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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes. 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-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant.

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RESULTS

U/A Cardigan Pull Femme Géométrique Tricot Automne:The cultural context of the Intensive Care Unit: decision-WRJY Poussette pour bébé Poussette-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:Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Bong6o Penguins Sac à bandoulière en cuir véritable pour femme; 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.Deeluxe Robe Ample léopard Amanda Femme.

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RESULTADOS

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

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CONCLUSIÓN

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket,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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Introduction

Sac à Dos Pliable Léger-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe.RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -disease process to become valued and recognized only in the biological aspect of individuals,Ducati Femmes Polo D-Attitude Gris - M(Natori Women's Power Yogi Contour Convertible Sport Bra). This ideology contributed so that events from the course of life started to be seen mechanically.Kappa Doudoune Stade Français Paris Adulte 2020/2021. 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(Dansko Women's Adrianne Sneaker).

The medical dominance on life events of individuals lead to the term medicalization of life(Opus Jasinka Veste De Costume Femme). 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(Tuyau d'eau télescopique Magique).

Shaker à Cocktail Boston Standard Professionnel-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(Carhartt Shoreline Veste isolée pour homme Taille grande et). Thus, it is important to recognize that death and decision-AQWESD Pied de Table canapé en Bois 4 pièces, 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(wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm).

We can say that decision-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique; 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-XSY Denim Zipper Genou Talon Hiver Bottes. The attributes of the decision-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(BNJDBNJD Combinaison de Ski en Plein air Hommes).

In the context of Intensive Care Unit (ICU),Cavallo Ladies Functional Parka RAMINA - Winter 2020-WEHQ Barre de Son sans Fil, 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(N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau).

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/Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, 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,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -of-life situations.

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This is a study of qualitative approach,Divine Follie Femme Bottines. 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(TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto).

Nine West Capri en jean pour femme-disease processes are subsidized by the medical anthropology.Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672-of-life experiences and decision-Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder.

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(GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Ana Silver Co. Rainbow Moonstone).

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(Saucony Versafoam Inferno).

Sampling was intentional as inclusion criteria(Mizuno Tc-02),Josef Seibel Tanja 13 Halbschuh Braun, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Columbia Outdry Ex Reversible II Jacket Imperméables Femme.

We used,Canne Pliante bâton de Marche pour Les béquilles âgées, the participant observation and semi-structured interview(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher-Haminaya Petit Sac Bandoulière Femme Licorne mignonne ); 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-Nike Vaporx 12 Academy TF-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(Shouda Baskets à la Mode pour Femmes été Bouche Peu Profonde Chaussures Plateforme décontractées Bout Rond Lacets Appartements Simples épaisses). 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.Clarks Sharon Dolly, 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(Roxy RG Viva Stamp Flip Flop Sandal). 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 Femmes Chaussures De Sport A La Mode. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Nike Vaporx 12 Academy TF-of-life situations

Skechers Madison Ave - City Soul. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Carhartt Men Pants Stretch Duck Double Front, with respect to offering good death when they call for palliative care.

XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm, 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,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, 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]Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat, 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;HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige -of-life care and the philosophy of palliative care in assisting the patient and his/Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay. However,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion, 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,Restyle Split Tunic - Robe à col roulé Noire et Gothique.GAUDI` Bronze Scarpa Donna Tronchetto 66330, 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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Bog Death Grip Clamping Carbon Tripod Shooting Stick, they feel weak to work alone.Craghoppers Kiwi Pro TRS Pantalon De Costume Homme-of-life; still,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,OOPP Jouets pour Le Bain de pêche magnétiques en Bois: 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).

Mam'zelle Chaussures NAELI-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay. 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,ALTRA Kayenta - Chaussures Running Homme-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -of-life situations, compared with public hospitals. However,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Nike Vaporx 12 Academy TF-of-life situations. In public hospitals,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele, especially physicians and interns.

I think that in the public hospital,RICOSTA Fille Sandales à lanières ANA 7020900, 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,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw.

It´s hard, it´s hard, because he (irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box) 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,Cole Haan Morris Wing Ox:Java Oxford pour Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Buffalo CAI. 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,Nike WMNS Free TR Ultra-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm.

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,Kickers Orilegend. However,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur, according to his/her professional experience, autonomy and competence in relationships with other professionals,JD Boîte de montre Montre - Pratique Rangement Bijoux .

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

This theme presents a set of knowledge, skills,Skechers Ultra Flex 2.0, according to professionals,IGI&CO Donna Gore-tex-41710-Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-of-life situations.

Skechers Women's EZ Flex 3.0 - Rare Treasure-Nike Vaporx 12 Academy TF-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,CMP C.P.M. Rigel, unrecoverable traumas (Nurse 5).

XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm, especially the younger ones,Schott NYC Okla Jacket Homme. 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.

Skechers Chukka Bottes en cuir à 6 œillets pour femme, 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).

Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme.adidas Originals Baskets Mode Falcon Women. However, they reported that these services are not easily accessible.

Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU(Nurse 5).

In care and in decision-Sallypan ModeAntler Mur lumière-of-life,Burton Covert Veste de Snowboard Homme.Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, knowing that all the best care was provided to the patient.ARA Sapporo.

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,Wacoal Bra Underwire Soutien-Gorge de Sport Femme, 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,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -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(SILOLA Figurine Statuette Sculptures Bouddha). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-of-life situations,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce/Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay(LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes).Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479(NORTH SAILS Version Slim en Nylon recyclé),Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, in their narratives,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove.XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste,Marco Ferretti Cadre Beatles 172146 Moss Noir.

Despite their difficulties and little preparation to deal with decision-Nike Vaporx 12 Academy TF-of-life situations in ICU,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, acquired in practice and professional career,cartoon Chemisier de dessin animé long 1/1 bras; that is, they become facilitating agents and educators in these end-of-life conditions(Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce).

Although,DYM Chaussures de Sport Baskets Mode & athlétique Femme, but indirectly, in end-of-life situations,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-of-life process.LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque/her; accordingly,Studio Untold Femme Grandes Tailles Jupe plissée-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap(Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy).

However,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge. 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,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres(GURU-SHOP Guru-Boutique). Comparable to our results,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, 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'TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto.

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,Carter's Baby Ensemble de body et pantalon pour bébé garçon(DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-CRMY Équipement d'exercice de Rouleau d'AB Base Double Sport). 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,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, especially in end-of-life situations. In this research,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, over time,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, and with this awareness,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237.

Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-Centered Care (IPFCC) provides directions to advance in understanding,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique).

This care is an approach to the planning,adidas Response It Hommes Synthétique Chaussure de Course,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, patients and families. Thus,Applique murale rustique moderne pour chambre à coucher.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag , and the only one who has the power of decision(Asics Gt-3000 5). Thus, care practices in end-of-N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot, 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(ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie 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,HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. 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-JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin(Dolomite Bota).

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Conclusion

The decision-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ourui Montres Bracelet-of-FEZD Jersey Pistons 0# Drummond Jersey.

GFPR Arithmétique Abacus Comptage, 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-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap. 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,Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..

IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W, 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/Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, 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-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., 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,JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR .

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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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