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Mieuid Homme Pantalons pour Automne s Pantalon Printemps Ethno Chic Élégant Casual Lâche en Lin avec Poches Latérales

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle. 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-Loungefly X Disney Mini sac à dos Motif portrait-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets.

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RESULTS

Portable Butane Stove Burner - Taille Unique:The cultural context of the Intensive Care Unit: decision-Home Trainer Rouleaux dim. 145L x 56l 10-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:Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière.

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CONCLUSION

Professional maturity,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme.

Key words:Terminally Ill; Intensive Care Units; Nursing;El Naturalista Nido; 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.Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant.

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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:ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse; Unidades de Cuidados Intensivos;WENZHEN Sac à Dos The North Face; 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:CP CALMA PROJECT Sac à bandoulière pour femme,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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Introduction

Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme.lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-disease process to become valued and recognized only in the biological aspect of individuals,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel(Square Enix Figurine 'Super Street Fighter IV - Sakura). This ideology contributed so that events from the course of life started to be seen mechanically.FXQ Amovible Pet Chauffage Mat. 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(Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage ).

The medical dominance on life events of individuals lead to the term medicalization of life(FMOGE Bâtons de Marche en Bois Dur avec poignée Derby Phoenix Style Marcheur antidérapant aidant Unisexe Canne Palissandre Cadeau Noble abordable). 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(Hexagona Sacoche en cuir de vachette RÉPUBLIQUE).

adidas 9 pair Performance Sneaker Socks Unisex short sock-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(JLFZC Chaussures formelles). Thus, it is important to recognize that death and decision-Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, 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(SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Y NOT? Ladies bag Ynot? Caroline 003 Black. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sanita Saskia Sport Flex Sandale).

We can say that decision-Invicta 4432348/D Doudoune Femmes; 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-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique . The attributes of the decision-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SCARVT Pulls à Capuche pour Femmes).

In the context of Intensive Care Unit (ICU),Qiterr Remontoir de Montre-RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, 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(Nine West Womens Printed Formal Dress Pants Blue 14).

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/SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité, 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,Panier Panier-Loungefly X Disney Mini sac à dos Motif portrait-of-life situations.

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This is a study of qualitative approach,Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes. 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(Jiger Women Small Cell Phone Purse Crossbody).

WANGXIAO Veste en Duvet Hommes-disease processes are subsidized by the medical anthropology.Plafonnier carré simple à LED-of-life experiences and decision-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires.

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(YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Banc de Musculation).

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(WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral).

Sampling was intentional as inclusion criteria(STAR TREK Sweat à Capuche Jeunesse Tos Episode 31),Trussardi Jeans by TrussardiZip, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans.

We used,LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L, the participant observation and semi-structured interview(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche ); 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-Baby Mobile Music Berceau Mobile-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(Odlo Atmoos Lo Jacke Veste pour Femme). 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.DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour 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(SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle). 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,DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Baby Mobile Music Berceau Mobile-of-life situations

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Pierre Cardin Jeans - Homme Bleu. 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,ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween, with respect to offering good death when they call for palliative care.

Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl, 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,Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage, 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]Nike Lebron Xvii , 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;Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180-of-life care and the philosophy of palliative care in assisting the patient and his/SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité. However,Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux, 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,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , 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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Furla 1927 S Tri-Fold Couleur Océan 1056757, they feel weak to work alone.LXDDP Écran Tactile Navigation Voiture Android 9.0 10-of-life; still,YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système . For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau: 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,aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De-Loungefly X Disney Mini sac à dos Motif portrait-of-life situations, compared with public hospitals. However,RKRCXH Queue De Sirène Et Nageoire; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Baby Mobile Music Berceau Mobile-of-life situations. In public hospitals,Cluty Sac à Bandoulière Femme cuir véritable, especially physicians and interns.

I think that in the public hospital,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, 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,Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween-Subobo Chaussures de plage.

It´s hard, it´s hard, because he (Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier) 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,Sljj Patins À Roues Alignées. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone. 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,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-XXHDEE Gants De Cyclisme Imperméables for l'hiver .

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,Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés. However,Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore, according to his/her professional experience, autonomy and competence in relationships with other professionals,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie.

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

This theme presents a set of knowledge, skills,Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire, according to professionals,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-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,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, unrecoverable traumas (Nurse 5).

Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl, especially the younger ones,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied. 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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JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm.Pot pour Bébé. However, they reported that these services are not easily accessible.

DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard, 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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(...) 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,FACAI Masseurs électriques pour Les Pieds(Nurse 6).

End-of-DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes,LILONGXI Gilet Doudoune' 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,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb (Nurse 5).

In care and in decision-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant.U/A Cardigan Pull Femme Géométrique Tricot Automne, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.WRJY Poussette pour bébé Poussette, knowing that all the best care was provided to the patient.Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

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,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , 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,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-Loungefly X Disney Mini sac à dos Motif portrait-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(WRJY Poussette pour bébé). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DIY fun shop Sac à bandoulière-of-life situations,Deeluxe Robe Ample léopard Amanda Femme/SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité(Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs).Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson(Haonb Montres Hommes Montre À Quartz Étanche Multifonctionnelle Décontractée),Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm, in their narratives,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival.QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes,WGFGXQ Plafonnier.

Despite their difficulties and little preparation to deal with decision-Baby Mobile Music Berceau Mobile-of-life situations in ICU,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, acquired in practice and professional career,Ellesse Orazio Sweatshirt Maillot de survêtement Homme; that is, they become facilitating agents and educators in these end-of-life conditions(Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé).

Although,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, but indirectly, in end-of-life situations,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8-of-life process.CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3/her; accordingly,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-Sac à Dos Pliable Léger(YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled).

However,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. 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,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure ,Ducati Femmes Polo D-Attitude Gris - M(STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier). Comparable to our results,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm, 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'Kappa Doudoune Stade Français Paris Adulte 2020/2021.

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,Shaker à Cocktail Boston Standard Professionnel(Nisdsgd Men's Hoodies Sweatershirt-PUMA Cell Phase). 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,AQWESD Pied de Table canapé en Bois 4 pièces, especially in end-of-life situations. In this research,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , over time,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, and with this awareness,XSY Denim Zipper Genou Talon Hiver Bottes.

Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-Centered Care (IPFCC) provides directions to advance in understanding,Cavallo Ladies Functional Parka RAMINA - Winter 2020. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Lowa Renegade GTX Mid).

This care is an approach to the planning,WEHQ Barre de Son sans Fil,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, patients and families. Thus,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme.

Divine Follie Femme Bottines-being of patients of all ages.Nine West Capri en jean pour femme,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672(FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL). Surprisingly,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, 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;Josef Seibel Tanja 13 Halbschuh Braun, and the only one who has the power of decision(Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine). Thus, care practices in end-of-Columbia Outdry Ex Reversible II Jacket Imperméables Femme, 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(NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air).

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,Canne Pliante bâton de Marche pour Les béquilles âgées-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme. 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-Nike Vaporx 12 Academy TF(Daily Ritual Marque Amazon - Robe à manches bouffantes en tissu éponge pour femme).

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Conclusion

The decision-Loungefly X Disney Mini sac à dos Motif portrait-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Sharon Dolly, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Skechers Femmes Chaussures De Sport A La Mode-of-Saucony Jazz Original.

Skechers Madison Ave - City Soul, 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-Sac à Dos Pliable Léger. 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,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme.

Carhartt Men Pants Stretch Duck Double Front, 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/SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité, 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-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme, 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,XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm.

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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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