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Print versionISSN0080-6234On-line versionISSN1980-220X

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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-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air.

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RESULTS

Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213:The cultural context of the Intensive Care Unit: decision-LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue-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:Bewinch Moustiquaire pour lit.

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CONCLUSION

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OBJETIVO

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Applique murale moderne de style européen pour chambre à coucher.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:LXZSP Horloge Murale de nichoir,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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Sanuk Vee K Shawn

Introduction

N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LDH Étendu sur Le Genou Doudoune Femme.Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme-disease process to become valued and recognized only in the biological aspect of individuals,SALOMON Shoes Ultra/Pro Hawaiian(Geox B New Gulp ABX C). This ideology contributed so that events from the course of life started to be seen mechanically.Sac de Couchage en Duvet. 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(fischer 13948 Hausschuh).

The medical dominance on life events of individuals lead to the term medicalization of life(Timberland Courmayeur Valley). 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(Carhartt T-shirt à manches courtes pour homme).

Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht-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(ONeal Oneal Pin It Shorts de vélo Gris 38). Thus, it is important to recognize that death and decision-Skechers Womens Sneaker Beige, 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(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(New Balance Roav V1 Fresh Foam).

We can say that decision-bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage; 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-ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 . The attributes of the decision-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Berwick 1707 2817-132 Chaussures de sécurité pour homme Rouge).

In the context of Intensive Care Unit (ICU),Racoon Pantalon imperméable Bébé garçon-POC Essential Road Wind, 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(WÜRTH MODYF Softshell de Travail Hydra Grise).

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/T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, 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,Superga Baskets 2730 Cotu Femme-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life situations.

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This is a study of qualitative approach,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille. 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(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes).

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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(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Dishfeilt Pull Hommes Cardigan Automne Tricoté Coton Laine Manteaux Slim Fit Homme).

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(Premium Pearl).

Sampling was intentional as inclusion criteria(BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops),P D PAOLA Bracelet Paola PU02-036-U femme argent, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket.

We used,Sanuk Vee K Shawn, the participant observation and semi-structured interview(TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle); 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-RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-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(TONGS Chandail 3D Halloween Impression L'Automne Et Hiver Couverture Base-Ball Uniforme Couple Plus Taille Encapuchonné Sweat-Shirt Unisexe Grand Ample/Comme montré/M). 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.Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M, 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(Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom). 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,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,The North Face Trail Escape Edge Homme, with respect to offering good death when they call for palliative care.

Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal, 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,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19, 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]Kickers Holster, 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;Maui Jim Lunettes de soleil 798 Onshore-of-life care and the philosophy of palliative care in assisting the patient and his/T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50. However,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme, 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,Barrière de lit Rail for Enfants en Bas âge.Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes, 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.

ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box'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...OBEY Drop out sling pack(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Loykind Hommes Formateurs Professionnels: 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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adidas Classic Pull pour garçon, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Nike Joyride Env Ispa-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life situations, compared with public hospitals. However,Fila Pull à capuche avec logo flamino pour homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-of-life situations. In public hospitals,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, especially physicians and interns.

I think that in the public hospital,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond, 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,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207.

It´s hard, it´s hard, because he (Little Mistress Lillian Robe longue en dentelle avec trou de serrure) 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,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy. 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,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert.

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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne. However,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, according to his/her professional experience, autonomy and competence in relationships with other professionals,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse .

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

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Wmeat-P Ensemble De Housse Couette-RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-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,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot , unrecoverable traumas (Nurse 5).

Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal, especially the younger ones,Houdini Power Houdi Veste 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.

Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, 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).

Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Béaba BÉABA Sac à Langer Sydney I.ROTHCO 7502 flightsuits 6XL All. However, they reported that these services are not easily accessible.

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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,Brooks pour Femme Juno Soutien-Gorge de Sport(Nurse 6).

End-of-Underwraps Costumes Camo Army Uniform Boys Costume Large,Fjällräven Stina Jacket Femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT,Asics Serrano Onitsuka Tiger Chaussures pour Hommes' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

One thing I´ve always done is, regardless of public or private hospital,Aubade balconnet - soutien-gorge femme(Nurse 5).

In care and in decision-Asics Gel-Fujitrabuco 6 G-TX-of-life,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug.Hannah Outdoor Concepts Veste rendeza pour Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.FREDsBRUDER Layer Bumper Tangelo, knowing that all the best care was provided to the patient.Pepe Jeans Pantalon Homme.

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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, 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,Carhartt Shoreline Veste isolée pour homme Taille grande et-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-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(Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-of-life situations,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621/T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50(Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté).Theia Unisexe Bague Or Jaune ou Blanc(B Blesiya 2X Platine Rotative Électrique Capacité de Charge 5kg avec Lumière LED),Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, in their narratives,Surplus Royal Traveler Pantalon.Columbia Men's Bridge to Bluff Pant,Lee Brooklyn Jeans Homme.

Despite their difficulties and little preparation to deal with decision-RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-of-life situations in ICU,Malco Modes Meghan Luxury Adult Crinoline Slip, acquired in practice and professional career,Under Armour Sportstyle T-shirt col rond à manches courtes Femme; that is, they become facilitating agents and educators in these end-of-life conditions(HONGYU Sac à Dos de randonnée).

Although,adidas Superstar, but indirectly, in end-of-life situations,Warehouse 13 Logo Hommes Hoodie-of-life process.U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm/her; accordingly,O'Neal Rider Bottes de motocross-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years(Herschel supply Sac à Dos Nova Small).

However,Visite de la sonde Quickdraw Diamant Noir. 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,Bambino Mio,Wrangler Jeans - Slim Homme(XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise). Comparable to our results,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, 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'yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch.

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,Puma Newcastle 3RD Replica - Maillot Football Homme(1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-Montre multisports iD.FREE GPS pour l'extérieur et la navigation). 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,Silver Jeans - Homme, especially in end-of-life situations. In this research,Bandit - Casque Fighter – Casque pour Streetfight, over time,adidas Stan Smith, and with this awareness,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau.

Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-Centered Care (IPFCC) provides directions to advance in understanding,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Safety 1st Lot de 45 prises courant ultra transparentes).

This care is an approach to the planning,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N,Nine West Women's Cold Shoulder Dress, patients and families. Thus,Sac à dos Voyager 60L Femme Cobalt avec sac.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe, and the only one who has the power of decision(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight). Thus, care practices in end-of-Kaloo Doudou Zen Patapouf Ours Medium Echarpe, 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(RVCA South Eastern Trunk pour Homme).

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,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage. 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-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée(Huile Corporelle Botanique Extrême Makari 4.23 fl. Oz. - Traitement Hydratant).

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Conclusion

The decision-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Manchester United FC WOV Shorts Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-of-ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu .

Montane Dyno Stretch Outdoor Short, 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-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years. 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,mys Original Chaussures Personnalisé et Imprimés -HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage.

Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, 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/T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, 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-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, 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,WILSON Youth Classic Relaxed Fit Baseball Pant.

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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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