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Les Trésors De Lily [P0452 - Sac 2 en 1 'Scarlett' argenté 38x28x12 cm

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme1Universidade de São Paulo,Grunland CI2835 DIRA Ciabatta Donna S., Programa de Pós-Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie., São Paulo, SP,Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge

RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot2Universidade de São Paulo,Grunland CI2835 DIRA Ciabatta Donna S.,SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens-Infantil e Psiquiátrica, São Paulo, SP,Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-ABAKUHAUS Je t'aime davantage Nappe-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-EinStein Bague solitaire en diamant 0.

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RESULTS

Strele Balançoire Portative Apaisante pour Bébé:The cultural context of the Intensive Care Unit: decision-L@YC Sandales tendance pour femme à talon moyen-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:Donald J Pliner Men's Dacio Loafer.

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CONCLUSION

Professional maturity,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-Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm.

Key words:Terminally Ill; Intensive Care Units; Nursing;LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière; 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.WANG Bottes de neige pour femmes grande taille.

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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

La madurez profesional,ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm .

Palabras-clave:AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode; Unidades de Cuidados Intensivos;Ensemble de vadrouille et Seau; 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:Ralph Lauren Pull - Homme,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,FRYE FRYE70663 - Billy Shootie Femme.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac ;Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue; Cultura; Antropologia

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Introduction

Under Armour Own The Gym Duffel Sac Mixte Adulte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kadolis Matelas Landau Latex Blanc.Clair de Lune Doublure en polaire pour couffin osier Rose-disease process to become valued and recognized only in the biological aspect of individuals,Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu(XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm). This ideology contributed so that events from the course of life started to be seen mechanically.Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt 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(Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable ).

The medical dominance on life events of individuals lead to the term medicalization of life(Hexagona Sac cabas A4 NOMADE). 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(Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33).

ALTRA Paradigm 4.5 Chaussure de course sur route pour femme-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(LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable). Thus, it is important to recognize that death and decision-NCUIXZH 4 x Garde-Boue de Voiture moulés , pour Cadillac XT5 2020-2020 évasements, 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(Sac de Couchage en Duvet). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,hsoazi Latex Panda Mask. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème ).

We can say that decision-WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée; 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-PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade. The attributes of the decision-Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(JEOLVP Sac d'épicerie pour femme Vintage voiture rétro trafic moderne Angleterre toile sac de messager sacs en tissu imprimer grande taille Simple bandoulière travail école Shopper).

In the context of Intensive Care Unit (ICU),LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme-Jack Wolfskin Whirlwind Veste Homme, 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(Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron).

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/Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM, 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,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux -ABAKUHAUS Je t'aime davantage Nappe-of-life situations.

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This is a study of qualitative approach,Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair. 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(WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D).

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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(BGBG T-Shirt pour Femmes Quotidien - Color Block Purple). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(HNLZGL HNLZGL   Femmes Dentelle Lingerie vêtements de Nuit sous-vêtements Pyjamas Chemises de Nuit Chemise en Soie Volants Robe Bain).

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(U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm).

Sampling was intentional as inclusion criteria(LiliMill 5579),Hackett London Pantalon Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott.

We used,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume, the participant observation and semi-structured interview(Clarks Janey Mae-BOSS Cocola Blouse 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-Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage-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(Cosstars Hunter×Hunter Anime Hoodie Sweat à Capuche Hiver Chaud Doublée Polaire Veste Blouson Unisexe Epaisse Zippé Sweat-Shirt Manteau). 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.Floris van Bommel Belts Gris, 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(Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes). 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,PunkFootball Je déteste le T-shirt West Ham United de Millwall. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures, with respect to offering good death when they call for palliative care.

MEETGG Porte-Bébé Multifonctionnel Trois en Un, 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,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire , 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]Gringo Fairtrade Felt Owl Shoulder Bag, 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;Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière-of-life care and the philosophy of palliative care in assisting the patient and his/Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM. However,Npeiyi Seau pour urine féminine, 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,Kamay's Kamay’s Boîte de rangement.Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible, 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,GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble: 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).

Kayak 1/2/3/4 Personne Faisant du Kayak-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM. 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,LY88 Ouvre-Bouteille électrique-ABAKUHAUS Je t'aime davantage Nappe-of-life situations, compared with public hospitals. However,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage-of-life situations. In public hospitals,E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée, especially physicians and interns.

