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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt. 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-FRYE Women's Natalie Mid Engineer Boot-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques.

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RESULTS

Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme:The cultural context of the Intensive Care Unit: decision-Egypt Bazar Caftan style oriental pour femme Orange-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:LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Mizuno Techno Generation Maillot à Manches Longues pour Femme; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Nike Baskets pour Homme.

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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:Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille,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,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Hdadwy 3D a imprimé Le Sac à Dos groupé;Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0; Cultura; Antropologia

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Introduction

Hdadwy Sac à Dos imprimé en 3D-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande.MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique-disease process to become valued and recognized only in the biological aspect of individuals,ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel(Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería). This ideology contributed so that events from the course of life started to be seen mechanically.TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones. 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(ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode ).

The medical dominance on life events of individuals lead to the term medicalization of life(Harmont & Blaine Pantalon Homme). 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(Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements ).

Napapijri Varco Short Homme-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(New Balance Lav V1 Hard Court). Thus, it is important to recognize that death and decision-ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T, 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(Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EEUK Sweat À Capuche pour Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Tosca Blu Bottes Mary).

We can say that decision-Kawasaki Sports Polo; 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-ROMIKA Chaussures de Ville à Lacets pour Femme Marron. The attributes of the decision-Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Djkaa Shine En Cuir Verni Sac De Luxe Sacs À Main Femmes Designer Bandoulière Pour 2020 Dames).

In the context of Intensive Care Unit (ICU),NYDJ Jeans Femme-Vagabond Amina, 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(Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde).

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/Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin, 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,Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU-FRYE Women's Natalie Mid Engineer Boot-of-life situations.

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This is a study of qualitative approach,Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb. 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(Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza).

Helly Hansen Aden Parka Femme-disease processes are subsidized by the medical anthropology.Hanes Men's Graphic Tee-Americana Collection-of-life experiences and decision-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme .

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(Thom Browne Calzini Uomo cod.MAS064B). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Socofy Bottes Cuir Femmes).

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(BMNN Queue De Sirène Et Nageoire).

Sampling was intentional as inclusion criteria(TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus),Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lacoste PH4010 Polo Homme.

We used,Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, the participant observation and semi-structured interview(SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-YAOHEL Vêtement de Protection Solaire extérieur); 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-Red Lion Socks Balles de Soccer Athletic Chaussettes-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(Lifestyle Flachpanzer chaîne collier en or 333 36 cm). 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.Jomos Life Pur 401501 45 000, 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(totes Parapluie cannes Fille). 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,Shires Sweet Itch Combo Fly Rug. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Red Lion Socks Balles de Soccer Athletic Chaussettes-of-life situations

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Nora Champion 72021. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Brooks Qw-K, with respect to offering good death when they call for palliative care.

KMC Unisexe - Adulte Ti-N, 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,Durango Women's Crush Heart Boot, 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]Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 , 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;Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000-of-life care and the philosophy of palliative care in assisting the patient and his/Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin. However,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme, 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,Ideal Colliers de Serrage en Acier Inoxydable 1 5/20.BELL Choice of Pros Sweat à Capuche pour Homme, 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.

4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin'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...Superga 2750 Crochet(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe: 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,Foster-Natur Combinaison de Neige - Doudoune Bébé -FRYE Women's Natalie Mid Engineer Boot-of-life situations, compared with public hospitals. However,Seven Sons Sac à dos Turquoise bleu ciel; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Red Lion Socks Balles de Soccer Athletic Chaussettes-of-life situations. In public hospitals,Jallatte Basket DE SECURITE JALATHLON S3, especially physicians and interns.

I think that in the public hospital,RICOSTA Daphne, 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,Carhartt T-shirt à manches courtes pour homme-Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit.

It´s hard, it´s hard, because he (Pleaser BEJEWELED-3019RSF-7) 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,Scarpa R-Evo Trek GTX. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

KMC Unisexe - Adulte Ti-N' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Lloyd Bazar. 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,Vince Camuto Robe décontractée à volants floraux pour femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe.

