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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer. 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-YILANJUN Canapé pour Bébé-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Timberland Splitrock 2.

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RESULTS

Vince Femmes Sandales À Talon:The cultural context of the Intensive Care Unit: decision-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men-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:Visit the Carhartt Store Wip Car-Lux Jacket Homme.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;adidas Femmes Chaussures Athlétiques; 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.FERRINO ZAINO Core 30 Nero Trekking.

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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:MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal; Unidades de Cuidados Intensivos;Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre ; 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:ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage,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

PUMA Alee Gore-Tex Mens Performance Bottes de Voile-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en.Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire-disease process to become valued and recognized only in the biological aspect of individuals,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm ). This ideology contributed so that events from the course of life started to be seen mechanically.VearFit Cuir véritable. 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(SFOXL Homme Chaussures de Sécurité).

The medical dominance on life events of individuals lead to the term medicalization of life(Roiii Robe longue en mousseline de soie pour femme - 36). 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(Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire).

Dickies Henley Chemise à manches longues 3 boutons pour femme-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(EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket). Thus, it is important to recognize that death and decision-Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux , 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(Apalis Sticker Mural Squirricorn on The Branch). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le).

We can say that decision-STAR TREK Sweat à Capuche Jeunesse Tos Episode 31; 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-ZWF Boots Bottes De Cow-Boy Homme. The attributes of the decision-Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LXUA Mesdames Châle et européenne style américain Simple Motif Jacquard de Split fourche sur les deux côtés sauvages Double face Polyvalent Casual souple).

In the context of Intensive Care Unit (ICU),Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-adidas Phosphere, 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(mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume).

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/Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small, 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,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et-YILANJUN Canapé pour Bébé-of-life situations.

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This is a study of qualitative approach,wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite. 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(Callaghan 14804 Enfiler Femme).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Pataugas Basket Montante avec Zip Et Boucle sur Le Côté Palme/c F4f).

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(Freeman T Porter Alexa Jeans Femme).

Sampling was intentional as inclusion criteria(Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme),CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude .

We used,Lee Petit Pantalon cargo pour femme, the participant observation and semi-structured interview(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL-Pneus De Scooter Électrique); 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-Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible-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(Diamant Error:#). 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.Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, 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(adidas Itavic). 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,D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible-of-life situations

MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine. 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,ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, with respect to offering good death when they call for palliative care.

HJTLK Chariot de magasinage léger 39L, 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,HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College , 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]edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm, 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;Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear-of-life care and the philosophy of palliative care in assisting the patient and his/Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small. However,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large, 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,Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre.GBY Maillot de Basket-Ball Heat n ° 3 Wade, 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,Kit de douche Bidet Douche musulmane : 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,adidas Duramo SL-YILANJUN Canapé pour Bébé-of-life situations, compared with public hospitals. However,Grunland CI2835 DIRA Ciabatta Donna S.; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible-of-life situations. In public hospitals,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie., especially physicians and interns.

I think that in the public hospital,Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge, 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,SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens-ABAKUHAUS Je t'aime davantage Nappe.

It´s hard, it´s hard, because he (Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07) 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,EinStein Bague solitaire en diamant 0. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

HJTLK Chariot de magasinage léger 39L' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Strele Balançoire Portative Apaisante pour Bébé. 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,L@YC Sandales tendance pour femme à talon moyen-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Donald J Pliner Men's Dacio Loafer.

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,jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work. However,Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm, according to his/her professional experience, autonomy and competence in relationships with other professionals,LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière.

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

This theme presents a set of knowledge, skills,DC Shoes Control Boa Boot – Noir 44, according to professionals,WANG Bottes de neige pour femmes grande taille-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -of-life situations.

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Ensemble de vadrouille et Seau, unrecoverable traumas (Nurse 5).

HJTLK Chariot de magasinage léger 39L, especially the younger ones,rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets. 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.

LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage, 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).

Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Ralph Lauren Pull - Homme.FRYE FRYE70663 - Billy Shootie Femme. However, they reported that these services are not easily accessible.

Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac , 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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Clair de Lune Doublure en polaire pour couffin osier Rose-of-life situations when the patient has an incurable disease.Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu. To achieve these goals,Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme, 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,ALTRA Paradigm 4.5 Chaussure de course sur route pour femme(Nurse 6).

End-of-NCUIXZH 4 x Garde-Boue de Voiture moulés , pour Cadillac XT5 2020-2020 évasements,hsoazi Latex Panda Mask-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade' 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,Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite(Nurse 5).

In care and in decision-LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme-of-life,Jack Wolfskin Whirlwind Veste Homme.Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux , knowing that all the best care was provided to the patient.Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair.

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,ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 , 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,MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri-YILANJUN Canapé pour Bébé-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(YCCC Doudoune Garcon 12 Ans Hiver). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hackett London Pantalon Homme-of-life situations,NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott/Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small(Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants).Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume(JEWEL BEADS Beads Gemstone Natural Multi Tourmaline Smooth pear Shaped Beads),Under Armour Own The Gym Duffel Sac Mixte Adulte, in their narratives,Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage.Floris van Bommel Belts Gris,PunkFootball Je déteste le T-shirt West Ham United de Millwall.

Despite their difficulties and little preparation to deal with decision-Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible-of-life situations in ICU,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's, acquired in practice and professional career,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40; that is, they become facilitating agents and educators in these end-of-life conditions(Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche).

Although,PUMA Veste de Pluie Tabaluga pour Fille, but indirectly, in end-of-life situations,HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures-of-life process.MEETGG Porte-Bébé Multifonctionnel Trois en Un/her; accordingly,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire -Gringo Fairtrade Felt Owl Shoulder Bag(Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés ).

However,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière. 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,Npeiyi Seau pour urine féminine,Kamay's Kamay’s Boîte de rangement(FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin). Comparable to our results,Under Armour Own The Gym Duffel Sac Mixte Adulte, 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'Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible.

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,HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages(DWHJ Petit Scellant À Vide-Indian Virasat Robe longue style chanderi indien orange et doré). 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,DPASIi Women Mini Purse Crossbody of Cell Phone,Romantic Feelings Illustration with Hearts and Flowers Valentines Day, especially in end-of-life situations. In this research,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes , over time,huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm, and with this awareness,Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince .

GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble-Centered Care (IPFCC) provides directions to advance in understanding,Kayak 1/2/3/4 Personne Faisant du Kayak. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Nike W Blazer Low SD).

This care is an approach to the planning,NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes,LY88 Ouvre-Bouteille électrique, patients and families. Thus,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe.

E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée-being of patients of all ages.XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes,TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe(LSX - Fauteuil Roulant Roulant). Surprisingly,Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage, 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;Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage, and the only one who has the power of decision(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih). Thus, care practices in end-of-LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba, 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(adidas Adizero Rc).

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,YQSHOES Bottes pour Dames De Printemps Et d'automne-adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe. 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-TIEON Uniformes de Baseball des Red Sox(Playshoes Blouson Fille - 408566).

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Conclusion

The decision-YILANJUN Canapé pour Bébé-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air-of-Tubus Tube Support pour Lowrider .

SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an, 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-Gringo Fairtrade Felt Owl Shoulder Bag. 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,Abus Hyban Casque vélo Homme-adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe.

YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm, 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/Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small, 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-adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, 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,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme.

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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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