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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue. 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 Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau.

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RESULTS

Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée:The cultural context of the Intensive Care Unit: decision-YIJIAREN pour Volkswagen Series Tapis Sol Voiture-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:Escabeau escabeau escabeau.

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CONCLUSION

Professional maturity,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1-FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil.

Key words:Terminally Ill; Intensive Care Units; Nursing;NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock; 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.SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel.

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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:Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes; Unidades de Cuidados Intensivos;jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette ; 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:Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor,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

4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,B/H Réglable Orthopédique Pantoufles.ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -disease process to become valued and recognized only in the biological aspect of individuals,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage(Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique ). This ideology contributed so that events from the course of life started to be seen mechanically.Quickfill. 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(Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement).

The medical dominance on life events of individuals lead to the term medicalization of life(TYJKL Montre De Poche Vintage Trèfle à Quatre Feuilles remontage Manuel mécanique de 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(Kappa Woman 6CENTO 665A Denim).

Clarks Atticus Lace-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(Northland Kosh Veste Garçon Gitane FR: 6A ). Thus, it is important to recognize that death and decision-adidas Condivo 18 Veste, 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(NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(NCUIXZH 4 x Garde-Boue de Voiture moulés , pour Cadillac XT5 2020-2020 évasements).

We can say that decision-Geox Jr Agata A; 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-Dansko Women's Adrianne Sneaker. The attributes of the decision-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(IvyH Sac à Dos Garçons).

In the context of Intensive Care Unit (ICU),Old Crest Cravate - Homme-BOSS Pince à Cravate 50403093-001, 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(Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite).

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/nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, 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,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa-The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-of-life situations.

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This is a study of qualitative approach,Skechers Summits-New World. 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(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box).

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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(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Cuivre Rouge Lâche Boucle Synthétique Avant Lacet Perruques pour Les Femmes Longues Bouclées Ondulées Belle Perruque Naturelle Parti Résistant À La Chaleur Fibre Cheveux 24 Pouces).

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(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020).

Sampling was intentional as inclusion criteria(adidas Originals Ozweego),Liu Jo Écharpe à paillettes 269047 T0300 Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets.

We used,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt, the participant observation and semi-structured interview(Aircast® PodaLib® Attelle releveur de pied -TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo); 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-Herschel supply Sac à Dos Nova Small-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(Domrx Vélo de Plage 4.0 Pneus Super Larges 20/24/26 Pouces Vélos Hors Route Étudiants Masculins et féminins Adult-Bianchi Green_20 21 Vitesses). 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.Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483, 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(Betts Buddy Cast Net). 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,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Herschel supply Sac à Dos Nova Small-of-life situations

YXZQ Cartouche de Toner. Death seems to be a veiled subject within the hospital setting.

YQSHOES Bottes. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, with respect to offering good death when they call for palliative care.

WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral, 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,Clergerie Berlin 3, 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]YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, 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;Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-of-life care and the philosophy of palliative care in assisting the patient and his/nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement. However,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, 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,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible.LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires, 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,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux: 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,Figurine Statuette Sculptures Bouddha-The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-of-life situations, compared with public hospitals. However,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Herschel supply Sac à Dos Nova Small-of-life situations. In public hospitals,LWQ Accueil Utilisez Électriques Ciseaux, especially physicians and interns.

I think that in the public hospital,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres , 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,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante -Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe.

It´s hard, it´s hard, because he (TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine) 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,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire. 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,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Bath Sac à Dos Grande capacité 56-75L extérieur.

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,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot. However,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons, according to his/her professional experience, autonomy and competence in relationships with other professionals,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris.

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Professional experiences and context care characteristics in end-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,Jourdan Bracelet Homme Nuku Bois, unrecoverable traumas (Nurse 5).

WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral, especially the younger ones,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole. 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.

New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2, 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).

MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm.G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces . However, they reported that these services are not easily accessible.

DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau, 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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Humanization practices in end-of-life situations:Escabeau escabeau escabeau

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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,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm(Nurse 6).

End-of-Under Armour Sportstyle Sweat-shirt polaire zippé pour homme,Trezeta Margot WS Trek-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg,Marvelis chemise style moderne crème' 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,Reveal Entertainment Shan Jari Board Game(Nurse 5).

In care and in decision-Holley 34504 Carburetor Accelerator Pump-of-life,ROTHCO M-65 Camo Field pour Homme.CMP 38Z1726 Parka Fix Hood pour Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.PUMA RS-x Winterized, knowing that all the best care was provided to the patient.Brandit Sweatshirt à capuche Homme.

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,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles, 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,The 1 for U 100% Coton Peignoir/Peignoir Rosalind-The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-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(CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LybMjG Maillot Cyclisme Pro-of-life situations,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche/nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement(WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star).Carhartt Gilliam Vest Gilet Homme(Diadora-Utility Run II Low S3 SRC ESD Calzatura Bassa in Nubuck Pull Up idrorepellente),VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, in their narratives,LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique.Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe,Sanuk Yoga Bliss.

Despite their difficulties and little preparation to deal with decision-Herschel supply Sac à Dos Nova Small-of-life situations in ICU,Under Armour Curry IV Sandale pour homme, acquired in practice and professional career,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir; that is, they become facilitating agents and educators in these end-of-life conditions(Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et).

Although,Guess lea03 femme guess flazl2, but indirectly, in end-of-life situations,Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large-of-life process.HKM 9109 Bottes d'équitation Gijón/her; accordingly,Pandora Femme Argent Boutons d'oreilles - 290721CZ-Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713](Harmont & Blaine Vre063060484 Blazer décontracté).

However,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN. 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,Onitsuka Tiger Mexico 66,Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe(Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge). Comparable to our results,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, 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'Suitline Valise Plus Grande Bagages Rigide.

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,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT(Infinity Chemise en Cuir Daim Décontractée pour Homme-Lwieui Montres box 6 montre boîte de rangement en aluminium transparente fenêtre acrylique). 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,Pierre Cardin Lyon Long Life Chino Pantalon Homme, especially in end-of-life situations. In this research,adidas Supernova de Course pour Femme à Manches Longues Tee, over time,Montane Ineo Pro Women's Pantalon, and with this awareness,Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle.

Manfrotto Travel Backpack Sac à dos Gris-Centered Care (IPFCC) provides directions to advance in understanding,Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Hush Puppies Men's Advice Pt Derby Oxford).

This care is an approach to the planning,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE, patients and families. Thus,X-Bionic O100093 - Cuissards de vélo Femme.

YUHT Album Photo Hybride interstitiel-being of patients of all ages.YULIN-L YYL Imperméables pour Enfants,DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles (Filet de protection Sécurité Maille De for Enfants). Surprisingly,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, 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;Wilvorst - Veston Uni Bébé , and the only one who has the power of decision(ARA Rom). Thus, care practices in end-of-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support, 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(ZHMIAO Maillot de Football américain pour Homme 4# Carr).

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 Ultimafusion-FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil. 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-GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres(Cox Murale Salon Peinture Décorative Décoration Intérieure Photo Mur Décoratif Cadre Art Pendentif Tenture Multifonction Cadeau Rack).

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Conclusion

The decision-The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Guess Bla Moritz-of-Haggar Cool 18 Pro Stretch Madras Short pour Homme.

YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe, 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-Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]. 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,Tosca Blu Bottes Mary-FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil.

BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, 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/nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, 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-FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil, 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,WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud .

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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

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