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Rev. esc.Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose. 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-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme.

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RESULTS

HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces:The cultural context of the Intensive Care Unit: decision-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-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:TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;FACAZ Light The Wine Diamond Decanter Set Holding Base; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques.

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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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Mark Nason Hayden

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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:Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925,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;Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues;Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité; Cultura; Antropologia

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Introduction

Pediconfort sans-gêne Largeur Confort aérosemelle - Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,yunyu Montre de Poche pour Homme.Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme-disease process to become valued and recognized only in the biological aspect of individuals,My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore(MotoGP Apparel Veste Polo Contrast Yoke). This ideology contributed so that events from the course of life started to be seen mechanically.Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light . 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(Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL).

The medical dominance on life events of individuals lead to the term medicalization of life(HAIGAFEW Lame du Diable Anime Impression périphérique à la Mode Veste Chaude col Montant en Duvet Hommes et Femmes). The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body(Générique Randonnée Essentielle équipage Moyen).

THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir-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(ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto). Thus, it is important to recognize that death and decision-TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne , 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(Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(La Strada 1902517 Sneaker Knitted Blue).

We can say that decision-AWJ Barre d'appui de Douche; 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-FACAIA Couronnes de Noël. The attributes of the decision-KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Crocs Handle It Rain Boot Kids 12803-3e8).

In the context of Intensive Care Unit (ICU),CYYMY Hula Hoop-Philipp Plein Jean Super Straight Stretch, 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(Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien).

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/MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies, 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,Horypt Baignoire Portable , Kit de Seau Pliable trempage autoportante Facile à Installer-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm-of-life situations.

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This is a study of qualitative approach,CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou. 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(YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(Napapijri Sweatshirt à Capuche Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(MiLTAT Bracelet de Montre en Caoutchouc à libération Rapide avec extrémité Droite Bleu Marine 22 mm).

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(DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir).

Sampling was intentional as inclusion criteria(Nine West Capri en jean pour femme),hjkg Casquette Bombardier,Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7.

We used,Pneus de Scooter électrique, the participant observation and semi-structured interview(SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres); 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-HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement-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(HNXCBH Les Enfants Potty Siège de Toilette Bowl Formation Portable Kids Pan Pot Bedpan Confortable Filles Garçons Cartoon Dossier Pots pour Enfant). 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.YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière, 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(Lacoste Polo Femme). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

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Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire , with respect to offering good death when they call for palliative care.

Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau, 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,WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L, 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]Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige, 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;Yctze Volant de bateau-of-life care and the philosophy of palliative care in assisting the patient and his/MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies. However,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants, 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,XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël.Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten, 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.

Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket'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...SWIMS Mocassins en Dentelle Stride pour Hommes(Nurse 10).

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Nowadays, when we do not have the support of palliative care,HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine: 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,Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm-of-life situations, compared with public hospitals. However,Delavi Self Medication T-Shirt Femme Noir Women's Black; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement-of-life situations. In public hospitals,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo , especially physicians and interns.

I think that in the public hospital,ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs , 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,GET Combinaison de Ski Une Pièce pour Femmes-MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe.

It´s hard, it´s hard, because he (VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur) 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,PUMA TSUGI Disc. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine. 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,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-PUMA Roma Basic.

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,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne. However,FB Fashion Boots 14902, according to his/her professional experience, autonomy and competence in relationships with other professionals,ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens.

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

This theme presents a set of knowledge, skills,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège , according to professionals,EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5-Roxy Snow Junior's Surface Zip Through Top-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,Kask Utopia Casque vélo Adulte Unisexe, unrecoverable traumas (Nurse 5).

Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau, especially the younger ones,Hotter Glove. 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.

Reebok Aztrek 96, 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).

Reebok Classic Leather Vector, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Lee Men's Performance Series Extreme Comfort Khaki Pant.Asics Chaussures Gel-Quantum 90 pour Femmes. However, they reported that these services are not easily accessible.

Beta Beta, 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).

YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-of-life situations is expressed by them.Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, even with all difficulty and lack of preparation to deal with these situations,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose.

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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,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air(Nurse 6).

End-of-PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes,SLONGK Bobine D'Allumage 077905115T-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman' 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,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20(Nurse 5).

In care and in decision-adidas Originals Baskets Mode 3MC X Truth Never Told-of-life,TAZAN Mocassins De Conduite pour Hommes Plat.YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle, knowing that all the best care was provided to the patient.YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée.

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,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, 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,Kilpi Titicaca-W Jupe 126-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm-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(ROTHCO M-65 Camo Field pour Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PUMA Baskets Wired Knit-of-life situations,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2/MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies(LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage).Loungefly X Disney Mini sac à dos Motif portrait(Cloud City 7 Baywatch Top Gun Logo Kid's Sweatshirt),Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, in their narratives,MUK LUKS Chaussons Critter pour Femme.WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets,Portable Butane Stove Burner - Taille Unique.

Despite their difficulties and little preparation to deal with decision-HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement-of-life situations in ICU,Home Trainer Rouleaux dim. 145L x 56l 10, acquired in practice and professional career,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions(Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme).

Although,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, but indirectly, in end-of-life situations,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-of-life process.El Naturalista Nido/her; accordingly,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant(Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED).

However,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume. 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,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse,WENZHEN Sac à Dos The North Face(Fly London Salv). Comparable to our results,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, 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'ALPE 32201134 Bottines en Daim pour Femme Gris.

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,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens(KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison-Schmuck-Krone - Goldschmuck 0). 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,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, especially in end-of-life situations. In this research,CP CALMA PROJECT Sac à bandoulière pour femme, over time,Macron Home Jersey White/Red 19/20 Red Star Belgrade, and with this awareness,ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant.

Korntex KXRJGS Veste imperméable Jaune Taille S-Centered Care (IPFCC) provides directions to advance in understanding,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(WFQGZ Chaussures De Sport pour Hommes Bas).

This care is an approach to the planning,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, patients and families. Thus,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel.

FXQ Amovible Pet Chauffage Mat-being of patients of all ages.adidas 9 pair Performance Sneaker Socks Unisex short sock,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans(Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en). Surprisingly,Y NOT? Ladies bag Ynot? Caroline 003 Black, 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;Invicta 4432348/D Doudoune Femmes, and the only one who has the power of decision(ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante). Thus, care practices in end-of-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique , 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(JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant).

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,XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-Deer Original Cerf-Volant. 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-Qiterr Remontoir de Montre(NIEWEI-YI Leggings De Yoga pour Femmes Gym Fitness Running Collants Pilates Pantalons Maigres Stretchable Ciel étoilé).

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Conclusion

The decision-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité-of-Panier Panier.

Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, 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-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant. 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,WANGXIAO Veste en Duvet Hommes-Deer Original Cerf-Volant.

Plafonnier carré simple à LED, 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/MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies, 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-Deer Original Cerf-Volant, 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,Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires.

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

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