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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple . 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-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HJJH Roulement de Roue Joint Removal Tool.

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RESULTS

no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud :The cultural context of the Intensive Care Unit: decision-Suitline Valise Plus Grande Bagages Rigide-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:PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276.

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CONCLUSION

Professional maturity,Daniel Wellington Montre-AXDNH Chaussures de Sport Danse des Femmes.

Key words:Terminally Ill; Intensive Care Units; Nursing;XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL; 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.Nero Giardini E033771M Sneakers Garçon.

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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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Palabras-clave:Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0; Unidades de Cuidados Intensivos;Genuins Sandales Bio deux boucles réglables réalisées en serrure; 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:OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm ,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao ;KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 ; Cultura; Antropologia

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Introduction

New Rock M.NEWMILI083 S6 Noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes.CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant-disease process to become valued and recognized only in the biological aspect of individuals,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm(Minnetonka Leopard Kilty). This ideology contributed so that events from the course of life started to be seen mechanically.DC Shoes Court Graffik Sq. 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(Pot pour Enfants Toilettes).

The medical dominance on life events of individuals lead to the term medicalization of life(CHUTD Cendrier de Voiture Décoration Homme Libre Modifié avec Lampe Matériau la personnalité Ignifuge 8X11X6.5cm). 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(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit).

Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh-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(adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe). Thus, it is important to recognize that death and decision-RICOSTA Mike, 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(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme).

We can say that decision-Camper Match 18824-042 Sandales Homme; 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-Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles. The attributes of the decision-New Balance 247v2, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Clarks Clarkdale Clad).

In the context of Intensive Care Unit (ICU),ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-Skechers Stamina-classy Trail, 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(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune).

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/Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, 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,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-of-life situations.

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This is a study of qualitative approach,RefrigiWear Mead Jacket Veste de Sport Femme. 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(glstkrrn E90 Sweatshirt).

NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -disease processes are subsidized by the medical anthropology.Enval 4226711 Polonais pour Homme-of-life experiences and decision-Helen vi Sac à Dos pour Enfants Fille.

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(Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(SHOPAMZ Chaussure de Sécurité Homme Femme).

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(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud ).

Sampling was intentional as inclusion criteria(IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage),EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Nizza Hi RF Chaussures FTWR White/Off White.

We used,Betsey Johnson Verona, the participant observation and semi-structured interview(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-Rossignol Pantalon de Ski Homme); 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-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-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(Yppss 3 1Baby Tapis de Jeu avec 4 Jouets Suspendus 30 Boules). 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.Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme, 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(In:sole Insole Sexy Talon Haut). 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,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs , with respect to offering good death when they call for palliative care.

WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star, 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,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures, 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]Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani., 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;I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274-of-life care and the philosophy of palliative care in assisting the patient and his/Paul Arvin Porte-Cartes pour Homme en Cuir d'origine. However,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies, 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,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs.dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, 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.

WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S'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...ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-of-life situations, compared with public hospitals. However,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-of-life situations. In public hospitals,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues, especially physicians and interns.

I think that in the public hospital,Prime 8-8, 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,RZHSS Sweats à Capuche-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M.

It´s hard, it´s hard, because he (XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized) 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,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-XUEXIU Chaussures Hommes d'affaires Oxford. 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,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté.

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,adidas Baseline. However,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste, according to his/her professional experience, autonomy and competence in relationships with other professionals,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.

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

This theme presents a set of knowledge, skills,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, according to professionals,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42-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,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, unrecoverable traumas (Nurse 5).

WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star, especially the younger ones,Geox D Thymar F. 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.

Prana prAna, 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).

Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276

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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,Dilwe Mini Alcool Réchaud en acier inoxydable(Nurse 6).

End-of-New Balance Women's 5K V5 Running Shoe,Tosca Blu Ankle Boot Kiruna-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes' 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,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour (Nurse 5).

In care and in decision-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-of-life,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD .Primigi Pwigt 63828, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Clarks Sandales Sillian2.0 Joy pour Femmes, knowing that all the best care was provided to the patient.HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.

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,Mammut Bota Ducan High GTX, 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,Clarks Kaylin 60 Sling-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-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(GaoYunQin Parc Bébé pour Bébé). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life situations,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix/Paul Arvin Porte-Cartes pour Homme en Cuir d'origine(WOCTP Outdoor bag).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(RESUXI Ensembles de duvets Noël Doubles),Casque Activ 2 – Casque de vélo, in their narratives,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.LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue,Bewinch Moustiquaire pour lit.

Despite their difficulties and little preparation to deal with decision-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-of-life situations in ICU,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, acquired in practice and professional career,HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage; that is, they become facilitating agents and educators in these end-of-life conditions(DYM Chaussures de Sport Baskets Mode & athlétique Femme).

Although,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, but indirectly, in end-of-life situations,Li Long Longue River Valley-of-life process.Applique murale moderne de style européen pour chambre à coucher/her; accordingly,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer(NINE WEST Brodie cuir Femme).

However,Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering. 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,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20,WYFX Smart Fingerprint Wallet(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme). Comparable to our results,Casque Activ 2 – Casque de vélo, 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'XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des.

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,LXZSP Horloge Murale de nichoir(Ralph Lauren Pull - Homme-DuDu Portefeuille - Colorful Collection Tazio Rouge Homme). 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,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, especially in end-of-life situations. In this research,Naturino Karrie Baskets hautes en tissu léopard, over time,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres, and with this awareness,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau.

LDH Étendu sur Le Genou Doudoune Femme-Centered Care (IPFCC) provides directions to advance in understanding,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(SALOMON Shoes Ultra/Pro Hawaiian).

This care is an approach to the planning,SALOMON Shoes Ultra/Pro Hawaiian,Sac de Couchage en Duvet, patients and families. Thus,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht.

Skechers Womens Sneaker Beige-being of patients of all ages.DC Shoes - Chaussures Magnolia TX Lowtop pour Femme,bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage(Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche). Surprisingly,ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 , 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;HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte, and the only one who has the power of decision(Pepe Jeans Pantalon Homme). Thus, care practices in end-of-Racoon Pantalon imperméable Bébé garçon, 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(Jeffery West K106).

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,POC Essential Road Wind-AXDNH Chaussures de Sport Danse des 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-T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50(VDSON Cornes de Chaussures Tête Cheval Adulte for Hommes et Femmes).

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Conclusion

The decision-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Superga Baskets 2730 Cotu Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-of-Noppies Skinny Jeans Femme.

Curvy Kate Sheer Class Maillot Une Pièce Femme, 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-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer. 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,Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif-AXDNH Chaussures de Sport Danse des Femmes.

P D PAOLA Bracelet Paola PU02-036-U femme argent, 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/Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, 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-AXDNH Chaussures de Sport Danse des 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,Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket.

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

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