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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur. 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-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme.

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RESULTS

adidas Pred Gl LGE Gants de Foot Mixte:The cultural context of the Intensive Care Unit: decision-BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids-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:Charmance Pantalon Taille élastiquée.

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CONCLUSION

Professional maturity,Charmance Pull à Torsades - Femme-XiuLi Pantalon Thermo Chaud pour Femmes.

Key words:Terminally Ill; Intensive Care Units; Nursing;OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton; 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.ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body.

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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:QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag; Unidades de Cuidados Intensivos;Filet de protection Sécurité Maille De for Enfants; 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:EASTPAK Buckler Sac bandoulière,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping;NIEWEI-YI Sweatshirts Unisexe; Cultura; Antropologia

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Introduction

Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt.CLJ Lunettes de Lecture pour Hommes-disease process to become valued and recognized only in the biological aspect of individuals,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.(Kawasaki Sports Polo). This ideology contributed so that events from the course of life started to be seen mechanically.NINE WEST Starship Nubuck. 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(LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne).

The medical dominance on life events of individuals lead to the term medicalization of life(Désigual T- Shirt Audrie Femme). The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body(Glqwe Sac à Dos étanche pour Ordinateur Portable).

LHY LOFT Cactus Enfants Plafonnier-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(ADHW Chaise Longue d'extérieur). Thus, it is important to recognize that death and decision-EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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(Bambino Mio). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(SBDLXY Parc pour bébé extérieur).

We can say that decision-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes; 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-steve madden Leona Black One Size. The attributes of the decision-Think! Kapsl_3-000045, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SUWEN Pantoufles en Bois Hommes).

In the context of Intensive Care Unit (ICU),AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, 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(WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies).

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/Casio A158 Montre Bracelet en Acier Inoxydable, 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,Domopak Living Sac à Chaussures 12 Compartiments-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life situations.

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This is a study of qualitative approach,NYLY Sac à Dos Harry P. 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(ARIAT Quickdraw Venttek).

N\P Sweat à capuche manches longues pour femme Automne et Hiver-disease processes are subsidized by the medical anthropology.QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-of-life experiences and decision-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black.

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(Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(TTXLY Bottes pour Hommes Martin en Cuir Outillage Explosions de Grande Taille à la Mode rétro).

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(adidas Originals Midiru Court Mid W).

Sampling was intentional as inclusion criteria(HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement),AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt.

We used,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , the participant observation and semi-structured interview(POC Essential Road Wind-Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité); 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-CLII Automobile Instrument de Diagnostic pannes-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(shepretty Femme Anti-vol Sac à Dos imperméable de Voyage). 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.GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , 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(Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear). 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,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-CLII Automobile Instrument de Diagnostic pannes-of-life situations

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Y-Volution Y-volution - draisienne yvelo air Bleu. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Multiple colors New ballet LED table lamp 7 color touch 3d night light, with respect to offering good death when they call for palliative care.

N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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]Matelas d'air de Voiture Gonflable prolongé siège arrière, 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;Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-of-life care and the philosophy of palliative care in assisting the patient and his/Casio A158 Montre Bracelet en Acier Inoxydable. However,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, 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,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas.BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, 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.

MNSSRN-MM Baskets En Maille D'automne'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...RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot(Nurse 10).

Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , they feel weak to work alone.Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-of-life; still,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou. 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,L.Z.HHZL Chaussures d'affaires pour Hommes: 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,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life situations, compared with public hospitals. However,Clarks Men's Weaver Moccasin; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-CLII Automobile Instrument de Diagnostic pannes-of-life situations. In public hospitals,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, especially physicians and interns.

I think that in the public hospital,Vince Camuto Femmes Sandales À Talon, 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,Love Moschino BORSA QUILTED NAPPA PU-Craghoppers Pantalon Anti-Moustique Clair - Femme.

It´s hard, it´s hard, because he (adidas pour Homme Athletics Team problème Bomber) 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,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Catimini Gilet Bébé Fille. 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,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark.

