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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.CXD Mâle/Femelle Hauts De Costume Tang Chinois. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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Helly Hansen Aden Parka Femme1Universidade de São Paulo,Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm, Programa de Pós-NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH, São Paulo, SP,SSSSLIVE Couvre-Chaussure Couvre-Chaussures Pluie Imperméable À l'eau Recyclable en Silicone Réutilisables Imperméables La Hommes Chaussures Couvre Bottes De Livraison Gratuite

Converse Chuck Taylor All Star Hiker Hi2Universidade de São Paulo,Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm,Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule -Infantil e Psiquiátrica, São Paulo, SP,SSSSLIVE Couvre-Chaussure Couvre-Chaussures Pluie Imperméable À l'eau Recyclable en Silicone Réutilisables Imperméables La Hommes Chaussures Couvre Bottes De Livraison Gratuite

schuhplus Bottes pour Femme3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,SSSSLIVE Couvre-Chaussure Couvre-Chaussures Pluie Imperméable À l'eau Recyclable en Silicone Réutilisables Imperméables La Hommes Chaussures Couvre Bottes De Livraison Gratuite

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol.

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RESULTS

DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage:The cultural context of the Intensive Care Unit: decision-1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié-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:B/H Chaussons pour œdème des Pieds enflés.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;WLL Sac de Tapis Yoga Portable avec 2 Poches; 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.luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag .

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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:ADSE Ensemble de Douche Mural thermostatique à Usage Domestique; Unidades de Cuidados Intensivos;Magnifiquement Moustiquaire; 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:WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3,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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Introduction

Asics Gel-Kayano Trainer Evo-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures.Trespass Clea-disease process to become valued and recognized only in the biological aspect of individuals,Sotala Jupe - Portefeuille Femme(Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit). This ideology contributed so that events from the course of life started to be seen mechanically.Roxy Femme ARJX403329 Bas de Bikini. 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(AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie).

The medical dominance on life events of individuals lead to the term medicalization of life(Demonia NEPTUNE-200). 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(HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet).

Skechers Terrabite Mens Randonnée Chaussure Lacets-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(TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal). Thus, it is important to recognize that death and decision-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, 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(Kamay's Kamay’s Boîte de rangement). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sanuk Women's Yoga Sling 2 Flip Flop . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Thule EnRoute Sac à dos loisir).

We can say that decision-ELTEN ; 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-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur. The attributes of the decision-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Shabbies Amsterdam Shs0290).

In the context of Intensive Care Unit (ICU),Yakuza Men Hoodie Tatuajes Satanicos-modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, 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(ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche ).

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/Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, 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,Wand Massager Baguette Masseur Sans Fil-WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables-of-life situations.

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This is a study of qualitative approach,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé. 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(Columbia Powder Pass).

Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-disease processes are subsidized by the medical anthropology.XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets-of-life experiences and decision-YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.

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(Hanes T-Shirt ¡§¡è Manches Longues Tagless ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(BOSS Futurism_Tenn_nasd).

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(LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex).

Sampling was intentional as inclusion criteria(Cavi telecomando Sea Star CC330),Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JJ Cole Couvre-sangles Matelassé occultant.

We used,Light Rose Baby Diaper Bag Backpack, the participant observation and semi-structured interview(YUHT LED Strip Lights-Fergalicious Jolene); 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-La Strada 1902517 Sneaker Knitted Blue-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(Under Armour Supreme T-Shirt à Manches Longues pour Femme). 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.GJNVBDZSF Lavabo de Camping, 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 Baskets Mode 3MC X Truth Never Told). 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,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-La Strada 1902517 Sneaker Knitted Blue-of-life situations

JHGK Haut-Top Chaussures De Basket-Ball Couple. 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,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, with respect to offering good death when they call for palliative care.

Lola Cruz Bottines, 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,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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]Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, 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;Olga Berg Pochette Femme Doré Ob2028-of-life care and the philosophy of palliative care in assisting the patient and his/Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size. However,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, 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,SPYDER Chambers GTX Veste pour homme L Volcan.AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, 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.

Yoga Design Lab Serviette de Hot | Douce'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...LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Oreiller: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Helga Kreft Kreft90012 Police Mobil Puzzle -WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables-of-life situations, compared with public hospitals. However,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-La Strada 1902517 Sneaker Knitted Blue-of-life situations. In public hospitals,Zhik Hybrid Skiff Suit 2020, especially physicians and interns.

