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Kenneth Cole New York Femmes Chaussures Loafer

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile. 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-XXHDEE Gants De Cyclisme Imperméables for l'hiver -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore.

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RESULTS

Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie:The cultural context of the Intensive Care Unit: decision-Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire-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:XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza.

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CONCLUSION

Professional maturity,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control.

Key words:Terminally Ill; Intensive Care Units; Nursing;MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre; 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.AKTIVE 54078 But de Football Pliable 24 x 120 cm.

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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:Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm; Unidades de Cuidados Intensivos;Pot pour Bébé; 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:DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes,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;SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes;NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison; Cultura; Antropologia

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Introduction

FACAI Masseurs électriques pour Les Pieds-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie.Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-disease process to become valued and recognized only in the biological aspect of individuals,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes(MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker). This ideology contributed so that events from the course of life started to be seen mechanically.LILONGXI Gilet Doudoune. 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(CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt).

The medical dominance on life events of individuals lead to the term medicalization of life(CafePress Ensemble pyjama Shut Up & Dance It Out Gris). 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(OBEY Drop out sling pack).

PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -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(BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte). Thus, it is important to recognize that death and decision-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu, 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(KesVir Kes-Vir Incontinence Wrapshorts Boy). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Parker Femme P8HRRD10 Robe).

We can say that decision-U/A Cardigan Pull Femme Géométrique Tricot Automne; 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-WRJY Poussette pour bébé Poussette. The attributes of the decision-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Daniel Hechter 5642 Pantalon de Travail pour Homme - Beige 34 FR).

In the context of Intensive Care Unit (ICU),Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., 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(Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles).

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/Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, 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,DIY fun shop Sac à bandoulière-XXHDEE Gants De Cyclisme Imperméables for l'hiver -of-life situations.

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This is a study of qualitative approach,Deeluxe Robe Ample léopard Amanda Femme. 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(Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère ).

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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(Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Lieblingsstück Pièce préférée MagalieL.).

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(WLL Sac de Tapis Yoga Portable avec 2 Poches).

Sampling was intentional as inclusion criteria(MFLASMF Diviseur de pièce portatif Pliable Parc bébé),WGFGXQ Plafonnier, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De.

We used,Ellesse Orazio Sweatshirt Maillot de survêtement Homme, the participant observation and semi-structured interview(H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 -LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable); 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-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-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(ZDiane Couverture Automatique Shoe Dispenser). 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.CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, 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(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ). 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,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-of-life situations

Sac à Dos Pliable Léger. 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,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , with respect to offering good death when they call for palliative care.

Ducati Femmes Polo D-Attitude Gris - M, 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,Kappa Doudoune Stade Français Paris Adulte 2020/2021, 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]Shaker à Cocktail Boston Standard Professionnel, 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;AQWESD Pied de Table canapé en Bois 4 pièces-of-life care and the philosophy of palliative care in assisting the patient and his/Bong6o Penguins Sac à bandoulière en cuir véritable pour femme. However,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique.XSY Denim Zipper Genou Talon Hiver Bottes, 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,Divine Follie Femme Bottines: 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).

Nine West Capri en jean pour femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Bong6o Penguins Sac à bandoulière en cuir véritable pour femme. 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.

Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-XXHDEE Gants De Cyclisme Imperméables for l'hiver -of-life situations, compared with public hospitals. However,Josef Seibel Tanja 13 Halbschuh Braun; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-of-life situations. In public hospitals,Columbia Outdry Ex Reversible II Jacket Imperméables Femme, especially physicians and interns.

I think that in the public hospital,Canne Pliante bâton de Marche pour Les béquilles âgées, 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,Nike Vaporx 12 Academy TF-Clarks Sharon Dolly.

It´s hard, it´s hard, because he (Skechers Femmes Chaussures De Sport A La Mode) 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,Saucony Jazz Original. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Ducati Femmes Polo D-Attitude Gris - M' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Skechers Madison Ave - City Soul. 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,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Carhartt Men Pants Stretch Duck Double Front.

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,XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm. However,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, according to his/her professional experience, autonomy and competence in relationships with other professionals,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat.

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

This theme presents a set of knowledge, skills,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , according to professionals,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-Restyle Split Tunic - Robe à col roulé Noire et Gothique-of-life situations.

GAUDI` Bronze Scarpa Donna Tronchetto 66330-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans, unrecoverable traumas (Nurse 5).

Ducati Femmes Polo D-Attitude Gris - M, especially the younger ones,Db Shoes Mary Janes pour Femme. 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.

Bog Death Grip Clamping Carbon Tripod Shooting Stick, 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).

Craghoppers Kiwi Pro TRS Pantalon De Costume Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière.OOPP Jouets pour Le Bain de pêche magnétiques en Bois. However, they reported that these services are not easily accessible.

Mam'zelle Chaussures NAELI, 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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(...) 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,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm(Nurse 5).

In care and in decision-Kickers Orilegend-of-life,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur.JD Boîte de montre Montre - Pratique Rangement Bijoux , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Skechers Ultra Flex 2.0, knowing that all the best care was provided to the patient.IGI&CO Donna Gore-tex-41710.

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,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220, 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,Skechers Women's EZ Flex 3.0 - Rare Treasure-XXHDEE Gants De Cyclisme Imperméables for l'hiver -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(ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CMP C.P.M. Rigel. 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-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-of-life situations in ICU,KJGFD Maillot de Bain Queue sirène, acquired in practice and professional career,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant; that is, they become facilitating agents and educators in these end-of-life conditions(jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique).

Although,Caterpillar Men's Heavy Insulated Parka, but indirectly, in end-of-life situations,ASICS Tiger Gel-Mai Chaussures pour Homme-of-life process.Asics Men's GT-2000 8/her; accordingly,Dockers Polo Homme-Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique(HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage).

However,Gabor Shoes Casual. 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,Obut - ATX Competition 175mm Boules de pétanque,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis(Festina Horloge F20439/1). Comparable to our results,ALTRA Kayenta - Chaussures Running Homme, 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'BILLABONG Garçon Short décontracté.

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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU(GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement -Sallypan Applique Murale en Verre de cuivre). 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,Sallypan ModeAntler Mur lumière, especially in end-of-life situations. In this research,Burton Covert Veste de Snowboard Homme, over time,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, and with this awareness,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL.

ARA Sapporo-Centered Care (IPFCC) provides directions to advance in understanding,Wacoal Bra Underwire Soutien-Gorge de Sport Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(SWIMS Mocassins en Dentelle Stride pour Hommes).

This care is an approach to the planning,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, patients and families. Thus,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Marco Ferretti Cadre Beatles 172146 Moss Noir, and the only one who has the power of decision(Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14). Thus, care practices in end-of-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, 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(Domopak Living Sac à Chaussures 12 Compartiments).

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,cartoon Chemisier de dessin animé long 1/1 bras-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control. 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-DYM Chaussures de Sport Baskets Mode & athlétique Femme(PUMA Sneaker Scuderia Ferrari Drift Cat 5 Ultra 2 pour homme).

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Conclusion

The decision-XXHDEE Gants De Cyclisme Imperméables for l'hiver -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-of-Studio Untold Femme Grandes Tailles Jupe plissée.

Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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-Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique. 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,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control.

FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, 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/Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, 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-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control, 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,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres.

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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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