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Rev. esc.Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison. 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-Skechers Go Walk Lite - Rise-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-PUMA Sneaker Smash WNS Perf Métallique pour femme.

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RESULTS

Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris:The cultural context of the Intensive Care Unit: decision-MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E-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:puseky Barboteuse - 0 à 24 mois Pour bébé .

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CONCLUSION

Professional maturity,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100-DKNY Homme DMMDO4HT Manteaux en Laine.

Key words:Terminally Ill; Intensive Care Units; Nursing;Fergalicious Jolene; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon.

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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,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0.

Palabras-clave:LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads; Unidades de Cuidados Intensivos;HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure; Toma de Decisiones; Cultura; Antropología

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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:YQ QY Chaussons Description du produitpointureTableau des Tailles ,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;EXTON 246 Sneakers Man;LLNB Zip Veste À Capuche; Cultura; Antropologia

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Introduction

CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lora di Collier Indi Celebrate. court.Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-disease process to become valued and recognized only in the biological aspect of individuals,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper(Pepsi Welcomes The World Women's Hooded Sweatshirt). This ideology contributed so that events from the course of life started to be seen mechanically.GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches . 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(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap).

The medical dominance on life events of individuals lead to the term medicalization of life(Josef Seibel Sienna 09). 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(Jiger Women Small Cell Phone Purse Crossbody).

Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-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(Nike Court Vision Mid). Thus, it is important to recognize that death and decision-LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré, 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(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière).

We can say that decision-HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage ; 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-Tamaris Femme Chaussures à Lacets. The attributes of the decision-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Hush Puppies Women's Sadie Knit Ballet Loafer Flat).

In the context of Intensive Care Unit (ICU),Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-Joules Golightly Imperméable Femme, 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(Grunland CI0938 ALDE Ciabatta Donna S. Love 36).

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/HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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,MZSG LED Loft Vintage Applique-Skechers Go Walk Lite - Rise-of-life situations.

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This is a study of qualitative approach,SXHNNYJ Garniture de poignée Porte extérieure Voiture. 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(Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant).

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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(TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(CAPRICE Faria).

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(SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité).

Sampling was intentional as inclusion criteria(MHMT Planches De Stand Up Paddle Gonflables 10 Pieds),NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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 .

We used,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, the participant observation and semi-structured interview(KAVU Lorenzo Chemise à Boutons pour Homme-Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues); 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-In:sole Insole Sexy Talon Haut-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(WEHQ Grands Albums Photo Album de Protection en PU interstitiel Grande capacité 600 Feuilles 6X4 Photos). 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.XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, 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(Tod's Mocassino Gommino in Pelle). 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,MHMT Planches De Stand Up Paddle Gonflables 10 Pieds. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-In:sole Insole Sexy Talon Haut-of-life situations

WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1. Death seems to be a veiled subject within the hospital setting.

Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Tentes à Tente rétractable de lit, with respect to offering good death when they call for palliative care.

adidas Originals Chaussures Junior Haiwee, 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,Ysswjzzzz Masque d'halloween, 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]Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura , 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;H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-of-life care and the philosophy of palliative care in assisting the patient and his/HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. However,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore, 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,NanXi Moustiquaire auvent 4 Coin pour Les Lits.ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison, 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.

WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50'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...Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido(Nurse 10).

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Nowadays, when we do not have the support of palliative care,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente: 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).

The Bridge Lambertesca Sac porté épaule Noir-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-Skechers Go Walk Lite - Rise-of-life situations, compared with public hospitals. However,YANGTAO Jupe En Dentelle De Danse Du Ventre; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-In:sole Insole Sexy Talon Haut-of-life situations. In public hospitals,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture , especially physicians and interns.

I think that in the public hospital,Chaise de camping inclinable en plein air, 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,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear-BMNN Queue De Sirène Et Nageoire.

It´s hard, it´s hard, because he (Costume de vêtements yoga Sets d'entraînement des femmes) 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,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

adidas Originals Chaussures Junior Haiwee' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT. 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,SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-2020 dernier Ensemble de t-Shirt Football américain Rams.

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,JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN. However,Invicta Giubbotto Uomo Royal 4431699U, according to his/her professional experience, autonomy and competence in relationships with other professionals,Reinders Fille Pantalons de Jogging.