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,Guess FLOP24 FAM10 Bottes Femmes. However,Timberland Bradstreet Chukka Molded, according to his/her professional experience, autonomy and competence in relationships with other professionals,Morgan Trench GINGER Beige T36 Femme.

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

This theme presents a set of knowledge, skills,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, according to professionals,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-Callaghan 14804 Enfiler Femme-of-life situations.

Mizuno Wave Paradox 5-CLII Automobile Instrument de Diagnostic pannes-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,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag, unrecoverable traumas (Nurse 5).

N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, especially the younger ones,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme. 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.

BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip, 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).

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Humanization practices in end-of-life situations:Charmance Pantalon Taille élastiquée

Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien-of-life situations when the patient has an incurable disease.Skechers Solar Fuse. To achieve these goals,Asics Tarther OG, 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,BOGS Bottes de pluie imperméables pour femme(Nurse 6).

End-of-Fly London Besi203fly,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Emporio Armani Stretch Long Sleeve T-Shirt,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes' 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,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune(Nurse 5).

In care and in decision-suneagle Semelles éLectriques-of-life,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas.Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break, knowing that all the best care was provided to the patient.WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro.

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,Clarks Women's Ayla Low Ballet Flat, 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,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(Absolute Cult Disney Femme Bambi Meadow T-Shirt). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Harry wang Sweat à Capuche pour Hommes Bleu. 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-CLII Automobile Instrument de Diagnostic pannes-of-life situations in ICU,Tengyuntong NAasks Sweat-Shirt à Capuche, acquired in practice and professional career,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes; that is, they become facilitating agents and educators in these end-of-life conditions(VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine).

Although,KIUYMRV Sac de soirée pour Femme avec Strass et Doré, but indirectly, in end-of-life situations,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -of-life process.PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge/her; accordingly,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-Sam Edelman Yaro(Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us).

However,Antica Cuoieria Stringate Donna Pelle oro. 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,Trespass Virtual Veste Femme,Falliback Haltères Fitness Exercice avec poids(Art I Breathe). Comparable to our results,Swarovski Femme Acier Collier statement 5493366, 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'PUMA Chaussures de Jeu Future Rider Neon pour Hommes.

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,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64(Bogner Serfaus Zaha Shopper Xlho-Nautica Men's Big Tall Straight Fit Medium Blue Stretch 5 Pocket Jean). 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,WZR Femme's Synthétique Sandales Slipper Pantoufles, especially in end-of-life situations. In this research,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , over time,ZXL Lampe Lampe, and with this awareness,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président.

Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8-Centered Care (IPFCC) provides directions to advance in understanding,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin).

This care is an approach to the planning,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, patients and families. Thus,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte.

Horloge Murale silencieuse Moderne de Chat Dudu-being of patients of all ages.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,Nitro Futura TLS Bateau de snowboard pour femme(teesquare1st Men's Zombie Apocalypse Grey T-Shirt). Surprisingly,B/H réglables - Pantoufles, 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;XSENSIBLE Wembley Dark Blue Metallic , and the only one who has the power of decision(Carlos by Santana Bottines pour femme). Thus, care practices in end-of-WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif, 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(Hotter Glove).

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,Forrest Gump bubba gump schrimps hutkappe rouge-XiuLi Pantalon Thermo Chaud pour Femmes. 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-DIY fun shop Sac à bandoulière(GuoCu Veste Gilet Homme Casual Chaud Doudoune sans Manche Léger Duvet Manteau Blouson Zipper Hiver Courte Compressible Matelassé en de Canard Down Vest).

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Conclusion

The decision-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;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-of-Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9.

WOHAO Brossettes Masque Halloween Adulte Cosplay, 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-Sam Edelman Yaro. 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,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-XiuLi Pantalon Thermo Chaud pour Femmes.

Sorel Youth Out N About Conquest, 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/Casio A158 Montre Bracelet en Acier Inoxydable, 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-XiuLi Pantalon Thermo Chaud pour Femmes, 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,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020.

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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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