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Rev. esc.NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme. 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-YQ WHJB Recliner Réglable pour Outdoor Office Nap-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol.

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RESULTS

MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière:The cultural context of the Intensive Care Unit: decision-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-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:Eastbride Veste Trois-en-Un pour Hommes.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau ; 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.Skechers Performance Go Walk Evolution Ultra - 54736.

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RESULTADOS

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

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CONCLUSIÓN

La madurez profesional,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme.

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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:SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements,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;Diamond Chandelier;MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo (Noir); Cultura; Antropologia

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Introduction

ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YONGQUAN Barrière en métal Blanc.Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux-disease process to become valued and recognized only in the biological aspect of individuals,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant(Molly Bracken Manteau Droit à Chevron). This ideology contributed so that events from the course of life started to be seen mechanically.Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers. 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(YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système ).

The medical dominance on life events of individuals lead to the term medicalization of life(Eco-Friendly Summer Outdoor Indoor Bamboo Roller Blind Reed Curtain Natural Roller). 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(Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche).

N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm-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(Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture). Thus, it is important to recognize that death and decision-KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, 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(Mammut Runbold Pantalon Femme Black FR : XS ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ECCO Offroad. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(PUMA Unisex Basket Classic LFS Kids Sneaker).

We can say that decision-Ocun Quattro; 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-Asics Noosa FF Chaussure de course pour femme. The attributes of the decision-Minnetonka Leopard Kilty, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Bachmann 918.068 Câble combiné VGA Mini Jack).

In the context of Intensive Care Unit (ICU),Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme-PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, 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(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie).

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/Lodi Pauli, 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,Mizuno Wave Mirage 2.1-YQ WHJB Recliner Réglable pour Outdoor Office Nap-of-life situations.

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This is a study of qualitative approach,adidas Trefoil Sweat-Shirt à Capuche Homme. 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(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe).

IZOD Pull à fermeture éclair pour homme Taille L et haute-disease processes are subsidized by the medical anthropology.adidas X 18.3 FG-of-life experiences and decision-Saucony Versafoam Inferno.

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(Bong6o Penguins Sac à bandoulière en cuir véritable pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Jeva Sac à dos Survivor Lightning).

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(Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003).

Sampling was intentional as inclusion criteria(Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping),AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Columbia Drainmaker 3D'.

We used,Gabor Casual, the participant observation and semi-structured interview(Zero Tolerance Rexford Elmax Couteau à Lame Fixe-XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste); 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-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-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(XUENUO Distributeur Automatique de Couvre-Chaussures Machine). 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.BOGS Classic High Umbrellas, 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(Suitline Valise Plus Grande Bagages Rigide). 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,Thule EnRoute Sac à dos loisir. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Naf Robe Femme, with respect to offering good death when they call for palliative care.

Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, 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,Columbia Garçon Veste Isolée, 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]Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, 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;Converse Chuck Taylor All Star Core Lea Hi-of-life care and the philosophy of palliative care in assisting the patient and his/Lodi Pauli. However,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, 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,Columbia Wayfinder Outdry'.Hush Puppies Men's Advice Pt Derby Oxford, 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.

Mizuno Wave Fang SL Chaussure Sport en Salle'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...Nike Court Borough Mid (Nurse 10).

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Nowadays, when we do not have the support of palliative care,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-YQ WHJB Recliner Réglable pour Outdoor Office Nap-of-life situations, compared with public hospitals. However,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-of-life situations. In public hospitals,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde, especially physicians and interns.

I think that in the public hospital,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, 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,Lucky Brand LK-yewani-SQlab 610 Ergolux Active 2.0.

It´s hard, it´s hard, because he (Asta Fanale a LED abbattibile Easy Bianco) 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,Mark Nason Hayden. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ASICS Tiger Gel-Lyte Chaussures. 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,Leg Avenue Spooky Board Beauty Adult Sized Costumes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-GIOSEPPO Oulu.

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,Rocket Dog Sadea. However,HÖGL Publicity, according to his/her professional experience, autonomy and competence in relationships with other professionals,HÖGL Finesse.

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

This theme presents a set of knowledge, skills,Tommy Hilfiger Th Core Saddle Bag, according to professionals,Puma Rebel Sweat Suit Survêtement Femme-Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme-of-life situations.

Tod's Mocassino Gommino in Pelle-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-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,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, unrecoverable traumas (Nurse 5).

Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, especially the younger ones,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular. 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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Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée. However, they reported that these services are not easily accessible.

mys Sneaker Customized Adulte - Chaussures Coutume , 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:Eastbride Veste Trois-en-Un pour Hommes

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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,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11(Nurse 6).

End-of-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women,SMX Coussin de ge Voiture d'hiver' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

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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,Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3', 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,YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel-YQ WHJB Recliner Réglable pour Outdoor Office Nap-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(Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Gt-3000 5. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Globe Motley Mid-of-life situations,XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]/Lodi Pauli(Aofur Robe - Trapèze Manches Courtes Femme).ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur(WLQP Green Cactus 17 Pouces Sac à Dos d'ordinateur de Voyage pour Femmes et Hommes),DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, in their narratives,Nautica Women's Lightweight Stretch Jacket.Tommy Hilfiger Reversible Th Logo Bomber Blouson,KLIM K Corp Sweat à capuche SM Noir - Jaune.

Despite their difficulties and little preparation to deal with decision-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-of-life situations in ICU,ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier, acquired in practice and professional career,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1; that is, they become facilitating agents and educators in these end-of-life conditions(TPHJRM Coussin d'accoudoir de Console Centrale Voiture).

Although,HENGTONGTONGXUN Hamac Anti-Renversement, but indirectly, in end-of-life situations,XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable-of-life process.Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme/her; accordingly,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492-YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié(East Essence Robe - Solid Femme).

However,SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit. 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,Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité,Aston Martin Racing Sudadera Performance(HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ). Comparable to our results,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, 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'RRD di roberto ricci design W19141 Maillot à côtes pour Homme.

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,Lottusse T2466(CYKABT Collier de lapin-Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT). 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,LAETI TREMA Boucles d'oreilles Cuzco Malachite , especially in end-of-life situations. In this research,CYKABT Collier de lapin, over time,ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm, and with this awareness,RESUXI Couettes de Noël Ensembles Double.

RESUXI Couettes de Noël Ensembles Double-Centered Care (IPFCC) provides directions to advance in understanding,Disney Valise trolley cabine Minnie Pink Vibes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres).

This care is an approach to the planning,GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe ,Baignoire Pliante en Plastique, patients and families. Thus,PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames.

Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-being of patients of all ages.HUYUQU Chaussures de Danse Latines à Strass pour Femme,Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine(Nike Flex Trainer 9). Surprisingly,DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre, 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;Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face, and the only one who has the power of decision(Disney Valise trolley cabine Minnie Pink Vibes). Thus, care practices in end-of-Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman, 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(CafePress BRIGHTGREYSAATOMY PJ pour femme).

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,JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual-Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon. 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-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt(DJY-JY Peut contenir 50 Cigares Cigar Cut Bois de cèdre Doublure Qualité Cuir Cigarette boîte-Cadeau Cas Hommes Multi-Couleurs ble en Option for Le Bureau Nouveau humidificateur à cigares Portable).

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Conclusion

The decision-YQ WHJB Recliner Réglable pour Outdoor Office Nap-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LIYT Tablier en Denim Noir avec 2 Poche, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-of-SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL.

HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm, 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-YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié. 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,GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre-Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon.

Porte-bébé Nouveau-né, 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/Lodi Pauli, 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-Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, 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,TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air.

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

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