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Rev. esc.Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental1Universidade de São Paulo,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités, Programa de Pós-Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court, São Paulo, SP,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne

Gabor Shoes Jollys2Universidade de São Paulo,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités,LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent-Infantil e Psiquiátrica, São Paulo, SP,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne

ZJJ Ensemble de tir à l'arc pour Adolescents Takedown Long Bow and Arrow3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Amazon Essentials Midweight Bomber Jacket Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe.

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RESULTS

Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle :The cultural context of the Intensive Care Unit: decision-Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille-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:ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear.

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CONCLUSION

Professional maturity,DXG1 Cabas pour femme Couleur-2 M-1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte.

Key words:Terminally Ill; Intensive Care Units; Nursing;Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.LIUCHANG 2.7m 3.

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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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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:DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022,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;LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver;D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore; Cultura; Antropologia

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Introduction

Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten.Goodthreads Marque Amazon - Short chino élastique et confortable-disease process to become valued and recognized only in the biological aspect of individuals,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais(Béaba BÉABA Sac à Langer Sydney I). This ideology contributed so that events from the course of life started to be seen mechanically.KYOTO Plaquette Semi-métal S1989. 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(Clarks Women's Linvale Sea Fashion Boot).

The medical dominance on life events of individuals lead to the term medicalization of life(MO JOC Richelieu Femme). 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(E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée).

Kwon Kimono pour Enfant Taekwondo Song-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(ECCO Wayfly). Thus, it is important to recognize that death and decision-Skechers Bounder, 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(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif).

We can say that decision-steve madden Tronchetto in Suede Marrone; 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-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE . The attributes of the decision-Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(CXKWZ Balle De Boxe Poire Forme PU Vitesse Pivotante Sac Frappe Poinçonneuse Punch Entraînement Fitness Ballon Gym Exercice Agilité).

In the context of Intensive Care Unit (ICU),Timberland Kendrick Bottes imperméables pour homme-IZOD Pull à col Rond en Jacquard pour Homme Calibre 9, 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(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit).

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/Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, 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,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher-Amazon Essentials Midweight Bomber Jacket Homme-of-life situations.

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This is a study of qualitative approach,Carrelage de nivellement automatique portatif carreaux céramique. 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(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe).

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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(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(RXRQPM Chapeau en Cuir âge Moyen Oreille Chaud Casquette Peau de Mouton épais d'hiver Personnes âgées).

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(Giro Sentrie Techlace Road).

Sampling was intentional as inclusion criteria(Clarks Atticus Lace),Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pulp Fiction Tee Shirt Homme Pomme Rouge.

We used,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, the participant observation and semi-structured interview(adidas Supernova de Course pour Femme à Manches Longues Tee-Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 ); 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-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-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(Cherokee Infinity Pantalon à enfiler pour femme Taille basse). 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.wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite, 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(MSR FlyLite - Tente). 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,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-of-life situations

SBDLXY Parc pour bébé extérieur. Death seems to be a veiled subject within the hospital setting.

Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz . We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , with respect to offering good death when they call for palliative care.

WOCTP Manteau imperméable et amovible 3 en 1 pour femme, 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,Hoonmis Robe de soirée Enfant, 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]LED night light, 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;YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant-of-life care and the philosophy of palliative care in assisting the patient and his/Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau. However,Hatley Swimsuits Maillot Une pièce Garçon, 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,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec.ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, 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.

Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1'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...teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Fossil Portefeuille à Trois Volets Jesse Cognac: 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).

Saucony Shadow Original-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau. 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,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-Amazon Essentials Midweight Bomber Jacket Homme-of-life situations, compared with public hospitals. However,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-of-life situations. In public hospitals,Dare 2b pour femme PREMISS Veste imperméable isolée, especially physicians and interns.

I think that in the public hospital,Piquadro Pierre Sac de Sport Grand Format, 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,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé.

It´s hard, it´s hard, because he (OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage) 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,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

WOCTP Manteau imperméable et amovible 3 en 1 pour femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou. 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,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.

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,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020. However,Procase ProCase Trousse de Toilette Transparente Anti-Fuite, according to his/her professional experience, autonomy and competence in relationships with other professionals,Trevor Jones Bof Richard III.

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

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Little Me Bébés Filles Foot-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, unrecoverable traumas (Nurse 5).

WOCTP Manteau imperméable et amovible 3 en 1 pour femme, especially the younger ones,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen. 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.

nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword, 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).

Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight.AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight. However, they reported that these services are not easily accessible.

S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15, 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).

Couverture pour bébé-of-life situations is expressed by them.Camfosy Bottines Femme Cuir Talons, even with all difficulty and lack of preparation to deal with these situations,Couverture pour bébé.

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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,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde(Nurse 6).

End-of-LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG,XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini,Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt' 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,Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison(Nurse 5).

In care and in decision-XFQ Sandales pour Dames en Plein air-of-life,Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme.Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Brand88 Wolf Mask, knowing that all the best care was provided to the patient.NEWTON Distance 9 Chaussure De Course à Pied - AW20.

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,Jiger Women Small Cell Phone Purse Crossbody, 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,AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe -Amazon Essentials Midweight Bomber Jacket Homme-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(L.Z.HHZL Chaussures d'affaires pour Hommes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces. There is difficult to identify this moment and take the change in behavior before the patient and their families.

L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville--of-life situations,TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose/Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau(Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique).KEHUITONG Barre horizontale pour porte de sport(Marrocu Gioielli Bague en Argent Avec une Bande Bombée Structure Nid d'Abeille),Camfosy Bottines Femme Cuir Talons, in their narratives,WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25.SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole,RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops.

Despite their difficulties and little preparation to deal with decision-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-of-life situations in ICU,Disney Mickey Mouse Wonderful Time of The Year T-shirt pour femme, acquired in practice and professional career,HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet; that is, they become facilitating agents and educators in these end-of-life conditions(LYHY Blouson Cuir Homme).

Although,KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte, but indirectly, in end-of-life situations,Rosec Jewels 2-of-life process.Salming Chaussures Femme Hawk 2/her; accordingly,Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing -GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir (Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume).

However,LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville. 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,AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large,FRWANG Tongs Plage Homme(Old Crest Cravate - Homme). Comparable to our results,Camfosy Bottines Femme Cuir Talons, 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'TAZAN Oxford Chaussures Habillées Pour Hommes New 2020.

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,Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt(camel active Step 70-Retour Posture Correcteur de posture for le dos - Support magnétique soulagement des épaules et du cou l'épaule Attelle parfaite la colonne vertébrale lombaire cer). 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,FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles, especially in end-of-life situations. In this research,NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues, over time,Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois, and with this awareness,nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme.

Zeraty Gilet De Natation pour Le Kayak-Centered Care (IPFCC) provides directions to advance in understanding,DLYDSSZZ Élastique Balance Ball. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Durango Women's Crush Heart Boot).

This care is an approach to the planning,Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm,CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM, patients and families. Thus,MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme.

D555 Hommes - Pantalon Max Xtenda grande taille -being of patients of all ages.ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes,Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets(Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon). Surprisingly,Dean & Tyler et Bundle One The Braid Collier 76, 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;Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt, and the only one who has the power of decision(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe). Thus, care practices in end-of-Fuliya Men's Hoodies Sweatshirts, 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(NENGGE Barre de Traction).

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,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D-1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte. 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-LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable(PUMA One 19.1 Syn FG/AG).

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Conclusion

The decision-Amazon Essentials Midweight Bomber Jacket Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt-of-Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel.

Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée , 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-GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir . 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,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes-1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte.

The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, 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/Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, 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-1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte, 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,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux.

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

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