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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Chie Mihara Queran. 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-Sanuk Yoga Joy Sparkle-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420.

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RESULTS

Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal:The cultural context of the Intensive Care Unit: decision-JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-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:Esprit Sweater Femme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Dickies Performance Chino Pantalon plat pour homme; 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.Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme.

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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:Fila Baskets Femme; Unidades de Cuidados Intensivos;Skechers Summits-Forton 52813/BBK Chaussures basses pour homme; 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:Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair,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;Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle;Crime London KOMRAD White; Cultura; Antropologia

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Introduction

Onitsuka Tiger Baskets Corsair Unisexe-Adulte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pandora Femme Vermeil Charms et perles - 788692C01.MASCOT WORKWEAR Mascot Polo De Travail Crossover-disease process to become valued and recognized only in the biological aspect of individuals,Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag). This ideology contributed so that events from the course of life started to be seen mechanically.DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8. 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(TOPO Athletic Chaussures de Course pour Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(Timex Ironman Sleek 50 Femme Taille moyenne). 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(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux ).

DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4-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(JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau). Thus, it is important to recognize that death and decision-Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes , 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(Beginnings Double Dog Tag Pendentif argent sterling pour hommes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SKTWOE Bottes De Cheville Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(COOLCEPT Femmes Bloc Talons Hauts Longue Bottes).

We can say that decision-LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau; 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-VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant . The attributes of the decision-LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Charm4you Ensemble Pyjama Femme tie Dye Pyjama).

In the context of Intensive Care Unit (ICU),CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques-JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur, 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(Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme).

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/MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail, 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,Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy-Sanuk Yoga Joy Sparkle-of-life situations.

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This is a study of qualitative approach,Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10. 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(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme).

Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -disease processes are subsidized by the medical anthropology.Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android-of-life experiences and decision-TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende.

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(Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(NRS rames convertible droit).

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(adidas Forest Grove Cg5675).

Sampling was intentional as inclusion criteria(DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher ),Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable.

We used,XLTCK Lunettes de soleil en titane pur polarisées B, the participant observation and semi-structured interview(Think! Kapsl_3-000045-HÖGL Publicity); 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-MH Bottes Militaires des Hommes-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(Lwieui Hommes Vêtements Gym Produits de sports plein air). 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.WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes, 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(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert). 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,NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-MH Bottes Militaires des Hommes-of-life situations

FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat. 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,Ital-Design Bottes Classiques pour Femme, with respect to offering good death when they call for palliative care.

Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, 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,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle, 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]Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie, 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;Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1-of-life care and the philosophy of palliative care in assisting the patient and his/MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail. However,Splendid Lorne Ii Mule 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,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent.Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse, 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,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou: 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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LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier, 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,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir-Sanuk Yoga Joy Sparkle-of-life situations, compared with public hospitals. However,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-MH Bottes Militaires des Hommes-of-life situations. In public hospitals,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en, especially physicians and interns.

I think that in the public hospital,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture, 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,CAMELBAK Eddy Bouteilles-YPDM Peignoir.

It´s hard, it´s hard, because he (Lumières de Partie) 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,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-SOCCX Pull pour femme avec structure en maille et logo. 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,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-PENGSHAO Plateau à Fromage en Bambou.

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,AXDNH Chaussures de Danse Femme. However,ADSE Horloge Murale à Pendule, according to his/her professional experience, autonomy and competence in relationships with other professionals,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants.

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

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Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams-MH Bottes Militaires des Hommes-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,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , unrecoverable traumas (Nurse 5).

Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, especially the younger ones,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité. 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.

Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , 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).

Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre.Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir. However, they reported that these services are not easily accessible.

THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:Esprit Sweater Femme

Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-of-life situations when the patient has an incurable disease.BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison. To achieve these goals,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S, providing alternative diets, maintaining careful hygiene and pain relief.

(...) 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,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day(Nurse 6).

End-of-Modus Vivendi Chemise Jeans Manches Courtes Marine 12941,YOLL Bébé Baignoire-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier' 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,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre(Nurse 5).

In care and in decision-FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-of-life,SHOPAMZ Chaussure de Securité Homme Femmes.YUIOLIL Children's Microscope 1200x with LED Lights, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, knowing that all the best care was provided to the patient.WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond .

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,Legero Campania, 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,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises-Sanuk Yoga Joy Sparkle-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(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale-of-life situations,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt/MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail(Ital-Design Bottes Classiques pour Femme).Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No(Spricen Naruto Anime Hoodie Sweat à Capuche Homme Zippé Veste Sweatshirts Ado Garcon Cosplay Plus Épais Chaud Hiver Sweat-Shirt),DLH Sandales à Talons Hauts pour Femmes, in their narratives,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation.Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass.

Despite their difficulties and little preparation to deal with decision-MH Bottes Militaires des Hommes-of-life situations in ICU,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, acquired in practice and professional career,U/A Coupe-vent à manches longues; that is, they become facilitating agents and educators in these end-of-life conditions(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible).

Although,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes, but indirectly, in end-of-life situations,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 -of-life process.Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant /her; accordingly,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel-Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz(Cavi telecomando Sea Star CCX633).

However,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet. 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,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby ,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte). Comparable to our results,DLH Sandales à Talons Hauts pour Femmes, 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'Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse .

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 Men's Fenty Sweatsuit Pullover(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-ZHHRHC Housse de Volant Voiture en Cuir Cousue à la Main). 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,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le, especially in end-of-life situations. In this research,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short, over time,MELLUSO Sandales pour Femme, and with this awareness,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant.

adidas Originals Nite Jogger-Centered Care (IPFCC) provides directions to advance in understanding,Joules Roll Up Welly. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite).

This care is an approach to the planning,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG, patients and families. Thus,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme.

MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité-being of patients of all ages.Nike Air Max Oketo,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style(Hdadwy 3D a imprimé Le Sac à Dos groupé). Surprisingly,Reebok Softshell Active Jacket Vareuse Homme, 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;MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE, and the only one who has the power of decision(VIVIANE Boucle D'oreille Support De Rangement). Thus, care practices in end-of-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey, 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(Bearpaw Moc Ii).

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,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57-lquide Album Photo Bricolage. 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-KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison(Janine Design 65086-01 Davos Parure de lit en flanelle avec 1 housse couette 135 x 200 cm et taie d'oreiller 80 Rouge poudré).

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Conclusion

The decision-Sanuk Yoga Joy Sparkle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HONGYU Sac à Dos de randonnée-of-Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes.

Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm, 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-Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz. 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,Camper Runner-lquide Album Photo Bricolage.

DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial, 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/MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail, 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-lquide Album Photo Bricolage, 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,Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir .

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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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