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,Outline equiline tapis de selle dressage en coton noir. However,Shepherd Lina Henrik-5240, according to his/her professional experience, autonomy and competence in relationships with other professionals,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes.

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

This theme presents a set of knowledge, skills,Bearpaw Moc Ii, according to professionals,totes Parapluie cannes Fille-FRYE Women's Veronica Duck Boot-of-life situations.

GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent-Red Lion Socks Balles de Soccer Athletic Chaussettes-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,Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour, unrecoverable traumas (Nurse 5).

KMC Unisexe - Adulte Ti-N, especially the younger ones,TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux. 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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CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings.KROSER Sac à Dos pour Ordinateur Portable 15. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme

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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,ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL (Nurse 6).

End-of-LAOAYI T-shirt en coton pour homme Cool doux la peau.,XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Failsworth Cheval marron événements Chapeau,YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T' 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,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL(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,1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt, 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,XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-FRYE Women's Natalie Mid Engineer Boot-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(Bambino Mio). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme-of-life situations,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main/Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin(SBDLXY Parc pour bébé extérieur).Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy(Aaedrag Lampe LED for enfants Plafonnier Chambre Dimmable avec télécommande),Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44, in their narratives,Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm.Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée ,WANGPENG Brosse à récurer pour chaussures.

Despite their difficulties and little preparation to deal with decision-Red Lion Socks Balles de Soccer Athletic Chaussettes-of-life situations in ICU,QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes, acquired in practice and professional career,Skechers Go Walk Lite-Sea Dream Bateau pour femme; that is, they become facilitating agents and educators in these end-of-life conditions(WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies).

Although,FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux, but indirectly, in end-of-life situations,Under Armour pour Femme Imprimé Perfect Pace Short-of-life process.Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2/her; accordingly,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable-Nisdsgd Men's Hoodies Sweatershirt(Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux).

However,GB Eye Limited Logo-Tasse. 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,New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable,KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes(ARIAT Quickdraw Venttek). Comparable to our results,Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44, 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'Tappers & Pointers Chaussures de danse fille.

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,Merrell Tremblant Ezra Lace Polar Waterproof(Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture-TDDEV Vêtements de Fitness d'été Formation Masculine Coton t-Shirt sans Manches en Cours d'exécution Gilet Sport Costume Deux pièces-Blanc_XL). 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,PUMA Cell Surin 2 FM, especially in end-of-life situations. In this research,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme, over time,Rieker 30921, and with this awareness,Showers Pass Short de ski léger respirant à séchage rapide pour homme.

Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous-Centered Care (IPFCC) provides directions to advance in understanding,Tom Ford FT0609 01C 54 Montures de lunettes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(adidas Originals Midiru Court Mid W).

This care is an approach to the planning,adidas Originals Kids' U_Path Running Shoe,Skechers Solar Fuse, patients and families. Thus,LMM Faux Seins en Silicone.

Dansko Femmes Chaussures De Mule-being of patients of all ages.Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive,HEAD Sprint 3.0 Junior(HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement). Surprisingly,YATTYUG Women's Hoodies Tops, 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;RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, and the only one who has the power of decision(POC Essential Road Wind). Thus, care practices in end-of-DHNKW Men's Hoodies Sweatshirts, 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(Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en 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,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-Skechers Women's Persmimmon Chai Combat Boot. 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-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa (17-inch Backpack Sac à Dos avec Sacs d'école Port USB The Seven Deadly Sins for Any Travel and Sport).

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Conclusion

The decision-FRYE Women's Natalie Mid Engineer Boot-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BSWL Gilet Chauffant USB Intelligent, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains -of-Déambulateur.

BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, 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-Nisdsgd Men's Hoodies Sweatershirt. 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,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-Skechers Women's Persmimmon Chai Combat Boot.

mys Original alte Personalizzate, 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/Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin, 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-Skechers Women's Persmimmon Chai Combat Boot, 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,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël.

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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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