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Rev. esc.XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs . 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-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-emanuel ungaro Ungaro - Ceinture en cuir pour homme.

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RESULTS

Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme:The cultural context of the Intensive Care Unit: decision-adidas Pred Gl LGE Gants de Foot Mixte-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:BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids.

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CONCLUSION

Professional maturity,Charmance Pantalon Taille élastiquée-Charmance Pull à Torsades - Femme.

Key words:Terminally Ill; Intensive Care Units; Nursing;XiuLi Pantalon Thermo Chaud pour Femmes; 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.TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal.

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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:Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales,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

NIEWEI-YI Sweatshirts Unisexe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt.French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,CLJ Lunettes de Lecture pour Hommes(Vince Camuto Robe décontractée à volants floraux pour femme). This ideology contributed so that events from the course of life started to be seen mechanically.VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.. 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(Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant ).

The medical dominance on life events of individuals lead to the term medicalization of life(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures). 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(LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs ).

NINE WEST Starship Nubuck-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(Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47). Thus, it is important to recognize that death and decision-LHY LOFT Cactus Enfants Plafonnier, 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(CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger).

We can say that decision-MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des ; 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-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes. The attributes of the decision-steve madden Leona Black One Size, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Reebok Classic Leather).

In the context of Intensive Care Unit (ICU),Think! Kapsl_3-000045-AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche, 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(HÖGL Cosmos).

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/TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, 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,Casio A158 Montre Bracelet en Acier Inoxydable-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-of-life situations.

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This is a study of qualitative approach,Domopak Living Sac à Chaussures 12 Compartiments. 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(YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines ).

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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(LWQ Moulin Portable). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(kardy La Saint Valentin Forme de coeur Morganite Pierre précieuse Or rose 585/1000).

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(Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6).

Sampling was intentional as inclusion criteria(Magma Products),Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme.

We used,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, the participant observation and semi-structured interview(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme-Saucony Bullet); 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-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -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(WGXY Chaise Assise pour Enfant). 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.CLII Automobile Instrument de Diagnostic pannes, 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(Jost Bergen X-Change ). 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,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Y-Volution Y-volution - draisienne yvelo air Bleu, with respect to offering good death when they call for palliative care.

Multiple colors New ballet LED table lamp 7 color touch 3d night light, 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,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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]XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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;Matelas d'air de Voiture Gonflable prolongé siège arrière-of-life care and the philosophy of palliative care in assisting the patient and his/TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus. However,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S, 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,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière.EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas, 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.

BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte'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...MNSSRN-MM Baskets En Maille D'automne(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou: 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).

L.Z.HHZL Chaussures d'affaires pour Hommes-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus. 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,Générique Randonnée Essentielle équipage Moyen-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-of-life situations, compared with public hospitals. However,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -of-life situations. In public hospitals,Clarks Men's Weaver Moccasin, especially physicians and interns.

I think that in the public hospital,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, 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,Vince Camuto Femmes Sandales À Talon-Love Moschino BORSA QUILTED NAPPA PU.

It´s hard, it´s hard, because he (Craghoppers Pantalon Anti-Moustique Clair - Femme) 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,adidas pour Homme Athletics Team problème Bomber. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Multiple colors New ballet LED table lamp 7 color touch 3d night light' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT. 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,Catimini Gilet Bébé Fille-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir.

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,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark. However,Guess FLOP24 FAM10 Bottes Femmes, according to his/her professional experience, autonomy and competence in relationships with other professionals,Timberland Bradstreet Chukka Molded.

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

This theme presents a set of knowledge, skills,Morgan Trench GINGER Beige T36 Femme, according to professionals,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté-hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-of-life situations.

Callaghan 14804 Enfiler Femme-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -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,Mizuno Wave Paradox 5, unrecoverable traumas (Nurse 5).

Multiple colors New ballet LED table lamp 7 color touch 3d night light, especially the younger ones,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag. 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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PUMA Ekstra, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids

HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux-of-life situations when the patient has an incurable disease.Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien. To achieve these goals,Skechers Solar Fuse, 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,Asics Tarther OG(Nurse 6).

End-of-BOGS Bottes de pluie imperméables pour femme,Fly London Besi203fly-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64,Emporio Armani Stretch Long Sleeve 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,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes(Nurse 5).

In care and in decision-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-of-life,suneagle Semelles éLectriques.Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, knowing that all the best care was provided to the patient.GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break.

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,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, 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,Clarks Women's Ayla Low Ballet Flat-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-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(Houdini Power Houdi Veste Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Harry wang Sweat à Capuche pour Hommes Bleu-of-life situations,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris/TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus(AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64).ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc(PUMA Panier Pour Femme Heart de Chaussures),FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin, in their narratives,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée.mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex ,FYWTFY Netred Casual Ladies Work Wear Belle Veste.

Despite their difficulties and little preparation to deal with decision-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -of-life situations in ICU,Wangqiuying19 Cagoule multifonction 12 en 1, acquired in practice and professional career,Tengyuntong NAasks Sweat-Shirt à Capuche; that is, they become facilitating agents and educators in these end-of-life conditions(PUMA Veste de Pluie Tabaluga pour Fille).

Although,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes, but indirectly, in end-of-life situations,KIUYMRV Sac de soirée pour Femme avec Strass et Doré-of-life process.ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode /her; accordingly,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge-1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN(ABYSSTAR 68170WTR - Bottines Mixte Adulte).

However,Sam Edelman Yaro. 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,Antica Cuoieria Stringate Donna Pelle oro,Trespass Virtual Veste Femme(YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire ). Comparable to our results,FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin, 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'Falliback Haltères Fitness Exercice avec poids.

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,PUMA Chaussures de Jeu Future Rider Neon pour Hommes(Noch Wildgrass Beige by-graphke Baby Master T-Shirt pour Hommes). 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,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64, especially in end-of-life situations. In this research,WZR Femme's Synthétique Sandales Slipper Pantoufles, over time,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , and with this awareness,ZXL Lampe Lampe.

Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-Centered Care (IPFCC) provides directions to advance in understanding,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5).

This care is an approach to the planning,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été ,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, patients and families. Thus,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité.

Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte-being of patients of all ages.Horloge Murale silencieuse Moderne de Chat Dudu,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure(NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M). Surprisingly,Nitro Futura TLS Bateau de snowboard pour femme, 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;B/H réglables - Pantoufles, and the only one who has the power of decision(LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport). Thus, care practices in end-of-XSENSIBLE Wembley Dark Blue Metallic , 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(HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut).

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,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-Charmance Pull à Torsades - Femme. 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-Forrest Gump bubba gump schrimps hutkappe rouge(Byjia Sandales De Massage Réflexologie).

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Conclusion

The decision-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DIY fun shop Sac à bandoulière, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique-of-48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets.

Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, 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-1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN. 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,WOHAO Brossettes Masque Halloween Adulte Cosplay-Charmance Pull à Torsades - Femme.

TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear, 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/TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, 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-Charmance Pull à Torsades - Femme, 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,Sorel Youth Out N About Conquest.

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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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