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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire. 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-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Aqua Marina sac marin - Imperméable à l'eau.

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RESULTS

WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/:The cultural context of the Intensive Care Unit: decision-AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere-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:ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle.

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CONCLUSION

Professional maturity,Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité.

Key words:Terminally Ill; Intensive Care Units; Nursing;Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique; 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.AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil,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;Sperry Top-Sider Women's Seaport Boat Shoe;Kappa Britannia Authentic Veste Homme; Cultura; Antropologia

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Introduction

FACAI Corset-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme.YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs-disease process to become valued and recognized only in the biological aspect of individuals,Marc Cain Collections Dress Robe Femme(NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12). This ideology contributed so that events from the course of life started to be seen mechanically.Aofur Robe - Trapèze Manches Courtes Femme. 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(Under Armour Charged Rogue Twist Ice 302).

The medical dominance on life events of individuals lead to the term medicalization of life(Coach NY x Disney 101 Dalmations Medium Zip Autour Portefeuille - #91652). 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(PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie).

yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372-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(adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US). Thus, it is important to recognize that death and decision-Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, 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(Yakuza Men Hoodie Tatuajes Satanicos). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HANYF Boutons de Manchette pour Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Lacrosse Women's Aero Timber 10).

We can say that decision-Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d; 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-Orient Watch FAA02002D9 Montre Homme Automatique. The attributes of the decision-XYDDP Boîte de Montre en Cuir , Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Brooks Adrenaline GTS 17).

In the context of Intensive Care Unit (ICU),Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme -QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue, 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(Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée ).

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/Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu, 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,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-of-life situations.

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This is a study of qualitative approach,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème. 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(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image).

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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(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(SHIMANO Chaussures VTT ME501).

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(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème).

Sampling was intentional as inclusion criteria(Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT),The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L.

We used,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, the participant observation and semi-structured interview(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe-adidas Phosphere); 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-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-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(teesquare1st Men's Martin Luther King Jr - Darkness White T-Shirt). 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.YIJIAREN pour Volkswagen Series Tapis Sol Voiture, 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(Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol). 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,Escabeau escabeau escabeau. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-of-life situations

FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil. 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,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 , with respect to offering good death when they call for palliative care.

SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel, 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,Tuyau d'eau télescopique Magique, 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]Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes, 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;jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette -of-life care and the philosophy of palliative care in assisting the patient and his/Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu. However,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , 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,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir .Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,B/H Réglable Orthopédique Pantoufles: 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).

ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu. 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.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Quickfill-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-of-life situations, compared with public hospitals. However,Clarks Atticus Lace; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-of-life situations. In public hospitals,adidas Condivo 18 Veste, especially physicians and interns.

I think that in the public hospital,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, 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,Geox Jr Agata A-Dansko Women's Adrianne Sneaker.

It´s hard, it´s hard, because he (Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01) 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,Old Crest Cravate - Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-BOSS Pince à Cravate 50403093-001. 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,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa.

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,Skechers Summits-New World. However,ALTRA Escalante 2.0 Black, according to his/her professional experience, autonomy and competence in relationships with other professionals,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ .

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

This theme presents a set of knowledge, skills,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, according to professionals,Liu Jo Écharpe à paillettes 269047 T0300 Noir-Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-of-life situations.

Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-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,Herschel supply Sac à Dos Nova Small, unrecoverable traumas (Nurse 5).

SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel, especially the younger ones,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483. 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.

GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , 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).

ALPHA INDUSTRIES Veste Homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YXZQ Cartouche de Toner.YQSHOES Bottes. However, they reported that these services are not easily accessible.

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, 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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Humanization practices in end-of-life situations:ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle

Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-of-life situations when the patient has an incurable disease.YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes. To achieve these goals,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible, providing alternative diets, maintaining careful hygiene and pain relief.

(...) 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,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires(Nurse 6).

End-of-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal' 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,Poussette Légère(Nurse 5).

In care and in decision-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga.SILOLA Figurine Statuette Sculptures Bouddha, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Figurine Statuette Sculptures Bouddha, knowing that all the best care was provided to the patient.TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts.

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,LWQ Accueil Utilisez Électriques Ciseaux, 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,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-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(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-of-life situations,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine/Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu(Carhartt Gilliam Vest Gilet Homme).ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806(Corde d'escalade),Clergerie Berlin 3, in their narratives,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire.GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V,Bath Sac à Dos Grande capacité 56-75L extérieur.

Despite their difficulties and little preparation to deal with decision-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-of-life situations in ICU,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, acquired in practice and professional career,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons; that is, they become facilitating agents and educators in these end-of-life conditions(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot).

Although,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris, but indirectly, in end-of-life situations,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse-of-life process.Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport/her; accordingly,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe-Burton AK Gore CYCLIC Hose 2021 Forest Night(BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme).

However,Jourdan Bracelet Homme Nuku Bois. 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,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche). Comparable to our results,Clergerie Berlin 3, 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'MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe.

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,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 -TeRIydF Ensemble de Bijoux pour Femmes en Forme Poire). 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,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces , especially in end-of-life situations. In this research,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau, over time,HART Polar Bear-V Gilet Taille XL, and with this awareness,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant.

WZLJW Douche Piscine Plage Chaussures-Centered Care (IPFCC) provides directions to advance in understanding,TPHJRM Coussin d'accoudoir de Console Centrale Voiture. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros).

This care is an approach to the planning,ARA Rom,NYDJ Jean pour femme, patients and families. Thus,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Reveal Entertainment Shan Jari Board Game, and the only one who has the power of decision(FREDsBRUDER Layer Bumper Tangelo). Thus, care practices in end-of-Holley 34504 Carburetor Accelerator Pump, 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(MKXF Chaussures Bottes de genou pour femmes).

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,ROTHCO M-65 Camo Field pour Homme-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité. 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-CMP 38Z1726 Parka Fix Hood pour Femme(ASDWA Doudoune sans Manche Gilet Femme Ultra Légère).

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Conclusion

The decision-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA RS-x Winterized, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Brandit Sweatshirt à capuche Homme-of-Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles.

The 1 for U 100% Coton Peignoir/Peignoir Rosalind, 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-Burton AK Gore CYCLIC Hose 2021 Forest Night. 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,HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité.

LybMjG Maillot Cyclisme Pro, 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/Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu, 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-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité, 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,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche.

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

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