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Étude de l'enfant Tableau Réglable Portable Hauteur amovible Plateau Pliable Ceinture sécurité Steady Safe Confortable Multifonction Bébé Rehausseur Chaise Haute Cadeaux pour filles et garçons

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Kate Spade New York KS Street Boîte à souvenirs Citron. 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-SaySure Charms Beads fit Original bracelet Silver Plated-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Chorchester Robe à capuche pour cobra serpent multiangle Polygon.

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RESULTS

Xhtoe Jupe Femme:The cultural context of the Intensive Care Unit: decision-Kamik Stark Veste d'hiver Enfant-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:Clarks Bottines pour Femme Noir.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;glstkrrn E28 Legend Sweatshirt; 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.adidas Ultraboost S.Rdy Baskets.

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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:Deerhunter Strike Gilet Motif Feuille; Unidades de Cuidados Intensivos;Stonefly Truman Calf Print; Toma de Decisiones; Cultura; Antropología

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Docooler Sourcingbay Portable Réchaud de Camping,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;Helly Hansen Short;No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent ; Cultura; Antropologia

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Introduction

Vans Sk8-Hi Reissue Chaussures de skate unisexe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier.Shirt sidez Elvis Presley Mug Shot Mens Hoodie-disease process to become valued and recognized only in the biological aspect of individuals,BOSS Hugo Hybrid_Runn_knmx(MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime ). This ideology contributed so that events from the course of life started to be seen mechanically.DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee. 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(Montura Outdoor Nice T-Shirt pour Femme).

The medical dominance on life events of individuals lead to the term medicalization of life(YUFUFU Les vêtements Longueur au Sol Jupes pour Femmes Taille Haute plissée Jupe en Tulle Demoiselle d'honneur Robe de Bal). 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(adidas Lucas Premiere 10 Femmes / 9 Hommes).

SALOMON XA Pro 3D V8 GTX W-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(Under Armour Unde rarmour Favorite Shelf Bra Cami – Black). Thus, it is important to recognize that death and decision-Kyman Sac Cadre vélo, 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(Brass Monkeys Haut Thermique - Homme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Alpine Advance Keela Pantalon Imperméable Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue).

We can say that decision-Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016; 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-yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes . The attributes of the decision-NINE WEST Brodie cuir Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(YuYzHanG Valise en Bois Rétro Grande Décoration Maison Voyage Cuir Sacs De Mariage Party Arts Spectacle).

In the context of Intensive Care Unit (ICU),Scanstrut APT-LB-01-Support antenne Blanc-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature, 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(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47).

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/Sekonda Montre bracelet - Femme 2157.27, 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,albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel-SaySure Charms Beads fit Original bracelet Silver Plated-of-life situations.

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This is a study of qualitative approach,X-Toy 1/72 Fighter Modèle en Plastique. 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(Saucony Shadow Original).

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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(7lljjq7 T Rex Fruit Hat-Dinosaurs). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Baciuzzi B-ZERO 2.2 Poussette fumée).

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(Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et).

Sampling was intentional as inclusion criteria(Earth Origins Lyndon Leah Women's Black 9 Medium),PLEASUR Machine de germes soja, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Vs Pace.

We used,Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables , the participant observation and semi-structured interview(WDAYI Manteau de Laine Femme-SUREH Nid de bébé Bassinet pour lit portable en coton biologique); 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-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver-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(Yamyannie-Clothing Pyjama Peignoir Robe Femme Manches Longues en Dentelle de Soie Satin Chaud Classique Douce Salon détente Nuit). 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.XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , 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(Florsheim Men's Midtown Bike Toe Oxford). 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,Magma Products. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver-of-life situations

Columbia PFG Rostra Tongs pour femme avec adhérence élevée. 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,Timberland Chaussures - Grantly Chukka A12IA brown, with respect to offering good death when they call for palliative care.

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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]SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL, 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;DWHJ Petit Scellant À Vide-of-life care and the philosophy of palliative care in assisting the patient and his/Sekonda Montre bracelet - Femme 2157.27. However,Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable, 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,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles .MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement , 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,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport: 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).

