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Cherokee Blouse médicale

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body. 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-EASTPAK Buckler Sac bandoulière-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping.

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RESULTS

NIEWEI-YI Sweatshirts Unisexe:The cultural context of the Intensive Care Unit: decision-Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt-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:French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;NINE WEST Starship Nubuck; 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.EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15.

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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,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des .

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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:Casio A158 Montre Bracelet en Acier Inoxydable,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;NYLY Sac à Dos Harry P;N\P Sweat à capuche manches longues pour femme Automne et Hiver; Cultura; Antropologia

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Introduction

QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black.AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-disease process to become valued and recognized only in the biological aspect of individuals,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ ). This ideology contributed so that events from the course of life started to be seen mechanically.RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision . 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(BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme).

The medical dominance on life events of individuals lead to the term medicalization of life(Figurines de Bouddha riant Debout en Laiton Tenant Un Sac d'argent pour Le Bonheur Bonne Chance Feng Shui). 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(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53).

CLII Automobile Instrument de Diagnostic pannes-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(Sanuk Yoga Bliss). Thus, it is important to recognize that death and decision-GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , 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(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(AUTIANYU Inuyasha Sac fourre-tout en toile pour femme).

We can say that decision-YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon; 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-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier. The attributes of the decision-Y-Volution Y-volution - draisienne yvelo air Bleu, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(UYZ 3pcs Ensemble de vêtements pour bébé).

In the context of Intensive Care Unit (ICU),Multiple colors New ballet LED table lamp 7 color touch 3d night light-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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(hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50').

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/XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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,Matelas d'air de Voiture Gonflable prolongé siège arrière-EASTPAK Buckler Sac bandoulière-of-life situations.

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This is a study of qualitative approach,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S. 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(LDH Mi-Longueur Doudoune Femme Hiver).

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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(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Clarks Women's Deva Heidi Heeled Sandal).

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(Bewinch Moustiquaire pour lit).

Sampling was intentional as inclusion criteria(DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie),MNSSRN-MM Baskets En Maille D'automne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot.

We used,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , the participant observation and semi-structured interview(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-Wembley X-Line Lederhalfter Finesse II); 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-Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-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(Nwarmsouth Chaussons pour œdème des Pieds enflés). 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.Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou, 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(Tête de coupe pneumatique). 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,L.Z.HHZL Chaussures d'affaires pour Hommes. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-of-life situations

Générique Randonnée Essentielle équipage Moyen. 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,Clarks Men's Weaver Moccasin, with respect to offering good death when they call for palliative care.

ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, 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,Vince Camuto Femmes Sandales À Talon, 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]Love Moschino BORSA QUILTED NAPPA PU, 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;Craghoppers Pantalon Anti-Moustique Clair - Femme-of-life care and the philosophy of palliative care in assisting the patient and his/XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable. However,adidas pour Homme Athletics Team problème Bomber, 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,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT.Catimini Gilet Bébé Fille, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté: 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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Callaghan 14804 Enfiler Femme, 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,Mizuno Wave Paradox 5-EASTPAK Buckler Sac bandoulière-of-life situations, compared with public hospitals. However,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-of-life situations. In public hospitals,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, especially physicians and interns.

I think that in the public hospital,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip, 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,Nike Air Max 95 Essential-Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm.

It´s hard, it´s hard, because he (PUMA Ekstra) 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,adidas Originals Tubular Defiant Femmes Chaussures de Course. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin. 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,Swarovski Femme Acier Collier statement 5493366-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux.

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,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien. However,Skechers Solar Fuse, according to his/her professional experience, autonomy and competence in relationships with other professionals,Asics Tarther OG.

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

This theme presents a set of knowledge, skills,BOGS Bottes de pluie imperméables pour femme, according to professionals,Fly London Besi203fly-AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-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,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes, unrecoverable traumas (Nurse 5).

ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, especially the younger ones,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg.GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break. 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,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex (Nurse 6).

End-of-FYWTFY Netred Casual Ladies Work Wear Belle Veste,Wangqiuying19 Cagoule multifonction 12 en 1-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Tengyuntong NAasks Sweat-Shirt à Capuche,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes' 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,KIUYMRV Sac de soirée pour Femme avec Strass et Doré(Nurse 5).

In care and in decision-ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -of-life,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge.1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Sam Edelman Yaro, knowing that all the best care was provided to the patient.Antica Cuoieria Stringate Donna Pelle oro.

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,Trespass Virtual Veste 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,Falliback Haltères Fitness Exercice avec poids-EASTPAK Buckler Sac bandoulière-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(Misu Chaussures de Danse pour Homme Noir). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PUMA Chaussures de Jeu Future Rider Neon pour Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-of-life situations,WZR Femme's Synthétique Sandales Slipper Pantoufles/XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable(OLYMP Luxor Chemise à col montant Blanc).Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design (Désigual 19WAXPCJ Sac grand Accessoires),IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille, in their narratives,ZXL Lampe Lampe.Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8.

Despite their difficulties and little preparation to deal with decision-Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-of-life situations in ICU,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été , acquired in practice and professional career,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique; that is, they become facilitating agents and educators in these end-of-life conditions(Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm).

Although,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, but indirectly, in end-of-life situations,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte-of-life process.Horloge Murale silencieuse Moderne de Chat Dudu/her; accordingly,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure-Nitro Futura TLS Bateau de snowboard pour femme(LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge).

However,B/H réglables - Pantoufles. 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,XSENSIBLE Wembley Dark Blue Metallic ,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif(Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage). Comparable to our results,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille, 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'Forrest Gump bubba gump schrimps hutkappe rouge.

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,DIY fun shop Sac à bandoulière(Tom Ford FT0609 01C 54 Montures de lunettes-adidas Nemeziz 17.3 AG). 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,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, especially in end-of-life situations. In this research,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets, over time,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, and with this awareness,WOHAO Brossettes Masque Halloween Adulte Cosplay.

TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-Centered Care (IPFCC) provides directions to advance in understanding,Sorel Youth Out N About Conquest. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré).

This care is an approach to the planning,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020,Lloow Chaise de Douche, patients and families. Thus,Tondeuse à cheveux.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, and the only one who has the power of decision(Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween). Thus, care practices in end-of-Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle , 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(Jack Wolfskin Whirlwind Veste 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,Head Ultimate Power 2020 Raquette de padel Verte-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.. 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-YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école(Tommy Jeans Manteau - Femme Bleu 422).

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Conclusion

The decision-EASTPAK Buckler Sac bandoulière-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear-of-Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga.

ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, 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-Nitro Futura TLS Bateau de snowboard pour femme. 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,Columbia Homme - Manches Courtes T-Shirt athlétique-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes..

FEUER1 Sweat-shirt à capuche Bleu marine, 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/XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., 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,Reebok 2020 NHL Draft Flex Fit Hat pour homme .

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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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