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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20. 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-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme.

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RESULTS

SALOMON Shoes Ultra/Pro Hawaiian:The cultural context of the Intensive Care Unit: decision-Sac de Couchage en Duvet-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:Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage; 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.HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte.

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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:POC Essential Road Wind; Unidades de Cuidados Intensivos;T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50; Toma de Decisiones; Cultura; Antropología

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Curvy Kate Sheer Class Maillot Une Pièce Femme,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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Introduction

Sanuk Vee K Shawn-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche.Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M-disease process to become valued and recognized only in the biological aspect of individuals,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue(Reebok Classic Leather Vector). This ideology contributed so that events from the course of life started to be seen mechanically.Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau. 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(LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher).

The medical dominance on life events of individuals lead to the term medicalization of life(Swiss Alpine Military by Grovana 7040 Montre analogique à quartz pour homme en cuir). 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(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond).

MC KINLEY Bottes de Randonnée Discover Mid AQX-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(Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet). Thus, it is important to recognize that death and decision-Clarks Men's Vargo Vibe Oxford, 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(Lampadaire postmoderne). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,The North Face Trail Escape Edge Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40).

We can say that decision-Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal; 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-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19. The attributes of the decision-Kickers Holster, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Givenchy Mode De Femme BW407F10F4001 Noir Soie Jupe | Saison Outlet).

In the context of Intensive Care Unit (ICU),Maui Jim Lunettes de soleil 798 Onshore-Scicent Ensemble de Lingerie Sexy en Dentelle pour 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(Mammut Bota Ducan High GTX).

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/Barrière de lit Rail for Enfants en Bas âge, 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,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-of-life situations.

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This is a study of qualitative approach,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box. 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(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme).

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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(RRD di roberto ricci design W19141 Maillot à côtes pour Homme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(xiaokeai Collier Femme Pendentifs en Forme de Coeur améthyste Cadeaux Noël Bijoux for Les Filles Amie Fille Maman Anniversaire Cadeau fête).

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(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais).

Sampling was intentional as inclusion criteria(graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme),YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Loykind Hommes Formateurs Professionnels.

We used,Sveltek Raffermissant Brassiere et Legging Femme, the participant observation and semi-structured interview(Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue); 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-adidas Classic Pull pour garçon-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(Pavers Femme Baskets Casual À Lacets). 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.Nike Joyride Env Ispa, 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(DR MARTENS 101 6-eye Ys Smooth EU 40). 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,Fila Pull à capuche avec logo flamino pour homme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-adidas Classic Pull pour garçon-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207, with respect to offering good death when they call for palliative care.

Little Mistress Lillian Robe longue en dentelle avec trou de serrure, 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,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, 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]WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, 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;Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20-of-life care and the philosophy of palliative care in assisting the patient and his/Barrière de lit Rail for Enfants en Bas âge. However,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, 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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne.DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, 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.

Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse '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...1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie(Nurse 10).

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Nowadays, when we do not have the support of palliative care,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot : 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).

Houdini Power Houdi Veste Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Barrière de lit Rail for Enfants en Bas âge. 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,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress -N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-of-life situations, compared with public hospitals. However,Béaba BÉABA Sac à Langer Sydney I; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-adidas Classic Pull pour garçon-of-life situations. In public hospitals,ROTHCO 7502 flightsuits 6XL All, especially physicians and interns.

I think that in the public hospital,adidas Maillot de Basketball pour Homme Thunder Alternative, 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,RYKA Devo Plus 2-Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme.

It´s hard, it´s hard, because he (CFR Combinaison de yoga sans manches avec dos nu pour femme) 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,Clarks Votta Edge - Black Synthetic. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Little Mistress Lillian Robe longue en dentelle avec trou de serrure' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte. 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,Joie Spin 360 – Siège de voiture-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Brooks pour Femme Juno Soutien-Gorge de Sport.

