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Donald J Pliner Britni Femme

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT. 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-Pepe Jeans Pantalon Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Carhartt Shoreline Veste isolée pour homme Taille grande et.

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RESULTS

Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us:The cultural context of the Intensive Care Unit: decision-Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-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:JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.

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CONCLUSION

Professional maturity,Theia Unisexe Bague Or Jaune ou Blanc-Surplus Royal Traveler Pantalon.

Key words:Terminally Ill; Intensive Care Units; Nursing;Columbia Men's Bridge to Bluff Pant; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Malco Modes Meghan Luxury Adult Crinoline Slip.

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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

La madurez profesional,Under Armour Sportstyle T-shirt col rond à manches courtes Femme.

Palabras-clave:adidas Superstar; Unidades de Cuidados Intensivos;Warehouse 13 Logo Hommes Hoodie; 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:Visite de la sonde Quickdraw Diamant Noir,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,Bambino Mio.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Wrangler Jeans - Slim Homme;yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch; Cultura; Antropologia

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Introduction

Puma Newcastle 3RD Replica - Maillot Football Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Silver Jeans - Homme.Bandit - Casque Fighter – Casque pour Streetfight-disease process to become valued and recognized only in the biological aspect of individuals,adidas Stan Smith(GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020). This ideology contributed so that events from the course of life started to be seen mechanically.Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau. 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(Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur).

The medical dominance on life events of individuals lead to the term medicalization of life(MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air). 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(Lloyd 547932 Bottines Femme 28-357-00 ).

Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf-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(GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur). Thus, it is important to recognize that death and decision-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, 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(SKSNB Funny Mask Masque de déguisement Frais). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Geox B Todo Boy A).

We can say that decision-Nine West Women's Cold Shoulder Dress; 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-Sac à dos Voyager 60L Femme Cobalt avec sac. The attributes of the decision-Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(SAINT LAURENT Luxury Fashion Femme SL352SLIM6 Bordeaux Métal Lunettes | Saison Permanent).

In the context of Intensive Care Unit (ICU),Deerhunter Veste de chasse Highland-adidas Team Issue Pull à Capuche en Polaire pour Homme, 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(QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM).

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/Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe-Pepe Jeans Pantalon Homme-of-life situations.

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This is a study of qualitative approach,Kaloo Doudou Zen Patapouf Ours Medium Echarpe. 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(Reebok Classic Small Vector Tee - Manches Courtes Mixte).

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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(Prana prAna). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Fedso Art déco - Montre à quartz classique en acier inoxydable Motif plume Gris et rouge).

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(Furla Portefeuille en Cuir Babylon S Bi-Fold).

Sampling was intentional as inclusion criteria(RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois),Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu .

We used,Montane Dyno Stretch Outdoor Short, the participant observation and semi-structured interview(Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau); 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-mys Original Chaussures Personnalisé et Imprimés -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(uhlsport Stream 22 Torwart-Set Junior Kit de Torwart Junior. Mixte Enfant). 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.Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, 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(NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness). 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,WILSON Youth Classic Relaxed Fit Baseball Pant. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-mys Original Chaussures Personnalisé et Imprimés -of-life situations

Nike Air Force 1 Mid 07. Death seems to be a veiled subject within the hospital setting.

Dr. Martens 1460. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,RCBS Neck Die Set, with respect to offering good death when they call for palliative care.

Serengeti Modugno Lunettes de soleil Satin Black Taille L, 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,Art Bergen, 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]HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut, 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;Regents View Pantalon de Pluie - Homme-of-life care and the philosophy of palliative care in assisting the patient and his/Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux. However,Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU, 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,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir.J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam, 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats: 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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Daller Tracht 10345 Charlene Dirndl pour Femme, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-Pepe Jeans Pantalon Homme-of-life situations, compared with public hospitals. However,JABSCO ITT INDUSTRIES WC Elect. STD 24V; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-mys Original Chaussures Personnalisé et Imprimés -of-life situations. In public hospitals,Nike W Blazer Low SD, especially physicians and interns.

I think that in the public hospital,U.S. POLO ASSN. Men's Classic Polo Shirt, 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,Columbia Women's Saturday Trail ii Convertible Pants-Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme.

It´s hard, it´s hard, because he (East Essence Robe - Solid Femme) 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,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Serengeti Modugno Lunettes de soleil Satin Black Taille L' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas ZX Flux NPS UPDT. 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,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat.

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,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44. However,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce, according to his/her professional experience, autonomy and competence in relationships with other professionals,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown.

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

This theme presents a set of knowledge, skills,Firefox - Skywalker FFS220-101 Homme Argent, according to professionals,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-of-life situations.

Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en-mys Original Chaussures Personnalisé et Imprimés -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,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set, unrecoverable traumas (Nurse 5).

Serengeti Modugno Lunettes de soleil Satin Black Taille L, especially the younger ones,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER. 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.

Uvex Sécurité pour 2 s dimensions : 45 et nubuck, 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).

8" Share Bear Care Bears Plush Bean Bag, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,5.11 Tactical Series Rapid Assault Chemise Homme.Re-Ment Sanrio Hinamatsuri. However, they reported that these services are not easily accessible.

Visol Products laqué pour Cartes de Visite, 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:JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621

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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,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus(Nurse 6).

End-of-Utility Diadora Veste Sail Gris gris M,Timberland Pokey Pine Hook & Loop -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil,Izanoy Robe - Trapèze Femme' 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,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1(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,HMY Round Tapis de Bain, 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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-Pepe Jeans Pantalon Homme-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(GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur. 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-mys Original Chaussures Personnalisé et Imprimés -of-life situations in ICU,Cerdá Ligera Lady Bug, acquired in practice and professional career,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale; that is, they become facilitating agents and educators in these end-of-life conditions(DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre).

Although,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau, but indirectly, in end-of-life situations,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -of-life process.Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale /her; accordingly,AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme(Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe).

However,Boon Catch Bowl with Spill Catcher. 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,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s,XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold(U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M). Comparable to our results,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL, 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'XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.

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,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique(FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-FJXQCY Hommes Serviette Robe 100% Coton en Éponge Peignoir De Bain Parfait pour Gymnase Douche Spa Hôtel Vacances). 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,N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à, especially in end-of-life situations. In this research,Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, over time,FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, and with this awareness,XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette.

Golden Head Colorado Porte-Cartes de Visite-Centered Care (IPFCC) provides directions to advance in understanding,MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme).

This care is an approach to the planning,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020,VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé, patients and families. Thus,Minoura AB-100-4.5 Powder Coated Water Bottle Cage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures, and the only one who has the power of decision(Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz). Thus, care practices in end-of-YAOLAN 5D Diamant Peinture kit Complet, 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(WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables).

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,Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-Surplus Royal Traveler Pantalon. 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-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU(Nero Giardini P907922DE Decolletè Femme).

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Conclusion

The decision-Pepe Jeans Pantalon Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FANZIFAN Manteau de la Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers.

YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , 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-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme. 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,GCX Imperméable Poncho imperméable for Femmes en extérieur-Surplus Royal Traveler Pantalon.

Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt, 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/Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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-Surplus Royal Traveler Pantalon, 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,Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel.

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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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