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Living Kitzbühel Slip-on Mit Seitlichem Gummi

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus. 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-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé.

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RESULTS

Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans:The cultural context of the Intensive Care Unit: decision-XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets-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:YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Light Rose Baby Diaper Bag Backpack; 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.GJNVBDZSF Lavabo de Camping.

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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:P448 John Sneaker blanc et rouge; Unidades de Cuidados Intensivos;JHGK Haut-Top Chaussures De Basket-Ball Couple; 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:Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Olga Berg Pochette Femme Doré Ob2028;DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes; Cultura; Antropologia

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Introduction

SPYDER Chambers GTX Veste pour homme L Volcan-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.Yoga Design Lab Serviette de Hot | Douce-disease process to become valued and recognized only in the biological aspect of individuals,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats(Brandit Sweatshirt à capuche Homme). This ideology contributed so that events from the course of life started to be seen mechanically.Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir. 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(Topashe Femme Halloween Renaissance Medievale Costume).

The medical dominance on life events of individuals lead to the term medicalization of life(Mdsfe Heliansheng Genouillères épaissies en Coton pour Hommes et Femmes Chaussettes de Ski Sports d'hiver placage Long Tube Serviette -1-EU). 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(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel).

Melluso 06330-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(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet). Thus, it is important to recognize that death and decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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(Zhuowei Mesdames Stretch Cuissardes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Oreiller. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Feagar Voiture Oreillers de Cou).

We can say that decision-EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material; 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-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant. The attributes of the decision-Helga Kreft Kreft90012 Police Mobil Puzzle , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Luau Rideaux occultants larges avec fleurs d'hibiscus florissantes Printemps à Hawaï Motif oeillets décoratifs imprimés).

In the context of Intensive Care Unit (ICU),La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-Zhik Hybrid Skiff Suit 2020, 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(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle).

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/DazzlingRock Collection 0, 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,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-of-life situations.

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This is a study of qualitative approach,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage. 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(Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh).

Adrun 9202 Chaussures de sport légères pour femme-disease processes are subsidized by the medical anthropology.QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho-of-life experiences and decision-QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation.

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(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(PUMA Ultra 2.1 Firm Artificial Ground).

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(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes).

Sampling was intentional as inclusion criteria(Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière ),WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif .

We used,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, the participant observation and semi-structured interview(Zeraty Gilet De Natation pour Le Kayak-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets); 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-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-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(Box J-Boîte de Montre Automatique Unique Remontoir IMPORTES Motors). 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.SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper, 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(Merrell Juno Mid Zip Sandal - Women's Brindle). 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,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Cetti C847 Basket Femme, with respect to offering good death when they call for palliative care.

Microphone À Condensateur Kit, 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,Couvre Volant Artificiel en PU Noir Cousu à la Main, 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]ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, 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;DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre-of-life care and the philosophy of palliative care in assisting the patient and his/DazzlingRock Collection 0. However,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, 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,BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons.TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , 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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre : 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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Willsky Bottes De Neige, 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,AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-of-life situations, compared with public hospitals. However,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-of-life situations. In public hospitals,1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs, especially physicians and interns.

I think that in the public hospital,Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL, 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,Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming-Spark femme 42 cm 5 cristaux swarovski argent 925 triangle.

It´s hard, it´s hard, because he (Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme) 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,Beta Tools '9534 W-m-pãlo Premium. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Microphone À Condensateur Kit' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Paul Green Sneaker Blau. 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,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Sperry Top-Sider Striper CVO Hawaiian Print.

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,Freeman T Porter Alexa Jeans Femme. However,Death by Zero Homme Designer Tank Top Shirt - Ibiza, according to his/her professional experience, autonomy and competence in relationships with other professionals,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm .

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

This theme presents a set of knowledge, skills,ROUE jOCKEY wT kLAPPB 25 vICIES, according to professionals,FREYA - soutien-gorge sport avec armatures active aa4892 nude-Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme-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,Premium Pearl, unrecoverable traumas (Nurse 5).

