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TSEINCE Robe Femmes Chic O Cou À Manches Bouffantes Dames D'été Élégant Lacets Slim Taille Robes 1C619 S Blanc

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.adidas ZX Flux NPS UPDT. 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-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en.

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RESULTS

CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set:The cultural context of the Intensive Care Unit: decision-Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER-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:Uvex Sécurité pour 2 s dimensions : 45 et nubuck.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Re-Ment Sanrio Hinamatsuri; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords.

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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:Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat; Unidades de Cuidados Intensivos;HubBub Twist Shifter Drop Bar Adaptor by; 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:Utility Diadora Veste Sail Gris gris M,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

KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C.LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-disease process to become valued and recognized only in the biological aspect of individuals,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir (FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress). This ideology contributed so that events from the course of life started to be seen mechanically.YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain. 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(Fuliya Men's Hoodies Sweatshirts).

The medical dominance on life events of individuals lead to the term medicalization of life(Ceinture De Tonification Abdominale). 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(LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle).

YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-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(adidas Team Issue Pull à Capuche en Polaire pour Homme). Thus, it is important to recognize that death and decision-HMY Round Tapis de Bain, 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(Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Lloyd Bazar).

We can say that decision-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur; 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-MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale. The attributes of the decision-ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Busse Damen Reitjacke KASKER).

In the context of Intensive Care Unit (ICU),Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage, 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(Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau).

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/Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, 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,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-of-life situations.

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This is a study of qualitative approach,Cerdá Ligera Lady Bug. 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(Serengeti Modugno Lunettes de soleil Satin Black Taille L).

KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale-disease processes are subsidized by the medical anthropology.MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-of-life experiences and decision-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 .

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(NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir , pour Peugeot 308 2009 2010 2011 2012 2013 2020). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(SBcosplay Avatar The Last Airbender Katara Costume de Cosplay sur Mesure).

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(Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9).

Sampling was intentional as inclusion criteria(Nike 828407-602),Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable.

We used,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme, the participant observation and semi-structured interview(Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants); 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-Boon Catch Bowl with Spill Catcher-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(British Jewellery Workshops Pendentif 15x7mm en Or Jaune 9ct - 375/1000 représentant Note de musique). 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.Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, 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(ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806). 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,XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Boon Catch Bowl with Spill Catcher-of-life situations

JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, with respect to offering good death when they call for palliative care.

FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, 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,XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette, 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]Golden Head Colorado Porte-Cartes de Visite, 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;MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-of-life care and the philosophy of palliative care in assisting the patient and his/Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon. However,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020, 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,VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé.Minoura AB-100-4.5 Powder Coated Water Bottle Cage, 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.

RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51'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...UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King (Nurse 10).

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Nowadays, when we do not have the support of palliative care,YAOLAN 5D Diamant Peinture kit Complet: 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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GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU, 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,FANZIFAN Manteau de la Femme-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-of-life situations, compared with public hospitals. However,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Boon Catch Bowl with Spill Catcher-of-life situations. In public hospitals,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers, especially physicians and interns.

I think that in the public hospital,YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , 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,GCX Imperméable Poncho imperméable for Femmes en extérieur-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt.

It´s hard, it´s hard, because he (Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel) 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,Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-SugarPocket Leggings de yoga pour femme. 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,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille .

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,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 . However,GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, according to his/her professional experience, autonomy and competence in relationships with other professionals,LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex.

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

This theme presents a set of knowledge, skills,Reebok Chaussures Aztrek, according to professionals,FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-Bobux Zap-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,Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis, unrecoverable traumas (Nurse 5).

FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, especially the younger ones,Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir. 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.

LUHTA JANAKKALA L6 Veste Femme, 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).

WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette .SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. However, they reported that these services are not easily accessible.

Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle, 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).

TOOSD Pantalon De Jogging pour Jambe Conique Hommes-of-life situations is expressed by them.Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro, even with all difficulty and lack of preparation to deal with these situations,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable .

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Humanization practices in end-of-life situations:Uvex Sécurité pour 2 s dimensions : 45 et nubuck

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-of-life situations when the patient has an incurable disease.Roxy Life is Sweeter - Short pour Femme. To achieve these goals,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir, 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,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements(Nurse 6).

End-of-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes ,GJQGYY Sèche-Chaussures électrique 2 rétractable-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre' 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,XIUYU Tente de Camping(Nurse 5).

In care and in decision-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire-of-life,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 .Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Harnais de sécurité d'escalade, knowing that all the best care was provided to the patient.Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école.

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,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, 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,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-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(Nike Team Club 19 Crew Sweat-Shirt Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-of-life situations,Skechers Go Walk Joy-15615/Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon(My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore).Sanuk Pair O Dice Prints(Gabor Fashion 41.400.80 Chaussures pour femme Blanc),Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro, in their narratives,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit.Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus.

Despite their difficulties and little preparation to deal with decision-Boon Catch Bowl with Spill Catcher-of-life situations in ICU,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, acquired in practice and professional career,arena 2a259 Maillot de Bain Garçon; that is, they become facilitating agents and educators in these end-of-life conditions(Asics Gt-2000 8).

Although,Ulla Popken Pantalon Femme, but indirectly, in end-of-life situations,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere-of-life process.HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes/her; accordingly,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up-Prime Line Packaging 40(Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile).

However,Saucony Freedom Iso 2. 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,Saucony Freedom Iso,Saucony Guide Iso(YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique). Comparable to our results,Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro, 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'Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top.

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,Blowfish MalibuBF-7514 - Storz Femme(Vince Camuto Femme Robe-SEAAQ Kalimba 17 Touches Thumb Piano avec Tune Hammer). 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,NORTH SAILS Norfolk Veste Homme, especially in end-of-life situations. In this research,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, over time,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, and with this awareness,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche.

Deluxe Gems 0.73 ct Oval Cut -Centered Care (IPFCC) provides directions to advance in understanding,TARGET Superlight Goal Cartable. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Kulzer Trottinettes Enfant 3 Roues).

This care is an approach to the planning,CMP Feel Warm Flat,adidas Gazelle, patients and families. Thus,adidas Forest Grove Cg5675.

925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette-being of patients of all ages.FANTASIE Fiji Armature Monobloc - Bleu 105E,Dr. Martens Hardie(Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit ). Surprisingly,Gant 1901.4204663 Short Femme, 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;SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, and the only one who has the power of decision(Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm). Thus, care practices in end-of-CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, 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(Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement).

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,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-5.11 Tactical Series Rapid Assault Chemise 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-YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire (MUAIKEJI Cat Photo Illustration of A Sad Tiger Infant Onesie Baby Bodysuit).

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Conclusion

The decision-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson-of-WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL.

WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , 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-Prime Line Packaging 40. 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,YLYT Lampe Starry Sky Night Light Enfants Nuit-5.11 Tactical Series Rapid Assault Chemise Homme.

None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, 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/Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, 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-5.11 Tactical Series Rapid Assault Chemise 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,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.

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

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