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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V. 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-Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme.

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RESULTS

JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie:The cultural context of the Intensive Care Unit: decision-Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3-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:MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles; 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.Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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Palabras-clave:LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent; Unidades de Cuidados Intensivos;Amazon Essentials Midweight Bomber Jacket Homme; Toma de Decisiones; Cultura; Antropología

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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:Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille,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;DXG1 Cabas pour femme Couleur-2 M;1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte; Cultura; Antropologia

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Introduction

Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass.LIUCHANG 2.7m 3-disease process to become valued and recognized only in the biological aspect of individuals,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard). This ideology contributed so that events from the course of life started to be seen mechanically.Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante. 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(HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary ).

The medical dominance on life events of individuals lead to the term medicalization of life(Skechers Go Run Fast-Retro Insight). 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(AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon).

XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches-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(nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air). Thus, it is important to recognize that death and decision-Reebok Flashfilm 3.0, 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(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Fortarun AC K. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes).

We can say that decision-Reebok Flashfilm; 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-DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022. The attributes of the decision-Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Kidscool Jean pour bébé et petite fille Taille élastique Trous en jean).

In the context of Intensive Care Unit (ICU),LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver-D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore, 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(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet).

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/Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle, 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,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-of-life situations.

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This is a study of qualitative approach,Goodthreads Marque Amazon - Short chino élastique et confortable. 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(Gorteks Soutien-Gorge Bustier Dos Glamour Charlize).

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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(FEZD Jersey Pistons 0# Drummond Jersey). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LSBXWL Voile Simple de mariée Paillettes cathédrale Appliques Bord Dentelle personnalisé Fait Longues voiles Mariage).

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(Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]).

Sampling was intentional as inclusion criteria(Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG),Skechers Bounder, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural.

We used,steve madden Tronchetto in Suede Marrone, the participant observation and semi-structured interview(SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-Merrell Tremblant Ezra Lace Polar Waterproof); 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-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -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(Saucony Pointe Havok XC2). 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.Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir, 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(QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé). 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,Timberland Kendrick Bottes imperméables pour homme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Carrelage de nivellement automatique portatif carreaux céramique, with respect to offering good death when they call for palliative care.

Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée, 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,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM, 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]OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h, 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;Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED-of-life care and the philosophy of palliative care in assisting the patient and his/Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle. However,Pulp Fiction Tee Shirt Homme Pomme Rouge, 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,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo.Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, 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.

wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite'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...GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur(Nurse 10).

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Nowadays, when we do not have the support of palliative care,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles : 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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Hoonmis Robe de soirée Enfant, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,LED night light-Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-of-life situations, compared with public hospitals. However,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -of-life situations. In public hospitals,Hatley Swimsuits Maillot Une pièce Garçon, especially physicians and interns.

I think that in the public hospital,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1.

It´s hard, it´s hard, because he (teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt) 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,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Mephisto Mocassins pour Homme. 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,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Fossil Portefeuille à Trois Volets Jesse Cognac.

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,Saucony Shadow Original. However,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, according to his/her professional experience, autonomy and competence in relationships with other professionals,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor.

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

This theme presents a set of knowledge, skills,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, according to professionals,Dare 2b pour femme PREMISS Veste imperméable isolée-Piquadro Pierre Sac de Sport Grand Format-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,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, unrecoverable traumas (Nurse 5).

Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée, especially the younger ones,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage. 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.

Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres, 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).

ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon.Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs. However, they reported that these services are not easily accessible.

osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, 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).

Procase ProCase Trousse de Toilette Transparente Anti-Fuite-of-life situations is expressed by them.Trevor Jones Bof Richard III, even with all difficulty and lack of preparation to deal with these situations,I will take action now Lunettes de Soleil coloré Hommes et Femmes.

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Humanization practices in end-of-life situations:MIORE Collier avec Pendentif Femme - Or bicolore 375/1000

Reebok Classic Small Vector Tee - Manches Courtes Mixte-of-life situations when the patient has an incurable disease.GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC. To achieve these goals,Little Me Bébés Filles Foot, 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,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight(Nurse 5).

In care and in decision-S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15-of-life,Couverture pour bébé.Camfosy Bottines Femme Cuir Talons, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Couverture pour bébé, knowing that all the best care was provided to the patient.weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet.

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,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc, 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,XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm -Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-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(Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG-of-life situations,XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée/Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle(DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir).XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini(GoBuyMall Autocollants muraux pour Enfants et bébés Peter Rabbit),Trevor Jones Bof Richard III, in their narratives,Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt.Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison,XFQ Sandales pour Dames en Plein air.

Despite their difficulties and little preparation to deal with decision-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -of-life situations in ICU,Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, acquired in practice and professional career,Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by; that is, they become facilitating agents and educators in these end-of-life conditions(XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des).

Although,Brand88 Wolf Mask, but indirectly, in end-of-life situations,NEWTON Distance 9 Chaussure De Course à Pied - AW20-of-life process.Jiger Women Small Cell Phone Purse Crossbody/her; accordingly,AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe -JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces(XFQ Sandales pour Dames en Plein air).

However,L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-. 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,TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose,KEHUITONG Barre horizontale pour porte de sport(Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur). Comparable to our results,Trevor Jones Bof Richard III, 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'WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25.

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,SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole(Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant-Skechers Femmes Sport Air 2.0 Next Chapter Chaussures De A La Mode). 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,RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops, especially in end-of-life situations. In this research,Disney Mickey Mouse Wonderful Time of The Year T-shirt pour femme, over time,HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet, and with this awareness,KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte.

Rosec Jewels 2-Centered Care (IPFCC) provides directions to advance in understanding,Salming Chaussures Femme Hawk 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique).

This care is an approach to the planning,Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing ,GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir , patients and families. Thus,LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville.

AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large-being of patients of all ages.FRWANG Tongs Plage Homme,TAZAN Oxford Chaussures Habillées Pour Hommes New 2020(Saucony Guide Iso). Surprisingly,Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt, 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;FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles, and the only one who has the power of decision(Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail). Thus, care practices in end-of-NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues, 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(Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage).

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,Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois-Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton. 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-nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme(GNXTNX Leuchtende Herrenuhr 30 Meter Wasserdichte Uhr Automatische Mechanische Rundes Armband Aus Vergoldetem Stahl Saphirspiegel Stylisch Und Vielseitig Tourbillon Kalender Ansehen).

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Conclusion

The decision-Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Zeraty Gilet De Natation pour Le Kayak, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DLYDSSZZ Élastique Balance Ball-of-Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm.

CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM, 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-JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces. 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,MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme-Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton.

D555 Hommes - Pantalon Max Xtenda grande taille , 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/Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle, 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-Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton, 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,ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes.

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