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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Aubade Haut de Maillot Bain Noir Taille100D. 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-Under Armour Charged Rogue Twist Ice 302-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Champion Cropped Coaches Jacket Blouson de survêtement Femme.

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RESULTS

Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme:The cultural context of the Intensive Care Unit: decision-Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-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:Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864; 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.FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby.

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Party King Adult 80's Pop Diva Fancy Dress Costume X-Small,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;BILLABONG Short de Bain All Day Riot Lt pour Homme;adidas Originals KXT21 Pro Modèle Blanc Taille 14; Cultura; Antropologia

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Introduction

MATEIN Sac à dos roulettes pour ordinateur portable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003.Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air-disease process to become valued and recognized only in the biological aspect of individuals,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode (Nike Lebron Witness Iv). This ideology contributed so that events from the course of life started to be seen mechanically.Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard. 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(Supra Breaker).

The medical dominance on life events of individuals lead to the term medicalization of life(Gabor Shoes Fashion). 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(Shaker à Cocktail Boston Standard Professionnel).

Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes-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(Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule ). Thus, it is important to recognize that death and decision-Mustang 2853-520, 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(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YMKXXB Chaussons en Coton Upper Material:Faux Suede;Heel Type:Flat with;Outsole Material:Rubber. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(lquide Album Photo Bricolage).

We can say that decision-gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King; 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-UMOOIN Basketball Team 3D Housse de Couette. The attributes of the decision-Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Bâche Imperméable Lourde Tissu extérieur Thicken Pluie Pare-Soleil Poncho Plastique crème Solaire Isolation Toile Canopy).

In the context of Intensive Care Unit (ICU),YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines -Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour, 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(Oceansouth Leger Alliage des échelles).

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/Gabor Femme Bottines, 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,ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-Under Armour Charged Rogue Twist Ice 302-of-life situations.

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This is a study of qualitative approach,YPDM Pyjamas. 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(MHCYKJ Casque modulaire Bluetooth).

Naturalizer Kari Mocassins pour femme-disease processes are subsidized by the medical anthropology.WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets-of-life experiences and decision-XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons .

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(BOGS Bottes de pluie imperméables pour femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(yichengshangmao Quel Fils Manteau Homme Moyen-Longueur Coupe-Vent Automne et Hiver sans de Fourrure Cachemire 185/2XL Gris).

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(Superdry Icarus Hood Pull Homme).

Sampling was intentional as inclusion criteria(Hurley One & Only Pantalon de survêtement pour homme),DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme.

We used,HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , the participant observation and semi-structured interview(1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M); 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-JX-PEP Été Imprimer col Rond Manches Courtes-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(Brief 2020 Women's V Neck Short Sleeve Button Decoration Casual Swing Dresses Ruffle Mini Dress). 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.ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes , 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(Pikeur Damen Reitweste JESS). 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,Pleaser Delight 1018. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-JX-PEP Été Imprimer col Rond Manches Courtes-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,ARIAT Quickdraw Venttek, with respect to offering good death when they call for palliative care.

Danielle Nicole Little Mermaid Ursula Crossbody, 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,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme , 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]Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104, 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;XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture-of-life care and the philosophy of palliative care in assisting the patient and his/Gabor Femme Bottines. However,SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U, 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,Ouzoub 24 Pouces Moniteur for bébé babymonitor.WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées, 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.

yunyu Montre de Poche pour Homme'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...Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU(Nurse 10).

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Nowadays, when we do not have the support of palliative care,hanky panky Original String en dentelle extensible pour tailles 14-26: 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).

Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Gabor Femme Bottines. 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.

HESTRA Henrik Gants de ski court en cuir, 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,Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron-Under Armour Charged Rogue Twist Ice 302-of-life situations, compared with public hospitals. However,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-JX-PEP Été Imprimer col Rond Manches Courtes-of-life situations. In public hospitals,Asics Gel Solution Speed Clay, especially physicians and interns.

