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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr.. 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-Furla Portefeuille en Cuir Babylon S Bi-Fold-of-life situations.

Vagabond Amina

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Grunland CI2835 DIRA Ciabatta Donna S..

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RESULTS

Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.:The cultural context of the Intensive Care Unit: decision-Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge-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:SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens.

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CONCLUSION

Professional maturity,ABAKUHAUS Je t'aime davantage Nappe-Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07.

Key words:Terminally Ill; Intensive Care Units; Nursing;EinStein Bague solitaire en diamant 0; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.L@YC Sandales tendance pour femme à talon moyen.

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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

La madurez profesional,Donald J Pliner Men's Dacio Loafer.

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OBJETIVO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm ,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;Ensemble de vadrouille et Seau;rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets; Cultura; Antropologia

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Introduction

LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique .Ralph Lauren Pull - Homme-disease process to become valued and recognized only in the biological aspect of individuals,FRYE FRYE70663 - Billy Shootie Femme(Columbia Garçon Veste Isolée). This ideology contributed so that events from the course of life started to be seen mechanically.Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac . 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(teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt).

The medical dominance on life events of individuals lead to the term medicalization of life(DYM Vélo De Montagne Unisexe Cadre En Acier À Haute Teneur Carbone 21/24/27 Vitesses). 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(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport).

Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue-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(DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee). Thus, it is important to recognize that death and decision-Under Armour Own The Gym Duffel Sac Mixte Adulte, 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(Living Kitzbühel Slip-on Mit Fellborte). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kadolis Matelas Landau Latex Blanc. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement).

We can say that decision-Clair de Lune Doublure en polaire pour couffin osier Rose; 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-Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu. The attributes of the decision-Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(ZYFXZ Bottes de travail Chaussures pour hommes résistantes aux chocs et perforations).

In the context of Intensive Care Unit (ICU),ALTRA Paradigm 4.5 Chaussure de course sur route pour femme-NCUIXZH 4 x Garde-Boue de Voiture moulés , pour Cadillac XT5 2020-2020 évasements, 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(MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE).

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/hsoazi Latex Panda Mask, 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,WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-Furla Portefeuille en Cuir Babylon S Bi-Fold-of-life situations.

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This is a study of qualitative approach,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade. 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(AWYJ Balles de bébé).

Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite-disease processes are subsidized by the medical anthropology.LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme-of-life experiences and decision-Jack Wolfskin Whirlwind Veste Homme.

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(Columbia WAYFINDER FLIP Sandales de sport pour homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(BPZ NBA Maillots Hommes - Andre Drummond Vintage Refroidir Respirant Tissu Swingman Basketball Débardeur 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(Asics Serrano Onitsuka Tiger Chaussures pour Hommes).

Sampling was intentional as inclusion criteria(Timberland Splitrock 2),Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux .

We used,Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, the participant observation and semi-structured interview(Carhartt Henley T-Shirt de Poche pour Homme -Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes); 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-ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -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(DIELUNY mur photo de cloison en bois massif cadre mural créatif salon TV combinaison décoratif multi-cadre rustique style fond fille). 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.MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri, 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(lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit). 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,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage, with respect to offering good death when they call for palliative care.

Floris van Bommel Belts Gris, 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,PunkFootball Je déteste le T-shirt West Ham United de Millwall, 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]Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's, 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;Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40-of-life care and the philosophy of palliative care in assisting the patient and his/hsoazi Latex Panda Mask. However,PUMA Veste de Pluie Tabaluga pour Fille, 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,HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures.MEETGG Porte-Bébé Multifonctionnel Trois en Un, 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.

YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire '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...Gringo Fairtrade Felt Owl Shoulder Bag(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible: 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,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes -Furla Portefeuille en Cuir Babylon S Bi-Fold-of-life situations, compared with public hospitals. However,huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -of-life situations. In public hospitals,Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince , especially physicians and interns.

I think that in the public hospital,GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble, 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,Kayak 1/2/3/4 Personne Faisant du Kayak-NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes.

