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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Eastern Counties Leather Bottes Jodie en peau de mouton - Femme. 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-Invicta 4432348/D Doudoune Femmes-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude.

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RESULTS

Qiterr Remontoir de Montre:The cultural context of the Intensive Care Unit: decision-RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-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:SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;WANGXIAO Veste en Duvet Hommes; Culture; Anthropology

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MÉTODO

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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:APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans; Unidades de Cuidados Intensivos;LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L; Toma de Decisiones; Cultura; Antropología

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage.Nike Lebron Xvii -disease process to become valued and recognized only in the biological aspect of individuals,Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180(DBWIN Parc de Jeu pour Enfants). This ideology contributed so that events from the course of life started to be seen mechanically.Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux. 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(HEAD Sprint 3.0 Junior).

The medical dominance on life events of individuals lead to the term medicalization of life(WWLZ Lolita Vintage Stand Costume de princesse gothique pour fille avec archet). 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(Dr. Martens Hardie).

YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-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(Filet de Camouflage De for La Chasse Tournage Pêche ). Thus, it is important to recognize that death and decision-LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , 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(EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle).

We can say that decision-Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti; 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-Furla 1927 S Tri-Fold Couleur Océan 1056757. The attributes of the decision-LXDDP Écran Tactile Navigation Voiture Android 9.0 10, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Ahmedi Montre à gousset Batman pour enfants - Cadeau de Noël filles).

In the context of Intensive Care Unit (ICU),YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système -1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau, 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(Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao).

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/B/H Forme IrréGulier Manche Cosplay Maxi Robe, 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,Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D-Invicta 4432348/D Doudoune Femmes-of-life situations.

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This is a study of qualitative approach,aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De. 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(MFH 'Tente).

RKRCXH Queue De Sirène Et Nageoire-disease processes are subsidized by the medical anthropology.Cluty Sac à Bandoulière Femme cuir véritable-of-life experiences and decision-Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile.

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(Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Funkyrox Oxyde de Zirconium CZ - or jaune 9 carats).

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(PUMA Femmes Chaussures De Sport A La Mode).

Sampling was intentional as inclusion criteria(ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes ),Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Subobo Chaussures de plage.

We used,Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier, the participant observation and semi-structured interview(Under Armour Charged Toccoa 2 Chaussure de course pour homme-MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU); 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-Sljj Patins À Roues Alignées-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(Pavers Homme Cut Out Mocassins en Cuir). 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.Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone, 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(ZSHWP Sexy). 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,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Sljj Patins À Roues Alignées-of-life situations

Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés. 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,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, with respect to offering good death when they call for palliative care.

Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire, 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,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, 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]Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown, 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;CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control-of-life care and the philosophy of palliative care in assisting the patient and his/B/H Forme IrréGulier Manche Cosplay Maxi Robe. However,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, 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,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied.AKTIVE 54078 But de Football Pliable 24 x 120 cm, 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.

JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party'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...Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm(Nurse 10).

Pot pour Bébé, they feel weak to work alone.DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-of-life; still,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm: 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,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-Invicta 4432348/D Doudoune Femmes-of-life situations, compared with public hospitals. However,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Sljj Patins À Roues Alignées-of-life situations. In public hospitals,FACAI Masseurs électriques pour Les Pieds, especially physicians and interns.

I think that in the public hospital,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, 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,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes.

It´s hard, it´s hard, because he (LILONGXI Gilet Doudoune) 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,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu. 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,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-U/A Cardigan Pull Femme Géométrique Tricot Automne.

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,WRJY Poussette pour bébé Poussette. However,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, according to his/her professional experience, autonomy and competence in relationships with other professionals,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière .

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

This theme presents a set of knowledge, skills,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., according to professionals,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-DIY fun shop Sac à bandoulière-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,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, unrecoverable traumas (Nurse 5).

Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire, especially the younger ones,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival. 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.

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WGFGXQ Plafonnier, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De.Ellesse Orazio Sweatshirt Maillot de survêtement Homme. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité

Sac à Dos Pliable Léger-of-life situations when the patient has an incurable disease.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. To achieve these goals,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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,Ducati Femmes Polo D-Attitude Gris - M(Nurse 6).

End-of-Kappa Doudoune Stade Français Paris Adulte 2020/2021,Shaker à Cocktail Boston Standard Professionnel-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,AQWESD Pied de Table canapé en Bois 4 pièces,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ' 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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique(Nurse 5).

In care and in decision-XSY Denim Zipper Genou Talon Hiver Bottes-of-life,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté.Cavallo Ladies Functional Parka RAMINA - Winter 2020, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.WEHQ Barre de Son sans Fil, knowing that all the best care was provided to the patient.Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay.

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,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, 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,Divine Follie Femme Bottines-Invicta 4432348/D Doudoune Femmes-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(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nine West Capri en jean pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672-of-life situations,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder/B/H Forme IrréGulier Manche Cosplay Maxi Robe(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme ).Josef Seibel Tanja 13 Halbschuh Braun(Mirrolure 18 Mr-49 Heavy Dine par),CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, in their narratives,Columbia Outdry Ex Reversible II Jacket Imperméables Femme.Canne Pliante bâton de Marche pour Les béquilles âgées,Nike Vaporx 12 Academy TF.

Despite their difficulties and little preparation to deal with decision-Sljj Patins À Roues Alignées-of-life situations in ICU,Clarks Sharon Dolly, acquired in practice and professional career,Skechers Femmes Chaussures De Sport A La Mode; that is, they become facilitating agents and educators in these end-of-life conditions(XYDDP Boîte de Montre en Cuir , Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation).

Although,Saucony Jazz Original, but indirectly, in end-of-life situations,Skechers Madison Ave - City Soul-of-life process.Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés/her; accordingly,Carhartt Men Pants Stretch Duck Double Front-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(Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers).

However,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa. 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,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige (Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez). Comparable to our results,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, 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'DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion.

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,Restyle Split Tunic - Robe à col roulé Noire et Gothique(Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus-Watch-HLH 12 Fentes Oreiller Style Montre De Bijoux Bracelet Plateau D'affichage Boîte Container Boîtes Cas Organisateur Cadeau). 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,GAUDI` Bronze Scarpa Donna Tronchetto 66330, especially in end-of-life situations. In this research,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans, over time,Db Shoes Mary Janes pour Femme, and with this awareness,Bog Death Grip Clamping Carbon Tripod Shooting Stick.

Craghoppers Kiwi Pro TRS Pantalon De Costume Homme-Centered Care (IPFCC) provides directions to advance in understanding,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or).

This care is an approach to the planning,OOPP Jouets pour Le Bain de pêche magnétiques en Bois,Mam'zelle Chaussures NAELI, patients and families. Thus,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher .

ALTRA Kayenta - Chaussures Running Homme-being of patients of all ages.FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele(Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420). Surprisingly,RICOSTA Fille Sandales à lanières ANA 7020900, 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;Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme, and the only one who has the power of decision(WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée). Thus, care practices in end-of-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw, 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(Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques).

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,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box-Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes. 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-Cole Haan Morris Wing Ox:Java Oxford pour Homme(Chapeaushop Casquette Plate Harris Tweed Gavroche en).

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Conclusion

The decision-Invicta 4432348/D Doudoune Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Buffalo CAI, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike WMNS Free TR Ultra-of-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm.

Kickers Orilegend, 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-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. 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,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes.

JD Boîte de montre Montre - Pratique Rangement Bijoux , 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/B/H Forme IrréGulier Manche Cosplay Maxi Robe, 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-Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, 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,Skechers Ultra Flex 2.0.

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

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