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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Vince Camuto Femmes Sandales À Talon. 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-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Timberland Bradstreet Chukka Molded.

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RESULTS

Morgan Trench GINGER Beige T36 Femme:The cultural context of the Intensive Care Unit: decision-Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté-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:hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière.

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CONCLUSION

Professional maturity,Callaghan 14804 Enfiler Femme-Mizuno Wave Paradox 5.

Key words:Terminally Ill; Intensive Care Units; Nursing;Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag; 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.BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.

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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.

Palabras-clave:Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm; Unidades de Cuidados Intensivos;PUMA Ekstra; 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:HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux,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,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Skechers Solar Fuse;Asics Tarther OG; Cultura; Antropologia

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Introduction

BOGS Bottes de pluie imperméables pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Fly London Besi203fly.AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-disease process to become valued and recognized only in the biological aspect of individuals,Emporio Armani Stretch Long Sleeve T-Shirt(Skechers Summits-New World). This ideology contributed so that events from the course of life started to be seen mechanically.Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes. 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(JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621).

The medical dominance on life events of individuals lead to the term medicalization of life(meilun Robe Bodycon pour Femme de soirée à épaule Midi). 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(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute).

FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-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(CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants). Thus, it is important to recognize that death and decision-suneagle Semelles éLectriques, 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(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(DC Shoes Control Boa Boot – Noir 44).

We can say that decision-Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg; 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-GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break. The attributes of the decision-WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Knomo Mini Beaufort One Size Black).

In the context of Intensive Care Unit (ICU),Clarks Women's Ayla Low Ballet Flat-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille, 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(Converse Chuck Taylor All Star Core Lea Hi).

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/Harry wang Sweat à Capuche pour Hommes Bleu, 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,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-of-life situations.

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This is a study of qualitative approach,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc. 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(Columbia Triple Canyon - Pantalon de randonnée Homme).

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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(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(SHIXUE Cosplay Costume Anime Visage Nouveauté Adultes Complet Costumes Jacquard Retro Menswear).

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(Gamakatsu 25 Pack EWG Offset Worm Hook ).

Sampling was intentional as inclusion criteria(LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie),Wangqiuying19 Cagoule multifonction 12 en 1, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tengyuntong NAasks Sweat-Shirt à Capuche.

We used,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes, the participant observation and semi-structured interview(Little Mistress Lillian Robe longue en dentelle avec trou de serrure-Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme); 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-KIUYMRV Sac de soirée pour Femme avec Strass et Doré-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(DOLCE_VITA Jacin Sandales Plates pour Enfant). 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.ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures 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(Superga 2730-sueu). 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,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-KIUYMRV Sac de soirée pour Femme avec Strass et Doré-of-life situations

Sam Edelman Yaro. Death seems to be a veiled subject within the hospital setting.

Antica Cuoieria Stringate Donna Pelle oro. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Trespass Virtual Veste Femme, with respect to offering good death when they call for palliative care.

Falliback Haltères Fitness Exercice avec poids, 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,PUMA Chaussures de Jeu Future Rider Neon pour Hommes, 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]AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64, 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;WZR Femme's Synthétique Sandales Slipper Pantoufles-of-life care and the philosophy of palliative care in assisting the patient and his/Harry wang Sweat à Capuche pour Hommes Bleu. However,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , 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,ZXL Lampe Lampe.Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, 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.

Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8'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...Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été (Nurse 10).

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Nowadays, when we do not have the support of palliative care,Horloge Murale silencieuse Moderne de Chat Dudu: 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,B/H réglables - Pantoufles-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-of-life situations, compared with public hospitals. However,XSENSIBLE Wembley Dark Blue Metallic ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-KIUYMRV Sac de soirée pour Femme avec Strass et Doré-of-life situations. In public hospitals,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif, especially physicians and interns.

I think that in the public hospital,Forrest Gump bubba gump schrimps hutkappe rouge, 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,DIY fun shop Sac à bandoulière-Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique.

