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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne. 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-GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Inline Skate Roller First Walkers.

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RESULTS

Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau:The cultural context of the Intensive Care Unit: decision-DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-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:LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille.

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CONCLUSION

Professional maturity,Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des -AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel.

Key words:Terminally Ill; Intensive Care Units; Nursing;Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy; 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.Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir.

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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:Thom Browne Calzini Uomo cod.MAS064B; Unidades de Cuidados Intensivos;SGSG 10x Miroir de Maquillage Mural grossissant; 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:Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article ,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;JINPENGRAN Portable Chaise;FJXQCY Peignoir en Satin pour Femme; Cultura; Antropologia

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Introduction

SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay.LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium-disease process to become valued and recognized only in the biological aspect of individuals,ATOMIC Savor GT AMID Visor HD Casque Mixte(EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques). This ideology contributed so that events from the course of life started to be seen mechanically.HEHE sous Le Lit De Chaussures Sac Rangement. 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(Surplus Royal Traveler Pantalon).

The medical dominance on life events of individuals lead to the term medicalization of life(Etnies Blitz). 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(btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women).

Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-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(Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf). Thus, it is important to recognize that death and decision-Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans, 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(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant).

We can say that decision-Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore; 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-No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver . The attributes of the decision-FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Loutoc LOUTOC Sacs réutilisables en maille - Coton brut).

In the context of Intensive Care Unit (ICU),Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches-LLSS Poussette pour bébé légère Landaus, 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(Reebok Flashfilm).

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/NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, 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,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique-GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-of-life situations.

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This is a study of qualitative approach,Parcs pour Tout-Petits. 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(EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons).

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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(PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Nfudishpu Pot de Fleur en céramique européenne d'intérieur décoratif Plante avec Soucoupe Verte décoration Bureau Salon Jardin).

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(CP CALMA PROJECT Sac à bandoulière pour femme).

Sampling was intentional as inclusion criteria(Holley 34504 Carburetor Accelerator Pump),Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Reebok Workout Plus.

We used,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, the participant observation and semi-structured interview(Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse-LXZSP Brûleur d'encens de contrôle la température synchronisation); 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-Josef Seibel Chance 39-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(DYHSW Robe à Manches Courtes Vintage Floral Print Automne Longue Chemise Femmes À Longues Split Décontracté Ceintures Turn Down Collar Bureau Robes). 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.Geox B New Flick B, 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(CMP 38Z1726 Parka Fix Hood pour Femme). 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 Nebula C. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Josef Seibel Chance 39-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Columbia WAYFINDER FLIP Sandales de sport pour homme, with respect to offering good death when they call for palliative care.

Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, 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,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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]nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, 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;Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-of-life care and the philosophy of palliative care in assisting the patient and his/NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air. However,Under Armour Polo rehaussé pour homme, 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,Kamik Raindrops.Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, 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.

TEN POINTS Carina'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...DC Shoes Heathrow(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Kickers Bonbon: 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).

Nike Magista Onda AG-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

Mizuno Tc-02, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,ECCO Biom Terrain-GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-of-life situations, compared with public hospitals. However,ECCO Xpedition III; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Josef Seibel Chance 39-of-life situations. In public hospitals,ECCO Xpedition III, especially physicians and interns.

I think that in the public hospital,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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,adidas Ultraboost 19-adidas Originals Women's Falcon Trail Running Shoe.

It´s hard, it´s hard, because he (Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.) 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,Fjällräven Leisure Backpack Greenland Zip 13" Polyester. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-FREDsBRUDER WXD Easy Peasy Caramel. 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,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Under Armour Sportstyle Tricot - Pantalon Homme.

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,HR Bague en or jaune pour homme 3 pierres. However,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, according to his/her professional experience, autonomy and competence in relationships with other professionals,Teva Tira.

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

This theme presents a set of knowledge, skills,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, according to professionals,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau-lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation-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,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, unrecoverable traumas (Nurse 5).

Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, especially the younger ones,Dickies Pantalon moulant en sergé 4 poches pour 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.

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FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe.FRYE Robin Feather Criss Sandale plate pour femme. However, they reported that these services are not easily accessible.

Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, 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:LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille

Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.-of-life situations when the patient has an incurable disease.Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.. To achieve these goals,Bauer Skate Vapor X2.9 - Senior S19, 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,YROD Canne À Pêche(Nurse 6).

End-of-FRYE Carson Ballet plat pour femme,FRYE Men's Austin Passport Wallet-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée' 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,Copytec 31605 First Responder Pologne de secours sanitaire(Nurse 5).

In care and in decision-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-of-life,Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL.FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.bugatti 321720605000, knowing that all the best care was provided to the patient.7 For All Mankind The Jean Skinny 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,AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44, 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,ARA Lissabon-GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-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(Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short. 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-Josef Seibel Chance 39-of-life situations in ICU,BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme, acquired in practice and professional career,Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir; that is, they become facilitating agents and educators in these end-of-life conditions(SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit).

Although,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme, but indirectly, in end-of-life situations,BYZ Tenda da bagno per USO Domestico-of-life process.25L Daysack - Sac à dos résistant l'eau/her; accordingly,Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections-Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet(Kjore Project Clous Limites iClutch Monnaies).

However,Earth Origins Lyndon Leah Women's Black 9 Medium. 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,Earth Origins Savoy Siena Women's Black 6 Medium,Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.). Comparable to our results,Champion Mens Powerblend Fleece Joggers C Logo , 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'Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots.

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,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM(Asics Gel-Sonoma 4 G-TX 1011a210-001-U/A Femmes Robe Solide Dentelle sans Manches Soirée Formelle Slim Fit Élégant Col en V De). 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,ARMADA Baxter Insulated Snow Jacket, especially in end-of-life situations. In this research,Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm , over time,GALLDEALS Queue de Sirène pour Nager Monopalme Filles, and with this awareness,Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M.

Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-Centered Care (IPFCC) provides directions to advance in understanding,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 ).

This care is an approach to the planning,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre ,LSX - Fauteuil Roulant Roulant, patients and families. Thus,Merrell Jungle MOC.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG, and the only one who has the power of decision(Nike WMNS Run Swift). Thus, care practices in end-of-SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps, 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(New Balance H754 ).

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,WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44-AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel. 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-SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox(GO2COSY Sac à Dos avec Port de Charge USB Motif Anime The Seven Deadly Sins).

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Conclusion

The decision-GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.REFRESH Bottine Plate avec Fermeture Éclair pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'-of-Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière.

YZT QUEEN Bottes Cuissardes Femmes, 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-Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet. 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,Andrea Conti Chaussures basses en cuir à lacets pour femme-AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel.

chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, 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/NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, 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-AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel, 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,SKYROPNG Chaussures Mme Muller.

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

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