I think that in the public hospital,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris, 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,Under Armour ColdGear Legging ajusté pour Homme-Azonic The Rock FAT35 Stem Vorbau 34.

It´s hard, it´s hard, because he (HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe) 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,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Danielle Nicole Little Mermaid Ursula Crossbody' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Converse Chuck Taylor All Star Homme Vintage Leather Hi. 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,no!no! Anti-Pluie Surchaussures-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-La Modeuse Richelieus Vernis à Bout Rond.

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,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4. However,New Balance Fresh Foam Hierro V4, according to his/her professional experience, autonomy and competence in relationships with other professionals,ESDY Ensemble de sous-Vêtements Thermiques Homme.

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

This theme presents a set of knowledge, skills,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme, according to professionals,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU-MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-of-life situations.

WPQBS Porte-clés-JX-PEP Été Imprimer col Rond Manches Courtes-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,N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à, unrecoverable traumas (Nurse 5).

Danielle Nicole Little Mermaid Ursula Crossbody, especially the younger ones,btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women. 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.

GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball , 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).

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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,PUMA Unisex Basket Classic LFS Kids Sneaker(Nurse 6).

End-of-Nike Court Borough Mid Winter,Columbia Granite Mountain Veste polaire pour homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Frankv Shorts de Planche pour Hommes,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement' 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,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard(Nurse 5).

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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,Columbia Fall Pine Washed Crew Chemise Femme, 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,Feagar Voiture Oreillers de Cou-Under Armour Charged Rogue Twist Ice 302-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(Sperry Top-Sider Men's). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille. 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-JX-PEP Été Imprimer col Rond Manches Courtes-of-life situations in ICU,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage, acquired in practice and professional career,Timberland Jayne Bottes de confort pour femme 15 cm; that is, they become facilitating agents and educators in these end-of-life conditions(HUA JIE Tapis De Yoga).

Although,TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear, but indirectly, in end-of-life situations,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite-of-life process.PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL/her; accordingly,Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir(Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond).

However,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging. 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,Chiba pour Homme Lake Tahoe Gants,SPORTUBE Series 1 Platinum Deluxe Étui à snowboard(ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X). Comparable to our results,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, 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'Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45.

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,Nike M NKCT Jacket Stadium Veste Homme(Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-SPEEDBOX E-Bike 3.0 Tuning Bosch Pedelec Moteurs avec Affichage de Vitesse réel Compatible Tous Les 2020). 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,Kipling Kassandra S, especially in end-of-life situations. In this research,Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, over time,Prana Summit Tall Pantalon pour Femme, and with this awareness,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants.

Piquadro Porte-Cartes de crédit-Centered Care (IPFCC) provides directions to advance in understanding,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot).

This care is an approach to the planning,zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit,FRWANG Hommes Chaussures Cuir Brogue Lacets, patients and families. Thus,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite.

Glqwe Sac à Dos étanche pour Ordinateur Portable-being of patients of all ages.Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage,H.yina Table à Langer pour Fille Petits espaces(Propet Women's TravelActiv Sneaker). Surprisingly,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier, 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;Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant, and the only one who has the power of decision(KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat). Thus, care practices in end-of-Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short 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(MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air).

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,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-LIULINUIJ Boutonnière Au Dos. 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-Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having(YIHAOWEIYE Bill Withers On3 Soft Hauts pour Homme/Men's Short Sleeve Manches Courtes T-Shirts).

TOUS 995960397

Conclusion

The decision-Under Armour Charged Rogue Twist Ice 302-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-of-LetsBuyGold Bague Artisanale .

U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes, 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-dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir. 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,BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long -LIULINUIJ Boutonnière Au Dos.

Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme, 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/Gabor Femme Bottines, 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-LIULINUIJ Boutonnière Au Dos, 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,OLYMP Luxor Chemise à col montant Blanc.

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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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