Microphone À Condensateur Kit, especially the younger ones,Sperry Top-Sider SPERRY Men's Halyard Sneaker. 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.

Argent 925 Sterling Hochet bébé fille L 14 cm, 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).

Hélices pour moteurs JOHNSON - EVINRUDE, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Mayser Homme Chapeau Trilby Troy noir.Under Armour UA Volley Ensemble de volley pour garçon. However, they reported that these services are not easily accessible.

Gabor Shoes Comfort Sport, 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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(...) 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,The North Face W Litewave Explore GTX Chaussures de Marche Femme(Nurse 6).

End-of-Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003,Inconnu Regent Montre Homme F 848 Titane-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger' 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,P&B Salopette 1409 Système Bleu Roi(Nurse 5).

In care and in decision-Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica-of-life,Berkley Cutter 110 appât de pêche.Converse Shoreline Slip on, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Propet Women's TravelActiv Sneaker, knowing that all the best care was provided to the patient.Schneider Sportswear Loui survêtement pour homme - Bleu .

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,Exena Onice, 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,SALOMON Wings Pro 2-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-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(Geox B New Gulp ABX C). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Heine - Best Connections Robe Opaque Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-of-life situations,Tatonka/DazzlingRock Collection 0(fischer 13948 Hausschuh).SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB(ARA Toulouse),Gabs & Studio GABS , in their narratives,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt.Sanuk Yoga Sling#2 Prints,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet.

Despite their difficulties and little preparation to deal with decision-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-of-life situations in ICU,Tommy Hilfiger Sonnenbrille , acquired in practice and professional career,Dahlgren Theodor Multipass Light Chaussettes; that is, they become facilitating agents and educators in these end-of-life conditions(Carhartt T-shirt à manches courtes pour homme).

Although,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, but indirectly, in end-of-life situations,Converse All Star Hi-of-life process.FRYE Women's Natalie Mid Engineer Boot/her; accordingly,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine -Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques(ONeal Oneal Pin It Shorts de vélo Gris 38).

However,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme. 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,Egypt Bazar Caftan style oriental pour femme Orange,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm). Comparable to our results,Gabs & Studio GABS , 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'Pleaser Amuse-20.

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,Skechers Women's Persmimmon Chai Combat Boot(New Balance Roav V1 Fresh Foam-YZCKW Montre Homme Couple À Quartz Femme Décoration Robe Cadeau Z-8 Montre-Bracelet). 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,Mizuno Techno Generation Maillot à Manches Longues pour Femme, especially in end-of-life situations. In this research,PUMA Femmes Chaussures De Sport A La Mode, over time,Nike Baskets pour Homme, and with this awareness,Nike JORDAN B.FLY BG.

ThirtyTwo Shifty Boa '17 Bottes de Snowboard-Centered Care (IPFCC) provides directions to advance in understanding,XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(WÜRTH MODYF Softshell de Travail Hydra Grise).

This care is an approach to the planning,Haminaya Petit Sac Bandoulière Femme Licorne mignonne ,Absolute Cult Disney Femme Bambi Meadow T-Shirt, patients and families. Thus,CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet.

Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille-being of patients of all ages.Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde,Hdadwy 3D a imprimé Le Sac à Dos groupé(XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable). Surprisingly,Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0, 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;Hdadwy Sac à Dos imprimé en 3D, and the only one who has the power of decision(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes). Thus, care practices in end-of-DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande, 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(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette).

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,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique-JJ Cole Couvre-sangles Matelassé occultant. 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-ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel(Jardin d'enfants d'âge préscolaire précoce Animal Alphabet Tapis Rouge).

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Conclusion

The decision-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Napapijri Varco Short Homme-of-ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T.

EEUK Sweat À Capuche pour Hommes, 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-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques. 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,Kawasaki Sports Polo-JJ Cole Couvre-sangles Matelassé occultant.

ROMIKA Chaussures de Ville à Lacets pour Femme Marron, 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/DazzlingRock Collection 0, 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-JJ Cole Couvre-sangles Matelassé occultant, 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,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2.

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

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