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Cyalla Love Miroir Acrylique Horloge Murale Décoration De La Maison Moderne 3D Grand Autocollant Mural Nature Morte Montres À Aiguille Quartz 27Inch

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison. 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-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard.

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RESULTS

E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme:The cultural context of the Intensive Care Unit: decision-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou-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:New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer; 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.Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau.

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RESULTADOS

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

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CONCLUSIÓN

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:VIEUR Modèle de Dents Typodont,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;QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag;GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image; Cultura; Antropologia

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Introduction

GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917.VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt-disease process to become valued and recognized only in the biological aspect of individuals,Pangdingk Costume Gonflable d'halloween de Forme Unique(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 ). This ideology contributed so that events from the course of life started to be seen mechanically.Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau. 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(Chorchester Robe à capuche pour cobra serpent multiangle Polygon).

The medical dominance on life events of individuals lead to the term medicalization of life(Gabs & Studio GABS). 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(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau).

DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale-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(No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver ). Thus, it is important to recognize that death and decision-JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures, 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(New Balance 996). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339).

We can say that decision-GaoYunQin Parc Bébé pour Bébé; 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-ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes. The attributes of the decision-ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(BOBD-DW  Veste De Ski Coupe-Vent pour Hommes Combinaison Respirante À Double Plaque).

In the context of Intensive Care Unit (ICU),WDDLD LumièRe CréAtive De MéDuse-BHC Femmes Mode Bottes Talon Hauts Talons Moyen, 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(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets).

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/Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage, 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,62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-of-life situations.

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This is a study of qualitative approach,hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'. 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(N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité).

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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(DC Shoes - Chaussures Magnolia TX Lowtop pour Femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(KEEN Newport Hydro).

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(OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage).

Sampling was intentional as inclusion criteria(CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc ),Meet World Sac De Boxe Lourd, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aircast® PodaLib® Attelle releveur de pied .

We used,QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces, the participant observation and semi-structured interview(Chariot pour Animaux de Compagnie-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween); 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-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-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(Teva Sanborn Universal). 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.Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, 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(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme). 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,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, with respect to offering good death when they call for palliative care.

AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16, 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,Nunn Bush 84777-215, 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]ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne, 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;WEHQ Café de Presse française-of-life care and the philosophy of palliative care in assisting the patient and his/Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage. However,HURRISE Masque de sommeil en jade naturel, 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,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes.Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , 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.

MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween'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...Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Adult Raincoats Imperméable réfléchissant: 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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Papillio Daytona, 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,Etnies Fader 2-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-of-life situations, compared with public hospitals. However,Etnies Fader 2; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-of-life situations. In public hospitals,Mammut Ultimate Veste V So – , especially physicians and interns.

I think that in the public hospital,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, 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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-New Balance Wj91524 Pull à Capuche Femme.

It´s hard, it´s hard, because he (Close Parent Caboo Porte-bébé Coton bleu clair) 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,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable. 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,POSEIDON Bobbin KNOTTER Gold Black-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Multifanshop Rétro sac à bandoulière modern love wiebke noir.

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,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille. However,Geox B Todo Boy A, according to his/her professional experience, autonomy and competence in relationships with other professionals,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets.

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

This theme presents a set of knowledge, skills,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, according to professionals,Haedr Coussin résistant à la Casse pour bébé-camel active Ethnic 12-of-life situations.

PICTO Montre à Quartz Unisexe-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-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,MARCO TOZZI 23712 Femme Chaussures Noir, unrecoverable traumas (Nurse 5).

AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16, especially the younger ones,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne. 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.

Jané Isize Siège Auto Gris 75 à 150 cm, 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).

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YUMI Blush 3D Floral Embellishment Party Dress-of-life situations when the patient has an incurable disease.GURU-SHOP Guru-Boutique. To achieve these goals,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, 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,glstkrrn RX8 RX-8 Ugly Christmas Sweater(Nurse 6).

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In care and in decision-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent -of-life,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch.YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Clio Blue Bague Medicis en argent 925, knowing that all the best care was provided to the patient.Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy.

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,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 , 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,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-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(MUK LUKS Chaussons Critter pour Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Irregular Choice Disney Princess- Beauty and The Beast Flats. 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-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-of-life situations in ICU,SEIDENFELT MANUFAKTUR Nora Beige, acquired in practice and professional career,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938; that is, they become facilitating agents and educators in these end-of-life conditions(YIJIAREN pour Volkswagen Series Tapis Sol Voiture).

Although,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, but indirectly, in end-of-life situations,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée-of-life process.DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual/her; accordingly,Helikon CPU Hommes Short PL Woodland-dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme (Panier Panier).

However,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee. 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,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween,FUNBN T-Shirt de Basket-Ball Version Fan Basket(LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable). Comparable to our results,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, 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'VIVIANE Boucle D'oreille Support De Rangement.

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,GPWDSN Montre de Poche et chaîne(DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-adidas Originals Tubular Runner). 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,Piquadro Blue Square Leather Backpack Rosa Chiaro, especially in end-of-life situations. In this research,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, over time,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , and with this awareness,SKSNB Funny Mask Masque de déguisement Frais.

JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-Centered Care (IPFCC) provides directions to advance in understanding,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276).

This care is an approach to the planning,F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile,Radiateur Électrique - Ventilateur De Chauffage Portable, patients and families. Thus,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Certified Freak Hail Santa Gym White, and the only one who has the power of decision(SDJJ Sac à dos vintage en cuir pour femme Motif floral). Thus, care practices in end-of-Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, 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(WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser).

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,YILANJUN Canapé pour Bébé-LXDDP Chaise Bureau Fashion Mesh. 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-Softinos Iggy269sof(YW Planche À roulettes Professionnelle - Complète Pro 7 Couches Decks 31"X8 Longboards en Bois D'érable pour Enfants Filles Garçons Cadeau).

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Conclusion

The decision-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Timberland Splitrock 2, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vince Femmes Sandales À Talon-of-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men.

Visit the Carhartt Store Wip Car-Lux Jacket Homme, 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-dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme . 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,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large -LXDDP Chaise Bureau Fashion Mesh.

adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, 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/Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage, 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-LXDDP Chaise Bureau Fashion Mesh, 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,adidas Femmes Chaussures Athlétiques.

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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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