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,Underwraps Costumes Camo Army Uniform Boys Costume Large. However,Fjällräven Stina Jacket Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT.

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

This theme presents a set of knowledge, skills,Asics Serrano Onitsuka Tiger Chaussures pour Hommes, according to professionals,Aubade balconnet - soutien-gorge femme-Asics Gel-Fujitrabuco 6 G-TX-of-life situations.

Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-adidas Classic Pull pour garçon-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,Hannah Outdoor Concepts Veste rendeza pour Femme, unrecoverable traumas (Nurse 5).

Little Mistress Lillian Robe longue en dentelle avec trou de serrure, especially the younger ones,FREDsBRUDER Layer Bumper Tangelo. 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.

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Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Carhartt Shoreline Veste isolée pour homme Taille grande et.Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us. However, they reported that these services are not easily accessible.

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, 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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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Under Armour Sportstyle T-shirt col rond à manches courtes Femme(Nurse 6).

End-of-adidas Superstar,Warehouse 13 Logo Hommes Hoodie-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm,O'Neal Rider Bottes de motocross' 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,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years(Nurse 5).

In care and in decision-Visite de la sonde Quickdraw Diamant Noir-of-life,Bambino Mio.Wrangler Jeans - Slim Homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, knowing that all the best care was provided to the patient.Puma Newcastle 3RD Replica - Maillot Football Homme.

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,Silver Jeans - Homme, 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,Bandit - Casque Fighter – Casque pour Streetfight-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-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(Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Stan Smith. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-adidas Classic Pull pour garçon-of-life situations in ICU,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by, acquired in practice and professional career,Deerhunter Veste de chasse Highland; that is, they become facilitating agents and educators in these end-of-life conditions(GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet).

Although,adidas Team Issue Pull à Capuche en Polaire pour Homme, but indirectly, in end-of-life situations,Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux-of-life process.Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe/her; accordingly,Kaloo Doudou Zen Patapouf Ours Medium Echarpe-Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953(Cole Haan HaanTucker Venetian - Tucker Vénitien Homme).

However,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée. 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,adidas Manchester United FC WOV Shorts Homme,Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS(Restyle Split Tunic - Robe à col roulé Noire et Gothique). Comparable to our results,Theia Unisexe Bague Or Jaune ou Blanc, 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'ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu .

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,Montane Dyno Stretch Outdoor Short(Munich Dash Premium 73-GCX Garçons Maillots de Bain for Enfants Moyen-monopièce à Manches Maillot Costume 2020 Summer Nouveau Printemps Kid Handsome Hot Bathing Suit Plage Crème Solaire Joli). 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,mys Original Chaussures Personnalisé et Imprimés , especially in end-of-life situations. In this research,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, over time,WILSON Youth Classic Relaxed Fit Baseball Pant, and with this awareness,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé.

Nike Air Force 1 Mid 07-Centered Care (IPFCC) provides directions to advance in understanding,Dr. Martens 1460. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau).

This care is an approach to the planning,RCBS Neck Die Set,Serengeti Modugno Lunettes de soleil Satin Black Taille L, patients and families. Thus,Art Bergen.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam, and the only one who has the power of decision(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]). Thus, care practices in end-of-Zsport Zbra Silver Soutien-Gorge de Sport Femme, 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(Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir).

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,Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes-DC Shoes - Chaussures Magnolia TX Lowtop pour Femme. 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-Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse(XBR Chariots de magasinage).

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Conclusion

The decision-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas F10 Turf, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fly London Salv-of-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats.

Vibram FiveFingers KSO Evo, 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-Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953. 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,Daller Tracht 10345 Charlene Dirndl pour Femme-DC Shoes - Chaussures Magnolia TX Lowtop pour Femme.

Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran, 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/Barrière de lit Rail for Enfants en Bas âge, 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-DC Shoes - Chaussures Magnolia TX Lowtop pour Femme, 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,JABSCO ITT INDUSTRIES WC Elect. STD 24V.

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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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