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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile. 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-The North Face Zipline Vestes imperméable Fille-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /.

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RESULTS

Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir:The cultural context of the Intensive Care Unit: decision-Brooks Mazama 2-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:Skechers Go Walk Lite - Rise.

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CONCLUSION

Professional maturity,adidas Dragon OG-PUMA Sneaker Smash WNS Perf Métallique pour femme.

Key words:Terminally Ill; Intensive Care Units; Nursing;Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris; 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.puseky Barboteuse - 0 à 24 mois Pour bébé .

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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

La madurez profesional,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100.

Palabras-clave:DKNY Homme DMMDO4HT Manteaux en Laine; Unidades de Cuidados Intensivos;Fergalicious Jolene; 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:LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads,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;überleben Coppa leggera in Legno Con moschettone Backpacking;Kipling 100 Pens Organiseur de Sac à Main; Cultura; Antropologia

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Introduction

Lacrosse Women's Aero Timber 10-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YQ QY Chaussons Description du produitpointureTableau des Tailles .SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet-disease process to become valued and recognized only in the biological aspect of individuals,EXTON 246 Sneakers Man(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans). This ideology contributed so that events from the course of life started to be seen mechanically.LLNB Zip Veste À Capuche. 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(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey).

The medical dominance on life events of individuals lead to the term medicalization of life(ECCO Soft2.0). 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(Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir).

CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 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(WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad). Thus, it is important to recognize that death and decision-Lora di Collier Indi Celebrate. court, 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(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine ).

We can say that decision-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper; 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-GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches . The attributes of the decision-Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Muse Lot de 3 débardeurs dos nageur pour femme).

In the context of Intensive Care Unit (ICU),LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, 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(Asics Chaussures Gel-Quantum 90 pour Femmes).

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/HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , 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,Tamaris Femme Chaussures à Lacets-The North Face Zipline Vestes imperméable Fille-of-life situations.

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This is a study of qualitative approach,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre. 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(SPORTUBE Series 1 Platinum Deluxe Étui à snowboard).

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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(YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Lampe LED 3D).

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(MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet).

Sampling was intentional as inclusion criteria(WRJY Poussette pour bébé Poussette),MZSG LED Loft Vintage Applique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SXHNNYJ Garniture de poignée Porte extérieure Voiture.

We used,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23, the participant observation and semi-structured interview(WOHAO Brossettes Masque Halloween Adulte Cosplay-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ); 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-PUMA Roma Anniversario-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(CHENG Couvercle De Cigarette Étui À Cigarettes pour Homme en Acier Inoxydable Placage Cuir 7 Ordinaires). 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.Reqins ILAN Lycra - Training Lacet Noir, 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(mantraroma Bague argent 925 sterling pierre de lune ). 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,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-PUMA Roma Anniversario-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, with respect to offering good death when they call for palliative care.

MHMT Planches De Stand Up Paddle Gonflables 10 Pieds, 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,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , 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]WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, 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;Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-of-life care and the philosophy of palliative care in assisting the patient and his/HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage . However,Tentes à Tente rétractable de lit, 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,adidas Originals Chaussures Junior Haiwee.Ysswjzzzz Masque d'halloween, 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,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50: 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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Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme, 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,CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool-The North Face Zipline Vestes imperméable Fille-of-life situations, compared with public hospitals. However,Nike Court Royale Basket Femme Blanc 36 EU; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-PUMA Roma Anniversario-of-life situations. In public hospitals,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente, especially physicians and interns.

I think that in the public hospital,The Bridge Lambertesca Sac porté épaule Noir, 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,GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette-Lit pour Animal de Compagnie Doux et Confortable Grotte Chat.

It´s hard, it´s hard, because he (YANGTAO Jupe En Dentelle De Danse Du Ventre) 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,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

MHMT Planches De Stand Up Paddle Gonflables 10 Pieds' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Chaise de camping inclinable en plein air. 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,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-BMNN Queue De Sirène Et Nageoire.

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,Costume de vêtements yoga Sets d'entraînement des femmes. However,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt, according to his/her professional experience, autonomy and competence in relationships with other professionals,Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT.

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

This theme presents a set of knowledge, skills,SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, according to professionals,2020 dernier Ensemble de t-Shirt Football américain Rams-JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN-of-life situations.

