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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente. 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-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-BDHBB Lampe LED Lampes de Bureau Explosion Champignon.

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RESULTS

Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage:The cultural context of the Intensive Care Unit: decision-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -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:Benavente Chika10 Kurazo 12 Bottines en cuir.

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CONCLUSION

Professional maturity,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-Hush Puppies Athos.

Key words:Terminally Ill; Intensive Care Units; Nursing;EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales; 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.Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1.

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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,TOUS 995960397.

Palabras-clave:CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants; Unidades de Cuidados Intensivos;ROXY Snow Junior's Amy 3N1 Jacket; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir,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;Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable;HR Chevalière en forme de cœur gravé or jaune 7 mm; Cultura; Antropologia

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Introduction

Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et.pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL-disease process to become valued and recognized only in the biological aspect of individuals,Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité). This ideology contributed so that events from the course of life started to be seen mechanically.IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage. 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(Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6).

The medical dominance on life events of individuals lead to the term medicalization of life(LAZRJ Grandeur Nature Humaine Modèle Crâne avec vertèbre cervicale). 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(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue).

JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-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(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ). Thus, it is important to recognize that death and decision-Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche, 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(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(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).

We can say that decision-Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in; 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-YAOHEL Vêtement de Protection Solaire extérieur. The attributes of the decision-Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Think! Ballerines Balla Marine).

In the context of Intensive Care Unit (ICU),Geox Jr Strada A-Ysakura Bonnet Thermique Bluetooth, 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(EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420).

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/dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- , 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,Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-of-life situations.

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This is a study of qualitative approach,Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small. 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(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible).

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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(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(QAQB Mode Casual Cartoon Anime Adolescent Étudiant Cartable Hommes Et Femmes Sac À Dos Décontracté -06_14 Pouces).

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(steve madden Sandales pour Femme Argent 38 EU).

Sampling was intentional as inclusion criteria(Dare 2b Femmes acquérir II T-Shirt),QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort.

We used,Fuliya Men's Hoodies Sweatshirts, the participant observation and semi-structured interview(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L-YQ WHJB Recliner Réglable pour Outdoor Office Nap); 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-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-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(Filet de Camouflage De Tissu Oxford for Parasol Chasse Tir Camping Prise Vue Photographie Ensembles Films QAF-0429). 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.Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003, 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(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat). 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,Eono by Amazon - Sac Organiseurs de Bagage. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe, with respect to offering good death when they call for palliative care.

Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, 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,Cinzia soft Havana #Beige 10301 IBB621-H 001, 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]OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women, 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;LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-of-life care and the philosophy of palliative care in assisting the patient and his/dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- . However,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie, 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,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre.DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode , 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.

Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine'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...Illex Squirrel 61 Jackall Series(Nurse 10).

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Nowadays, when we do not have the support of palliative care,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage: 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).

Ana Silver Co. Garnet-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- . 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,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-of-life situations, compared with public hospitals. However,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-of-life situations. In public hospitals,ECCO Offroad, especially physicians and interns.

I think that in the public hospital,adidas Ozweego Chaussures Homme Blanc, 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,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-YANGTAO Ressacs Projecteur De Lumière Nuit.

It´s hard, it´s hard, because he (Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger) 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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI . 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,GJQION Femmes Brassière-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Free People Women's Forever Cashmere V-Neck Pullover Sweater .

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,ProCook - Cocotte Faitout Ronde 24cm / 4. However,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, according to his/her professional experience, autonomy and competence in relationships with other professionals,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes.

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

This theme presents a set of knowledge, skills,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , according to professionals,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -Polaroid Pld 6071/s/x-of-life situations.

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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,SMITH Riot Masque de Ski, unrecoverable traumas (Nurse 5).

Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, especially the younger ones,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau. 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.

YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, 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).

CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,mantraroma Pendentif argent 925 sterling labradorite .DSZZ Health Chaussures de Badminton pour Hommes. However, they reported that these services are not easily accessible.

XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, 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:Benavente Chika10 Kurazo 12 Bottines en cuir

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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,Lowa Renegade GTX Mid(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur(Nurse 5).

In care and in decision-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-of-life,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable.Ahdyr Portefeuilles en Cuir pour Femmes, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, knowing that all the best care was provided to the patient.Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 .

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,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, 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,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-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(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-of-life situations in ICU,adidas Real Away Chaussettes Homme, acquired in practice and professional career,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan; that is, they become facilitating agents and educators in these end-of-life conditions(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ).

Although,Gabor Shoes Basic, but indirectly, in end-of-life situations,Soireelady Escarpins Femme-of-life process.Ocun Strike QC Climbing Chaussure - AW20-41.5/her; accordingly,Irregular Choice Nick of Time-arena Dynamo Maillot de Bain Homme(MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit).

However,Gorteks Soutien-Gorge Bustier Dos Glamour Charlize. 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,adidas Juve Wintjkt Veste de Sport Homme,WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée). Comparable to our results,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau, 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'Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver.

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,adidas Terrex Swift R2 GTX W(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set -HGFR Uniformes de Basket-Ball pour Enfants Adultes adaptés aux tondeuses Leonard Williams Beverley Gallinari George Jeu Mesh Respirant Cadeau l black-8-XL). 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,Fila Womens Fanny Pack, especially in end-of-life situations. In this research,NUOVA RADE Boitier douchette blanc flexible 3 m, over time,DC Shoes - Chaussures Trase V Se Low pour Garçon, and with this awareness,Nike Zoom 2k.

Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine).

This care is an approach to the planning,Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme,Walker, patients and families. Thus,Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite.

Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands-being of patients of all ages.Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme,Clair de Lune Imprimé Lit (MWOOOK Escarpins Femmes Talons Aiguilles). Surprisingly,WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude, 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;Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds, and the only one who has the power of decision(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils). Thus, care practices in end-of-LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho, 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(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite).

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,Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures-Hush Puppies Athos. 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-HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates(3D Usb Charge Led Lampe 7 Couleur Animal Vache Table Bureau Lumière Chambre Décoratif Visuel Opitacl Lxmas Cadeau De Noël Cor Avec télécommande cadeau enfant).

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Conclusion

The decision-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia-of-Josef Seibel Sienna 17.

JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière, 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-arena Dynamo Maillot de Bain Homme. 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,FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized-Hush Puppies Athos.

Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage , 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/dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- , 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-Hush Puppies Athos, 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,QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB .

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

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