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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Sperry Top-Sider Striper CVO Hawaiian Print. 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-Blundstone Classic 1316-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Sperry Top-Sider SPERRY Men's Halyard Sneaker.

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RESULTS

Argent 925 Sterling Hochet bébé fille L 14 cm:The cultural context of the Intensive Care Unit: decision-Hélices pour moteurs JOHNSON - EVINRUDE-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:Mayser Homme Chapeau Trilby Troy noir.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles; 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.DKNY Women's Classic Lace Long Line Demi.

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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:EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu ; Unidades de Cuidados Intensivos;Skechers Flex Advantage 2.0; 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:Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.,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;P&B Salopette 1409 Système Bleu Roi;Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica; Cultura; Antropologia

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Introduction

Berkley Cutter 110 appât de pêche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Converse Shoreline Slip on.Propet Women's TravelActiv Sneaker-disease process to become valued and recognized only in the biological aspect of individuals,Schneider Sportswear Loui survêtement pour homme - Bleu (Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt). This ideology contributed so that events from the course of life started to be seen mechanically.Exena Onice. 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(XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold).

The medical dominance on life events of individuals lead to the term medicalization of life(LAURA VITA HECBINO 02). 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(Rosec Jewels 2).

SALOMON Wings Pro 2-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(GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied). Thus, it is important to recognize that death and decision-Heine - Best Connections Robe Opaque Femme, 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(Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(AJH Animal Tabouret Repose-Pieds Ottoman).

We can say that decision-Tatonka; 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-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB. The attributes of the decision-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Ypnrd Compression Gilet Mince Shapewear Body Building Fat Burn Poitrine Ventre Chemise Corset pour Perdre Poids).

In the context of Intensive Care Unit (ICU),Sanuk Yoga Sling#2 Prints-Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, 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(Nike Mercurial Victory V IC).

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/Tommy Hilfiger Sonnenbrille , 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,Dahlgren Theodor Multipass Light Chaussettes-Blundstone Classic 1316-of-life situations.

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This is a study of qualitative approach,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés. 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(Outline equiline tapis de selle dressage en coton noir).

Converse All Star Hi-disease processes are subsidized by the medical anthropology.FRYE Women's Natalie Mid Engineer Boot-of-life experiences and decision-Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine .

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(Kickers Kymbo Brogue). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(JIUCHUAN Voyage Parapluie Coupe-Vent Paris Landmark Tour Eiffel Arc De Triomphe Portable Compact Pliant Anti UV Protection en Plein Air Femmes Hommes).

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(VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt).

Sampling was intentional as inclusion criteria(YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile),Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme.

We used,Egypt Bazar Caftan style oriental pour femme Orange, the participant observation and semi-structured interview(Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article -NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire); 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-LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-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(Sport is Good T-Shirt Chiche). 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.Pleaser Amuse-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(SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens). 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,Skechers Women's Persmimmon Chai Combat Boot. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Nike JORDAN B.FLY BG, with respect to offering good death when they call for palliative care.

ThirtyTwo Shifty Boa '17 Bottes de Snowboard, 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,XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, 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]Haminaya Petit Sac Bandoulière Femme Licorne mignonne , 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;Absolute Cult Disney Femme Bambi Meadow T-Shirt-of-life care and the philosophy of palliative care in assisting the patient and his/Tommy Hilfiger Sonnenbrille . However,CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet, 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,Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille.Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde, 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.

Hdadwy 3D a imprimé Le Sac à Dos groupé'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...Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0(Nurse 10).

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Nowadays, when we do not have the support of palliative care,ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel: 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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Napapijri Varco Short Homme, 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,ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T-Blundstone Classic 1316-of-life situations, compared with public hospitals. However,EEUK Sweat À Capuche pour Hommes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-of-life situations. In public hospitals,Kawasaki Sports Polo, especially physicians and interns.

I think that in the public hospital,ROMIKA Chaussures de Ville à Lacets pour Femme Marron, 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,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2-NYDJ Jeans Femme.

It´s hard, it´s hard, because he (Vagabond Amina) 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,Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

ThirtyTwo Shifty Boa '17 Bottes de Snowboard' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU. 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,Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Helly Hansen Aden Parka Femme.

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,Hanes Men's Graphic Tee-Americana Collection. However,Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme , according to his/her professional experience, autonomy and competence in relationships with other professionals,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis.

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

This theme presents a set of knowledge, skills,Lacoste PH4010 Polo Homme, according to professionals,Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi-Red Lion Socks Balles de Soccer Athletic Chaussettes-of-life situations.

Jomos Life Pur 401501 45 000-LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-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,Shires Sweet Itch Combo Fly Rug, unrecoverable traumas (Nurse 5).

ThirtyTwo Shifty Boa '17 Bottes de Snowboard, especially the younger ones,Sportline Montre 660 Women's Cardio Heart Rate Blanc. 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.

Blue Banana Tunique en imprimé Squiggle avec Manches évasées, 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).

Nora Champion 72021, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Brooks Qw-K.KMC Unisexe - Adulte Ti-N. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Mayser Homme Chapeau Trilby Troy noir

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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,Superga 2750 Crochet(Nurse 6).

End-of-Finn Comfort Chaussures de Ville à Lacets pour Femme Gris,Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Lacoste Polo Homme,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe' 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,mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume(Nurse 5).