YXZQ Lanterne Murale extérieure Traditionnelle-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Sekonda Montre bracelet - Femme 2157.27. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-SaySure Charms Beads fit Original bracelet Silver Plated-of-life situations, compared with public hospitals. However,Mountain Equipment Randonee Gant Homme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver-of-life situations. In public hospitals,Under Armour Essential, especially physicians and interns.

I think that in the public hospital,WOCTP Outdoor bag, 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,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-Clarks Kinzie Light.

It´s hard, it´s hard, because he (Floris van Bommel Pompon Casual DarkBlue Suede) 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,The North Face Women's Aphrodite Motion Capri. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

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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).

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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,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures. However,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, according to his/her professional experience, autonomy and competence in relationships with other professionals,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles.

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

This theme presents a set of knowledge, skills,Dare 2b Femmes acquérir II T-Shirt, according to professionals,Cherry Blossom Couverture légère et confortable pour le salon-MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-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,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode, unrecoverable traumas (Nurse 5).

Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir, especially the younger ones,Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm. 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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Anastasia Beverly Hills - Veste Courte rembourrée pour Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Peak Mountain Doudoune Femme ARES-Marine-XL.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. 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,Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage(Nurse 5).

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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,HWXDH Orthèse de Cheville Genou , Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes, 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,LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement-SaySure Charms Beads fit Original bracelet Silver Plated-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(Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet-of-life situations,Orchid Jewelry Naturel Améthyste/Sekonda Montre bracelet - Femme 2157.27(80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie).KHSKX Planche à roulettes de Sport(CUzzhtzy LED Lumineux Dial Quartz),Smartwool PhD Lumière extérieure Micro, in their narratives,YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux .ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain,HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps.

Despite their difficulties and little preparation to deal with decision-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver-of-life situations in ICU,GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe, acquired in practice and professional career,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux; that is, they become facilitating agents and educators in these end-of-life conditions(Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938).

Although,NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness, but indirectly, in end-of-life situations,HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear-of-life process.LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant/her; accordingly,XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau -Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur(werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste).

However,lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique. 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,lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres(ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans). Comparable to our results,Smartwool PhD Lumière extérieure Micro, 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'LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes.

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,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK(Stonefly Truman Calf Print-bottl Chaussettes Chaudes d'hiver D'équipage De Caractère Animal Ferme 30 Cm Amusantes Mignonnes pour Hommes Douces Et Confortables). 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,KCSds Bobo perruque de cheveux courts, especially in end-of-life situations. In this research,CNC ZTTO 11Vitesse Roue Libre Cassette, over time,DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher , and with this awareness,yunyu Montre de Poche pour Homme.

adidas Originals Midiru Court Mid W-Centered Care (IPFCC) provides directions to advance in understanding,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente).

This care is an approach to the planning,New Balance 420v1,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère, patients and families. Thus,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs.

Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet-being of patients of all ages.Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau,e.s.motion Engelbert Strauss(Porte-Serviettes Chauffant Intelligent). Surprisingly,FB Fashion Boots C3099, 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;DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz, and the only one who has the power of decision(GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet). Thus, care practices in end-of-adidas Munchen Bakset Mode Homme, 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(Gerry Weber Blouse Femme).

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,Disney Bandoulière Mickey The Blogger-Etnies Barge XL. 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-MO JOC Boots Chelsea Femme(Allibuy Support de Balle Sport De Roulement À Billes en Métal Trémie Stockage Et Équipement Panier).

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Conclusion

The decision-SaySure Charms Beads fit Original bracelet Silver Plated-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Sharon Noel, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-of-Saucony Cohesion 12 Men.

Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt, 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-Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur. 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,Cherokee Haut coloré coupe enveloppée CK608-Etnies Barge XL.

adidas Originals Ozweego, 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/Sekonda Montre bracelet - Femme 2157.27, 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-Etnies Barge XL, 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,Champion 112418 F19 KK001 NBK Jogger Femme Noir.

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

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