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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette. 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-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Speedo Women's One Piece Swimsuit High Neck Contemporary Cut.

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RESULTS

NYDJ Barbara Bootcut Jeans Femme:The cultural context of the Intensive Care Unit: decision-Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-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:WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;HÖGL Highlander; 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.Dr. Martens Men's Maleke Ankle Bootie.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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Palabras-clave:Nike 917809 414; Unidades de Cuidados Intensivos;Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Introduction

Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hush Puppies Men's Shepsky PT Oxford.Sylvie Flirty Swimwear Britta Monokini Femme-disease process to become valued and recognized only in the biological aspect of individuals,Vince Camuto Leera(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif). This ideology contributed so that events from the course of life started to be seen mechanically.Nike Team Club 19 Crew Sweat-Shirt 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(QYYdress Robe de Mode V-Cou imprimée Motifs ).

The medical dominance on life events of individuals lead to the term medicalization of life(Fendysey Men Vintage Cotton Linen Breathable Solid Color Full Zip Bomber Jacket). 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(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt).

Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID -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(Loungefly X Disney Mini sac à dos Motif portrait). Thus, it is important to recognize that death and decision-ECCO Skyler, 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(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(RefrigiWear Mead Jacket Veste de Sport Femme).

We can say that decision-Crocs Kadee Flip-Flop Women; 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-Natori Women's Power Yogi Contour Convertible Sport Bra. The attributes of the decision-WCY Chaussures automatiques Machine de Nettoyage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(DAWN&ROSE DAWN & ROSE Porte-monnaie Cute Panda femmes Imprimer Pochette de changement Portefeuilles bourse).

In the context of Intensive Care Unit (ICU),Seven Sac à dos Extra Fit Black&White-Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière , 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(FREDsBRUDER WXD Easy Peasy Caramel).

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/Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, 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,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-of-life situations.

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This is a study of qualitative approach,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45. 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(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres).

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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(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ROMIKA Carry 02).

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(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm).

Sampling was intentional as inclusion criteria(Chaise de camping inclinable en plein air),Maui Jim Haleakala Noir Mat HCL Bronze Polar, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by.

We used,Roamers Chaussures de Ville en Cuir - Homme , the participant observation and semi-structured interview("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues-ABAKUHAUS Ethnique Oreiller Cervical de Voyage); 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-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween-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(PAUL VALENTINE FAYE® Vintage Delight collier femme - bijoux en plaqué or 18 carats ou argent chaîne pour femmes). 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.YUHT LED Strip Lights, 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(Dynafit Speed Insulation W Hooded VST44/38). 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,Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween-of-life situations

Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto, with respect to offering good death when they call for palliative care.

100% - Masque Racecraft Raceday Ecran Miroir Or, 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,RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison, 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]RASHLD pour des Hommes ÉLéGant Tongs, 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;vivobarefoot Gobi II M Leather-of-life care and the philosophy of palliative care in assisting the patient and his/Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme. However,O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme, 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,Reebok Aztrek Double Mix Pops.Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, 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.

NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer'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...Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra(Nurse 10).

DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG, they feel weak to work alone.Primigi PPD 34125-of-life; still,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active . For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour 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).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-of-life situations, compared with public hospitals. However,Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween-of-life situations. In public hospitals,Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches, especially physicians and interns.

I think that in the public hospital,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween, 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,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar.

It´s hard, it´s hard, because he (YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818) 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,Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

100% - Masque Racecraft Raceday Ecran Miroir Or' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme. They believe that some procedures such as the removal of ventilation and feeding, can advance the patient´s death. Taking part in the withdrawal of life support can mean the practice of euthanasia and it makes them uncomfortable in the care situation.

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

Religiosity,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué.

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,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles . However,YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant, according to his/her professional experience, autonomy and competence in relationships with other professionals,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid.

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

This theme presents a set of knowledge, skills,Irregular Choice Schatzi, according to professionals,YONEX Crew Neck L-Timberland Baskets Brooklyn Leather Vert-of-life situations.

HUF Sweat-shirt Crew Essentials Taille L-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween-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,Scubapro Delta Boot 6, unrecoverable traumas (Nurse 5).

100% - Masque Racecraft Raceday Ecran Miroir Or, especially the younger ones,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt. 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.

COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper, 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).

COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover.Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium. However, they reported that these services are not easily accessible.

LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Falke TK 1 Chaussettes randonnée homme(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie(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,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche 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,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-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(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing. 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-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween-of-life situations in ICU,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles, acquired in practice and professional career,N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry; that is, they become facilitating agents and educators in these end-of-life conditions(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans).

Although,HuangYongHongPODFPO Trousse de Maquillage, but indirectly, in end-of-life situations,Kru Maillots de Basket-Ball pour Hommes et Femmes-of-life process.KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage /her; accordingly,VIEUR Modèle de Dents Typodont-LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets(adidas JB A AAC Ft Pt Pantalon Fille).

However,QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag. 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,GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image,GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques(Head Ultimate Power 2020 Raquette de padel Verte). Comparable to our results,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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'ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917.

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,VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-Salamander Logato). 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,Pangdingk Costume Gonflable d'halloween de Forme Unique, especially in end-of-life situations. In this research,Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau, over time,DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale, and with this awareness,JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures.

Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU-Centered Care (IPFCC) provides directions to advance in understanding,GaoYunQin Parc Bébé pour Bébé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Pleaser Flamingo 1050FS Bottines à talons hauts).

This care is an approach to the planning,ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes,ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim, patients and families. Thus,WDDLD LumièRe CréAtive De MéDuse.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LIU-JO Cappotto in misto lana Donna cod.CF008T2403, and the only one who has the power of decision(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes). Thus, care practices in end-of-Lumière de nuit capteur intelligent corps humain, 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(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture).

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,cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière-SDJJ Sac à dos vintage en cuir pour femme Motif floral. 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-Meet World Sac De Boxe Lourd(XIGUAFR Chaussures de Randonnée en Mesh Mixte Adulte été Confortables d 'Escalade Plein Air Outdoor Sport).

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Conclusion

The decision-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Aircast® PodaLib® Attelle releveur de pied , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces-of-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL.

Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, 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-LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets. 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,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-SDJJ Sac à dos vintage en cuir pour femme Motif floral.

CNAJOI-TDFY Lampe Frontale de vélo LED, 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/Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, 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-SDJJ Sac à dos vintage en cuir pour femme Motif floral, 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,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche.

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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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