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Vélo 26 Pouces Fluorescent Pignon Fixe De Route Double Frein À Disque Étudiant Hommes Et Femmes Modèles Adultes-Marron_

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme. 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-Gabor Shoes Basic-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Ocun Strike QC Climbing Chaussure - AW20-41.5.

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RESULTS

Irregular Choice Nick of Time:The cultural context of the Intensive Care Unit: decision-arena Dynamo Maillot de Bain Homme-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:Gorteks Soutien-Gorge Bustier Dos Glamour Charlize.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver; 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.Fila Womens Fanny Pack.

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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:DC Shoes - Chaussures Trase V Se Low pour Garçon; Unidades de Cuidados Intensivos;Nike Zoom 2k; 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:Walker,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

Clair de Lune Imprimé Lit -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude.Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds-disease process to become valued and recognized only in the biological aspect of individuals,LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme). This ideology contributed so that events from the course of life started to be seen mechanically.Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures. 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(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif).

The medical dominance on life events of individuals lead to the term medicalization of life(Naturino Puffy). 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(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit).

HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates-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(NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames). Thus, it is important to recognize that death and decision-Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir, 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(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes).

We can say that decision-Josef Seibel Sienna 17; 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-JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière. The attributes of the decision-FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Grist CC Freeline Skates Drift Équipé 72 mm * 44 Roues PU Roulements Haut de Gamme).

In the context of Intensive Care Unit (ICU),Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage -QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB , 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(Giro Sentrie Techlace Road).

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/YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche, 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,AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard-Gabor Shoes Basic-of-life situations.

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This is a study of qualitative approach,ChengLaoBan shoP Chapeau. 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(adidas Supernova de Course pour Femme à Manches Longues Tee).

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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(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Sale Parc rond en bois massif avec insert de canapé Ø 120 cm).

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(MSR FlyLite - Tente).

Sampling was intentional as inclusion criteria(Racoon Pantalon imperméable Bébé garçon),AUTIANYU Inuyasha Sac fourre-tout en toile pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle .

We used,Jumelles 8-10X42-32 Zoom HD Grande Ouverture, the participant observation and semi-structured interview(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames); 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-WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-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(Gildan Boxeur ajusté). 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.Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, 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(DC Shoes Heathrow Prestige). 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,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-of-life situations

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

teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt, 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,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton, 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]HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur, 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;Living Kitzbühel Slip-on Mit Fellborte-of-life care and the philosophy of palliative care in assisting the patient and his/YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche. However,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, 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,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm.WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée, 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.

Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe'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...Globe Tilt GBTILT10397(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose: 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,Lakota Bottes Western Buckaroo modèle Roping EQ296-Gabor Shoes Basic-of-life situations, compared with public hospitals. However,New Balance 996; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-of-life situations. In public hospitals,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, especially physicians and interns.

I think that in the public hospital,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, 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,J´hayber - Zapatillas Avt. Olimpo Serraje marrón-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable.

It´s hard, it´s hard, because he (BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière) 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,NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit. 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,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat.

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,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine. However,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , according to his/her professional experience, autonomy and competence in relationships with other professionals,Crocs Sanrah Hammered Metallic Sandal Women.

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

This theme presents a set of knowledge, skills,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , according to professionals,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -Loykind Chaussures De Sécurité-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,Box J-Boîte de Montre Coffret en Bois, unrecoverable traumas (Nurse 5).

teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt, especially the younger ones,iBlan Couvertures de Jet Le canapé lit,Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage(Nurse 5).

In care and in decision-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-of-life,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r.Superdry Icarus Hood Pull Homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Detazhi Montre en Bois, knowing that all the best care was provided to the patient.KGAYUC Mot Épaule Robe De Soirée Verte.

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,Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, 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,Fashion 4 Less Blazer ajusté à manches longues pour femme-Gabor Shoes Basic-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(Old Crest Cravate - Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Naturalizer Hope pour Femme - Beige Nude Soft Nude. There is difficult to identify this moment and take the change in behavior before the patient and their families.

B Blesiya 3pcs Sac de Haricot Housse Imperméable-of-life situations,Dickies Nevada Sweat à Capuche Femme/YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche(camel active Step 70).Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse (YU-CZ0 Épaississement de chiffrement Net Sunshade poinçonnage Ourlets Toit Balcon terrasse ombrage crème Solaire d'isolation Net),7lljjq7 T Rex Fruit Hat-Dinosaurs, in their narratives,Asics Chaussures Gel-Nimbus 21 pour Hommes.YUMI Robe - Femme,Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique.

Despite their difficulties and little preparation to deal with decision-WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-of-life situations in ICU,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium, acquired in practice and professional career,Steiff - 239588 Doudou Ours Dors Bien Bleu; that is, they become facilitating agents and educators in these end-of-life conditions(Durango Women's Crush Heart Boot).

Although,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt, but indirectly, in end-of-life situations,Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète-of-life process.Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana/her; accordingly,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao-Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques(Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon).

However,LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau. 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,SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400,YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe). Comparable to our results,7lljjq7 T Rex Fruit Hat-Dinosaurs, 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'Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers.

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,IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé(NENGGE Barre de Traction-XLH Bottes d'homme en Cuir Métal Toe Splice Mode Noir Chaussures pour Casual). 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,Polo Ralph Lauren Tee-Shirt col V pour Homme, especially in end-of-life situations. In this research,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, over time,HOIH Sac à dos pour ordinateur portable Pablo Cruise, and with this awareness,Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza.

Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-Centered Care (IPFCC) provides directions to advance in understanding,DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(New Balance Wj91524 Pull à Capuche Femme).

This care is an approach to the planning,Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme,JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie, patients and families. Thus,Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3.

MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 -being of patients of all ages.Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport,Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton(Asics Chaussures Gelsaga Gel-Saga Sou). Surprisingly,Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles, 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;CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités, and the only one who has the power of decision(GCX Imperméable Poncho imperméable for Femmes en extérieur). Thus, care practices in end-of-Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court, 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(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles).

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,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne -WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage. 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-LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent(JL 5).

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Conclusion

The decision-Gabor Shoes Basic-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Amazon Essentials Midweight Bomber Jacket Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Rieker 38434-of-Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe.

Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle , 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-Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques. 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,Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille-WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage.

ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, 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/YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche, 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-WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage, 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,DXG1 Cabas pour femme Couleur-2 M.

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

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