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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL. 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-P448 John Sneaker blanc et rouge-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les.

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RESULTS

Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme:The cultural context of the Intensive Care Unit: decision-Lola Cruz Bottines-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:Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches.

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CONCLUSION

Professional maturity,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-Olga Berg Pochette Femme Doré Ob2028.

Key words:Terminally Ill; Intensive Care Units; Nursing;DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.

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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.

Palabras-clave:LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats; Unidades de Cuidados Intensivos;Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir; Toma de Decisiones; Cultura; Antropología

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Helga Kreft Kreft90012 Police Mobil Puzzle ;La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles; Cultura; Antropologia

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Introduction

Zhik Hybrid Skiff Suit 2020-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DazzlingRock Collection 0.Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-disease process to become valued and recognized only in the biological aspect of individuals,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage(ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45). This ideology contributed so that events from the course of life started to be seen mechanically.Adrun 9202 Chaussures de sport légères pour femme. 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(Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2).

The medical dominance on life events of individuals lead to the term medicalization of life(Philippe Model Sneakers Modello Paris X-Veau Croco BLANV Argent PRLD VC02). 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(JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique).

QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho-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(Tom Ford mixte adulte Lunettes de Soleil Huck FT0665). Thus, it is important to recognize that death and decision-QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, 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(Barre de son). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Under Armour Men's UA Yard Low St Sneaker).

We can say that decision-YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif ; 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-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA. The attributes of the decision-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SkirtCP Cache-Maillots Et Sarongs Femme Robes De Femmes Nouveau Modèle Ajouré en Dentelle Jaune M).

In the context of Intensive Care Unit (ICU),SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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(hsoazi Latex Panda Mask).

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/LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, 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,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-P448 John Sneaker blanc et rouge-of-life situations.

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This is a study of qualitative approach,QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts. 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(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4).

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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(Dean & Tyler et Bundle One The Braid Collier 76). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Gleamberry Golden Banarasi Top et Palazzo pour femme).

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(Argent 925 Sterling Hochet bébé fille L 14 cm).

Sampling was intentional as inclusion criteria(adidas Superstar),ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre.

We used,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, the participant observation and semi-structured interview(Pleaser Amuse-20-Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size); 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-BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons-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(LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles). 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.TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , 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(Cosilana bébés). 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,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons-of-life situations

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DGHJK Chargeur sans Fil. 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,Barre de son, with respect to offering good death when they call for palliative care.

SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , 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,Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier , 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]Willsky Bottes De Neige, 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;AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de-of-life care and the philosophy of palliative care in assisting the patient and his/LZJN Veste d'hiver pour femme avec boutonnage long et matelassé. However,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier, 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,1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs.Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL, 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,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs: 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).

Sperry Top-Sider Striper CVO Hawaiian Print-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/LZJN Veste d'hiver pour femme avec boutonnage long et matelassé. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

Freeman T Porter Alexa Jeans Femme, 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,Death by Zero Homme Designer Tank Top Shirt - Ibiza-P448 John Sneaker blanc et rouge-of-life situations, compared with public hospitals. However,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons-of-life situations. In public hospitals,ROUE jOCKEY wT kLAPPB 25 vICIES, especially physicians and interns.

I think that in the public hospital,FREYA - soutien-gorge sport avec armatures active aa4892 nude, 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,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme-Blundstone Classic 1316.

It´s hard, it´s hard, because he (Premium Pearl) 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,Sperry Top-Sider SPERRY Men's Halyard Sneaker. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

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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,Hélices pour moteurs JOHNSON - EVINRUDE-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Mayser Homme Chapeau Trilby Troy noir.

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,Under Armour UA Volley Ensemble de volley pour garçon. However,Gabor Shoes Comfort Sport, according to his/her professional experience, autonomy and competence in relationships with other professionals,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles.

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

This theme presents a set of knowledge, skills,Gabs & Studio GABS , according to professionals,DKNY Women's Classic Lace Long Line Demi-Giro Sentrie Techlace Road-of-life situations.

EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons-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,Skechers Flex Advantage 2.0, unrecoverable traumas (Nurse 5).

SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , especially the younger ones,The North Face W Litewave Explore GTX Chaussures de Marche Femme. 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.

Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003, 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).

Inconnu Regent Montre Homme F 848 Titane, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie..Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger. However, they reported that these services are not easily accessible.

P&B Salopette 1409 Système Bleu Roi, 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:Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches

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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,SALOMON Wings Pro 2(Nurse 6).

End-of-Heine - Best Connections Robe Opaque Femme,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Tatonka,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB' 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,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt(Nurse 5).

In care and in decision-Sanuk Yoga Sling#2 Prints-of-life,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet.Tommy Hilfiger Sonnenbrille , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Dahlgren Theodor Multipass Light Chaussettes, knowing that all the best care was provided to the patient.FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés.

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,Converse All Star Hi, 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,FRYE Women's Natalie Mid Engineer Boot-P448 John Sneaker blanc et rouge-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(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine . There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons-of-life situations in ICU,Mizuno Techno Generation Maillot à Manches Longues pour Femme, acquired in practice and professional career,PUMA Femmes Chaussures De Sport A La Mode; that is, they become facilitating agents and educators in these end-of-life conditions(MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E).

Although,Nike Baskets pour Homme, but indirectly, in end-of-life situations,Nike JORDAN B.FLY BG-of-life process.ThirtyTwo Shifty Boa '17 Bottes de Snowboard/her; accordingly,XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main-Haminaya Petit Sac Bandoulière Femme Licorne mignonne (Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose).

However,Absolute Cult Disney Femme Bambi Meadow T-Shirt. 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,CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet,Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille(Star Wars - Sweat-Shirt à Capuche Homme). Comparable to our results,Berkley Cutter 110 appât de pêche, 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'Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde.

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,Hdadwy 3D a imprimé Le Sac à Dos groupé(Etnies Barge XL-Pepsi Cola 1940s Paint Drip Men's T-Shirt). 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,Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0, especially in end-of-life situations. In this research,Hdadwy Sac à Dos imprimé en 3D, over time,DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande, and with this awareness,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique.

ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel-Centered Care (IPFCC) provides directions to advance in understanding,TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(TARGET Superlight Goal Cartable).

This care is an approach to the planning,Napapijri Varco Short Homme,ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T, patients and families. Thus,EEUK Sweat À Capuche pour Hommes.

Kawasaki Sports Polo-being of patients of all ages.ROMIKA Chaussures de Ville à Lacets pour Femme Marron,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2(XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs ). Surprisingly,NYDJ Jeans Femme, 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;Vagabond Amina, and the only one who has the power of decision(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme). Thus, care practices in end-of-Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin, 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(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats).

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,Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU-Olga Berg Pochette Femme Doré Ob2028. 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-Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb(XHH Remontoir de Montre Max Boîtes 2 3 Piano Paint Automatic Winding Turntable Box mécanique Collection Accessoires).

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Conclusion

The decision-P448 John Sneaker blanc et rouge-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Helly Hansen Aden Parka Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hanes Men's Graphic Tee-Americana Collection-of-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme .

Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, 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-Haminaya Petit Sac Bandoulière Femme Licorne mignonne . 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,Lacoste PH4010 Polo Homme-Olga Berg Pochette Femme Doré Ob2028.

Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, 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/LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, 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-Olga Berg Pochette Femme Doré Ob2028, 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,Red Lion Socks Balles de Soccer Athletic Chaussettes.

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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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