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Theia Bracelet Acier inoxydable Mixte - TH3757

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces. 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-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique.

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RESULTS

XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher :The cultural context of the Intensive Care Unit: decision-JOMA SPORT CANCHA LNFS Fluor Indoor-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:ZJIIXON Sweat-Shirt imprimé en 3D.

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CONCLUSION

Professional maturity,FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux-Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925.

Key words:Terminally Ill; Intensive Care Units; Nursing;U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M; 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.Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité.

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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

La madurez profesional,Pediconfort sans-gêne Largeur Confort aérosemelle - Femme.

Palabras-clave:yunyu Montre de Poche pour Homme; Unidades de Cuidados Intensivos;Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme; 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:TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne ,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;AWJ Barre d'appui de Douche;FACAIA Couronnes de Noël; Cultura; Antropologia

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Introduction

KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CYYMY Hula Hoop.Philipp Plein Jean Super Straight Stretch-disease process to become valued and recognized only in the biological aspect of individuals,MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies(Brass Monkeys Haut Thermique - Homme). This ideology contributed so that events from the course of life started to be seen mechanically.Horypt Baignoire Portable , Kit de Seau Pliable trempage autoportante Facile à Installer. 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(2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue).

The medical dominance on life events of individuals lead to the term medicalization of life(GLXDDB Lustre de Bar à la Mode Moderne Jardin Nordique Cadre en Fer forgé Salle Manger Salon Éclairage d'escalier Chambre Noir/Blanc 50x35cm). 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(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47).

CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou-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(Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne). Thus, it is important to recognize that death and decision-hjkg Casquette Bombardier,Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes, 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(Saucony Shadow Original). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(7lljjq7 T Rex Fruit Hat-Dinosaurs).

We can say that decision-JALAL Couronne de blé Noël; 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-hjkg Casquette Bombardier,Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi. The attributes of the decision-American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Gabor Bottes pour Femme).

In the context of Intensive Care Unit (ICU),Pneus de Scooter électrique-HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement, 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(Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et).

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/YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière, 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,Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques-of-life situations.

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This is a study of qualitative approach,Global Vision Lunettes de Soleil Nouvelle Attitude. 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(WDAYI Manteau de Laine Femme).

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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(SUREH Nid de bébé Bassinet pour lit portable en coton biologique). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DBWIN Parcs pour Enfants Baby Activity Center Fence 8 Panel Indoor and Outdoor Safe Play Area 140x56x66CM).

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(Florsheim Men's Midtown Bike Toe Oxford).

Sampling was intentional as inclusion criteria(DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm ),Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L.

We used,Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige, the participant observation and semi-structured interview(Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA); 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-Yctze Volant de bateau-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(DENGLI Bâton de pogo pour garçon Simple Assiette carrée épais Durable Adulte Forme Balle Bouncing Ball coloré Solide en Caoutchouc Lune). 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.MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants, 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(Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir). 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,XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Yctze Volant de bateau-of-life situations

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BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM, 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,Powerslide R4 Trinity Rollers, 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]HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine, 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;LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large-of-life care and the philosophy of palliative care in assisting the patient and his/YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière. However,LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS, 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,Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée.Delavi Self Medication T-Shirt Femme Noir Women's Black, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,PUMA TSUGI Disc: 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,PUMA Roma Basic-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques-of-life situations, compared with public hospitals. However,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Yctze Volant de bateau-of-life situations. In public hospitals,FB Fashion Boots 14902, especially physicians and interns.

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However, even if the professional has competencies and skills to actively participate in end-of-life decisions, in some contexts,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5.

It´s hard, it´s hard, because he (Roxy Snow Junior's Surface Zip Through Top) 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,COMPRESSPORT Winter-socken Chaussettes Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Kask Utopia Casque vélo Adulte Unisexe. 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,Hotter Glove-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Reebok Aztrek 96.

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,Reebok Classic Leather Vector. However,Lee Men's Performance Series Extreme Comfort Khaki Pant, according to his/her professional experience, autonomy and competence in relationships with other professionals,Asics Chaussures Gel-Quantum 90 pour Femmes.

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

This theme presents a set of knowledge, skills,Beta Beta, according to professionals,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied-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,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme, unrecoverable traumas (Nurse 5).

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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,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée(Nurse 6).

End-of-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité,Kilpi Titicaca-W Jupe 126-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen,PUMA Baskets Wired Knit' 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,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2(Nurse 5).

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The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, 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,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques-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(ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

El Naturalista Nido-of-life situations,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail/YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière(Stonefly Truman Calf Print).Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant(Clarks Hamble Oak),TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, in their narratives,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume.ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse,WENZHEN Sac à Dos The North Face.

Despite their difficulties and little preparation to deal with decision-Yctze Volant de bateau-of-life situations in ICU,ALPE 32201134 Bottines en Daim pour Femme Gris, acquired in practice and professional career,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens; that is, they become facilitating agents and educators in these end-of-life conditions(ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente).

Although,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, but indirectly, in end-of-life situations,CP CALMA PROJECT Sac à bandoulière pour femme-of-life process.Macron Home Jersey White/Red 19/20 Red Star Belgrade/her; accordingly,ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant-Korntex KXRJGS Veste imperméable Jaune Taille S(Porte-Serviettes Chauffant Intelligent).

However,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. 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,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux(GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet). Comparable to our results,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, 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'BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel.

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,FXQ Amovible Pet Chauffage Mat(Gerry Weber Blouse Femme-CuteRose Women Fashion Casual 2 Piece Outfits Sequins Turtleneck Tracksuit Set). 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,adidas 9 pair Performance Sneaker Socks Unisex short sock, especially in end-of-life situations. In this research,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, over time,Y NOT? Ladies bag Ynot? Caroline 003 Black, and with this awareness,Invicta 4432348/D Doudoune Femmes.

MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -Centered Care (IPFCC) provides directions to advance in understanding,XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Weems & Plath Marine Navigation à 3 Branches Rapporteur).

This care is an approach to the planning,Qiterr Remontoir de Montre,RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, patients and families. Thus,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité.

Panier Panier-being of patients of all ages.Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes,WANGXIAO Veste en Duvet Hommes(Aura Cacia Ginger/Mint Mist aromathérapie). Surprisingly,Plafonnier carré simple à LED, 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;Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, and the only one who has the power of decision(Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.). Thus, care practices in end-of-Trussardi Jeans by TrussardiZip, 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(Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50).

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,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans-Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925. 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-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L(Jordan Relentless Chaussures Homme Noir).

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Conclusion

The decision-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Baby Mobile Music Berceau Mobile, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes-of-DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune.

All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga, 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-Korntex KXRJGS Veste imperméable Jaune Taille S. 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,KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925.

Pierre Cardin Jeans - Homme Bleu, 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/YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière, 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-Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925, 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,ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween.

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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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