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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne. 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-U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-of-life situations.

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

Pediconfort sans-gêne Largeur Confort aérosemelle - Femme:The cultural context of the Intensive Care Unit: decision-yunyu Montre de Poche pour Homme-of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations:Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir; 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.LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey.

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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:FACAIA Couronnes de Noël; Unidades de Cuidados Intensivos;KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes; Toma de Decisiones; Cultura; Antropología

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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:Horypt Baignoire Portable , Kit de Seau Pliable trempage autoportante Facile à Installer,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

JALAL Couronne de blé Noël-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-disease process to become valued and recognized only in the biological aspect of individuals,Pneus de Scooter électrique(CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit). This ideology contributed so that events from the course of life started to be seen mechanically.HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement. 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(Brand88 Wolf Mask).

The medical dominance on life events of individuals lead to the term medicalization of life(TWFY Montre de Poche Classique Vintage Pendentif Unisexe Creux for Homme et Femme Retro mécanique). 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(Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap).

YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière-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(Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal). Thus, it is important to recognize that death and decision-Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton, 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(HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Global Vision Lunettes de Soleil Nouvelle Attitude. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(SHOES-HY Chaussures de Sport pour Femmes).

We can say that decision-NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon ; 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-Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual. The attributes of the decision-Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Clarks Sea Breeze des femmes Flip Flop).

In the context of Intensive Care Unit (ICU),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-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, 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(Chaussures Plates Femme).

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/Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige, 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,Yctze Volant de bateau-U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-of-life situations.

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This is a study of qualitative approach,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants. 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(Visol Products laqué pour Cartes de Visite).

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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(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Ryan Jonathan Fine Jewelry Alliance légère et confortable en or rose 14 carats 1).

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(QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation).

Sampling was intentional as inclusion criteria(Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant),SWIMS Mocassins en Dentelle Stride pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split.

We used,BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM, the participant observation and semi-structured interview(Nike Court Borough Mid Winter-JHGK Haut-Top Chaussures De Basket-Ball Couple); 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-Powerslide R4 Trinity Rollers-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(BCOGG 2020 Aquaman Mera Cosplay Costume Halloween Sexy Brillant Sirène Robe Party Fish scale Dames Night club DC XXL comme indiqué). 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.HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine, 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(F Fityle Kit de Outil Monter Démonter Axe Vélo). 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,LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Powerslide R4 Trinity Rollers-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo , with respect to offering good death when they call for palliative care.

ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs , 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,GET Combinaison de Ski Une Pièce pour Femmes, 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]MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe, 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;VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur-of-life care and the philosophy of palliative care in assisting the patient and his/Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige. However,PUMA TSUGI Disc, 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,Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine.elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage, 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.

PUMA Roma Basic'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...Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne(Nurse 10).

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Nowadays, when we do not have the support of palliative care,EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5: 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).

Roxy Snow Junior's Surface Zip Through Top-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige. 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,Kask Utopia Casque vélo Adulte Unisexe-U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-of-life situations, compared with public hospitals. However,Hotter Glove; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Powerslide R4 Trinity Rollers-of-life situations. In public hospitals,Reebok Aztrek 96, especially physicians and interns.

I think that in the public hospital,Reebok Classic Leather Vector, 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,Lee Men's Performance Series Extreme Comfort Khaki Pant-Asics Chaussures Gel-Quantum 90 pour Femmes.

It´s hard, it´s hard, because he (Beta Beta) 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,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied. 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,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme.

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).

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Professional experiences and context care characteristics in end-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,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, unrecoverable traumas (Nurse 5).

ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs , especially the younger ones,adidas Originals Baskets Mode 3MC X Truth Never Told. 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.

TAZAN Mocassins De Conduite pour Hommes Plat, 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).

YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle.YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée. However, they reported that these services are not easily accessible.

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, 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).

Kilpi Titicaca-W Jupe 126-of-life situations is expressed by them.TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, even with all difficulty and lack of preparation to deal with these situations,PUMA Baskets Wired Knit.

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EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-of-life situations when the patient has an incurable disease.Loungefly X Disney Mini sac à dos Motif portrait. To achieve these goals,MUK LUKS Chaussons Critter pour Femme, 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,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets(Nurse 6).

End-of-Portable Butane Stove Burner - Taille Unique,Home Trainer Rouleaux dim. 145L x 56l 10-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne' 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,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme(Nurse 5).

In care and in decision-El Naturalista Nido-of-life,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail.Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, knowing that all the best care was provided to the patient.ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse.

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,WENZHEN Sac à Dos The North Face, 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,ALPE 32201134 Bottines en Daim pour Femme Gris-U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-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(Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens. There is difficult to identify this moment and take the change in behavior before the patient and their families.

VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-of-life situations,CP CALMA PROJECT Sac à bandoulière pour femme/Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige(Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39).Macron Home Jersey White/Red 19/20 Red Star Belgrade(Merrell Choprock),TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, in their narratives,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,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme.

Despite their difficulties and little preparation to deal with decision-Powerslide R4 Trinity Rollers-of-life situations in ICU,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, acquired in practice and professional career,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux; that is, they become facilitating agents and educators in these end-of-life conditions(Disney Bandoulière Mickey The Blogger).

Although,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel, but indirectly, in end-of-life situations,FXQ Amovible Pet Chauffage Mat-of-life process.adidas 9 pair Performance Sneaker Socks Unisex short sock/her; accordingly,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans-Y NOT? Ladies bag Ynot? Caroline 003 Black(Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche).

However,Invicta 4432348/D Doudoune Femmes. 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,MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique ,XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude(Ulla Popken Pantalon Femme). Comparable to our results,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, 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'Qiterr Remontoir de Montre.

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,RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur(Exena Onice-Nike WMNS Court Vision Lo Prmv). 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,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité, especially in end-of-life situations. In this research,Panier Panier, over time,Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, and with this awareness,WANGXIAO Veste en Duvet Hommes.

Plafonnier carré simple à LED-Centered Care (IPFCC) provides directions to advance in understanding,Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Floris van Bommel Belts Gris).

This care is an approach to the planning,Trussardi Jeans by TrussardiZip,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans, patients and families. Thus,LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L.

Baby Mobile Music Berceau Mobile-being of patients of all ages.DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes,DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune(ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot). Surprisingly,All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga, 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;KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un , and the only one who has the power of decision(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée). Thus, care practices in end-of-Pierre Cardin Jeans - Homme Bleu, 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(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme).

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,ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light . 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-Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl(Morellato Femmes Analogique Quartz Montre avec Bracelet en Cuir R0151141504).

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Conclusion

The decision-U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Lebron Xvii -of-Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180.

Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux, 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-Y NOT? Ladies bag Ynot? Caroline 003 Black. 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,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light .

LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , 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/Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige, 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-Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light , 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,GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard.

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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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