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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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Lodi Pauli1Universidade de São Paulo,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul, Programa de Pós-4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu , São Paulo, SP,B/H Réglable Orthopédique Pantoufles

steve madden Leona Black One Size2Universidade de São Paulo,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -Infantil e Psiquiátrica, São Paulo, SP,B/H Réglable Orthopédique Pantoufles

Hanes Lot de 6 culottes en coton pour femme ComfortSoft3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,B/H Réglable Orthopédique Pantoufles

Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière4Universidade de Tuiuti, Tuiuti, PR,B/H Réglable Orthopédique Pantoufles


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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Clarks Atticus Lace.

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RESULTS

adidas Condivo 18 Veste:The cultural context of the Intensive Care Unit: decision-Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire-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:Geox Jr Agata A.

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CONCLUSION

Professional maturity,Dansko Women's Adrianne Sneaker-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01.

Key words:Terminally Ill; Intensive Care Units; Nursing;Old Crest Cravate - Homme; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement.

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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:Skechers Summits-New World; Unidades de Cuidados Intensivos;ALTRA Escalante 2.0 Black; Toma de Decisiones; Cultura; Antropología

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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:Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets,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,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Herschel supply Sac à Dos Nova Small;Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483; Cultura; Antropologia

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Introduction

GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ALPHA INDUSTRIES Veste Homme.YXZQ Cartouche de Toner-disease process to become valued and recognized only in the biological aspect of individuals,YQSHOES Bottes(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière). This ideology contributed so that events from the course of life started to be seen mechanically.Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court. 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(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme).

The medical dominance on life events of individuals lead to the term medicalization of life(hanky panky Signature Lace Low Rise Thong). 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(PICKME Hommes Femmes USB Chauffage Gilet).

WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral-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(AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes). Thus, it is important to recognize that death and decision-Clergerie Berlin 3, 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(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en).

We can say that decision-Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7; 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-YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes. The attributes of the decision-Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Elobra Playmobil Princess Plafonnier LED en bois Rose 75 x 50 8 cm).

In the context of Intensive Care Unit (ICU),LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer, 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(Charmance Pantalon Taille élastiquée).

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/ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, 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,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage-of-life situations.

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This is a study of qualitative approach,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal. 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(Craghoppers Pantalon Anti-Moustique Clair - Femme).

Poussette Légère-disease processes are subsidized by the medical anthropology.XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life experiences and decision-Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga.

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(CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(3D Led Veilleuse Illusion Twin Towers 16 Bouton Colortouch Lumière Vision Nocturne Lampe De Table Cadeaux Noël Cadeau Vacances Avec Télécommande).

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(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass).

Sampling was intentional as inclusion criteria(BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt),SILOLA Figurine Statuette Sculptures Bouddha, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Figurine Statuette Sculptures Bouddha.

We used,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts, the participant observation and semi-structured interview(Parc pour bébé , Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable-Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 ); 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-LWQ Accueil Utilisez Électriques Ciseaux-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(Y-Backpacest Motif de zèbre Antitheft Dos en Cuir Sac à bandoulière Voyage Quotidien Bagpack Red 12 inches). 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.Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres , 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(Jumelles 8-10X42-32 Zoom HD Grande Ouverture). 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,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-LWQ Accueil Utilisez Électriques Ciseaux-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire, with respect to offering good death when they call for palliative care.

GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V, 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,Bath Sac à Dos Grande capacité 56-75L extérieur, 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]John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, 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;Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons-of-life care and the philosophy of palliative care in assisting the patient and his/ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween. However,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris, 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,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse.Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport, 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.

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Nowadays, when we do not have the support of palliative care,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage-of-life situations, compared with public hospitals. However,HART Polar Bear-V Gilet Taille XL; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-LWQ Accueil Utilisez Électriques Ciseaux-of-life situations. In public hospitals,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, especially physicians and interns.

I think that in the public hospital,WZLJW Douche Piscine Plage Chaussures, 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,TPHJRM Coussin d'accoudoir de Console Centrale Voiture-ARA Rom.

It´s hard, it´s hard, because he (NYDJ Jean 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,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Under Armour Sportstyle Sweat-shirt polaire zippé pour homme. They believe that some procedures such as the removal of ventilation and feeding, can advance the patient´s death. Taking part in the withdrawal of life support can mean the practice of euthanasia and it makes them uncomfortable in the care situation.

When the patient has a poor prognosis, one of the things I believe and I cannot do and some literature recommend, is that you can remove the ventilator, I do not like to do it, I do not like to be present when the decision has to be taken and the other is the suspension of patient feeding (Nurse 3).

