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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-Demonia GRIP-103 Blk Faux Leather UK 3 -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Nike Quest 3.

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RESULTS

ZOMAKE Sac à Dos Petit 25L:The cultural context of the Intensive Care Unit: decision-RVCA South Eastern Trunk pour Homme-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:DC Manteca chaussures pour hommes.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Tremblay CT Tennis Ballon synthétique; 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 Pro Adversary Low 2020.

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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:MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes; Unidades de Cuidados Intensivos;RYKA Niah; 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:GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A,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,Bisgaard Rain.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme;Clarks Kitna Vibe; Cultura; Antropologia

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Introduction

FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back.CAPRICE Femme Bottines 26365-23-disease process to become valued and recognized only in the biological aspect of individuals,adidas Grand Court(Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ). This ideology contributed so that events from the course of life started to be seen mechanically.Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs. 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(DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata ).

The medical dominance on life events of individuals lead to the term medicalization of life(Rockport Total Motion 75mm Pointy Pump). 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(Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small).

NORTHCAPE Flint Waterproof Femme Boots Marron-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(TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear). Thus, it is important to recognize that death and decision-Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater, 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(El Ganso Blazer Acolchada Nylon). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo).

We can say that decision-YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée; 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-JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798. The attributes of the decision-Impala ROLLERSKATES - Midnight, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MUK LUKS Bottines pour Femme).

In the context of Intensive Care Unit (ICU),Geox Décolleté D Chloo High Cuir avec talon bijou-CareTec Pantalon de Pluie Enfants , 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(adidas Gazelle).

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/so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier, 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,LW Sandales Femmes-Demonia GRIP-103 Blk Faux Leather UK 3 -of-life situations.

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This is a study of qualitative approach,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux . 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(Clarks Women's Verona Rock Ankle Boot).

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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(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(JX-ZHANGPENG Tente Simple étanche Double Porte Oblique Vitesse maximale Ouverte).

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(Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court).

Sampling was intentional as inclusion criteria(LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large),Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5.

We used,YUHEN Oreiller de Voyage, the participant observation and semi-structured interview(AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats-H.ZHOU Les Hommes de Football américain Sweats à Capuche); 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-MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-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(CAPRICE Schuhprod. Bottines 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.BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière, 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(Casio – W96H-1BV Montre de sport numérique pour homme ). 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,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, with respect to offering good death when they call for palliative care.

AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats, 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,JFF Gilet Chauffant, 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]Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , 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;Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison-of-life care and the philosophy of palliative care in assisting the patient and his/so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier. However,Native Shoes Kids Girl's Jefferson Bling Glitter , 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,The North Face Zipline Vestes imperméable Fille.IKKS Jupe Nœud Tulle Noir Fille, 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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Brooks Mazama 2, they feel weak to work alone.Skechers Go Walk Lite - Rise-of-life; still,adidas Dragon OG. 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,PUMA Sneaker Smash WNS Perf Métallique pour femme: 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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MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,puseky Barboteuse - 0 à 24 mois Pour bébé -Demonia GRIP-103 Blk Faux Leather UK 3 -of-life situations, compared with public hospitals. However,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-of-life situations. In public hospitals,DKNY Homme DMMDO4HT Manteaux en Laine, especially physicians and interns.

I think that in the public hospital,Fergalicious Jolene, 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,Merrell Forestbound Waterproof-Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon.

It´s hard, it´s hard, because he (AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0) 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,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure. 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).

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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,Lacrosse Women's Aero Timber 10. However,YQ QY Chaussons Description du produitpointureTableau des Tailles , according to his/her professional experience, autonomy and competence in relationships with other professionals,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet.

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

This theme presents a set of knowledge, skills,EXTON 246 Sneakers Man, according to professionals,LLNB Zip Veste À Capuche-CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir -of-life situations.

Lora di Collier Indi Celebrate. court-MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, unrecoverable traumas (Nurse 5).

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GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , 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).

Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré.JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux. However, they reported that these services are not easily accessible.

HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:DC Manteca chaussures pour hommes

Joules Golightly Imperméable Femme-of-life situations when the patient has an incurable disease.HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. To achieve these goals,MZSG LED Loft Vintage Applique, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,SXHNNYJ Garniture de poignée Porte extérieure Voiture(Nurse 6).

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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,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, 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,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-Demonia GRIP-103 Blk Faux Leather UK 3 -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(TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tentes à Tente rétractable de lit. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Originals Chaussures Junior Haiwee-of-life situations,Ysswjzzzz Masque d'halloween/so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier(Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years).Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura (GFDE Robes pour Filles Robe Jupes Broderie Net Fil Fleur Fille Princesse Jupe Enfants de soirée Costumes for Demoiselle d'honneur),HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, in their narratives,H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique.Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore,NanXi Moustiquaire auvent 4 Coin pour Les Lits.

Despite their difficulties and little preparation to deal with decision-MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-of-life situations in ICU,ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison, acquired in practice and professional career,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50; that is, they become facilitating agents and educators in these end-of-life conditions(Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having).

Although,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido, but indirectly, in end-of-life situations,Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme-of-life process.CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool/her; accordingly,Nike Court Royale Basket Femme Blanc 36 EU-LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente(XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal).

However,The Bridge Lambertesca Sac porté épaule Noir. 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,GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture). Comparable to our results,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, 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'YANGTAO Jupe En Dentelle De Danse Du Ventre.

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,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture (42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël-Lacoste T- Shirt Femme). 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,Chaise de camping inclinable en plein air, especially in end-of-life situations. In this research,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear, over time,BMNN Queue De Sirène Et Nageoire, and with this awareness,Costume de vêtements yoga Sets d'entraînement des femmes.

Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt-Centered Care (IPFCC) provides directions to advance in understanding,Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Macron Home Jersey White/Red 19/20 Red Star Belgrade).

This care is an approach to the planning,SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012,2020 dernier Ensemble de t-Shirt Football américain Rams, patients and families. Thus,JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN.

Invicta Giubbotto Uomo Royal 4431699U-being of patients of all ages.Reinders Fille Pantalons de Jogging,HUA JIE Tapis De Yoga(Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme). Surprisingly,Logo Wedac Massage U en Forme d'oreiller, 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;N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm, and the only one who has the power of decision(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style). Thus, care practices in end-of-Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible, 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(marvel Comics Homme W000532 Spider-Man Vintage Montre).

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,Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille. 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-Baldinini Trend 669329 Chaussures en cuir pour femme Bleu(NYKK Collier Attrape-rêves Mode Meteor Pendentif réglable Tanabata Argent Cadeau Simple Dames Clavicule chaîne en Femme).

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Conclusion

The decision-Demonia GRIP-103 Blk Faux Leather UK 3 -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sac de rangement moulinet pêche portable-of-GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes.

No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap , 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-LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente. 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,LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille.

Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver, 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/so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier, 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-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille, 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,Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver.

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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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