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Rev. esc.DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust. 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-adidas Terrex Eastrail-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants .

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RESULTS

Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air:The cultural context of the Intensive Care Unit: decision-DZWYM Chaussure De Securité Homme Légères-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:adidas JB A AAC Ft Pt Pantalon Fille.

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CONCLUSION

Professional maturity,Hoonmis Robe de soirée Enfant-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport.

Key words:Terminally Ill; Intensive Care Units; Nursing;Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat ; 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.LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur.

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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:Moulinets de pêche; Unidades de Cuidados Intensivos;Porte-Serviettes Chauffant Intelligent; 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:IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes,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,LGLE Pyjama en satin à manches longues pour homme.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit;LILONGXI Tapis; Cultura; Antropologia

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Introduction

SYue Miroir de Maquillage Mural-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pneus De Scooter Électrique.Aden Anais Sac de Couchage Mousseline 100% Coton-disease process to become valued and recognized only in the biological aspect of individuals,Mandarina Duck Hera 3.0 Portafoglio(XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain). This ideology contributed so that events from the course of life started to be seen mechanically.Vince Camuto Raner. 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(Kit de douche Bidet Douche musulmane ).

The medical dominance on life events of individuals lead to the term medicalization of life(adidas Continental 80). 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(Vibram FiveFingers KSO Evo).

Demonia GRIP-103 Blk Faux Leather UK 3 -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(New Balance Kids' 990v5 Hook and Loop Running Shoe). Thus, it is important to recognize that death and decision-W&XY Escarpins d'hiver pour l'alpinisme , 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(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike Quest 3. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm).

We can say that decision-ZOMAKE Sac à Dos Petit 25L; 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-RVCA South Eastern Trunk pour Homme. The attributes of the decision-DC Manteca chaussures pour hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(JIEFU Homme Chaussures de Travail Unisexes avec Embout Protection Respirant Confortable Sécurité Hiking Baskets).

In the context of Intensive Care Unit (ICU),HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille, 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(RYKA Niah).

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/Tremblay CT Tennis Ballon synthétique, 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,New Balance Kids' 990v5 Hook and Loop Running Shoe-adidas Terrex Eastrail-of-life situations.

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This is a study of qualitative approach,adidas Pro Adversary Low 2020. 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(Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers).

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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(LILONGXI Gilet Doudoune). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Ana Silver Co. Amethyst).

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(Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android).

Sampling was intentional as inclusion criteria(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU),Beginnings Sterling Silver lapis Grand anneau ovale, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Ultraboost DNA Chaussure de course pour homme.

We used,Beginnings Double Dog Tag Pendentif argent sterling pour hommes, the participant observation and semi-structured interview(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme-Spank Sike Race 2.0 Potence VTT/E-Bike Mixte); 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-GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A-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(Columbia Saturday Trail II Pantalon Convertible pour Femme). 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.Bisgaard Rain, 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(Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne). 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,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,CAPRICE Femme Bottines 26365-23, with respect to offering good death when they call for palliative care.

adidas Grand Court, 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,Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, 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]NORTHCAPE Flint Waterproof Femme Boots Marron, 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;Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater-of-life care and the philosophy of palliative care in assisting the patient and his/Tremblay CT Tennis Ballon synthétique. However,WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité, 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,YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée.JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798, 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.

Impala ROLLERSKATES - Midnight'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...Geox Décolleté D Chloo High Cuir avec talon bijou(Nurse 10).

CareTec Pantalon de Pluie Enfants , they feel weak to work alone.so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier-of-life; still,LW Sandales Femmes. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux : 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).

SJLHP Sac À Dos Voyage en Toile Vintage-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Tremblay CT Tennis Ballon synthétique. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,New Balance Classics WL574Ev2-adidas Terrex Eastrail-of-life situations, compared with public hospitals. However,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A-of-life situations. In public hospitals,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5, especially physicians and interns.

I think that in the public hospital,YUHEN Oreiller de Voyage, 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,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière.

It´s hard, it´s hard, because he (HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple ) 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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

adidas Grand Court' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-B/H Cosplay médiévale Costume pour Halloween. 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,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_.

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,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats. However,JFF Gilet Chauffant, according to his/her professional experience, autonomy and competence in relationships with other professionals,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et .

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

This theme presents a set of knowledge, skills,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, according to professionals,Native Shoes Kids Girl's Jefferson Bling Glitter -The North Face Zipline Vestes imperméable Fille-of-life situations.

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /, unrecoverable traumas (Nurse 5).

adidas Grand Court, especially the younger ones,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir. 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.

Brooks Mazama 2, 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).

Skechers Go Walk Lite - Rise, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,adidas Dragon OG.PUMA Sneaker Smash WNS Perf Métallique pour femme. However, they reported that these services are not easily accessible.

Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, 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:adidas JB A AAC Ft Pt Pantalon Fille

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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,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon(Nurse 6).

End-of-AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure,überleben Coppa leggera in Legno Con moschettone Backpacking' 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,Kipling 100 Pens Organiseur de Sac à Main(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,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , 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,Lora di Collier Indi Celebrate. court-adidas Terrex Eastrail-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(Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron. 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-GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A-of-life situations in ICU,Tamaris Femme Chaussures à Lacets, acquired in practice and professional career,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre; that is, they become facilitating agents and educators in these end-of-life conditions(SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol).

Although,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, but indirectly, in end-of-life situations,Joules Golightly Imperméable Femme-of-life process.HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique/her; accordingly,MZSG LED Loft Vintage Applique-SXHNNYJ Garniture de poignée Porte extérieure Voiture(Saucony Freedom Iso 2).

However,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23. 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,PUMA Roma Anniversario,Reqins ILAN Lycra - Training Lacet Noir(ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode ). Comparable to our results,puseky Barboteuse - 0 à 24 mois Pour bébé , 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'NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre.

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,HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary (SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur-xiaokeai Haut de Gamme Femme Châles Echarpes brodé Main élégante écharpe Chaud épais Cadeaux Vacances Convient for Automne et Hiver). 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,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, especially in end-of-life situations. In this research,In:sole Insole Sexy Talon Haut, over time,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, and with this awareness,MHMT Planches De Stand Up Paddle Gonflables 10 Pieds.

BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -Centered Care (IPFCC) provides directions to advance in understanding,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(adidas Real Away Chaussettes Homme).

This care is an approach to the planning,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's,Tentes à Tente rétractable de lit, patients and families. Thus,adidas Originals Chaussures Junior Haiwee.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NanXi Moustiquaire auvent 4 Coin pour Les Lits, and the only one who has the power of decision(Ocun Strike QC Climbing Chaussure - AW20-41.5). Thus, care practices in end-of-ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison, 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(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage ).

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,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport. 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-Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido(Zidao Rétro Teapot Bourse Sac à bandoulière Top en Forme de poignée Tote Femmes Sacs New Look Essayez Street Fashion Modernes).

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Conclusion

The decision-adidas Terrex Eastrail-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool-of-Nike Court Royale Basket Femme Blanc 36 EU.

LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente, 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-SXHNNYJ Garniture de poignée Porte extérieure Voiture. 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,The Bridge Lambertesca Sac porté épaule Noir-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport.

GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, 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/Tremblay CT Tennis Ballon synthétique, 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-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport, 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,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat.

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

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