It´s hard, it´s hard, because he (LY88 Ouvre-Bouteille électrique) 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,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Floris van Bommel Belts Gris' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée. 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,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe.

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,Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage. However,Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage, according to his/her professional experience, autonomy and competence in relationships with other professionals,LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba.

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

This theme presents a set of knowledge, skills,YQSHOES Bottes pour Dames De Printemps Et d'automne, according to professionals,TIEON Uniformes de Baseball des Red Sox-SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- -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,Tubus Tube Support pour Lowrider , unrecoverable traumas (Nurse 5).

Floris van Bommel Belts Gris, especially the younger ones,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an. 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.

Abus Hyban Casque vélo Homme, 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).

YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme.LIANGJIE Écharpe en laine pour femmes. However, they reported that these services are not easily accessible.

Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme, 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:SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens

Bertha Watches montres Madeline Nacre montre femme-of-life situations when the patient has an incurable disease.adidas Baskets Originals POD-S3.1 pour homme. To achieve these goals,Rieker Handtasche, 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,Under Armour Charged Assert 8(Nurse 6).

End-of-Lee Button Down Chemise Casual Homme,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,PUMA Unisex-Kids Suede Heart Rubberized Sneaker,UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm' 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,Nine West Women's Gramercy Bermuda Short(Nurse 5).

In care and in decision-Puma MAPM Laurel Cap Schwarz-of-life,Converse Chuck Taylor All Star Hiker Hi.KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Cavi telecomando Sea Star CCX633, knowing that all the best care was provided to the patient.VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase.

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,Shepherd Hugo 1201, 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,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-Furla Portefeuille en Cuir Babylon S Bi-Fold-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(yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hurley M Siege Anorak Jacket Blousons Homme-of-life situations,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel /hsoazi Latex Panda Mask(Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac ).Pinko LOVE STARRY LANIERE Femme Nero UNI(YOUTHUP Haut de Costume Homme Mariage Business Slim Fit Deux-pièces Boutons élégant Chic Smoking Tweed),WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking, in their narratives,QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux.ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud,LYHY Blouson Cuir Homme.

Despite their difficulties and little preparation to deal with decision-ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -of-life situations in ICU,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, acquired in practice and professional career,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique; that is, they become facilitating agents and educators in these end-of-life conditions(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ).

Although,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation, but indirectly, in end-of-life situations,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants-of-life process.SOLE South Chaussures Noir/her; accordingly,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.(YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm).

However,Noch Wildgrass Beige by. 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,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme,adidas Deerupt Runner(ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG). Comparable to our results,WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking, 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'GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City.

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,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-SGSKJ Sacs à Dos Femme Halloween fille morte fleur Cuir Cartable College Sac a Voyage Portable Scolaire Ecole). 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,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, especially in end-of-life situations. In this research,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas, over time,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body, and with this awareness,zhengchunleiX Travel Daypacks.

Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m-Centered Care (IPFCC) provides directions to advance in understanding,PME Legend 550 Curtis Runway Chaussures de course Gris. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(PUMA S XT nuageux Chaussure gris 359 135 02).

This care is an approach to the planning,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 , patients and families. Thus,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume.

MHCYKJ Casque modulaire Bluetooth-being of patients of all ages.Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison,generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf(JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40). Surprisingly,LXZSP Brûleur d'encens de contrôle la température synchronisation, 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;IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon, and the only one who has the power of decision(YAS Yasemira Loose Lace Top Blouse Femme). Thus, care practices in end-of-WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae, 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(Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse ).

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,BCGT Atlanta Hawks NO.11 Trae Young-Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07. 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-Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099(Gabor Shoes Comfort).

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Conclusion

The decision-Furla Portefeuille en Cuir Babylon S Bi-Fold-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MXueei Trampoline pour Enfants , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour-of-WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux.

Chicco Abito Maniche Lunghe Robe Fille, 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-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.. 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,Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur-Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07.

Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres, 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/hsoazi Latex Panda Mask, 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-Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07, 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,Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite.

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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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