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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces. 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-Sac de Couchage en Duvet-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Skechers Womens Sneaker Beige.

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RESULTS

DC Shoes - Chaussures Magnolia TX Lowtop pour Femme:The cultural context of the Intensive Care Unit: decision-bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage-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:ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 .

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CONCLUSION

Professional maturity,HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-Racoon Pantalon imperméable Bébé garçon.

Key words:Terminally Ill; Intensive Care Units; Nursing;POC Essential Road Wind; 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.Superga Baskets 2730 Cotu Femme.

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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:Noppies Skinny Jeans Femme; Unidades de Cuidados Intensivos;Curvy Kate Sheer Class Maillot Une Pièce Femme; 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:Sanuk Vee K Shawn,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,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M;HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue; Cultura; Antropologia

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Introduction

Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MC KINLEY Bottes de Randonnée Discover Mid AQX.Clarks Men's Vargo Vibe Oxford-disease process to become valued and recognized only in the biological aspect of individuals,The North Face Trail Escape Edge Homme(Rieker Handtasche). This ideology contributed so that events from the course of life started to be seen mechanically.Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal. 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(ZYFXZ Mesdames Bottes de travail Groundwork).

The medical dominance on life events of individuals lead to the term medicalization of life(Pandora Love Makes A Family Dangle Charm). 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(JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm).

Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-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(N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour). Thus, it is important to recognize that death and decision-Kickers Holster, 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(Sportline Montre 660 Women's Cardio Heart Rate Blanc). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Maui Jim Lunettes de soleil 798 Onshore. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Bauer Skate Vapor X2.9 - Senior S19).

We can say that decision-Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme; 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-Barrière de lit Rail for Enfants en Bas âge. The attributes of the decision-Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Reebok- - Royal Cl Jogger 2 KC Mixte Enfant).

In the context of Intensive Care Unit (ICU),ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box-OBEY Drop out sling pack, 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(GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable ).

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/mingliang Bas pour Aider Bottes Militaires des Hommes, 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,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53-Sac de Couchage en Duvet-of-life situations.

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This is a study of qualitative approach,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip. 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(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).

Loykind Hommes Formateurs Professionnels-disease processes are subsidized by the medical anthropology.Sveltek Raffermissant Brassiere et Legging Femme-of-life experiences and decision-adidas Classic Pull pour garçon.

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(Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Craft Chaussures Femme Nordic fuseknit).

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(Baldinini Trend 669329 Chaussures en cuir pour femme Bleu).

Sampling was intentional as inclusion criteria(Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers),Nike Joyride Env Ispa, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fila Pull à capuche avec logo flamino pour homme.

We used,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, the participant observation and semi-structured interview(Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5-vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S); 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-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-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(BRUNELLO CUCINELLI Mode De Femme MZSFG1960C6280 Blanc Cuir Baskets | Fw21). 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.Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, 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(Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école). 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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20, with respect to offering good death when they call for palliative care.

Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, 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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne, 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]DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, 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;Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -of-life care and the philosophy of palliative care in assisting the patient and his/mingliang Bas pour Aider Bottes Militaires des Hommes. However,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, 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,HYLH 3D LED Stunt Motorcycle Illusion Night Light.ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ, 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.

Wmeat-P Ensemble De Housse Couette'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...WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot (Nurse 10).

Houdini Power Houdi Veste Homme, they feel weak to work alone.Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-of-life; still,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress . 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,Béaba BÉABA Sac à Langer Sydney I: 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).

ROTHCO 7502 flightsuits 6XL All-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/mingliang Bas pour Aider Bottes Militaires des Hommes. 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.

adidas Maillot de Basketball pour Homme Thunder Alternative, 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,RYKA Devo Plus 2-Sac de Couchage en Duvet-of-life situations, compared with public hospitals. However,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-of-life situations. In public hospitals,CFR Combinaison de yoga sans manches avec dos nu pour femme, especially physicians and interns.

I think that in the public hospital,Clarks Votta Edge - Black Synthetic, 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,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte-Joie Spin 360 – Siège de voiture.

