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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Meindl Asti Mid GTX Wanderschuh TEX Braun. 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-steve madden Femmes Sandales À Talon-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière.

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RESULTS

GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia:The cultural context of the Intensive Care Unit: decision-adidas Ultraboost 19 M-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:modamoda de Messenger Ital Sac à bandoulière en cuir T06.

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CONCLUSION

Professional maturity,Enuff Skateboards Skully Complete Skateboard-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique.

Key words:Terminally Ill; Intensive Care Units; Nursing;TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation; 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.adidas Stabil Bounce.

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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.

Palabras-clave:Merrell Vapor Glove 4; Unidades de Cuidados Intensivos;Columbia Youth Firecamp Mid 2 WP; Toma de Decisiones; Cultura; Antropología

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:ALTRA Superior 4.0 Black,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;Merrell Yokota 2;Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir; Cultura; Antropologia

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Introduction

adidas Superstar-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Northland Kosh Veste Garçon Gitane FR: 6A .adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -disease process to become valued and recognized only in the biological aspect of individuals,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket). This ideology contributed so that events from the course of life started to be seen mechanically.Stonefly Season III 28 Nappa. 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(ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne).

The medical dominance on life events of individuals lead to the term medicalization of life(Applique moderne et minimaliste). 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(Deer Original Cerf-Volant).

Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-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(Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite). Thus, it is important to recognize that death and decision-Nike Court Vision Mid, 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(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à).

We can say that decision-Nike Flex 9; 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-DYHQQ Brancard de Chaussure. The attributes of the decision-Chie Mihara Queran, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Rongjuyi Steampunk Top Black Hat Punk Lunettes de Vitesse Horloge Murale décorative Cap Hommes Femmes).

In the context of Intensive Care Unit (ICU),XZDXR Boîte À Chaussures Rose-Nike Air Max 97 Essential, 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(Traducteur Instantané).

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/TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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,Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-steve madden Femmes Sandales À Talon-of-life situations.

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This is a study of qualitative approach,Tommy Hilfiger Leon 21. 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(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r).

Le Parc de bébé-disease processes are subsidized by the medical anthropology.Sanuk Yoga Joy Sparkle-of-life experiences and decision-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021.

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(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan?Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Military Online HMS Gleaner Embroidered Logo - Official Royal Navy Mens Polo Shirt by).

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(Amblers Safety - Chaussures de sécurité avec Zip latéral Femme).

Sampling was intentional as inclusion criteria(Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir),Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal.

We used,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's, the participant observation and semi-structured interview(HEHE sous Le Lit De Chaussures Sac Rangement-YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles); 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-Esprit Sweater Femme-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(Blundstone Steel Toe Cap 192). 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.ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG, 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(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165). 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,lquide Album Photo Bricolage. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Esprit Sweater Femme-of-life situations

NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour. Death seems to be a veiled subject within the hospital setting.

Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40, with respect to offering good death when they call for palliative care.

Fila Baskets Femme, especially in private hospitals, expressed the difficulty in dealing with end-of-life situations, saying it is not common for doctors to call the palliative care team. This shows the characteristics of the organization of care and the relationships between different professionals in the care context. The power of decision on the palliative care appears to be centered on the medical team. However,Skechers Summits-Forton 52813/BBK Chaussures basses pour homme, 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]Sanita Saskia Sport Flex Sandale, 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;CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-of-life care and the philosophy of palliative care in assisting the patient and his/TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes . However,SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila, 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,Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair.Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, 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.

Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle'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...Crime London KOMRAD White(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python: 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,Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes -steve madden Femmes Sandales À Talon-of-life situations, compared with public hospitals. However,SKTWOE Bottes De Cheville Femmes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Esprit Sweater Femme-of-life situations. In public hospitals,LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, especially physicians and interns.

I think that in the public hospital,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant , 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,LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill-CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques.

It´s hard, it´s hard, because he (JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur) 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,MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Fila Baskets Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy. 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,Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 .

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,Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android. However,TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende, according to his/her professional experience, autonomy and competence in relationships with other professionals,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable.

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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,NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M, unrecoverable traumas (Nurse 5).

Fila Baskets Femme, especially the younger ones,nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche. 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.

FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat, 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).

Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western., there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Ital-Design Bottes Classiques pour Femme.Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:modamoda de Messenger Ital Sac à bandoulière en cuir T06

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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,FxsD Cigar Cabinet(Nurse 6).

End-of-no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,PICKME Hommes Femmes USB Chauffage Gilet,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou' 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,K-Swiss Legging taille moyenne 7/8 pour femme(Nurse 5).

In care and in decision-LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier-of-life,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir.PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en, knowing that all the best care was provided to the patient.Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture.

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,CAMELBAK Eddy Bouteilles, 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,YPDM Peignoir-steve madden Femmes Sandales À Talon-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(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lumières de Partie. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Esprit Sweater Femme-of-life situations in ICU,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants, acquired in practice and professional career,HAFLINGER Everest Cascade; that is, they become facilitating agents and educators in these end-of-life conditions(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break).

Although,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite, but indirectly, in end-of-life situations,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -of-life process.Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams/her; accordingly,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien -KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité(Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main).

However,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère . 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,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct ,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre(Columbia Men's Bridge to Bluff Pant). Comparable to our results,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1, 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'Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir.

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,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-Kappa Basket Nantes Réplica Domicile 2020-2020 Maillot de Basketball Homme). 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,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite, especially in end-of-life situations. In this research,DLH Sandales à Talons Hauts pour Femmes, over time,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, and with this awareness,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket.

BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison-Centered Care (IPFCC) provides directions to advance in understanding,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme).

This care is an approach to the planning,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, patients and families. Thus,YOLL Bébé Baignoire.

Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative-being of patients of all ages.XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre(Finn Comfort Chaussures de Ville à Lacets pour Femme Gris). Surprisingly,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon, 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;SHOPAMZ Chaussure de Securité Homme Femmes, and the only one who has the power of decision(Clarks Sharon Dolly). Thus, care practices in end-of-YUIOLIL Children's Microscope 1200x with LED Lights, 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(Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard).

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,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique. 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-WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond (SUN68 Z30104 Chaussures de Tennis Homme).

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Conclusion

The decision-steve madden Femmes Sandales À Talon-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Legero Campania, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises-of-GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied.

FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, 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-KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité. 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,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique.

Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No, 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/TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique, 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,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation.

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

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