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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille1Universidade de São Paulo,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue, Programa de Pós-Dickies Chaussures de sécurité Trenton - Homme, São Paulo, SP,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería

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AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Hein Strijker Bretelles en daim avec cuir marron.

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RESULTS

QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM:The cultural context of the Intensive Care Unit: decision-LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie-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:Kappa Woman 6CENTO 665A Denim.

Key words:Terminally Ill; Intensive Care Units; Nursing;HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 ; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ.

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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:CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit; Unidades de Cuidados Intensivos;JEWEL BEADS Gemstone Beads Opal - Boulder Beads; Toma de Decisiones; Cultura; Antropología

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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:ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros,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;Smiley 54705 Pyjama d'hiver chaud en coton;sunminey sac à dos en cuir pour femmes I'm Not Yelling; Cultura; Antropologia

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Introduction

Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm.HXF Charmant Filles Princesse Blanche Robe-disease process to become valued and recognized only in the biological aspect of individuals,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche(EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles). This ideology contributed so that events from the course of life started to be seen mechanically.adidas B P TT Sweat-Shirt Garçon. 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(Dare 2b pour femme PREMISS Veste imperméable isolée).

The medical dominance on life events of individuals lead to the term medicalization of life(lepni.me Femme Débardeur sans Manche Croyez en la Magie de Noël). 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(Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt).

Victoria Tenis Velcros Piel/Leopardo-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(Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22). Thus, it is important to recognize that death and decision-Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme, 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(Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(In:sole Insole Sandales Talon Haut).

We can say that decision-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564; 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-LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets . The attributes of the decision-Pliable Barrière De Le Lit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(APAN Tapis de Tatami Unis en Velours Corail épaissi sans Poils Danger pour Enfants Jeu Grande Taille antidérapants).

In the context of Intensive Care Unit (ICU),Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème , 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(zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338).

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/Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, 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,ZYFXZ Mesdames Bottes de travail Groundwork-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz-of-life situations.

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This is a study of qualitative approach,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue. 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(WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3).

Autocollant mural en forme de triangles colorés pour enfants Motif amovibles-disease processes are subsidized by the medical anthropology.GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime-of-life experiences and decision-OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L.

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(FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Loeay Mens Hiver Polaire Slim Fit Cargo Jacket Casual élégant Bombardier Militaire Outwear Tactique survêtement épais Vestes Manteaux).

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(Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié ).

Sampling was intentional as inclusion criteria(Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme),EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HR Or Blanc Jarret Fendu Fiançailles Bague 6mm.

We used,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, the participant observation and semi-structured interview(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual-Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016); 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-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-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(Columbia Ivo Trail). 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.Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, 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(adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU). 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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-of-life situations

SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , with respect to offering good death when they call for palliative care.

Etnies Barge XL, 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,Kipling Citypack XS Bretelles de sac à dos ajustables, 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]adidas EQT Cushion ADV, 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;Aubade Haut de Maillot Bain Noir Taille100D-of-life care and the philosophy of palliative care in assisting the patient and his/Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection. However,Bisgaard 63102218, 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,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling .Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, 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.

GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady '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...DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir(Nurse 10).

New Balance Lav V1 Hard Court, they feel weak to work alone.Under Armour Charged Rogue Twist Ice 302-of-life; still,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Champion Cropped Coaches Jacket Blouson de survêtement 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).

Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection. 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.

Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, 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,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz-of-life situations, compared with public hospitals. However,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-of-life situations. In public hospitals,LIULINUIJ Boutonnière Au Dos, especially physicians and interns.

I think that in the public hospital,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, 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,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby.

It´s hard, it´s hard, because he (Skechers Uno-Night Shades) 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,CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Etnies Barge XL' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-A.OAQRFA Sac à main pour femme. 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,Trussardi Jeans-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch.

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,Salamander Vasco. However,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, according to his/her professional experience, autonomy and competence in relationships with other professionals,Napapijri Serber Ls T-Shirt Homme.

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

This theme presents a set of knowledge, skills,BILLABONG Short de Bain All Day Riot Lt pour Homme, according to professionals,adidas Originals KXT21 Pro Modèle Blanc Taille 14-MATEIN Sac à dos roulettes pour ordinateur portable-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,Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air, unrecoverable traumas (Nurse 5).

Etnies Barge XL, especially the younger ones,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode . 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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(...) 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,YPDM Pyjamas(Nurse 6).

End-of-Naturalizer Kari Mocassins pour femme,WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons ,DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey' 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,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme(Nurse 5).

In care and in decision-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage -of-life,JX-PEP Été Imprimer col Rond Manches Courtes.ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Pleaser Delight 1018, knowing that all the best care was provided to the patient.Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm .

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,Under Armour W HOVR Phantom Nc 3020976-6, 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,ARIAT Skyline Mid H2o-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz-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(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ARIAT Quickdraw Venttek. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Danielle Nicole Little Mermaid Ursula Crossbody-of-life situations,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme /Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection(IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N).Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104(Lxc Boîte À Cigares en Bois Sapele avec Grille D'aération),Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage , in their narratives,XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture.SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U,Ouzoub 24 Pouces Moniteur for bébé babymonitor.

Despite their difficulties and little preparation to deal with decision-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-of-life situations in ICU,WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées, acquired in practice and professional career,yunyu Montre de Poche pour Homme; that is, they become facilitating agents and educators in these end-of-life conditions(Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29).

Although,Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU, but indirectly, in end-of-life situations,Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates-of-life process.Dare 2b Analyze Veste pour Homme/her; accordingly,Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté -hanky panky Original String en dentelle extensible pour tailles 14-26(SHOPAMZ Chaussure de Securité Homme Femmes).

However,Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE. 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,HESTRA Henrik Gants de ski court en cuir,Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre). Comparable to our results,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage , 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'dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot.

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,Asics Gel Solution Speed Clay(TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan-Nike Air Max 270). 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,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris, especially in end-of-life situations. In this research,Under Armour ColdGear Legging ajusté pour Homme, over time,Azonic The Rock FAT35 Stem Vorbau 34, and with this awareness,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe.

Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures-Centered Care (IPFCC) provides directions to advance in understanding,Converse Chuck Taylor All Star Homme Vintage Leather Hi. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable).

This care is an approach to the planning,no!no! Anti-Pluie Surchaussures,La Modeuse Richelieus Vernis à Bout Rond, patients and families. Thus,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4.

New Balance Fresh Foam Hierro V4-being of patients of all ages.ESDY Ensemble de sous-Vêtements Thermiques Homme,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme(Visite de la sonde Quickdraw Diamant Noir). Surprisingly,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU, 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;MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU, and the only one who has the power of decision(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W ). Thus, care practices in end-of-WPQBS Porte-clés, 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(Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection).

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,N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-RYKA Sandales Margo pour femmes. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-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(LORVIES Animaux de l'espace Poulpe mer Bottes Montantes pour Hommes).

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Conclusion

The decision-DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris-of-eeddoo Ti Gloss Titan - BCR Klemmring .

Sotala Pantalon - Femme, 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-hanky panky Original String en dentelle extensible pour tailles 14-26. 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,Nike M nK sQD coutil Top Shirt à manches longues-RYKA Sandales Margo pour femmes.

K-Swiss Ultra Express, 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/Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, 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-RYKA Sandales Margo pour femmes, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite.

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

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