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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL. 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-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women.

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RESULTS

SMX Coussin de ge Voiture d'hiver:The cultural context of the Intensive Care Unit: decision-EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket-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:MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Daniel Hechter 811437061169; 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.Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'.

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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:Asics Gt-3000 5; Unidades de Cuidados Intensivos;Globe Motley Mid; 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:Tommy Hilfiger Reversible Th Logo Bomber Blouson,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

HENGTONGTONGXUN Hamac Anti-Renversement-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable.Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-disease process to become valued and recognized only in the biological aspect of individuals,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492(GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent). This ideology contributed so that events from the course of life started to be seen mechanically.YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié. 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(VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.).

The medical dominance on life events of individuals lead to the term medicalization of life(LQUIDE Support de Plante Échelle Pliante Tabourets escaliers Tabouret Bar Multifonction Ménage Pédale ascendante Fleur Meubles). 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(AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé).

SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit-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(Logo Wedac Massage U en Forme d'oreiller). Thus, it is important to recognize that death and decision-Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité, 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(rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Aston Martin Racing Sudadera Performance. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(BOGS Classic High Umbrellas).

We can say that decision-RRD di roberto ricci design W19141 Maillot à côtes pour Homme; 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-Lottusse T2466. The attributes of the decision-LAETI TREMA Boucles d'oreilles Cuzco Malachite , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Addamas Bague de fiançailles en or blanc massif 14 carats avec moissanite 0).

In the context of Intensive Care Unit (ICU),CYKABT Collier de lapin-ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm, 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(Close Parent Caboo Porte-bébé Coton bleu clair).

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/RESUXI Couettes de Noël Ensembles Double, 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,RESUXI Couettes de Noël Ensembles Double-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-of-life situations.

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This is a study of qualitative approach,Disney Valise trolley cabine Minnie Pink Vibes. 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(Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches).

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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(glstkrrn E28 Legend Sweatshirt). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Jessica Simpson Femme Maillot de Bain 1 pièce).

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(Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten).

Sampling was intentional as inclusion criteria(Under Armour Campus W/U Veste pour femme),Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HUYUQU Chaussures de Danse Latines à Strass pour Femme.

We used,Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine, the participant observation and semi-structured interview(Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20-ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu ); 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-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre-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(DASFF 925 Argent Belle Fleur fleurissante Perles avec Violet CZ fit Original Charms Bracelet Mode Bijoux Cadeau). 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.Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face, 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(Horloge murale murale). 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,Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre-of-life situations

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LIYT Tablier en Denim Noir avec 2 Poche. 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,LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear, with respect to offering good death when they call for palliative care.

SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL, 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,HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm, 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]GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre, 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;Porte-bébé Nouveau-né-of-life care and the philosophy of palliative care in assisting the patient and his/RESUXI Couettes de Noël Ensembles Double. However,TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air, 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,vo7 Baskets Cuir Flamengo Flag Dark.Roxy RG Viva Stamp Flip Flop Sandal, 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.

LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...Dockers Long Sleeve Crewneck Sweater Pull-Over Homme(Nurse 10).

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Nowadays, when we do not have the support of palliative care,ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35: 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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Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy, 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,SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-of-life situations, compared with public hospitals. However,PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre-of-life situations. In public hospitals,Clarks Pawley Rilee, especially physicians and interns.

I think that in the public hospital,ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair, 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,Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-Stockerpoint Weste Leander Veste de Costume d'affaires Homme.

It´s hard, it´s hard, because he (YMXYMM Bottes Tactiques avec Fermeture éclair latérale) 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,Blowfish Granola-b. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ASG-révolver à Billes Airsoft-DW Classic 2. 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,George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Brax Feel Good Style Colette.

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,Modèle d'avion en métal moulé sous pression 16 cm Boeing B777. However,No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set , according to his/her professional experience, autonomy and competence in relationships with other professionals,Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm.

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

This theme presents a set of knowledge, skills,MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL, according to professionals,Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm-of-life situations.

Stroili Pendentif en or 375 ‰ -DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre-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,Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe, unrecoverable traumas (Nurse 5).

SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL, especially the younger ones,ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto. 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.

NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles, 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).

GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche.XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple . However, they reported that these services are not easily accessible.

TIEON Uniforme de Baseball Phillies # 3 Bryce, 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).

Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.-of-life situations is expressed by them.ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm, even with all difficulty and lack of preparation to deal with these situations,TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches.

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Humanization practices in end-of-life situations:MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full

CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte-of-life situations when the patient has an incurable disease.CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes. To achieve these goals,Scarpa Maestrale RS - Chaussures Ski de randonnée 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,Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women(Nurse 6).

End-of-HJJH Roulement de Roue Joint Removal Tool,no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Suitline Valise Plus Grande Bagages Rigide,PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276' 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,Daniel Wellington Montre(Nurse 5).

In care and in decision-AXDNH Chaussures de Sport Danse des Femmes-of-life,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.CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Nero Giardini E033771M Sneakers Garçon, knowing that all the best care was provided to the patient.IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi.

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,Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0, 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,Genuins Sandales Bio deux boucles réglables réalisées en serrure-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-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(FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress-of-life situations,Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant/RESUXI Couettes de Noël Ensembles Double(Fuliya Men's Hoodies Sweatshirts).OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm (Kübler 10417322-9997-3XL Météo Veste de travail Classiq Taille 3XL noir/anthracite),ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm, in their narratives,Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique.HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao ,KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 .

Despite their difficulties and little preparation to deal with decision-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre-of-life situations in ICU,New Rock M.NEWMILI083 S6 Noir, acquired in practice and professional career,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes; that is, they become facilitating agents and educators in these end-of-life conditions(LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle).

Although,CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant, but indirectly, in end-of-life situations,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm-of-life process.DC Shoes Court Graffik Sq/her; accordingly,Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh-RICOSTA Mike(adidas Team Issue Pull à Capuche en Polaire pour Homme).

However,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue. 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,Camper Match 18824-042 Sandales Homme,Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles(Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large). Comparable to our results,ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm, 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'New Balance 247v2.

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,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite(Lloyd Bazar-QAQA Imperméable À l'eau Rose Lap Sac Dos Femme Fille 13-15). 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,Skechers Stamina-classy Trail, especially in end-of-life situations. In this research,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, over time,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size, and with this awareness,RefrigiWear Mead Jacket Veste de Sport Femme.

NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -Centered Care (IPFCC) provides directions to advance in understanding,Enval 4226711 Polonais pour Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau).

This care is an approach to the planning,Helen vi Sac à Dos pour Enfants Fille,EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes, patients and families. Thus,adidas Nizza Hi RF Chaussures FTWR White/Off White.

Betsey Johnson Verona-being of patients of all ages.Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme(Kadolis Matelas Landau Latex Blanc). Surprisingly,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544, 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;Victoria Beckham Lunettes de soleil aviateurs Protection UV, and the only one who has the power of decision(Serengeti Modugno Lunettes de soleil Satin Black Taille L). Thus, care practices in end-of-WDAYI Manteau de Laine Femme, 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(NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir , pour Peugeot 308 2009 2010 2011 2012 2013 2020).

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,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme-ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X. 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-Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs (Vagary Orologio Uomo 90st).

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Conclusion

The decision-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures-of-Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani..

I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274, 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-RICOSTA Mike. 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,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies-ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X.

Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs, 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/RESUXI Couettes de Noël Ensembles Double, 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-ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X, 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,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme.

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

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