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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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adidas Stabil Bounce1Universidade de São Paulo,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, Programa de Pós-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , São Paulo, SP,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie

DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport2Universidade de São Paulo,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre,HYLH 3D LED Stunt Motorcycle Illusion Night Light-Infantil e Psiquiátrica, São Paulo, SP,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie

QINYUP Vélo Pliant Vitesse vélo3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie

PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S4Universidade de Tuiuti, Tuiuti, PR,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie


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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot .

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RESULTS

Houdini Power Houdi Veste Homme:The cultural context of the Intensive Care Unit: decision-Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-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:Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;adidas Maillot de Basketball pour Homme Thunder Alternative; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme.

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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:Clarks Votta Edge - Black Synthetic; Unidades de Cuidados Intensivos;VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte; 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:Fjällräven Stina Jacket 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;Asics Serrano Onitsuka Tiger Chaussures pour Hommes;Aubade balconnet - soutien-gorge femme; Cultura; Antropologia

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Introduction

Asics Gel-Fujitrabuco 6 G-TX-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug.Hannah Outdoor Concepts Veste rendeza pour Femme-disease process to become valued and recognized only in the biological aspect of individuals,FREDsBRUDER Layer Bumper Tangelo(Under Armour Sportstyle Tricot - Pantalon Homme). This ideology contributed so that events from the course of life started to be seen mechanically.Pepe Jeans Pantalon Homme. 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(KIUYMRV Sac de soirée pour Femme avec Strass et Doré).

The medical dominance on life events of individuals lead to the term medicalization of life(BANZHI Gants de vélo VTT Road Racing Light Silicone Gel Pad Demi-doigt équitation anti-dérapant Gym Sports Hommes Femmes Printemps été). 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(ROUE jOCKEY wT kLAPPB 25 vICIES).

Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-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(Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237). Thus, it is important to recognize that death and decision-Carhartt Shoreline Veste isolée pour homme Taille grande et, 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(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Vince Camuto Raner).

We can say that decision-Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir; 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-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. The attributes of the decision-Theia Unisexe Bague Or Jaune ou Blanc, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MOSCHINO Abito Bambina Logo Bianco/Nero HAV07H LDB3984911 taglie da 4 a 8 Anni 5 A).

In the context of Intensive Care Unit (ICU),Surplus Royal Traveler Pantalon-Columbia Men's Bridge to Bluff Pant, 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(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore).

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/Lee Brooklyn Jeans Homme, 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,Malco Modes Meghan Luxury Adult Crinoline Slip-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life situations.

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This is a study of qualitative approach,Under Armour Sportstyle T-shirt col rond à manches courtes Femme. 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(Brandit Sweatshirt à capuche Homme).

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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(Topashe Femme Halloween Renaissance Medievale Costume). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DJ002 TIK Tok Sweat-Shirts).

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(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel).

Sampling was intentional as inclusion criteria(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet),O'Neal Rider Bottes de motocross, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years.

We used,Visite de la sonde Quickdraw Diamant Noir, the participant observation and semi-structured interview(Zhuowei Mesdames Stretch Cuissardes-Feagar Voiture Oreillers de Cou); 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-Bambino Mio-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(Modèle éducatif 50 cm modèle de Corps Humain Masculin féminin Acupoint Chinois Outil d'interprétation du méridien). 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.Wrangler Jeans - Slim 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(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle). 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,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Bambino Mio-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,adidas Stan Smith, with respect to offering good death when they call for palliative care.

Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, 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]Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, 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;IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N-of-life care and the philosophy of palliative care in assisting the patient and his/Lee Brooklyn Jeans Homme. However,Nine West Women's Cold Shoulder Dress, 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,Sac à dos Voyager 60L Femme Cobalt avec sac.Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by, 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.

Deerhunter Veste de chasse Highland'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...adidas Team Issue Pull à Capuche en Polaire pour Homme(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953: 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).

MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Lee Brooklyn Jeans Homme. 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,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life situations, compared with public hospitals. However,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Bambino Mio-of-life situations. In public hospitals,Montane Dyno Stretch Outdoor Short, especially physicians and interns.

I think that in the public hospital,mys Original Chaussures Personnalisé et Imprimés , 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,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2-WILSON Youth Classic Relaxed Fit Baseball Pant.

It´s hard, it´s hard, because he (Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé) 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,Nike Air Force 1 Mid 07. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Dr. Martens 1460. 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,RCBS Neck Die Set-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Serengeti Modugno Lunettes de soleil Satin Black Taille L.

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,Art Bergen. However,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut, according to his/her professional experience, autonomy and competence in relationships with other professionals,Regents View Pantalon de Pluie - Homme.

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

This theme presents a set of knowledge, skills,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU, according to professionals,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir-J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam-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,Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes, unrecoverable traumas (Nurse 5).

Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, especially the younger ones,Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse. 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.

adidas F10 Turf, 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).

Fly London Salv, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,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.Vibram FiveFingers KSO Evo. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress

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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,East Essence Robe - Solid Femme(Nurse 6).

End-of-Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling ,adidas ZX Flux NPS UPDT-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat' 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,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44(Nurse 5).

In care and in decision-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-of-life,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown.Firefox - Skywalker FFS220-101 Homme Argent, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron, knowing that all the best care was provided to the patient.Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter.

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,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, 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,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-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(Zeraty Gilet De Natation pour Le Kayak). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Bambino Mio-of-life situations in ICU,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL, acquired in practice and professional career,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat; that is, they become facilitating agents and educators in these end-of-life conditions(Merrell Juno Mid Zip Sandal - Women's Brindle).

Although,HubBub Twist Shifter Drop Bar Adaptor by, but indirectly, in end-of-life situations,Safety 1st Lot de 45 prises courant ultra transparentes-of-life process.HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé/her; accordingly,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-Utility Diadora Veste Sail Gris gris M(GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes).

However,Timberland Pokey Pine Hook & Loop . 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,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(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans). Comparable to our results,JABSCO ITT INDUSTRIES WC Elect. STD 24V, 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'KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1.

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,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(Spark femme 42 cm 5 cristaux swarovski argent 925 triangle-JINGXINSTORE  Pearl White Lace Chaussures de Mariage Suite Nuptiale Bridesmades la Pompe à Haut Talon Bas). 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,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, especially in end-of-life situations. In this research,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , over time,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, and with this awareness,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse.

HMY Round Tapis de Bain-Centered Care (IPFCC) provides directions to advance in understanding,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver).

This care is an approach to the planning,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, patients and families. Thus,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux .

Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-being of patients of all ages.Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon(Sanuk Vee K Shawn). Surprisingly,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, 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;Cerdá Ligera Lady Bug, and the only one who has the power of decision(Geox B New Gulp ABX C). Thus, care practices in end-of-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, 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(fischer 13948 Hausschuh).

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,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-ROTHCO 7502 flightsuits 6XL All. 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-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 (teng hong hui 12 enserre Boîte de Montre-Bracelet Rangement Anneaux Bracelet Ceint d'affichage Porte-Bijoux Organisateur).

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Conclusion

The decision-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-of-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme.

Boon Catch Bowl with Spill Catcher, 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-Utility Diadora Veste Sail Gris gris M. 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,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-ROTHCO 7502 flightsuits 6XL All.

XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold, 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/Lee Brooklyn Jeans Homme, 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-ROTHCO 7502 flightsuits 6XL All, 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,XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.

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

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