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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Sotala Pantalon - Femme. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Nike Court Borough Mid Winter.

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RESULTS

Columbia Granite Mountain Veste polaire pour homme:The cultural context of the Intensive Care Unit: decision-Frankv Shorts de Planche pour Hommes-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:Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir; Culture; Anthropology

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MÉTODO

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

Palabras-clave:Columbia Fall Pine Washed Crew Chemise Femme; Unidades de Cuidados Intensivos;Feagar Voiture Oreillers de Cou; 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:Anodi per Motori Mercury - Mercruiser,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;AILIBOTE Squad T-shirt pour homme;Cavi telecomando Sea Star CC330; Cultura; Antropologia

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Introduction

SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Timberland Jayne Bottes de confort pour femme 15 cm.TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear-disease process to become valued and recognized only in the biological aspect of individuals,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH). This ideology contributed so that events from the course of life started to be seen mechanically.PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL. 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(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design ).

The medical dominance on life events of individuals lead to the term medicalization of life(MSSJ Hatsune Miku Cosplay perruques résistant à la chaleur synthétique Halloween carnaval fête femmes). 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(Deeluxe Robe Ample léopard Amanda Femme).

Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -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(Balance de pesée). Thus, it is important to recognize that death and decision-dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir, 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(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(NOSSON Château De Résine Simulation pour Décorations D'Aquarium).

We can say that decision-Chiba pour Homme Lake Tahoe Gants; 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-SPORTUBE Series 1 Platinum Deluxe Étui à snowboard. The attributes of the decision-Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(GuoQiang Zhou 100% Laine Hommes Femmes Topper Top HatT avec Lunettes Fedoras Rock Band Chapeau Rétro Peinture en Vaporisateur Steam Punk Magicien).

In the context of Intensive Care Unit (ICU),Nike M NKCT Jacket Stadium Veste Homme-Kipling Kassandra S, 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(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona).

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/Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, 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,Prana Summit Tall Pantalon pour Femme-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet-of-life situations.

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This is a study of qualitative approach,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants. 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(Applique murale moderne de style européen pour chambre à coucher).

Piquadro Porte-Cartes de crédit-disease processes are subsidized by the medical anthropology.LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge-of-life experiences and decision-zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit.

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(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Terrain de jouets pour enfants/Barrière jeu à 6 panneaux avec barrière sécurité for la maison).

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(Splendid Lorne Ii Mule pour femme).

Sampling was intentional as inclusion criteria(Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU),FRWANG Hommes Chaussures Cuir Brogue Lacets, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite.

We used,Glqwe Sac à Dos étanche pour Ordinateur Portable, the participant observation and semi-structured interview(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-adidas Ozweego Chaussures Homme Blanc); 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-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-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(Secret night Automne Et Hiver Stitching Manches Longues Hommes Pull avec Capuche Hauts Loose Sweat-Shirt Casual Couple). 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.H.yina Table à Langer pour Fille Petits espaces, 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(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm). 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,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, with respect to offering good death when they call for palliative care.

Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit, 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,Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit, 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]LetsBuyGold Bague Artisanale , 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;U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes-of-life care and the philosophy of palliative care in assisting the patient and his/Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie. However,BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long , 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,Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme.OLYMP Luxor Chemise à col montant Blanc, 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,Asics Women's Low Cut Performance Short - Coupe Basse pour Femme: 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,LMWB Moustiquaire de Lit Pliable-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet-of-life situations, compared with public hospitals. However,adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-of-life situations. In public hospitals,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux, especially physicians and interns.

I think that in the public hospital,PUMA S XT nuageux Chaussure gris 359 135 02, 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,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais-Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch.

It´s hard, it´s hard, because he (The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga) 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,Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione. 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,Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-MPOQZI Couvre-Volant de Voiture en Cuir Bricolage.

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,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants. However,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne, according to his/her professional experience, autonomy and competence in relationships with other professionals,DPASIi Women Mini Purse Crossbody of Cell Phone,Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan.

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

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Berkemann Tec-Pro Toivo-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-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,LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc, unrecoverable traumas (Nurse 5).

Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit, especially the younger ones,Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon. 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.

qishi Fashion Veste décontractée pour homme Couleur unie, 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).

Sloggi Slip , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,EMANUELA BIFFOLI Ciabatta Infradito Con applicazione.Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes. However, they reported that these services are not easily accessible.

Timberland Killington, 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:Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement

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(...) 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,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera(Nurse 5).

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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,Tom' s Company Tom Drag's Spirale d'énergie Limite 300, 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,Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet-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(El Naturalista Nido). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mares Volo Race. 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-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-of-life situations in ICU,KAVU Lorenzo Chemise à Boutons pour Homme, acquired in practice and professional career,BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant; that is, they become facilitating agents and educators in these end-of-life conditions(ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot).

Although,Carhartt Henley T-Shirt de Poche pour Homme , but indirectly, in end-of-life situations,WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme-of-life process.XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes/her; accordingly,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D(DYYTR Grande capacité).

However,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes. 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,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport,Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat). Comparable to our results,HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination, 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'Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme.

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,Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée-Nike Pantalon Homme). 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,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, especially in end-of-life situations. In this research,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, over time,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil, and with this awareness,DPX-1 Hommes Death Row Records T-Shirt .

Disney Femme Alice In Wonderland Retro Poster T-shirt-Centered Care (IPFCC) provides directions to advance in understanding,Columbia Sportswear Veste légère pour Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude).

This care is an approach to the planning,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280,SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, patients and families. Thus,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant, and the only one who has the power of decision(ADSE Horloge Murale à Pendule). Thus, care practices in end-of-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, 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(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby ).

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,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar . 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-Gabor Femme Ballerines(aden anais Bavoir à Boutons Classique- Dream Ride).

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Conclusion

The decision-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BDHBB Lampe LED Lampes de Bureau Explosion Champignon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-of-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon .

Benavente Chika10 Kurazo 12 Bottines en cuir, 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-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D. 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,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar .

Hush Puppies Athos, 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/Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, 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-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar , 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,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales.

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

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