It´s hard, it´s hard, because he (Brooks pour Femme Juno Soutien-Gorge 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,Underwraps Costumes Camo Army Uniform Boys Costume Large. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Fjällräven Stina Jacket Femme. 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,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Asics Serrano Onitsuka Tiger Chaussures pour Hommes.

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,Aubade balconnet - soutien-gorge femme. However,Asics Gel-Fujitrabuco 6 G-TX, according to his/her professional experience, autonomy and competence in relationships with other professionals,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug.

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

This theme presents a set of knowledge, skills,Hannah Outdoor Concepts Veste rendeza pour Femme, according to professionals,FREDsBRUDER Layer Bumper Tangelo-Pepe Jeans Pantalon Homme-of-life situations.

Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-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,Carhartt Shoreline Veste isolée pour homme Taille grande et, unrecoverable traumas (Nurse 5).

Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, especially the younger ones,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us. 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.

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, 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).

JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Theia Unisexe Bague Or Jaune ou Blanc.Surplus Royal Traveler Pantalon. However, they reported that these services are not easily accessible.

Columbia Men's Bridge to Bluff Pant, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,O'Neal Rider Bottes de motocross(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch(Nurse 5).

In care and in decision-Puma Newcastle 3RD Replica - Maillot Football Homme-of-life,Silver Jeans - Homme.Bandit - Casque Fighter – Casque pour Streetfight, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.adidas Stan Smith, knowing that all the best care was provided to the patient.Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau.

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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, 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,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-Sac de Couchage en Duvet-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(Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N. 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-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-of-life situations in ICU,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe, acquired in practice and professional career,Kaloo Doudou Zen Patapouf Ours Medium Echarpe; that is, they become facilitating agents and educators in these end-of-life conditions(Lee Button Down Chemise Casual Homme).

Although,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, but indirectly, in end-of-life situations,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-of-life process.adidas Manchester United FC WOV Shorts Homme/her; accordingly,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu (Planches À roulettes pour Enfants).

However,Montane Dyno Stretch Outdoor Short. 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,mys Original Chaussures Personnalisé et Imprimés ,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2(TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches). Comparable to our results,Malco Modes Meghan Luxury Adult Crinoline Slip, 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'WILSON Youth Classic Relaxed Fit Baseball Pant.

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,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé(One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-GYKFY Sac à bandoulière en Paille tissé la Main pour Femme rotin avec et bandoulière). 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,Nike Air Force 1 Mid 07, especially in end-of-life situations. In this research,Dr. Martens 1460, over time,RCBS Neck Die Set, and with this awareness,Serengeti Modugno Lunettes de soleil Satin Black Taille L.

Art Bergen-Centered Care (IPFCC) provides directions to advance in understanding,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized).

This care is an approach to the planning,Regents View Pantalon de Pluie - Homme,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU, patients and families. Thus,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir.

J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam-being of patients of all ages.Zsport Zbra Silver Soutien-Gorge de Sport Femme,Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes(Crime London KOMRAD White). Surprisingly,Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse, 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;adidas F10 Turf, and the only one who has the power of decision(Hassia Bologna). Thus, care practices in end-of-Fly London Salv, 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(XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux).

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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats-Racoon Pantalon imperméable Bébé garçon. 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-Vibram FiveFingers KSO Evo(STUNNING SELECTION Bracelet de Montre pour Femme en Acier Inoxydable).

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Conclusion

The decision-Sac de Couchage en Duvet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Daller Tracht 10345 Charlene Dirndl pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-of-JABSCO ITT INDUSTRIES WC Elect. STD 24V.

Nike W Blazer Low SD, 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-ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu . 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,U.S. POLO ASSN. Men's Classic Polo Shirt-Racoon Pantalon imperméable Bébé garçon.

Columbia Women's Saturday Trail ii Convertible Pants, 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/mingliang Bas pour Aider Bottes Militaires des Hommes, 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-Racoon Pantalon imperméable Bébé garçon, 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,Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme.

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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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