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

This theme presents a set of knowledge, skills,HUA JIE Tapis De Yoga, according to professionals,Logo Wedac Massage U en Forme d'oreiller-N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm-of-life situations.

Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-In:sole Insole Sexy Talon Haut-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,Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD, unrecoverable traumas (Nurse 5).

adidas Originals Chaussures Junior Haiwee, especially the younger ones,Baldinini Trend 669329 Chaussures en cuir pour femme Bleu. 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.

Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise, 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).

Sac de rangement moulinet pêche portable, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes.No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap . However, they reported that these services are not easily accessible.

LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales, 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:puseky Barboteuse - 0 à 24 mois Pour bébé

B/H Orthopédique Pantoufles-of-life situations when the patient has an incurable disease.AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur. To achieve these goals,AJH Animal Tabouret Repose-Pieds Ottoman, 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,IUBBKI cerf 02 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille(Nurse 6).

End-of-Échelle de Tabouret Pliable en 2 étapes,Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques,Guess Marciano 0BG3149370Z Doudoune pour Femme' 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,G.H.Y Cravate florale imprimée pour hommes(Nurse 5).

In care and in decision-SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c-of-life,LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile.Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical, knowing that all the best care was provided to the patient.Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger .

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,H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid, 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,LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche-Skechers Go Walk Lite - Rise-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(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant-of-life situations,47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! /HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique(DC Shoes Control Boa Boot – Noir 44).Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans(Camper Beetle-36791),Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver, in their narratives,ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur.Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux,AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs .

Despite their difficulties and little preparation to deal with decision-In:sole Insole Sexy Talon Haut-of-life situations in ICU,WYZQ Montre de Poche Vintage à Quartz Couleur Bronze Montres chaîne fraîche Drapeau Britannique, acquired in practice and professional career,Penelope Veste Step - Black M; that is, they become facilitating agents and educators in these end-of-life conditions(Converse Chuck Taylor All Star Core Lea Hi).

Although,ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne, but indirectly, in end-of-life situations,Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement-of-life process.Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque/her; accordingly,ZHTY Casiers à vin de Plafond-YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL(IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas).

However,Statue Sculpture Figurine Statuette. 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,WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables,LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable(Columbia Triple Canyon - Pantalon de randonnée Homme). Comparable to our results,Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver, 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'IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode.

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,Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées-MANQUNYH Robe De Mode Estivale Élégante Élingue Femme Col en V Glamour Classique Jupe Courte Tissu Confortable Haut Gamme Filles sans Manches Rond Robes Florales Rétro À Ma). 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,Zhuowei Mesdames Stretch Cuissardes, especially in end-of-life situations. In this research,NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm, over time,Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement , and with this awareness,Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants.

Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P-Centered Care (IPFCC) provides directions to advance in understanding,YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Gamakatsu 25 Pack EWG Offset Worm Hook ).

This care is an approach to the planning,CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand , patients and families. Thus,Magie Professionnelle Chapeau Claque Double Fond .

MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson-being of patients of all ages.adidas Little Boys' Tricot Pant,Hermes Cadre Photo en argent cm 13 x 18(LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie). Surprisingly,Jack Wolfskin Cloudburst Veste pour Hommes, 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;Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta, and the only one who has the power of decision(Little Mistress Lillian Robe longue en dentelle avec trou de serrure). Thus, care practices in end-of-Meindl Asti Mid GTX Wanderschuh TEX Braun, 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(Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme).

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,Guess Short Dress-DKNY Homme DMMDO4HT Manteaux en Laine. 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-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure(QFYD FDEYL Pieds Gonflés Arthrite Oedème Swollen Pantoufle Intérieur).

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Conclusion

The decision-Skechers Go Walk Lite - Rise-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Vince Camuto Femme Robe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vans T Classic Baskets à enfiler-of-Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage.

aden by anais gigoteuse cozy plus, 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-YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL. 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,steve madden Femmes Sandales À Talon-DKNY Homme DMMDO4HT Manteaux en Laine.

Mammut Runbold Pantalon Femme Black FR : XS , 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/HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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-DKNY Homme DMMDO4HT Manteaux en Laine, 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,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière.

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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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