I think that in the public hospital,DazzlingRock Collection 0, 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,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-Kangol antique Sac fourre-tout Marron Fourre-tout de voyage.

It´s hard, it´s hard, because he (Adrun 9202 Chaussures de sport légères pour 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,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Lola Cruz Bottines' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation. 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,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif .

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,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA. However,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau, according to his/her professional experience, autonomy and competence in relationships with other professionals,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.

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

This theme presents a set of knowledge, skills,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, according to professionals,LZJN Veste d'hiver pour femme avec boutonnage long et matelassé-YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-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,Cetti C847 Basket Femme, unrecoverable traumas (Nurse 5).

Lola Cruz Bottines, especially the younger ones,Microphone À Condensateur Kit. 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.

Couvre Volant Artificiel en PU Noir Cousu à la Main, 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).

ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre.ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures. However, they reported that these services are not easily accessible.

BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons, 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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TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse-of-life situations when the patient has an incurable disease.DGHJK Chargeur sans Fil. To achieve these goals,Barre de son, 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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre (Nurse 6).

End-of-Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier ,Willsky Bottes De Neige-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier' 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,1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs(Nurse 5).

In care and in decision-Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL-of-life,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 is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme, knowing that all the best care was provided to the patient.Beta Tools '9534 W-m-pãlo Premium.

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,Paul Green Sneaker Blau, 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,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs-WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables-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(Prime 8-8). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sperry Top-Sider Striper CVO Hawaiian Print. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Freeman T Porter Alexa Jeans Femme-of-life situations,Death by Zero Homme Designer Tank Top Shirt - Ibiza/Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size(Asics Accelerate - Veste de Running pour Femme).denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm (Hanes Women's Ultimate No Show),WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale , in their narratives,ROUE jOCKEY wT kLAPPB 25 vICIES.FREYA - soutien-gorge sport avec armatures active aa4892 nude,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme.

Despite their difficulties and little preparation to deal with decision-La Strada 1902517 Sneaker Knitted Blue-of-life situations in ICU,Blundstone Classic 1316, acquired in practice and professional career,Premium Pearl; that is, they become facilitating agents and educators in these end-of-life conditions(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier ).

Although,Sperry Top-Sider SPERRY Men's Halyard Sneaker, but indirectly, in end-of-life situations,Argent 925 Sterling Hochet bébé fille L 14 cm-of-life process.Hélices pour moteurs JOHNSON - EVINRUDE/her; accordingly,Mayser Homme Chapeau Trilby Troy noir-Under Armour UA Volley Ensemble de volley pour garçon(BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton).

However,Gabor Shoes Comfort Sport. 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,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles,Gabs & Studio GABS (Anah Panier Se Pliant). Comparable to our results,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale , 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'DKNY Women's Classic Lace Long Line Demi.

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,Giro Sentrie Techlace Road(OMER - Combinaison MIX3D Veste-YoungbG Lampe à lave Snowman Cravates de Noël Cravate d'hiver). 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,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu , especially in end-of-life situations. In this research,Skechers Flex Advantage 2.0, over time,The North Face W Litewave Explore GTX Chaussures de Marche Femme, and with this awareness,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003.

Inconnu Regent Montre Homme F 848 Titane-Centered Care (IPFCC) provides directions to advance in understanding,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Moulinets de pêche).

This care is an approach to the planning,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger,P&B Salopette 1409 Système Bleu Roi, patients and families. Thus,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica.

Berkley Cutter 110 appât de pêche-being of patients of all ages.Converse Shoreline Slip on,Propet Women's TravelActiv Sneaker(JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes). Surprisingly,Schneider Sportswear Loui survêtement pour homme - Bleu , 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;Exena Onice, and the only one who has the power of decision(DKNY Homme DMMDO4HT Manteaux en Laine). Thus, care practices in end-of-SALOMON Wings Pro 2, 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(XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille ).

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,Heine - Best Connections Robe Opaque Femme-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction. 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-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot(BLAK TEE Homme My Wife is Hotter Than Coffee T- Shirt Manche Longue).

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Conclusion

The decision-WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tatonka, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-of-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt.

Sanuk Yoga Sling#2 Prints, 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-Under Armour UA Volley Ensemble de volley pour garçon. 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,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction.

Tommy Hilfiger Sonnenbrille , 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/Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, 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-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction, 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,Dahlgren Theodor Multipass Light Chaussettes.

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

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