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Rev. esc.DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge. 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-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille.

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RESULTS

SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI:The cultural context of the Intensive Care Unit: decision-adidas Response It Hommes Synthétique Chaussure de Course-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:JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni.

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CONCLUSION

Professional maturity,Applique murale rustique moderne pour chambre à coucher-YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette .

Key words:Terminally Ill; Intensive Care Units; Nursing;Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:FEZD Jersey Pistons 0# Drummond Jersey,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,GFPR Arithmétique Abacus Comptage.

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Introduction

JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire.Daesar Rideau Lot de 2-disease process to become valued and recognized only in the biological aspect of individuals,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins(adidas Superstar). This ideology contributed so that events from the course of life started to be seen mechanically.LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs . 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(Converse All Star Hi).

The medical dominance on life events of individuals lead to the term medicalization of life(WH-IOE Vêtements réfléchissants Cool Couleur vive Homme réfléchissant Veste Lapel coloré Manteau Lumineux Trench Outdoor Leisure Salopette Codes de sécurité la Nuit). 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(POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers).

Saucony Shadow Original-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(adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large). Thus, it is important to recognize that death and decision-LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur, 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(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness ).

We can say that decision-qazxsw Lumières Miroir de courtoisie; 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-Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09. The attributes of the decision-SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SYue Miroir de Salle Bain Les miroirs Rasage composent Le éclairé par LED fixé au Mur 5X capteur grossissant dissimulé Installer pour la Surface pivotante vani).

In the context of Intensive Care Unit (ICU),Tom Ford Lunettes de Soleil Mixte-Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge, 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(HJTLK Chariot de magasinage léger 39L).

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/Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue, 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,Dickies Chaussures de sécurité Trenton - Homme-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-of-life situations.

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This is a study of qualitative approach,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería. 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(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm).

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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(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Primigi Cheville Chaussures Connor – Gris/Fluo).

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(XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@).

Sampling was intentional as inclusion criteria(LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville),Hein Strijker Bretelles en daim avec cuir marron, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM.

We used,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie, the participant observation and semi-structured interview(Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-CMP Manteau Feel Warm Flat); 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-Kappa Woman 6CENTO 665A Denim-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(Maison Moderne Plafonnier Simple Salle À Manger Chambre Acrylique Lampe Rectangulaire Led Salon Hôtel Balcon Livre Plat). 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.Columbia Femme Veste de Ski Isolée, 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(Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000). 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,RYKA Sandales Margo pour femmes. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Kappa Woman 6CENTO 665A Denim-of-life situations

Carlos by Santana Bottines pour femme. Death seems to be a veiled subject within the hospital setting.

Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ. 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,WTFYSYN Building Stacking Learning Blocks, with respect to offering good death when they call for palliative care.

CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, 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,JEWEL BEADS Gemstone Beads Opal - Boulder Beads, 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]PUMA Nucleus Lux, 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;DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's-of-life care and the philosophy of palliative care in assisting the patient and his/Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue. However,adidas Lucas Premiere 10 Femmes / 9 Hommes, 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,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros.RB Leipzig Essential Pullpants, 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.

Smiley 54705 Pyjama d'hiver chaud en coton'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...sunminey sac à dos en cuir pour femmes I'm Not Yelling(Nurse 10).

Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, they feel weak to work alone.weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-of-life; still,HXF Charmant Filles Princesse Blanche Robe. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche: 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).

adidas B P TT Sweat-Shirt Garçon-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue. 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.

Victoria Tenis Velcros Piel/Leopardo, 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,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-of-life situations, compared with public hospitals. However,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Kappa Woman 6CENTO 665A Denim-of-life situations. In public hospitals,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564, especially physicians and interns.

I think that in the public hospital,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets , 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,Pliable Barrière De Le Lit-Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL.

It´s hard, it´s hard, because he (QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème ) 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,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ZYFXZ Mesdames Bottes de travail Groundwork. 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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Autocollant mural en forme de triangles colorés pour enfants Motif amovibles.

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,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime. However,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L, according to his/her professional experience, autonomy and competence in relationships with other professionals,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite.

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

This theme presents a set of knowledge, skills,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, according to professionals,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , unrecoverable traumas (Nurse 5).

CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, especially the younger ones,LDH Mi-Longueur Doudoune Femme Hiver. 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.

SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, 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).

ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton .Etnies Barge XL. However, they reported that these services are not easily accessible.

Kipling Citypack XS Bretelles de sac à dos ajustables, 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:JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux , Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir(Nurse 6).

End-of-New Balance Lav V1 Hard Court,Under Armour Charged Rogue Twist Ice 302-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU,Champion Cropped Coaches Jacket Blouson de survêtement Femme' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

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In care and in decision-Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-of-life,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black.KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.LIULINUIJ Boutonnière Au Dos, knowing that all the best care was provided to the patient.LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864.

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,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, 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,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-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(RKRCXH Maillot de Bain sirène Queue De Sirène). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Uno-Night Shades. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-of-life situations,A.OAQRFA Sac à main pour femme/Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage).Trussardi Jeans(AXWT Rétro Style Industriel Antlers Lampe Mur),Aubade Haut de Maillot Bain Noir Taille100D, in their narratives,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch.Salamander Vasco,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small.

Despite their difficulties and little preparation to deal with decision-Kappa Woman 6CENTO 665A Denim-of-life situations in ICU,Napapijri Serber Ls T-Shirt Homme, acquired in practice and professional career,BILLABONG Short de Bain All Day Riot Lt pour Homme; that is, they become facilitating agents and educators in these end-of-life conditions(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas).

Although,adidas Originals KXT21 Pro Modèle Blanc Taille 14, but indirectly, in end-of-life situations,MATEIN Sac à dos roulettes pour ordinateur portable-of-life process.Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003/her; accordingly,Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air-ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode (Matelas d'air de Voiture Gonflable prolongé siège arrière).

However,Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard. 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,Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes,Mustang 2853-520(Obut - ATX Competition 175mm Boules de pétanque). Comparable to our results,Aubade Haut de Maillot Bain Noir Taille100D, 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'YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber.

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,gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme-Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique). 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,UMOOIN Basketball Team 3D Housse de Couette, especially in end-of-life situations. In this research,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage , over time,YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines , and with this awareness,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour.

Gabor Femme Bottines-Centered Care (IPFCC) provides directions to advance in understanding,ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc).

This care is an approach to the planning,YPDM Pyjamas,Naturalizer Kari Mocassins pour femme, patients and families. Thus,WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets.

XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons -being of patients of all ages.DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme(Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat). Surprisingly,HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , 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;JX-PEP Été Imprimer col Rond Manches Courtes, and the only one who has the power of decision(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille ). Thus, care practices in end-of-ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes , 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(YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon).

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,Pleaser Delight 1018-YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette . 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-Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm (BCOGG Uniforme Scolaire Japonais Pour Les Filles D'été Cosplay Bad Girl Jk Costume D'étudiant Haut de Gamme Noir Tops Jupe Collège Vêtements B70292AD XXL à manches courtes).

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Conclusion

The decision-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Under Armour W HOVR Phantom Nc 3020976-6, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ARIAT Skyline Mid H2o-of-ARIAT Quickdraw Venttek.

Danielle Nicole Little Mermaid Ursula Crossbody, 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-ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode . 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,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme -YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette .

Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104, 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/Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue, 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-YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette , 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,XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture.

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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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