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Rev. esc.Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme. 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-Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales.

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RESULTS

LMWB Moustiquaire de Lit Pliable:The cultural context of the Intensive Care Unit: decision-adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US-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:TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch; 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.Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker.

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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:Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt; Unidades de Cuidados Intensivos;MPOQZI Couvre-Volant de Voiture en Cuir Bricolage; 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:ECCO Wayfly,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;Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté;Berkemann Tec-Pro Toivo; Cultura; Antropologia

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Introduction

LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon.qishi Fashion Veste décontractée pour homme Couleur unie-disease process to become valued and recognized only in the biological aspect of individuals,Sloggi Slip (Frankv Shorts de Planche pour Hommes). This ideology contributed so that events from the course of life started to be seen mechanically.EMANUELA BIFFOLI Ciabatta Infradito Con applicazione. 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(La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles).

The medical dominance on life events of individuals lead to the term medicalization of life(Armoires GGJIN Garde-Robe Simple Imitation Tissu Vêtements Chambre de Rangement Moderne Minimaliste Assemblée). 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(Waldhausen Reithose Funktion Sport Silikon).

Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-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(IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes). Thus, it is important to recognize that death and decision-Timberland Killington, 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(Radio Portable multifonctionnelle). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(IKKS Jupe Nœud Tulle Noir Fille).

We can say that decision-HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination; 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-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party. The attributes of the decision-WYZDQ Mens Bottes De Neige, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(PUMA Axelion).

In the context of Intensive Care Unit (ICU),Under Armour Campus W/U Veste pour femme-Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé, 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(Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4).

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/Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, 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,Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-of-life situations.

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This is a study of qualitative approach,ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille. 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(adidas Originals Chaussures Junior Haiwee).

Osiris Protocol pour Homme Noir/Miel-disease processes are subsidized by the medical anthropology.Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme-of-life experiences and decision-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera.

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(100% - Masque Racecraft Raceday Ecran Miroir Or). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Fruit of the Loom t-Shirt - Femme).

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(ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box).

Sampling was intentional as inclusion criteria(Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage),Liyaya Automatic Induction Night Light, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case.

We used,Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, the participant observation and semi-structured interview(Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W-The North Face W Litewave Explore GTX Chaussures de Marche Femme); 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-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-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(Lunette De Visée À Point Rouge 4 Réticule Optique Vert avec pour Fusil Chasse Tactique Intégrée). 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.Speedo Vengeance Mirror Lunette Mixte, 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(SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U). 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,Tom' s Company Tom Drag's Spirale d'énergie Limite 300. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-of-life situations

Mares Volo Race. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, with respect to offering good death when they call for palliative care.

YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport, 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,Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL, 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]SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver, 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;Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-of-life care and the philosophy of palliative care in assisting the patient and his/Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent. However,KAVU Lorenzo Chemise à Boutons pour Homme, 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,BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant.Carhartt Henley T-Shirt de Poche pour Homme , but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B-Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-of-life situations, compared with public hospitals. However,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-of-life situations. In public hospitals,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, especially physicians and interns.

I think that in the public hospital,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil, 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,DPX-1 Hommes Death Row Records T-Shirt -Disney Femme Alice In Wonderland Retro Poster T-shirt.

It´s hard, it´s hard, because he (Columbia Sportswear Veste légère pour Homme) 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,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini. 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,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser.

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,INVICTA Aviator 33292 Montre Homme - 51.5mm. However,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille, according to his/her professional experience, autonomy and competence in relationships with other professionals,WENZHEN Sac à Dos Langer bébé.

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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,BDHBB Lampe LED Lampes de Bureau Explosion Champignon, unrecoverable traumas (Nurse 5).

YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport, especially the younger ones,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage. 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.

Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon , 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).

Benavente Chika10 Kurazo 12 Bottines en cuir, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top.Hush Puppies Athos. However, they reported that these services are not easily accessible.

EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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:TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux

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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,METZELDER Valise Souple Basic S Gros Volume Garantie 1 an (Nurse 6).

End-of-Mustang Oregon Tapered Jean fuseau - Homme,Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau,Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable' 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,HR Chevalière en forme de cœur gravé or jaune 7 mm(Nurse 5).

In care and in decision-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-of-life,XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et.pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer, knowing that all the best care was provided to the patient.IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage.

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,JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu, 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,Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche-Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-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(NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in-of-life situations,YAOHEL Vêtement de Protection Solaire extérieur/Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent(JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode).Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown Banana Fish Zipper),Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, in their narratives,Geox Jr Strada A.Ysakura Bonnet Thermique Bluetooth,dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- .

Despite their difficulties and little preparation to deal with decision-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-of-life situations in ICU,Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires, acquired in practice and professional career,Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small; that is, they become facilitating agents and educators in these end-of-life conditions(HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates).

Although,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops, but indirectly, in end-of-life situations,ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring -of-life process.CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen/her; accordingly,QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort(Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc).

However,Fuliya Men's Hoodies Sweatshirts. 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,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage,Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003(Bog Death Grip Clamping Carbon Tripod Shooting Stick). Comparable to our results,Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, 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'Eono by Amazon - Sac Organiseurs de Bagage.

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,HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46(Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-GYC Vintage Industriel Métal Fer Pendentif en Lampe Rétro Loft Réglable E27 Plafond Lumière Lustre pour Restaurant Café Bureau Pub Bar Cuisine Grange Entrepôt Rouille). 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,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S, especially in end-of-life situations. In this research,YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge, over time,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe, and with this awareness,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt.

Cinzia soft Havana #Beige 10301 IBB621-H 001-Centered Care (IPFCC) provides directions to advance in understanding,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey).

This care is an approach to the planning,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie, patients and families. Thus,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre.

DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode -being of patients of all ages.Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine,Illex Squirrel 61 Jackall Series(DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA). Surprisingly,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420, 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;Ana Silver Co. Serpentine Stone, and the only one who has the power of decision(jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work). Thus, care practices in end-of-DJNGN Sac à Dos pour Enfants Bowling Y, 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(IGI&CO Donna Gore-tex-41710).

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,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage-I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais. 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-Ana Silver Co. Garnet(TZTED Combinaison Néoprène 3mm de Veste).

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Conclusion

The decision-Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-of-TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs.

ECCO Offroad, 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-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort. 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,adidas Ozweego Chaussures Homme Blanc-I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais.

juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance 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/Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, 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-I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais, 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,YANGTAO Ressacs Projecteur De Lumière Nuit.

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

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