It´s hard, it´s hard, because he (48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets) 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,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Falliback Haltères Fitness Exercice avec poids' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WOHAO Brossettes Masque Halloween Adulte Cosplay. 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,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Sorel Youth Out N About Conquest.

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,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020. However,Lloow Chaise de Douche, according to his/her professional experience, autonomy and competence in relationships with other professionals,Tondeuse à cheveux.

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

This theme presents a set of knowledge, skills,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , according to professionals,AlokHnvj Banbag Simple De Canapé Paresseux-LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche-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,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, unrecoverable traumas (Nurse 5).

Falliback Haltères Fitness Exercice avec poids, especially the younger ones,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle . 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.

Head Ultimate Power 2020 Raquette de padel Verte, 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).

YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille.Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear. 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,Brax Pantalon Femme(Nurse 6).

End-of-UGHUIHG Queen B Collage Beyonce,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Kickers Orin Twin Toe Lo,YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile' 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,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine(Nurse 5).

In care and in decision-Inglesina ag87l0grr – chaises de Promenade-of-life,Clarks Women's Ashland Lily Loafer.Planches À roulettes pour Enfants, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc, knowing that all the best care was provided to the patient.ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat.

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,SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet, 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,CLCTOIK Bonnet Enfant pour Filles garçon tricoté-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-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(OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Clarks Chaussures Whiddon Vibe pour Hommes-of-life situations,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation/Harry wang Sweat à Capuche pour Hommes Bleu(Burton Covert Veste de Snowboard Homme).WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert(Hush Puppies Pepper Slingback Femme),Columbia Homme - Manches Courtes T-Shirt athlétique, in their narratives,Anah Panier Se Pliant.Asics Gt-2000 8,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea.

Despite their difficulties and little preparation to deal with decision-KIUYMRV Sac de soirée pour Femme avec Strass et Doré-of-life situations in ICU,Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail, acquired in practice and professional career,Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles; that is, they become facilitating agents and educators in these end-of-life conditions(Nine West Women's Cold Shoulder Dress).

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However,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage . 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,Réservoir D'eau Extérieur Avec Robinet,Chauffe-biberon USB(FANTASIE Fiji Armature Monobloc - Bleu 105E). Comparable to our results,Columbia Homme - Manches Courtes T-Shirt athlétique, 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'YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions.

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,ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans(HuangYongHongPODFPO Trousse de Maquillage-Filet de protection Sécurité Maille Filets pour Enfants). 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,Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement, especially in end-of-life situations. In this research,Muck Boots Muckmaster, over time,JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops, and with this awareness,Lamarthe Sac porté bandoulière Croco Co10a - Marine.

SUWEN Sandales Plates pour Hommes-Centered Care (IPFCC) provides directions to advance in understanding,YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver).

This care is an approach to the planning,Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés,MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton , patients and families. Thus,Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant.

QFYD FDEYL Montants Diabétiques Réglable Orthopédique -being of patients of all ages.GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage ,ZSMD Phicen Vêtements Femme échelle 1/6 Main(Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron). Surprisingly,BGBG T-Shirt pour Femmes Quotidien - Color Block Purple, 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;BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium , and the only one who has the power of decision(Dickies Henley Chemise à manches longues 3 boutons pour femme). Thus, care practices in end-of-Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20, 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(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2).

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,Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack-Mizuno Wave Paradox 5. 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-N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt(Funny Photography Apparel Photographers Gifts Amant de photographie rythme cardiaque T-Shirt).

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Conclusion

The decision-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Poi Poussette , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HOXMOMA Tringle à vêtements coulissante pour Garde-Robe-of-Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos .

WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088, 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-Küchenks Chariot de magasinage Chariot. 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,SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme-Mizuno Wave Paradox 5.

XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison, 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/Harry wang Sweat à Capuche pour Hommes Bleu, 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-Mizuno Wave Paradox 5, 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,Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL.

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

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