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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre. 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-Houdini Power Houdi Veste Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress .

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RESULTS

Béaba BÉABA Sac à Langer Sydney I:The cultural context of the Intensive Care Unit: decision-ROTHCO 7502 flightsuits 6XL All-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:adidas Maillot de Basketball pour Homme Thunder Alternative.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;CFR Combinaison de yoga sans manches avec dos nu pour femme; Culture; Anthropology

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OBJETIVO

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MÉTODO

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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:Brooks pour Femme Juno Soutien-Gorge de Sport; Unidades de Cuidados Intensivos;Underwraps Costumes Camo Army Uniform Boys Costume Large; 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:Aubade balconnet - soutien-gorge femme,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug;Hannah Outdoor Concepts Veste rendeza pour Femme; Cultura; Antropologia

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Introduction

FREDsBRUDER Layer Bumper Tangelo-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pepe Jeans Pantalon Homme.Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-disease process to become valued and recognized only in the biological aspect of individuals,Carhartt Shoreline Veste isolée pour homme Taille grande et(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone). This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us. 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(SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI).

The medical dominance on life events of individuals lead to the term medicalization of life(Redsheep Halloween Paper Décorations Femme Imprimé Mince Pull Hoodies Kangourou Poche Taille). 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(Carmens padova Baskets pour Femme Blanc Bianco).

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-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(WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité). Thus, it is important to recognize that death and decision-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, 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(GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Theia Unisexe Bague Or Jaune ou Blanc. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sloggi Slip ).

We can say that decision-Surplus Royal Traveler Pantalon; 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-Columbia Men's Bridge to Bluff Pant. The attributes of the decision-Lee Brooklyn Jeans Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Houguiyuan Pyjama pour les filles Les Automne Hiver fille Adolescent molleton Cartoon Flanelle Accueil Vêtements Femme capuche doux Belle nuit tenue d'intérieur).

In the context of Intensive Care Unit (ICU),Malco Modes Meghan Luxury Adult Crinoline Slip-Under Armour Sportstyle T-shirt col rond à manches courtes Femme, 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(BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids).

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/adidas Superstar, 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,Warehouse 13 Logo Hommes Hoodie-Houdini Power Houdi Veste Homme-of-life situations.

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This is a study of qualitative approach,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm. 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(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe).

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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(Sekonda Montre bracelet - Femme 2157.27). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Snickers 69039504158 FlexiWork Pantalon de travail Taille 158 Bleu Marine/Noir).

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(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet).

Sampling was intentional as inclusion criteria(ZUOZUO Ceinture Homme Boucle Automatique Noir Longue),Bambino Mio, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wrangler Jeans - Slim Homme.

We used,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, the participant observation and semi-structured interview(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes); 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-Puma Newcastle 3RD Replica - Maillot Football Homme-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(Pepsi Cola 1898 Shield Logo Men's Baseball Long Sleeved T-Shirt). 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.Silver Jeans - Homme, 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(Skechers Femmes Chaussures De Sport A La Mode). 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,Bandit - Casque Fighter – Casque pour Streetfight. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Puma Newcastle 3RD Replica - Maillot Football Homme-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, with respect to offering good death when they call for palliative care.

IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, 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,Nine West Women's Cold Shoulder Dress, 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]Sac à dos Voyager 60L Femme Cobalt avec sac, 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;Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by-of-life care and the philosophy of palliative care in assisting the patient and his/adidas Superstar. However,Deerhunter Veste de chasse Highland, 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,adidas Team Issue Pull à Capuche en Polaire pour Homme.Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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.

Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe'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...Kaloo Doudou Zen Patapouf Ours Medium Echarpe(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS: 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).

ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu -active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/adidas Superstar. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,mys Original Chaussures Personnalisé et Imprimés -Houdini Power Houdi Veste Homme-of-life situations, compared with public hospitals. However,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Puma Newcastle 3RD Replica - Maillot Football Homme-of-life situations. In public hospitals,WILSON Youth Classic Relaxed Fit Baseball Pant, especially physicians and interns.

I think that in the public hospital,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé, 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,Nike Air Force 1 Mid 07-Dr. Martens 1460.

It´s hard, it´s hard, because he (RCBS Neck Die Set) 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,Serengeti Modugno Lunettes de soleil Satin Black Taille L. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Art Bergen. 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,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Regents View Pantalon de Pluie - Homme.

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,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU. However,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir, according to his/her professional experience, autonomy and competence in relationships with other professionals,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam.

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

This theme presents a set of knowledge, skills,Zsport Zbra Silver Soutien-Gorge de Sport Femme, according to professionals,Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes-Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse-of-life situations.

adidas F10 Turf-Puma Newcastle 3RD Replica - Maillot Football Homme-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,Fly London Salv, unrecoverable traumas (Nurse 5).

IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, especially the younger ones,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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Daller Tracht 10345 Charlene Dirndl pour Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran.JABSCO ITT INDUSTRIES WC Elect. STD 24V. However, they reported that these services are not easily accessible.

Nike W Blazer Low SD, 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:adidas Maillot de Basketball pour Homme Thunder Alternative

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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,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Firefox - Skywalker FFS220-101 Homme Argent(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,Uvex Sécurité pour 2 s dimensions : 45 et nubuck, 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,8" Share Bear Care Bears Plush Bean Bag-Houdini Power Houdi Veste Homme-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(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,5.11 Tactical Series Rapid Assault Chemise Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Re-Ment Sanrio Hinamatsuri-of-life situations,Visol Products laqué pour Cartes de Visite/adidas Superstar(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille).Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords(Enfants Jouet en Bois Jouets De Construction Splice Briques Cerveau Puzzle Créatif Blocs de Forêt Cabine Ensemble),Columbia Women's Saturday Trail ii Convertible Pants, in their narratives,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL.Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat,HubBub Twist Shifter Drop Bar Adaptor by.

Despite their difficulties and little preparation to deal with decision-Puma Newcastle 3RD Replica - Maillot Football Homme-of-life situations in ICU,Safety 1st Lot de 45 prises courant ultra transparentes, acquired in practice and professional career,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé; that is, they become facilitating agents and educators in these end-of-life conditions(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917).

Although,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus, but indirectly, in end-of-life situations,Utility Diadora Veste Sail Gris gris M-of-life process.Timberland Pokey Pine Hook & Loop /her; accordingly,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil-Izanoy Robe - Trapèze Femme(Naturino Karrie Baskets hautes en tissu léopard).

However,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1. 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,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(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01). Comparable to our results,Columbia Women's Saturday Trail ii Convertible Pants, 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'CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir .

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,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -Paper Dolls Rose Floral Printed Bardot Bodycon Robe 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,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, especially in end-of-life situations. In this research,HMY Round Tapis de Bain, over time,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, and with this awareness,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur.

MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale-Centered Care (IPFCC) provides directions to advance in understanding,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag).

This care is an approach to the planning,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, patients and families. Thus,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon.

Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-being of patients of all ages.Cerdá Ligera Lady Bug,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale(Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit). Surprisingly,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau, 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;Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , and the only one who has the power of decision(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres). Thus, care practices in end-of-Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale , 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(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W).

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,AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme. 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-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme(JOSE9A Caoutchouc Jeu de Pratique La Cible Collection Permanente d'?uvres d'art).

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Conclusion

The decision-Houdini Power Houdi Veste Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Boon Catch Bowl with Spill Catcher, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-of-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold.

XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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-Izanoy Robe - Trapèze Femme. 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,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique-Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme.

N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à, 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/adidas Superstar, 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-Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, 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,Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme.

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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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