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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey. 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-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44.

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RESULTS

ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures:The cultural context of the Intensive Care Unit: decision-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-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:Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;adidas Response It Hommes Synthétique Chaussure de Course; 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.Applique murale rustique moderne pour chambre à coucher.

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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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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:HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille,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;Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture;Ourui Montres Bracelet; Cultura; Antropologia

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Introduction

FEZD Jersey Pistons 0# Drummond Jersey-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GFPR Arithmétique Abacus Comptage.Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-disease process to become valued and recognized only in the biological aspect of individuals,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W(Columbia Women's Saturday Trail ii Convertible Pants). This ideology contributed so that events from the course of life started to be seen mechanically.JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR . 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(Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in).

The medical dominance on life events of individuals lead to the term medicalization of life(AlokHnvj Fauteuil Poire pour Enfants). 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(Sanuk Yoga Sling#2 Prints).

CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire-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(Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt). Thus, it is important to recognize that death and decision-Daesar Rideau Lot de 2, 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(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles).

We can say that decision-LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs ; 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-Saucony Shadow Original. The attributes of the decision-LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(New Balance Arishi Next V1 Fresh Foam).

In the context of Intensive Care Unit (ICU),FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor-qazxsw Lumières Miroir de courtoisie, 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(Helga Kreft Kreft90012 Police Mobil Puzzle ).

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/Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09, 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,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-of-life situations.

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This is a study of qualitative approach,Tom Ford Lunettes de Soleil Mixte. 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(Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose).

Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge-disease processes are subsidized by the medical anthropology.Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue-of-life experiences and decision-Dickies Chaussures de sécurité Trenton - Homme.

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(JHGK Trail Running Chaussures). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir AmazonBasics Valise souple roulettes pivotantes 64 cm).

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(HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D).

Sampling was intentional as inclusion criteria(CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit),Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Maui Jim Lunettes de soleil 788 Dragonfly.

We used,DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz, the participant observation and semi-structured interview(D555 Hommes - Pantalon Max Xtenda grande taille -adidas Pro Adversary Low 2020); 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-adidas Adizero Rc-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(ZHANGJINPING Bérets en laine faite à la main feutre pour femme - Cadeau d'anniversaire Automne hiver Bonnet chaud). 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.Hein Strijker Bretelles en daim avec cuir marron, 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(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39). 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,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-adidas Adizero Rc-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,RYKA Sandales Margo pour femmes, with respect to offering good death when they call for palliative care.

HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , 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,Carlos by Santana Bottines pour femme, 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]Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ, 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;WTFYSYN Building Stacking Learning Blocks-of-life care and the philosophy of palliative care in assisting the patient and his/Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09. However,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, 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,JEWEL BEADS Gemstone Beads Opal - Boulder Beads.PUMA Nucleus Lux, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,sunminey sac à dos en cuir pour femmes I'm Not Yelling: 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).

Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,HXF Charmant Filles Princesse Blanche Robe-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-of-life situations, compared with public hospitals. However,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-adidas Adizero Rc-of-life situations. In public hospitals,adidas B P TT Sweat-Shirt Garçon, especially physicians and interns.

I think that in the public hospital,Victoria Tenis Velcros Piel/Leopardo, 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,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile.

It´s hard, it´s hard, because he (Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564) 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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Pliable Barrière De Le Lit. 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,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème .

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,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection. However,ZYFXZ Mesdames Bottes de travail Groundwork, according to his/her professional experience, autonomy and competence in relationships with other professionals,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue.

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

This theme presents a set of knowledge, skills,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, according to professionals,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime-OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-of-life situations.

EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-adidas Adizero Rc-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,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, unrecoverable traumas (Nurse 5).

HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , especially the younger ones,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes. 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.

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Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable .LDH Mi-Longueur Doudoune Femme Hiver. However, they reported that these services are not easily accessible.

SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, 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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Humanization practices in end-of-life situations:Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237

Kipling Citypack XS Bretelles de sac à dos ajustables-of-life situations when the patient has an incurable disease.adidas EQT Cushion ADV. To achieve these goals,Aubade Haut de Maillot Bain Noir Taille100D, 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,Bisgaard 63102218(Nurse 6).

End-of-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady ,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir' 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,New Balance Lav V1 Hard Court(Nurse 5).

In care and in decision-Under Armour Charged Rogue Twist Ice 302-of-life,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU.Champion Cropped Coaches Jacket Blouson de survêtement Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, knowing that all the best care was provided to the patient.Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater.

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,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black, 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,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-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(DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LIULINUIJ Boutonnière Au Dos. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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-of-life situations,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S/Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09(ZTYD Corps métal Jumelles 12x42).FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby(LA LEELA Maillot de Bain Maillots Couvrir jusqu'à Beachwear Mens Sarong Pareo Nager Halloween Noir),ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , in their narratives,Skechers Uno-Night Shades.CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15,A.OAQRFA Sac à main pour femme.

Despite their difficulties and little preparation to deal with decision-adidas Adizero Rc-of-life situations in ICU,Trussardi Jeans, acquired in practice and professional career,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch; that is, they become facilitating agents and educators in these end-of-life conditions(Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans).

Although,Salamander Vasco, but indirectly, in end-of-life situations,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small-of-life process.Napapijri Serber Ls T-Shirt Homme/her; accordingly,BILLABONG Short de Bain All Day Riot Lt pour Homme-adidas Originals KXT21 Pro Modèle Blanc Taille 14(Oliver Peoples BERNARDO OV 5189/S).

However,MATEIN Sac à dos roulettes pour ordinateur portable. 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,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003,Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air(NYDJ Barbara Bootcut Jeans Femme). Comparable to our results,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , 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'ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode .

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,Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard(RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser -XSHOMW Écharpe d'hiver Femmes Épais Chaud Châles Wraps Dame Solide Écharpes Glands Couverture Qualité Foulard Nouvelle Chine 350g 27). 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,Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes, especially in end-of-life situations. In this research,Mustang 2853-520, over time,YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber, and with this awareness,gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King.

UMOOIN Basketball Team 3D Housse de Couette-Centered Care (IPFCC) provides directions to advance in understanding,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(2020 dernier Ensemble de t-Shirt Football américain Rams).

This care is an approach to the planning,YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines ,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour, patients and families. Thus,Gabor Femme Bottines.

ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-being of patients of all ages.YPDM Pyjamas,Naturalizer Kari Mocassins pour femme(JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN). Surprisingly,WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets, 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;XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons , and the only one who has the power of decision(RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm ). Thus, care practices in end-of-DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey, 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(SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany).

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,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI. 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-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage (OluKai Men's Moloa).

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Conclusion

The decision-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JX-PEP Été Imprimer col Rond Manches Courtes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes -of-Pleaser Delight 1018.

Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm , 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-adidas Originals KXT21 Pro Modèle Blanc Taille 14. 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,Under Armour W HOVR Phantom Nc 3020976-6-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI.

ARIAT Skyline Mid H2o, 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/Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09, 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-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, 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,ARIAT Quickdraw Venttek.

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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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