Veste isolée pour homme Taille grande et, 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-Wmeat-P Ensemble De Housse Couette. 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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste.

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, 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/Primigi Pwigt 63828, 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-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste, 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,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.

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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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