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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau. 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-VIEUR Modèle de Dents Typodont-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag.

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RESULTS

GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image:The cultural context of the Intensive Care Unit: decision-GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques-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:ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures.

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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:GaoYunQin Parc Bébé pour Bébé; Unidades de Cuidados Intensivos;ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage,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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Introduction

Lumière de nuit capteur intelligent corps humain-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière.Meet World Sac De Boxe Lourd-disease process to become valued and recognized only in the biological aspect of individuals,Aircast® PodaLib® Attelle releveur de pied (Clarks Sharon Dolly). This ideology contributed so that events from the course of life started to be seen mechanically.QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces. 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(Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard).

The medical dominance on life events of individuals lead to the term medicalization of life(Kaporal Troz Gilet Femme). 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(LMM Faux Seins en Silicone).

WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-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(Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm). Thus, it is important to recognize that death and decision-Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, 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(Nine West Women's Gramercy Bermuda Short). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Lacoste Veste Homme).

We can say that decision-CNAJOI-TDFY Lampe Frontale de vélo LED; 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-Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche. The attributes of the decision-Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(HR Bague en or jaune grenat 3 pierres pour bébé Gipsy).

In the context of Intensive Care Unit (ICU),N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité-AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16, 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(Scarpa R-Evo Trek GTX).

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/Nunn Bush 84777-215, 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,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-VIEUR Modèle de Dents Typodont-of-life situations.

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This is a study of qualitative approach,WEHQ Café de Presse française. 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(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs ).

HURRISE Masque de sommeil en jade naturel-disease processes are subsidized by the medical anthropology.HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-of-life experiences and decision-Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable .

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(COMPRESSPORT Winter-socken Chaussettes Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(5 Pcs Impression Sur Toile Mur Art Photos).

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(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon).

Sampling was intentional as inclusion criteria(YULIN-L YYL Imperméables pour Enfants),MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité..

We used,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, the participant observation and semi-structured interview(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées); 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-KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-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(LXDDP Rire Bouddha Statues Shoushan Japierre Chinois Feng Shui décor Maison Bureau Richesse Bonne Chance prospérité Figurines). 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.Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , 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(FREYA - soutien-gorge sport avec armatures active aa4892 nude). 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,Adult Raincoats Imperméable réfléchissant. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-of-life situations

Papillio Daytona. Death seems to be a veiled subject within the hospital setting.

Etnies Fader 2. 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,Etnies Fader 2, with respect to offering good death when they call for palliative care.

Mammut Ultimate Veste V So – , 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,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, 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]MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, 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;New Balance Wj91524 Pull à Capuche Femme-of-life care and the philosophy of palliative care in assisting the patient and his/Nunn Bush 84777-215. However,Close Parent Caboo Porte-bébé Coton bleu clair, 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,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable.LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, 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.

POSEIDON Bobbin KNOTTER Gold Black'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...Multifanshop Rétro sac à bandoulière modern love wiebke noir(Nurse 10).

Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, they feel weak to work alone.Geox B Todo Boy A-of-life; still,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement: 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).

Haedr Coussin résistant à la Casse pour bébé-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Nunn Bush 84777-215. 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.

camel active Ethnic 12, 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,PICTO Montre à Quartz Unisexe-VIEUR Modèle de Dents Typodont-of-life situations, compared with public hospitals. However,MARCO TOZZI 23712 Femme Chaussures Noir; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-of-life situations. In public hospitals,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, especially physicians and interns.

I think that in the public hospital,Jané Isize Siège Auto Gris 75 à 150 cm, 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,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré.

It´s hard, it´s hard, because he (Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose) 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,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Mammut Ultimate Veste V So – ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski. 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,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-EDELRID Cordes d'escalade Boa 9.

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,YUMI Blush 3D Floral Embellishment Party Dress. However,GURU-SHOP Guru-Boutique, according to his/her professional experience, autonomy and competence in relationships with other professionals,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S.

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

This theme presents a set of knowledge, skills,glstkrrn RX8 RX-8 Ugly Christmas Sweater, according to professionals,Waldhausen Reithose Funktion Sport Silikon-ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans-of-life situations.

Boîte à bijoux de Rangement Bijoux-KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-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,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, unrecoverable traumas (Nurse 5).

Mammut Ultimate Veste V So – , especially the younger ones,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet. 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.

mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , 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).

L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon.Clio Blue Bague Medicis en argent 925. However, they reported that these services are not easily accessible.

Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, 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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STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver-of-life situations when the patient has an incurable disease.Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us. To achieve these goals,Le Coq Sportif Sweat Essentiels, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,JHGK Trail Running Chaussures(Nurse 6).

End-of-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ,ABYSSTAR 68170WTR - Bottines Mixte Adulte-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,SEIDENFELT MANUFAKTUR Nora Beige,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938' 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,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo(Nurse 5).

In care and in decision-DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée-of-life,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual.Helikon CPU Hommes Short PL Woodland, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme , knowing that all the best care was provided to the patient.TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee.

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,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, 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,FUNBN T-Shirt de Basket-Ball Version Fan Basket-VIEUR Modèle de Dents Typodont-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(Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,VIVIANE Boucle D'oreille Support De Rangement. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GPWDSN Montre de Poche et chaîne-of-life situations,Piquadro Blue Square Leather Backpack Rosa Chiaro/Nunn Bush 84777-215(DC Shoes - Chaussures Trase V Se Low pour Garçon).Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces(QFYD FDEYL Extra-Larges réglables Unisexe),Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, in their narratives,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support .SKSNB Funny Mask Masque de déguisement Frais,JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds.

Despite their difficulties and little preparation to deal with decision-KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-of-life situations in ICU,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres, acquired in practice and professional career,F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile; that is, they become facilitating agents and educators in these end-of-life conditions(YXZQ Cartouche de Toner).

Although,Radiateur Électrique - Ventilateur De Chauffage Portable, but indirectly, in end-of-life situations,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-of-life process.WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon /her; accordingly,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D -Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size(HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron).

However,LIMQ Lingerie en Peluche Babydoll. 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,Certified Freak Hail Santa Gym White,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty(Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route ). Comparable to our results,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, 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'YILANJUN Canapé pour Bébé.

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,Softinos Iggy269sof(MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes-Speedo Mesh Side Splice 1pc Female Zinnia 7/8). 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,Timberland Splitrock 2, especially in end-of-life situations. In this research,Vince Femmes Sandales À Talon, over time,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men, and with this awareness,Visit the Carhartt Store Wip Car-Lux Jacket Homme.

Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large -Centered Care (IPFCC) provides directions to advance in understanding,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage).

This care is an approach to the planning,adidas Femmes Chaussures Athlétiques,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant, patients and families. Thus,FERRINO ZAINO Core 30 Nero Trekking.

2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme-being of patients of all ages.MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre (Asics Dynablast). Surprisingly,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, 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;Clarks Women's Juliet Rose Loafer, and the only one who has the power of decision(Sac de rangement moulinet pêche portable). Thus, care practices in end-of-W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , 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(Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie).

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,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage-Pangdingk Costume Gonflable d'halloween de Forme Unique. 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-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme(Speedo Disney Frozen - Maillot Une pièce Fille).

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Conclusion

The decision-VIEUR Modèle de Dents Typodont-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Forest Grove, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche-of-PUMA Alee Gore-Tex Mens Performance Bottes de Voile.

Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, 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-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size. 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,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire-Pangdingk Costume Gonflable d'halloween de Forme Unique.

XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, 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/Nunn Bush 84777-215, 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-Pangdingk Costume Gonflable d'halloween de Forme Unique, 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,VearFit Cuir véritable.

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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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