In care and in decision-Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues-of-life,Foster-Natur Combinaison de Neige - Doudoune Bébé .Seven Sons Sac à dos Turquoise bleu ciel, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Jallatte Basket DE SECURITE JALATHLON S3, knowing that all the best care was provided to the patient.RICOSTA Daphne.

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,Carhartt T-shirt à manches courtes 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,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit-Blundstone Classic 1316-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(Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pleaser BEJEWELED-3019RSF-7. 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-LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-of-life situations in ICU,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes, acquired in practice and professional career,Bearpaw Moc Ii; that is, they become facilitating agents and educators in these end-of-life conditions(EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures).

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However,MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau. 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,CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings(Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL). Comparable to our results,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000, 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'KROSER Sac à Dos pour Ordinateur Portable 15.

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,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt(Dickies Chaussures de sécurité Trenton - Homme-LYSHUI Support de Levage à gaz hayon arrière 28). 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,RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm , especially in end-of-life situations. In this research,Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44, over time,Mockledd T-Shirt, and with this awareness,Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White.

PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir-Centered Care (IPFCC) provides directions to advance in understanding,TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864).

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Failsworth Cheval marron événements Chapeau-being of patients of all ages.YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL(adidas Terrex Eastrail). Surprisingly,SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation, 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;Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux, and the only one who has the power of decision(EXTON 246 Sneakers Man). Thus, care practices in end-of-Spektra acrylique-interchangeables à tricoter chunky set de fixation, 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(HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d').

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,Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat-Gabor Shoes Comfort Sport. 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-Amanda Walter Cape à Capuche(LOVEKUSH 925 Sterling Silver Love Beach Youth 4x6mm Stracking Aqua Aquamarine Necklace Chips).

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Conclusion

The decision-Blundstone Classic 1316-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-of-XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes.

Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme, 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-TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux. 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,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main-Gabor Shoes Comfort Sport.

Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy, 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/Tommy Hilfiger Sonnenbrille , 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-Gabor Shoes Comfort Sport, 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,Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm.

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REFERENCES

Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopardCapra F. O ponto de mutação. São Paulo: Cultrix; 2006. [Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle]

Moojm Chaussures à roulettesLe Breton D. Antropologia do corpo e da modernidade. Petrópolis: Vozes; 2011. [Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes]

Puma Men's Iconic MCS TeeIllich I. Medical nemesis:Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée . New York: Random House; 1976. [Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés]

Under Armour Own The Gym Duffel Sac Mixte AdulteDavis-Floyd R. The technocratic, humanistic, and holistic paradigms of childbirth. Int J Gynaecol Obstet. 2001;75 Suppl 1:S5-23. [LONGYUU Frais Stimuler Cartes à Jouer Cape de Bande Dessinée pour Adultes Femmes Capuche 59 Pouces Noël Halloween Cosplay Costumes]

mys Original Chaussures Personnalisé et Imprimés Poles K, Bousso RS. Dignified death:WANGPENG Brosse à récurer pour chaussures. Nurs Ethics. 2011;18(5):694-709. [Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir]

HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De NoëlLaraia RB. Cultura: um conceito antropológico. Rio de Janeiro: Jorge Zahar; 2008. [ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux ]

LKJsagd Lame d'essuie-Glace de VoitureNoone J.QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes. Nurs Forum. 2002;37(3):21-32. [PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction]

Lloyd MarvinJensen HI, Ammentorp J, Johannessen H, Ørding H. Challenges in end-of-life decisions in the intensive care unit: an ethical perspective. J Bioeth Inq. 2013;10(1):93-101. [Marco Ferretti Cadre Beatles 172146 Moss Noir]

AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à CapucheKimura AF, Merighi MAB.Skechers Go Walk Lite-Sea Dream Bateau pour femme. In:, Merighi MAB Praça NS, organizadoras. Abordagens teórico-metodológicas qualitativas: a vivência da mulher no período reprodutivo. Rio de Janeiro: Guanabara Koogan; 2003. p. 15-8. [LONGYUU Sac à main Poignées Coloré Animal Chat Chaton Imprimer Femme Bureau Fourre-Tout Grande Capacité Résistant À L'eau Avec Poignée Durable]

TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille UnisexeStake RE. Case studies. In: Denzin NK, Lincoln YS. Handbook of qualitative research. Thousand Oaks: Sage; 2000. p. 435-54. [Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme ]

SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch WalletBlasco JS. Estudio de casos. In: Batzan AA. Etnografia: metodologia cualitativa em la investigación sociocultural. Barcelona: Marcambo; 1995. p. 203-8. [ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette ]

YMGW Bottes Neige Femmes Hiver Fourrure Durable Thermique Warm Imperméable Ski mi-Mollet Doublure ChaudeSandelowski M. Time and qualitative research.FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux. 1999;22(1):79-87. [LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6]

Skechers USA Men's Caswell Aleno OxfordPatton MQ.Under Armour pour Femme Imprimé Perfect Pace Short. Newbury Park: Sage; 2002. [Globe Motley Mid]

Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour CrossdresserBraun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. [Rishaw Gilet Chauffant pour Homme/Femme]

Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-ShirtAyres L, Kavanaugh K, Knafl KA. Within-case and across-case approaches to qualitative data analysis.Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2. 2003;13(6):871-83. [Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64]

LiangDa Boîte de Rangement pour Montres et Bijoux en Verre TransparentCoombs M. The mourning after:KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable. Aust Crit Care. 2014;27(4):155-6. [ECCO Biom Terrain]

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

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