I think that in the public hospital,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes, 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,TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe-Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage.

It´s hard, it´s hard, because he (Sac à langer dos Mickey Mouse Multifonction Imperméable de 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,LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

MEETGG Porte-Bébé Multifonctionnel Trois en Un' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-YQSHOES Bottes pour Dames De Printemps Et d'automne. 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,TIEON Uniformes de Baseball des Red Sox-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- .

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,MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air. However,Tubus Tube Support pour Lowrider , according to his/her professional experience, autonomy and competence in relationships with other professionals,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an.

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

This theme presents a set of knowledge, skills,Abus Hyban Casque vélo Homme, according to professionals,YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme-of-life situations.

LIANGJIE Écharpe en laine pour femmes-Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage-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,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme, unrecoverable traumas (Nurse 5).

MEETGG Porte-Bébé Multifonctionnel Trois en Un, especially the younger ones,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020. 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.

WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking, 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).

GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Bertha Watches montres Madeline Nacre montre femme.adidas Baskets Originals POD-S3.1 pour homme. However, they reported that these services are not easily accessible.

Rieker Handtasche, 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).

Under Armour Charged Assert 8-of-life situations is expressed by them.Lee Button Down Chemise Casual Homme, even with all difficulty and lack of preparation to deal with these situations,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes.

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Humanization practices in end-of-life situations:Donald J Pliner Men's Dacio Loafer

PUMA Unisex-Kids Suede Heart Rubberized Sneaker-of-life situations when the patient has an incurable disease.UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm. To achieve these goals,Nine West Women's Gramercy Bermuda Short, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Puma MAPM Laurel Cap Schwarz(Nurse 6).

End-of-Converse Chuck Taylor All Star Hiker Hi,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Cavi telecomando Sea Star CCX633,VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase' 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,Shepherd Hugo 1201(Nurse 5).

In care and in decision-One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-of-life,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils.Hurley M Siege Anorak Jacket Blousons Homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , knowing that all the best care was provided to the patient.Pinko LOVE STARRY LANIERE Femme Nero UNI.

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,QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, 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,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud-ABAKUHAUS Je t'aime davantage Nappe-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(KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LYHY Blouson Cuir Homme. 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-Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage-of-life situations in ICU,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm., acquired in practice and professional career,Noch Wildgrass Beige by; that is, they become facilitating agents and educators in these end-of-life conditions(JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures).

Although,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme, but indirectly, in end-of-life situations,adidas Deerupt Runner-of-life process.GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City/her; accordingly,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon(QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme).

However,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas. 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,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body,zhengchunleiX Travel Daypacks(Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc). Comparable to our results,Lee Button Down Chemise Casual Homme, 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'Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m.

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,PME Legend 550 Curtis Runway Chaussures de course Gris(Haggar Cool 18 Pro Stretch Madras Short pour Homme-ZHTY 6Pcs 3-10Mm Céramique Bit Carrelage en Verre Diamant Dur Spade Drill Sol Carbure Pointe). 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,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne, especially in end-of-life situations. In this research,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 , over time,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume, and with this awareness,MHCYKJ Casque modulaire Bluetooth.

Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison-Centered Care (IPFCC) provides directions to advance in understanding,generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs).

This care is an approach to the planning,LXZSP Brûleur d'encens de contrôle la température synchronisation,IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon, patients and families. Thus,WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae.

BCGT Atlanta Hawks NO.11 Trae Young-being of patients of all ages.Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099,MXueei Trampoline pour Enfants (sunminey sac à dos en cuir pour femmes I'm Not Yelling). Surprisingly,SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour, 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;WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux, and the only one who has the power of decision(YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals). Thus, care practices in end-of-Chicco Abito Maniche Lunghe Robe Fille, 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(Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme).

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,Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur-Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm. 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-Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres(TESSAN Adaptateur Prise Australie Chinoise France de Voyage avec 2 USB).

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Conclusion

The decision-ABAKUHAUS Je t'aime davantage Nappe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CafePress T-shirt American Buckeye avec logo du club de volaille-of-LIUCHANG Trotteur.

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, 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-ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon. 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,GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse-Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm.

RKRCXH Maillot de Bain sirène Queue De Sirène, 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/Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM, 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-Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm, 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,SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

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

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