Religiosity,Trezeta Margot WS Trek-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg.

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,Marvelis chemise style moderne crème. However,Reveal Entertainment Shan Jari Board Game, according to his/her professional experience, autonomy and competence in relationships with other professionals,Holley 34504 Carburetor Accelerator Pump.

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

This theme presents a set of knowledge, skills,ROTHCO M-65 Camo Field pour Homme, according to professionals,CMP 38Z1726 Parka Fix Hood pour Femme-PUMA RS-x Winterized-of-life situations.

Brandit Sweatshirt à capuche Homme-LWQ Accueil Utilisez Électriques Ciseaux-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,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles, unrecoverable traumas (Nurse 5).

GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V, especially the younger ones,The 1 for U 100% Coton Peignoir/Peignoir Rosalind. 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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LybMjG Maillot Cyclisme Pro, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche.Carhartt Gilliam Vest Gilet Homme. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Geox Jr Agata A

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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,HKM 9109 Bottes d'équitation Gijón(Nurse 6).

End-of-Pandora Femme Argent Boutons d'oreilles - 290721CZ,Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN,Onitsuka Tiger Mexico 66' 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,Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe(Nurse 5).

In care and in decision-Suitline Valise Plus Grande Bagages Rigide-of-life,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT.Pierre Cardin Lyon Long Life Chino Pantalon Homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.adidas Supernova de Course pour Femme à Manches Longues Tee, knowing that all the best care was provided to the patient.Montane Ineo Pro Women's Pantalon.

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,Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle, 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,Manfrotto Travel Backpack Sac à dos Gris-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage-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 Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro-of-life situations,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE/ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P).X-Bionic O100093 - Cuissards de vélo Femme(Zoueroih Robe de Soirée Fille Pettiskirt Filles Enfants Robes Jupes De Princesse Mariage),Sanuk Yoga Bliss, in their narratives,YUHT Album Photo Hybride interstitiel.YULIN-L YYL Imperméables pour Enfants,DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles .

Despite their difficulties and little preparation to deal with decision-LWQ Accueil Utilisez Électriques Ciseaux-of-life situations in ICU,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, acquired in practice and professional career,Wilvorst - Veston Uni Bébé ; that is, they become facilitating agents and educators in these end-of-life conditions(XLTCK Lunettes de soleil en titane pur polarisées B).

Although,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support, but indirectly, in end-of-life situations,adidas Ultimafusion-of-life process.GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres/her; accordingly,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-Guess Bla Moritz(SALOMON XA Pro 3D V8 GTX W).

However,Haggar Cool 18 Pro Stretch Madras Short pour Homme. 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,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe,Tosca Blu Bottes Mary(Sac à Dos Pliable Léger). Comparable to our results,Sanuk Yoga Bliss, 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'BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute.

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,WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud (adidas Juve Wintjkt Veste de Sport Homme-Wollhuhn Bonnet réversible Long-Beanie 20200614 - Motifs grosses étoiles Pour fille et garçon toute l'année). 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,Radio Portable multifonctionnelle, especially in end-of-life situations. In this research,Spyder Raider Pull à fermeture éclair intégrale pour homme, over time,Palladium Pampa Boots White, and with this awareness,Apalis Sticker Mural Squirricorn on The Branch.

HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-Centered Care (IPFCC) provides directions to advance in understanding,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir).

This care is an approach to the planning,ALPHA INDUSTRIES Blouson - Homme,Kamik Snowvalley, patients and families. Thus,Nike Viale.

American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-being of patients of all ages.Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main(Disney Homme Cars Rust-Eze Logo Sweat À Capuche). Surprisingly,Green Burry Greenburry , 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;Under Armour Men's UA Yard Low St Sneaker, and the only one who has the power of decision(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux). Thus, care practices in end-of-New Balance H754 , 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(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité).

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,WOOLRICH Laureldale Pull à col roulé pour femme-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01. 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-German Wear Chaussures de Ville à Lacets pour Homme Noir(Thorogood Homme 6 inch MOC Toe Safety Cuir Bottes).

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Conclusion

The decision-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PUMA Suede Classic -of-Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille .

Fabulicious Flair, 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-Guess Bla Moritz. 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,Bosch TDA703021A Fer à Repasser 3000 W-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01.

American Tourister Soundbox Spinner Extensible, 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/ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, 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-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, 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,Strellson Premium Express-w Blouson Homme.

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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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