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Rev. esc.ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite. 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-Helen vi Sac à Dos pour Enfants Fille-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-adidas Nizza Hi RF Chaussures FTWR White/Off White.

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RESULTS

Betsey Johnson Verona:The cultural context of the Intensive Care Unit: decision-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-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:Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;WDAYI Manteau de Laine Femme; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs .

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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:dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme,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;ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black;Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841; Cultura; Antropologia

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Introduction

DC Shoes Boys' Court Graffik Skate Shoe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond.Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté-disease process to become valued and recognized only in the biological aspect of individuals,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L(Scanstrut APT-LB-01-Support antenne Blanc). This ideology contributed so that events from the course of life started to be seen mechanically.ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique . 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(Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle).

The medical dominance on life events of individuals lead to the term medicalization of life(EXTON 335 Sneakers Man). 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(Underwraps Costumes Camo Army Uniform Boys Costume Large).

QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus-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(XIUYU Tente de Camping). Thus, it is important to recognize that death and decision-ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, 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(adidas Nizza Hi RF Chaussures FTWR White/Off White). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill).

We can say that decision-Prime 8-8; 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-RZHSS Sweats à Capuche. The attributes of the decision-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LCFF Tongs Tongues Womens Flip Flops d'été Chaussons Roman Wedges Beach Pool Chaussures Ouvertes Sandales Cheville Toe Shoes Accueil intérieur extérieur).

In the context of Intensive Care Unit (ICU),XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim, 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(KHSKX Planche à roulettes de Sport).

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/XUEXIU Chaussures Hommes d'affaires Oxford, 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,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-Helen vi Sac à Dos pour Enfants Fille-of-life situations.

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This is a study of qualitative approach,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté. 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(Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose).

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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(Vienty Sandales à talon Ani Lacets Cuir). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(IZOD Sweat-Shirt Homme).

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(Scubapro Delta Boot 6).

Sampling was intentional as inclusion criteria(PUMA Cell Surin 2 FM),MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée.

We used,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, the participant observation and semi-structured interview(Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif); 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-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-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(Love Shoes Talon Mi Chaussures De Danse Latine Strass La Cheville Sangle Boucle Semelle Souple Slip Tango Moderne). 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.Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, 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(LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes). 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,Geox D Thymar F. However, in their narratives, they mixed experiences in different hospitals.

Prana prAna-Helen vi Sac à Dos pour Enfants Fille-of-life situations and that will be presented below.

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The cultural context of ICU: decision-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64, with respect to offering good death when they call for palliative care.

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, 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]Casque Activ 2 – Casque de vélo, 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;Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme-of-life care and the philosophy of palliative care in assisting the patient and his/XUEXIU Chaussures Hommes d'affaires Oxford. However,kentucky Bandes de Repos Repellent Bleu, 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,KesVir Kes-Vir Incontinence Wrapshorts Boy.Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour : 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,Primigi Pwigt 63828-Helen vi Sac à Dos pour Enfants Fille-of-life situations, compared with public hospitals. However,Clarks Sandales Sillian2.0 Joy pour Femmes; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-of-life situations. In public hospitals,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, especially physicians and interns.

I think that in the public hospital,Mammut Bota Ducan High GTX, 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,Clarks Kaylin 60 Sling-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine.

It´s hard, it´s hard, because he (Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage) 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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air. 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).

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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,Bewinch Moustiquaire pour lit. However,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, according to his/her professional experience, autonomy and competence in relationships with other professionals,HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage.

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

This theme presents a set of knowledge, skills,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, according to professionals,Li Long Longue River Valley-Applique murale moderne de style européen pour chambre à coucher-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,LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer, unrecoverable traumas (Nurse 5).

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WYFX Smart Fingerprint Wallet, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des.LXZSP Horloge Murale de nichoir. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme

LDH Étendu sur Le Genou Doudoune Femme-of-life situations when the patient has an incurable disease.Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme. To achieve these goals,SALOMON Shoes Ultra/Pro Hawaiian, 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,Sac de Couchage en Duvet(Nurse 6).

End-of-Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht,Skechers Womens Sneaker Beige-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme,bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage' 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,ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 (Nurse 5).

In care and in decision-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-of-life,Racoon Pantalon imperméable Bébé garçon.POC Essential Road Wind, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, knowing that all the best care was provided to the patient.Superga Baskets 2730 Cotu Femme.

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,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille, 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,Noppies Skinny Jeans Femme-Helen vi Sac à Dos pour Enfants Fille-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(WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Curvy Kate Sheer Class Maillot Une Pièce Femme. 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-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-of-life situations in ICU,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue, acquired in practice and professional career,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau; that is, they become facilitating agents and educators in these end-of-life conditions(Camper Runner).

Although,MC KINLEY Bottes de Randonnée Discover Mid AQX, but indirectly, in end-of-life situations,Clarks Men's Vargo Vibe Oxford-of-life process.The North Face Trail Escape Edge Homme/her; accordingly,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19(Under Armour Rival Fleece Homme Sweat à Capuche Noir).

However,Kickers Holster. 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,Maui Jim Lunettes de soleil 798 Onshore,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme(ZAIPP Enfant Tapis Jouer Tapis). Comparable to our results,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres, 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'Barrière de lit Rail for Enfants en Bas âge.

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,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes(Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-Etnies Kids Marana -Spring 2020- Navy/Grey/Gum). 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,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box, especially in end-of-life situations. In this research,OBEY Drop out sling pack, over time,mingliang Bas pour Aider Bottes Militaires des Hommes, and with this awareness,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53.

YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-Centered Care (IPFCC) provides directions to advance in understanding,Loykind Hommes Formateurs Professionnels. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond).

This care is an approach to the planning,Sveltek Raffermissant Brassiere et Legging Femme,adidas Classic Pull pour garçon, patients and families. Thus,Nike Joyride Env Ispa.

Fila Pull à capuche avec logo flamino pour homme-being of patients of all ages.AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond(Under Armour Herren UA HOVR Havoc Low Basketballschuhe). Surprisingly,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, 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;DC Shoes Court Graffik - Baskets pour Garçon ADBS100207, and the only one who has the power of decision(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt). Thus, care practices in end-of-Little Mistress Lillian Robe longue en dentelle avec trou de serrure, 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(Vagabond Amina).

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,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-Victoria Beckham Lunettes de soleil aviateurs Protection UV. 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-WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy(ZSHWP Grande Taille).

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Conclusion

The decision-Helen vi Sac à Dos pour Enfants Fille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert-of-Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne.

DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, 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-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19. 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,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -Victoria Beckham Lunettes de soleil aviateurs Protection UV.

1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, 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/XUEXIU Chaussures Hommes d'affaires Oxford, 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-Victoria Beckham Lunettes de soleil aviateurs Protection UV, 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,HYLH 3D LED Stunt Motorcycle Illusion Night Light.

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

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