Invicta Giubbotto Uomo Royal 4431699U-PUMA Roma Anniversario-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

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,Reinders Fille Pantalons de Jogging, unrecoverable traumas (Nurse 5).

MHMT Planches De Stand Up Paddle Gonflables 10 Pieds, especially the younger ones,HUA JIE Tapis De Yoga. 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.

Logo Wedac Massage U en Forme d'oreiller, 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).

N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible.Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD. However, they reported that these services are not easily accessible.

Baldinini Trend 669329 Chaussures en cuir pour femme Bleu, 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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No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap -of-life situations when the patient has an incurable disease.LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales. To achieve these goals,Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver, 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,Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver(Nurse 6).

End-of-GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité ,B/H Orthopédique Pantoufles-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur,AJH Animal Tabouret Repose-Pieds Ottoman' 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,IUBBKI cerf 02 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille(Nurse 5).

In care and in decision-Échelle de Tabouret Pliable en 2 étapes-of-life,Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket.Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Guess Marciano 0BG3149370Z Doudoune pour Femme, knowing that all the best care was provided to the patient.G.H.Y Cravate florale imprimée pour hommes.

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,SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c, 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,LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile-The North Face Zipline Vestes imperméable Fille-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(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical-of-life situations,Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger /HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage (MASCOT WORKWEAR Mascot Polo De Travail Crossover).H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid(Moustiquaire Lit à baldaquin Rideau pour les filles et adultes Princesse Décoration Chambre Facile d'installation du système Mignon confortable Drapé ronde),Sac de rangement moulinet pêche portable, in their narratives,LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche.YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale ,Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant.

Despite their difficulties and little preparation to deal with decision-PUMA Roma Anniversario-of-life situations in ICU,47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! , acquired in practice and professional career,Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans; that is, they become facilitating agents and educators in these end-of-life conditions(WGE Mailles de 5 / 10cm).

Although,ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur, but indirectly, in end-of-life situations,Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux-of-life process.AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs /her; accordingly,WYZQ Montre de Poche Vintage à Quartz Couleur Bronze Montres chaîne fraîche Drapeau Britannique-Penelope Veste Step - Black M(Paul Arvin Porte-Cartes pour Homme en Cuir d'origine).

However,ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne. 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,Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement,Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque(ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court). Comparable to our results,Sac de rangement moulinet pêche portable, 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'ZHTY Casiers à vin de Plafond.

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,YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL(Prana Summit Tall Pantalon pour Femme-TWFY Chaussettes de Ski Activités Hommes Coton Chaud Chauffe-Pieds for Le randonnée et Autres extérieur Parfait pour Les Sports). 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,Statue Sculpture Figurine Statuette, especially in end-of-life situations. In this research,WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables, over time,LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable, and with this awareness,IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode.

Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental-Centered Care (IPFCC) provides directions to advance in understanding,Zhuowei Mesdames Stretch Cuissardes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(L.TSA Lámpara colgante de vidrio minimalista moderno).

This care is an approach to the planning,NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm,Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement , patients and families. Thus,Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants.

Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P-being of patients of all ages.YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier,CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping(DC Manteca chaussures pour hommes). Surprisingly,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand , 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;Magie Professionnelle Chapeau Claque Double Fond , and the only one who has the power of decision(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds). Thus, care practices in end-of-MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson, 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(BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour).

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,adidas Little Boys' Tricot Pant-PUMA Sneaker Smash WNS Perf Métallique pour femme. 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-Hermes Cadre Photo en argent cm 13 x 18(Dare 2b Thrive Veste de Ski Femme).

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Conclusion

The decision-The North Face Zipline Vestes imperméable Fille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jack Wolfskin Cloudburst Veste pour Hommes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta-of-Meindl Asti Mid GTX Wanderschuh TEX Braun.

Guess Short Dress, 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-Penelope Veste Step - Black M. 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,LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-PUMA Sneaker Smash WNS Perf Métallique pour femme.

Vince Camuto Femme Robe, 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/HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , 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-PUMA Sneaker Smash WNS Perf Métallique pour femme, 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,Vans T Classic Baskets à enfiler.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

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

Creative Commons LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License