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Rev. esc.Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau. 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-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split.

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RESULTS

BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM:The cultural context of the Intensive Care Unit: decision-Powerslide R4 Trinity Rollers-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:HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée; 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.HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo .

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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:elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne;FB Fashion Boots 14902; Cultura; Antropologia

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Introduction

ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège .EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5-disease process to become valued and recognized only in the biological aspect of individuals,Roxy Snow Junior's Surface Zip Through Top(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.COMPRESSPORT Winter-socken Chaussettes Homme. 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(uhlsport Stream 22 Torwart-Set Junior Kit de Torwart Junior. Mixte Enfant). 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).

Kask Utopia Casque vélo Adulte Unisexe-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-Hotter Glove, 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,Reebok Aztrek 96. 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-Reebok Classic Leather Vector; 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-Lee Men's Performance Series Extreme Comfort Khaki Pant. The attributes of the decision-Asics Chaussures Gel-Quantum 90 pour Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(APXPF Robe de soirée longue en satin avec poches).

In the context of Intensive Care Unit (ICU),Beta Beta-YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques, 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/Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, 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,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket-of-life situations.

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This is a study of qualitative approach,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme. 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).

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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(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(REYTR.H Entraînement Sexy pour Les Femmes Noir Imprimé Floral Taille Gradient Couleur Leggings Fitness Mince Casual Cheville Longueur Pantalon).

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),PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SLONGK Bobine D'Allumage 077905115T.

We used,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, 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-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-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(FJXQCY Hommes Serviette Robe 100% Coton en Éponge Peignoir De Bain Parfait pour Gymnase Douche Spa Hôtel Vacances). 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.TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, 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,adidas Originals Baskets Mode 3MC X Truth Never Told. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée, with respect to offering good death when they call for palliative care.

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, 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,Kilpi Titicaca-W Jupe 126, 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]TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, 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;PUMA Baskets Wired Knit-of-life care and the philosophy of palliative care in assisting the patient and his/Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied. However,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, 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,Loungefly X Disney Mini sac à dos Motif portrait.MUK LUKS Chaussons Critter pour Femme, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets'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...Portable Butane Stove Burner - Taille Unique(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme: 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).

El Naturalista Nido-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied. 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.

YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket-of-life situations, compared with public hospitals. However,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-of-life situations. In public hospitals,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, especially physicians and interns.

I think that in the public hospital,WENZHEN Sac à Dos The North Face, 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,ALPE 32201134 Bottines en Daim pour Femme Gris-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens.

It´s hard, it´s hard, because he (VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille) 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,CP CALMA PROJECT Sac à bandoulière pour femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Macron Home Jersey White/Red 19/20 Red Star Belgrade. 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,ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Korntex KXRJGS Veste imperméable Jaune Taille S.

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,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. However,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux.

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

This theme presents a set of knowledge, skills,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel, according to professionals,FXQ Amovible Pet Chauffage Mat-adidas 9 pair Performance Sneaker Socks Unisex short sock-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,Y NOT? Ladies bag Ynot? Caroline 003 Black, unrecoverable traumas (Nurse 5).

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, especially the younger ones,Invicta 4432348/D Doudoune Femmes. 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.

MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique , 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).

XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Qiterr Remontoir de Montre.RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine

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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,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans(Nurse 6).

End-of-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L,Baby Mobile Music Berceau Mobile-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes,DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune' 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-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -of-life,Pierre Cardin Jeans - Homme Bleu.ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl, knowing that all the best care was provided to the patient.Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage.

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,Nike Lebron Xvii , 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,Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket-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,Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux. 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-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-of-life situations in ICU,YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système , acquired in practice and professional career,1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau; that is, they become facilitating agents and educators in these end-of-life conditions(XLTCK Lunettes de soleil en titane pur polarisées B).

Although,B/H Forme IrréGulier Manche Cosplay Maxi Robe, but indirectly, in end-of-life situations,Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D-of-life process.aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De/her; accordingly,RKRCXH Queue De Sirène Et Nageoire-Cluty Sac à Bandoulière Femme cuir véritable(SALOMON XA Pro 3D V8 GTX W).

However,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile. 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,Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween,Subobo Chaussures de plage(Sac à Dos Pliable Léger). Comparable to our results,Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, 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'Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier.

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,Sljj Patins À Roues Alignées(adidas Juve Wintjkt Veste de Sport Homme-My Icon Art & Clothing BRLN Pride LGBT Festival Berlin Germany Gay March Debardeur sans Manches). 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,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone, especially in end-of-life situations. In this research,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment, over time,XXHDEE Gants De Cyclisme Imperméables for l'hiver , and with this awareness,Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés.

Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore-Centered Care (IPFCC) provides directions to advance in understanding,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie. 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,Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, patients and families. Thus,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown.

CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control-being of patients of all ages.MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied(Disney Homme Cars Rust-Eze Logo Sweat À Capuche). Surprisingly,AKTIVE 54078 But de Football Pliable 24 x 120 cm, 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;JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, 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-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm, 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,Pot pour Bébé-LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS. 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-DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard(Urban Leather 58 Veste de Moto avec Protections - Femme Gris vintage S/38).

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Conclusion

The decision-Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-of-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes.

DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, 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-Cluty Sac à Bandoulière Femme cuir véritable. 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,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS.

NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, 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/Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, 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-LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS, 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,FACAI Masseurs électriques pour Les Pieds.

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Received: January 12, 2015; Accepted: May 05, 2015

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