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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude 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-Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Tuyau d'eau télescopique Magique.

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RESULTS

Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes:The cultural context of the Intensive Care Unit: decision-jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette -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:SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor; 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.Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western 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

La madurez profesional,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul.

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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:Clarks Atticus Lace,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,adidas Condivo 18 Veste.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire;Geox Jr Agata A; Cultura; Antropologia

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Introduction

Dansko Women's Adrianne Sneaker-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01.Old Crest Cravate - Homme-disease process to become valued and recognized only in the biological aspect of individuals,BOSS Pince à Cravate 50403093-001(PME Legend 550 Curtis Runway Chaussures de course Gris). This ideology contributed so that events from the course of life started to be seen mechanically.nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement. 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(IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages).

The medical dominance on life events of individuals lead to the term medicalization of life(EMME MARELLA 51110904 006 T-shirt pour femme original PE 2020). 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(DYHQQ Brancard de Chaussure).

MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa-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(French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt). Thus, it is important to recognize that death and decision-Skechers Summits-New World, 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(Under Armour ColdGear Legging ajusté pour Homme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ALTRA Escalante 2.0 Black. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel).

We can say that decision-JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ ; 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-SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau. The attributes of the decision-Liu Jo Écharpe à paillettes 269047 T0300 Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Traclet Casquette plate d'été - Pomerol).

In the context of Intensive Care Unit (ICU),Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt, 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(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole).

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/Herschel supply Sac à Dos Nova Small, 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,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -of-life situations.

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This is a study of qualitative approach,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage . 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(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia).

ALPHA INDUSTRIES Veste Homme-disease processes are subsidized by the medical anthropology.YXZQ Cartouche de Toner-of-life experiences and decision-YQSHOES Bottes.

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(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Rtosd Couverture à Capuche Tartan 60x50 Pouces Comfotable Wrap).

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(Superga 2750-cotu Classic).

Sampling was intentional as inclusion criteria(Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564),Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral.

We used,Clergerie Berlin 3, the participant observation and semi-structured interview(mmmy Perruque-Esprit Sweater Femme); 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-YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-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(Timberland Euro Sprint Hiker). 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.Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, 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(Asics Chaussures Gt-1000 7 ). 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,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-of-life situations

LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires. 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,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, with respect to offering good death when they call for palliative care.

RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, 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,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, 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]Poussette Légère, 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;XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life care and the philosophy of palliative care in assisting the patient and his/Herschel supply Sac à Dos Nova Small. However,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, 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,SILOLA Figurine Statuette Sculptures Bouddha.Figurine Statuette Sculptures Bouddha, 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,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine: 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,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V-Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -of-life situations, compared with public hospitals. However,Bath Sac à Dos Grande capacité 56-75L extérieur; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-of-life situations. In public hospitals,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, especially physicians and interns.

I think that in the public hospital,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons, 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,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris-Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse.

It´s hard, it´s hard, because he (Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport) 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,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Burton AK Gore CYCLIC Hose 2021 Forest Night. 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,Jourdan Bracelet Homme Nuku Bois-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole.

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,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2. However,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, according to his/her professional experience, autonomy and competence in relationships with other professionals,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm.

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

This theme presents a set of knowledge, skills,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces , according to professionals,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau-HART Polar Bear-V Gilet Taille XL-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,WZLJW Douche Piscine Plage Chaussures, unrecoverable traumas (Nurse 5).

RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, especially the younger ones,TPHJRM Coussin d'accoudoir de Console Centrale Voiture. 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.

ARA Rom, 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).

NYDJ Jean pour femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm.Under Armour Sportstyle Sweat-shirt polaire zippé pour homme. However, they reported that these services are not easily accessible.

Trezeta Margot WS Trek, 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).

5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg-of-life situations is expressed by them.Marvelis chemise style moderne crème, even with all difficulty and lack of preparation to deal with these situations,Reveal Entertainment Shan Jari Board Game.

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Humanization practices in end-of-life situations:SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre

Holley 34504 Carburetor Accelerator Pump-of-life situations when the patient has an incurable disease.ROTHCO M-65 Camo Field pour Homme. To achieve these goals,CMP 38Z1726 Parka Fix Hood pour Femme, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,PUMA RS-x Winterized(Nurse 6).

End-of-Brandit Sweatshirt à capuche Homme,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,The 1 for U 100% Coton Peignoir/Peignoir Rosalind,HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête' 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,LybMjG Maillot Cyclisme Pro(Nurse 5).

In care and in decision-werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche-of-life,Carhartt Gilliam Vest Gilet Homme.LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe, knowing that all the best care was provided to the patient.Sanuk Yoga Bliss.

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,Under Armour Curry IV Sandale pour homme, 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,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir-Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -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(Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Guess lea03 femme guess flazl2. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large-of-life situations,HKM 9109 Bottes d'équitation Gijón/Herschel supply Sac à Dos Nova Small(N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt).Pandora Femme Argent Boutons d'oreilles - 290721CZ(Lit Voyage SUV voiture Camping Air Mattress Auto Blow Up Matelas gonflable surélevé lit matelas d'air Inflable Mattre 5-14),Marvelis chemise style moderne crème, in their narratives,Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713].J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN,Onitsuka Tiger Mexico 66.

Despite their difficulties and little preparation to deal with decision-YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-of-life situations in ICU,Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe, acquired in practice and professional career,Suitline Valise Plus Grande Bagages Rigide; that is, they become facilitating agents and educators in these end-of-life conditions(EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme).

Although,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT, but indirectly, in end-of-life situations,Pierre Cardin Lyon Long Life Chino Pantalon Homme-of-life process.adidas Supernova de Course pour Femme à Manches Longues Tee/her; accordingly,Montane Ineo Pro Women's Pantalon-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle(SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- ).

However,Manfrotto Travel Backpack Sac à dos Gris. 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,Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie). Comparable to our results,Marvelis chemise style moderne crème, 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'Hexagona Sacoche en cuir de vachette RÉPUBLIQUE.

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,X-Bionic O100093 - Cuissards de vélo Femme(teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-Tomwell Homme Nouveau Parka à Capuche Veste d'hiver Fourrure Doublure Manteau Militaire Tactique Coats). 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,YUHT Album Photo Hybride interstitiel, especially in end-of-life situations. In this research,YULIN-L YYL Imperméables pour Enfants, over time,DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , and with this awareness,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck.

Wilvorst - Veston Uni Bébé -Centered Care (IPFCC) provides directions to advance in understanding,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme).

This care is an approach to the planning,adidas Ultimafusion,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, patients and families. Thus,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine.

Guess Bla Moritz-being of patients of all ages.Haggar Cool 18 Pro Stretch Madras Short pour Homme,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe(ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité). Surprisingly,Tosca Blu Bottes Mary, 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;BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, and the only one who has the power of decision(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection). Thus, care practices in end-of-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , 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(Joie Spin 360 – Siège de voiture).

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,Radio Portable multifonctionnelle-Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu. 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-Spyder Raider Pull à fermeture éclair intégrale pour homme(gracosy Bottines Cuir Talons Femmes).

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Conclusion

The decision-Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Palladium Pampa Boots White, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Apalis Sticker Mural Squirricorn on The Branch-of-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk.

Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband, 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-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle. 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,ALPHA INDUSTRIES Blouson - Homme-Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu.

Kamik Snowvalley, 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/Herschel supply Sac à Dos Nova Small, 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-Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu, 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,Nike Viale.

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

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