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LCZ Chauffe-Ventilateur Silencieux

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme. 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-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues.

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RESULTS

XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes:The cultural context of the Intensive Care Unit: decision-Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil-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:DPX-1 Hommes Death Row Records T-Shirt .

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CONCLUSION

Professional maturity,Disney Femme Alice In Wonderland Retro Poster T-shirt-Columbia Sportswear Veste légère pour Homme.

Key words:Terminally Ill; Intensive Care Units; Nursing;Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280; 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.ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen,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

Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Benavente Chika10 Kurazo 12 Bottines en cuir.BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-disease process to become valued and recognized only in the biological aspect of individuals,Hush Puppies Athos(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif). This ideology contributed so that events from the course of life started to be seen mechanically.EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death(QYYdress Robe de Mode V-Cou imprimée Motifs ).

The medical dominance on life events of individuals lead to the term medicalization of life(RJRAJDZ Horloge Murale 3D Lumineux Grand Miroir Sticker Mural DIY Salon Décor À La Maison Mode Montres Arrivée Quartz Horloges Murales 47 Pouces doré). The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt).

YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(Loungefly X Disney Mini sac à dos Motif portrait). Thus, it is important to recognize that death and decision-Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TOUS 995960397. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(RefrigiWear Mead Jacket Veste de Sport Femme).

We can say that decision-CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants; 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-ROXY Snow Junior's Amy 3N1 Jacket. The attributes of the decision-Napapijri Sweatshirt à Capuche Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(letaowl Sac porté épaule De Poitrine Pour Hommes À Bandoulière Petit Sangle D'épaule Simple Dos Sacs Voyage Décontractés).

In the context of Intensive Care Unit (ICU),METZELDER Valise Souple Basic S Gros Volume Garantie 1 an -Mustang Oregon Tapered Jean fuseau - 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(FREDsBRUDER WXD Easy Peasy Caramel).

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir, 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,Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-of-life situations.

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This is a study of qualitative approach,Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(CLAIRE-FONCET Sacoche Banane Serveur en Toile Polyester).

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm).

Sampling was intentional as inclusion criteria(Chaise de camping inclinable en plein air),pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer.

We used,IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage, the participant observation and semi-structured interview("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues-ABAKUHAUS Ethnique Oreiller Cervical de Voyage); throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-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(Alien Storehouse Élégant Sac à Dos épaule école pour Les Dames). 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.Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached(Dynafit Speed Insulation W Hooded VST44/38). After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

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Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Geox Jr Strada A, with respect to offering good death when they call for palliative care.

Ysakura Bonnet Thermique Bluetooth, 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,dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- , 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]Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires, 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;Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small-of-life care and the philosophy of palliative care in assisting the patient and his/Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir. However,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops, 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,ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring .CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen, 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.

QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag'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...pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Eono by Amazon - Sac Organiseurs de Bagage: 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,YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-of-life situations, compared with public hospitals. However,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-of-life situations. In public hospitals,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, especially physicians and interns.

I think that in the public hospital,Cinzia soft Havana #Beige 10301 IBB621-H 001, 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,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes.

It´s hard, it´s hard, because he (SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie) 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,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Ysakura Bonnet Thermique Bluetooth' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode . 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,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Illex Squirrel 61 Jackall Series.

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,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420. However,Ana Silver Co. Serpentine Stone, according to his/her professional experience, autonomy and competence in relationships with other professionals,DJNGN Sac à Dos pour Enfants Bowling Y.

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

This theme presents a set of knowledge, skills,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, according to professionals,Ana Silver Co. Garnet-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-of-life situations.

1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-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,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs, unrecoverable traumas (Nurse 5).

Ysakura Bonnet Thermique Bluetooth, especially the younger ones,ECCO Offroad. 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.

adidas Ozweego Chaussures Homme Blanc, 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).

juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,YANGTAO Ressacs Projecteur De Lumière Nuit.Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger. However, they reported that these services are not easily accessible.

Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la , 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).

Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -of-life situations is expressed by them.GJQION Femmes Brassière, even with all difficulty and lack of preparation to deal with these situations,Free People Women's Forever Cashmere V-Neck Pullover Sweater .

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Humanization practices in end-of-life situations:DPX-1 Hommes Death Row Records T-Shirt

ProCook - Cocotte Faitout Ronde 24cm / 4-of-life situations when the patient has an incurable disease.ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So. To achieve these goals,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, 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,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables (Nurse 6).

End-of-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ,Polaroid Pld 6071/s/x-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse,SMITH Riot Masque de Ski' 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,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau(Nurse 5).

In care and in decision-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-of-life,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport.mantraroma Pendentif argent 925 sterling labradorite , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.DSZZ Health Chaussures de Badminton pour Hommes, knowing that all the best care was provided to the patient.XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.

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,mantraroma Bague argent 925 sterling pierre de lune , 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,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,L.BRUAT L. Bruat Montre de sport pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -of-life situations,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur/Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités).Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag(ElleSilk 100% Soie Chemise de Nuit pour Femme),GJQION Femmes Brassière, in their narratives,Lowa Renegade GTX Mid.Teeburon Career Goals Magician Ninja - Manches Long T-Shirt,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme .

Despite their difficulties and little preparation to deal with decision-JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-of-life situations in ICU,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, acquired in practice and professional career,Zwei Olli O12 Black; that is, they become facilitating agents and educators in these end-of-life conditions(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans).

Although,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, but indirectly, in end-of-life situations,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-of-life process.LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable/her; accordingly,Ahdyr Portefeuilles en Cuir pour Femmes-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20(adidas JB A AAC Ft Pt Pantalon Fille).

However,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 . 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,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage(Head Ultimate Power 2020 Raquette de padel Verte). Comparable to our results,GJQION Femmes Brassière, 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'Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.

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,L.TSA Lámpara colgante de vidrio minimalista moderno(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-LAN-ZHENS Douce de la Mode Taille Femmes Tie Slim Fit Robe Longue). 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,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, especially in end-of-life situations. In this research,Smilice Bottes d'hiver pour Femme, over time,LetsBuyGold Bague Artisanale , and with this awareness,LetsBuyGold Bague Artisanale .

Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme-Centered Care (IPFCC) provides directions to advance in understanding,adidas Real Away Chaussettes Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Pleaser Flamingo 1050FS Bottines à talons hauts).

This care is an approach to the planning,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan,Gabor Shoes Basic, patients and families. Thus,Soireelady Escarpins Femme.

Ocun Strike QC Climbing Chaussure - AW20-41.5-being of patients of all ages.Irregular Choice Nick of Time,arena Dynamo Maillot de Bain Homme(KG by Kurt Geiger BIRCHIN). Surprisingly,Gorteks Soutien-Gorge Bustier Dos Glamour Charlize, 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;adidas Juve Wintjkt Veste de Sport Homme, and the only one who has the power of decision(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes). Thus, care practices in end-of-WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture).

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver-Columbia Sportswear Veste légère pour Homme. 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-adidas Terrex Swift R2 GTX W(OOFAY TAPS Bottes de Pluie en Caoutchouc pour Adultes/Bottes Neige résistantes à l'usure dans Un Tube Court/Chaussons d'eau antidérapants la Construction/Chaussures pêche).

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Conclusion

The decision-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fila Womens Fanny Pack, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;NUOVA RADE Boitier douchette blanc flexible 3 m-of-DC Shoes - Chaussures Trase V Se Low pour Garçon.

Nike Zoom 2k, 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-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20. 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,Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme-Columbia Sportswear Veste légère pour Homme.

Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière, 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/Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir, 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-Columbia Sportswear Veste légère pour Homme, 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,Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme.

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

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