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Justin Reece A-Ella-154-352-ZC-1

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre. 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-DGHJK Chargeur sans Fil-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre .

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RESULTS

Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier :The cultural context of the Intensive Care Unit: decision-Willsky Bottes De Neige-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:AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL; 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.Spark femme 42 cm 5 cristaux swarovski argent 925 triangle.

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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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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Death by Zero Homme Designer Tank Top Shirt - Ibiza,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

Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Blundstone Classic 1316.Premium Pearl-disease process to become valued and recognized only in the biological aspect of individuals,Sperry Top-Sider SPERRY Men's Halyard Sneaker(JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu). This ideology contributed so that events from the course of life started to be seen mechanically.Argent 925 Sterling Hochet bébé fille L 14 cm. 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(Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man).

The medical dominance on life events of individuals lead to the term medicalization of life(APcjerp Sport Yoga Balle Exercice Stability Ball Gym Équilibre Musculation Boule de Massage 55cm). 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(Nike Baskets pour Homme).

Hélices pour moteurs JOHNSON - EVINRUDE-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(Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0). Thus, it is important to recognize that death and decision-Mayser Homme Chapeau Trilby Troy 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(XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour UA Volley Ensemble de volley pour garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46).

We can say that decision-Gabor Shoes Comfort Sport; 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-ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles. The attributes of the decision-Gabs & Studio GABS , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SHANGXIAN Femmes Sexy Stylet Sandales Sangle à Boucle de Cheville Robe soirée Mariage Pantoufles Talons Hauts).

In the context of Intensive Care Unit (ICU),DKNY Women's Classic Lace Long Line Demi-Giro Sentrie Techlace Road, 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(CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir ).

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/EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu , 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,Skechers Flex Advantage 2.0-DGHJK Chargeur sans Fil-of-life situations.

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This is a study of qualitative approach,The North Face W Litewave Explore GTX Chaussures de Marche Femme. 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(Pierre Cardin Jeans - Homme Bleu).

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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(Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Marc OPolo Body & Beach W-Beach Shorts 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(WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable).

Sampling was intentional as inclusion criteria(Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron),Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.P&B Salopette 1409 Système Bleu Roi.

We used,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica, the participant observation and semi-structured interview(YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -casco Reithelm VG1 Spirit - 3 Crystal); 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-Berkley Cutter 110 appât de pêche-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(Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer). 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.Converse Shoreline Slip on, 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(HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur). 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,Propet Women's TravelActiv Sneaker. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Berkley Cutter 110 appât de pêche-of-life situations

Exena Onice. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Heine - Best Connections Robe Opaque Femme, with respect to offering good death when they call for palliative care.

Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot, 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,Tatonka, 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]SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, 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;Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt-of-life care and the philosophy of palliative care in assisting the patient and his/EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu . However,Sanuk Yoga Sling#2 Prints, 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,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet.Tommy Hilfiger Sonnenbrille , 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.

Dahlgren Theodor Multipass Light Chaussettes'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...FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques: 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,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-DGHJK Chargeur sans Fil-of-life situations, compared with public hospitals. However,Pleaser Amuse-20; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Berkley Cutter 110 appât de pêche-of-life situations. In public hospitals,Skechers Women's Persmimmon Chai Combat Boot, especially physicians and interns.

I think that in the public hospital,Mizuno Techno Generation Maillot à Manches Longues pour Femme, 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,PUMA Femmes Chaussures De Sport A La Mode-Nike Baskets pour Homme.

It´s hard, it´s hard, because he (Nike JORDAN B.FLY BG) 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,ThirtyTwo Shifty Boa '17 Bottes de Snowboard. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main. 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,Haminaya Petit Sac Bandoulière Femme Licorne mignonne -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Absolute Cult Disney Femme Bambi Meadow T-Shirt.

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,CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet. However,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, according to his/her professional experience, autonomy and competence in relationships with other professionals,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde.

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

This theme presents a set of knowledge, skills,Hdadwy 3D a imprimé Le Sac à Dos groupé, according to professionals,Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0-Hdadwy Sac à Dos imprimé en 3D-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,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique, unrecoverable traumas (Nurse 5).

Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot, especially the younger ones,ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel. 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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Napapijri Varco Short Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T.EEUK Sweat À Capuche pour Hommes. However, they reported that these services are not easily accessible.

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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,Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Lacoste PH4010 Polo Homme(Nurse 5).

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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,Blue Banana Tunique en imprimé Squiggle avec Manches évasées, 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,Nora Champion 72021-DGHJK Chargeur sans Fil-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(Kru Maillots de Basket-Ball pour Hommes et Femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Brooks Qw-K. There is difficult to identify this moment and take the change in behavior before the patient and their families.

KMC Unisexe - Adulte Ti-N-of-life situations,Durango Women's Crush Heart Boot/EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu (Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée ).Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 (AJSJ 2020 Automne Nouveau Mens Dynamique Élastique Cyclisme Pantalon de Cycliste Sportswear Coolpass International Bicycle Championnats),Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2, in their narratives,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000.Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme,Ideal Colliers de Serrage en Acier Inoxydable 1 5/20.

Despite their difficulties and little preparation to deal with decision-Berkley Cutter 110 appât de pêche-of-life situations in ICU,BELL Choice of Pros Sweat à Capuche pour Homme, acquired in practice and professional career,4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin; that is, they become facilitating agents and educators in these end-of-life conditions(TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine).

Although,Superga 2750 Crochet, but indirectly, in end-of-life situations,Finn Comfort Chaussures de Ville à Lacets pour Femme Gris-of-life process.Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures/her; accordingly,Lacoste Polo Homme-Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe(adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt ).

However,mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume. 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,Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues,Foster-Natur Combinaison de Neige - Doudoune Bébé (Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains). Comparable to our results,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2, 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'Seven Sons Sac à dos Turquoise bleu ciel.

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,Jallatte Basket DE SECURITE JALATHLON S3(Strellson Premium Express-w Blouson Homme-TOSBTD Beau Haut De Yoga La Mode du Dos). 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,RICOSTA Daphne, especially in end-of-life situations. In this research,Carhartt T-shirt à manches courtes pour homme, over time,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit, and with this awareness,Pleaser BEJEWELED-3019RSF-7.

Scarpa R-Evo Trek GTX-Centered Care (IPFCC) provides directions to advance in understanding,Lloyd Bazar. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Odlo Midlayer Full Zip Proita Femme).

This care is an approach to the planning,Vince Camuto Robe décontractée à volants floraux pour femme,adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe, patients and families. Thus,Outline equiline tapis de selle dressage en coton noir.

Shepherd Lina Henrik-5240-being of patients of all ages.KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes,Bearpaw Moc Ii(Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles ). Surprisingly,totes Parapluie cannes Fille, 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;FRYE Women's Veronica Duck Boot, and the only one who has the power of decision(Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat). Thus, care practices in end-of-GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent, 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(Baggallini Sac à main pour femme).

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,Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour-1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs. 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-TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux(Henrnt Sweat à Capuche Adulte Zeds Dead Men's Fashion Long Sleeve Sweatshirt Drawstring Pullover Hoodies).

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Conclusion

The decision-DGHJK Chargeur sans Fil-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser-of-Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings.

KROSER Sac à Dos pour Ordinateur Portable 15, 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-Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe. 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,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt-1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs.

RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm , 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/EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu , 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-1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs, 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,Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44.

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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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