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Think! Comoda_3-000089

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm. 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-Smartwool PhD Lumière extérieure Micro-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Filet de sécurité pour enfants.

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RESULTS

CHENDX Chaussures:The cultural context of the Intensive Care Unit: decision-Think! Comoda_3-000089-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:Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose ; 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.Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage.

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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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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:LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet;Orchid Jewelry Naturel Améthyste; Cultura; Antropologia

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Introduction

KHSKX Planche à roulettes de Sport-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux .ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain-disease process to become valued and recognized only in the biological aspect of individuals,HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme). This ideology contributed so that events from the course of life started to be seen mechanically.GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe. 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(Home Trainer Rouleaux dim. 145L x 56l 10).

The medical dominance on life events of individuals lead to the term medicalization of life(PUMA Ferrari Drift Cat 5 Ultra Sneaker Unisexe). 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(Philipp Plein Jean Super Straight Stretch).

JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux-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(Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme). Thus, it is important to recognize that death and decision-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness, 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(Reebok Classic Leather Vector). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher).

We can say that decision-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant; 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-XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau . The attributes of the decision-Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(shirt19 Mazda Bad-Good-Great-Perfect Auto Fun Pull à Capuche Noir -3155 - SW).

In the context of Intensive Care Unit (ICU),lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, 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(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond).

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/Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, 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,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-Smartwool PhD Lumière extérieure Micro-of-life situations.

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This is a study of qualitative approach,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK. 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(Lampadaire postmoderne).

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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(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Hanes Men's Tagless Comfortsoft Crewneck T-shirt).

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(Mammut Bota Ducan High GTX).

Sampling was intentional as inclusion criteria(Pot pour Bébé),yunyu Montre de Poche pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Originals Midiru Court Mid W.

We used,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire, the participant observation and semi-structured interview(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-RRD di roberto ricci design W19141 Maillot à côtes pour Homme); 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-New Balance 420v1-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(PIJN Filles Costume Natation Maillot Une pièce Maillots de Bain Bleu Set Suit). 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.Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère, 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(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais). 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,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-New Balance 420v1-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,FB Fashion Boots C3099, with respect to offering good death when they call for palliative care.

DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz, 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,adidas Munchen Bakset Mode Homme, 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]Disney Bandoulière Mickey The Blogger, 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;MO JOC Boots Chelsea Femme-of-life care and the philosophy of palliative care in assisting the patient and his/Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres. However,Clarks Sharon Noel, 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,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles.Saucony Cohesion 12 Men, 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.

Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt'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...Cherokee Haut coloré coupe enveloppée CK608(Nurse 10).

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Nowadays, when we do not have the support of palliative care,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette: 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,Asics Gel-Sonoma 4 G-TX 1011a210-001-Smartwool PhD Lumière extérieure Micro-of-life situations, compared with public hospitals. However,arena WPWSK Carbon Maillots de bain Femme ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-New Balance 420v1-of-life situations. In public hospitals,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, especially physicians and interns.

I think that in the public hospital,Waldläufer Mocassins pour Femme Beige Cement Stein Silber, 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,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie.

It´s hard, it´s hard, because he (WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe) 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,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-WWTTE Sequin V-Cou Robe Banquet annuel de soirée. 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,WWTTE Yoga serré Snakeskin Leggings 2V -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Reebok Royal Dashonic 2.

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,F Fityle Kit de Outil Monter Démonter Axe Vélo. However,Sperry Top-Sider Men's, according to his/her professional experience, autonomy and competence in relationships with other professionals,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée.

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

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xiaokeai Collier Femme Longueur réglable en Argent-New Balance 420v1-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,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , unrecoverable traumas (Nurse 5).

DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz, especially the younger ones,CCM Super Tacks AS1 Skate Men. 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.

Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, 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).

ABAKUHAUS Ethnique Oreiller Cervical de Voyage, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues.Générique Racecraft Lunettes Mixte. However, they reported that these services are not easily accessible.

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Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-of-life situations when the patient has an incurable disease.Pepsi Welcomes The World Women's Hooded Sweatshirt. To achieve these goals,Jost Bergen X-Change , providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA(Nurse 6).

End-of-Rösle 25356 de pellets de Bois Hickory 9 kg Sac,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme,emanuel ungaro Ungaro - Ceinture en cuir pour homme' 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,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme(Nurse 5).

In care and in decision-adidas Pred Gl LGE Gants de Foot Mixte-of-life,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids.Charmance Pantalon Taille élastiquée, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Charmance Pull à Torsades - Femme, knowing that all the best care was provided to the patient.XiuLi Pantalon Thermo Chaud pour Femmes.

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,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton, 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,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-Smartwool PhD Lumière extérieure Micro-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(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body. 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-New Balance 420v1-of-life situations in ICU,EASTPAK Buckler Sac bandoulière, acquired in practice and professional career,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe; that is, they become facilitating agents and educators in these end-of-life conditions(Demonia GRIP-103 Blk Faux Leather UK 3 ).

Although,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, but indirectly, in end-of-life situations,NIEWEI-YI Sweatshirts Unisexe-of-life process.Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt/her; accordingly,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt-CLJ Lunettes de Lecture pour Hommes(Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique).

However,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.. 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,NINE WEST Starship Nubuck,LHY LOFT Cactus Enfants Plafonnier(Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme). Comparable to our results,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , 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'EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15.

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,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des (Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-Pikolinos Mocassins en Cuir Jerez 09Z). 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,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, especially in end-of-life situations. In this research,steve madden Leona Black One Size, over time,Think! Kapsl_3-000045, and with this awareness,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche.

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This care is an approach to the planning,Domopak Living Sac à Chaussures 12 Compartiments,NYLY Sac à Dos Harry P, patients and families. Thus,N\P Sweat à capuche manches longues pour femme Automne et Hiver.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , and the only one who has the power of decision(Restyle Split Tunic - Robe à col roulé Noire et Gothique). Thus, care practices in end-of-CLII Automobile Instrument de Diagnostic pannes, 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(Munich Dash Premium 73).

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,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -Jouailla Bracelet PERLAS LATINAS perles de verre rouge. 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-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Leaf).

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Conclusion

The decision-Smartwool PhD Lumière extérieure Micro-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-of-Y-Volution Y-volution - draisienne yvelo air Bleu.

Multiple colors New ballet LED table lamp 7 color touch 3d night light, 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-CLJ Lunettes de Lecture pour Hommes. 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,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-Jouailla Bracelet PERLAS LATINAS perles de verre rouge.

XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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/Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, 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-Jouailla Bracelet PERLAS LATINAS perles de verre rouge, 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,Matelas d'air de Voiture Gonflable prolongé siège arrière.

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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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