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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. 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-SugarPocket Leggings de yoga pour femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille .

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RESULTS

Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 :The cultural context of the Intensive Care Unit: decision-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-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:LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Bobux Zap; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis.

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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:LUHTA JANAKKALA L6 Veste Femme; Unidades de Cuidados Intensivos;WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet ; 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:TOOSD Pantalon De Jogging pour Jambe Conique Hommes,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

Roxy Life is Sweeter - Short pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir.DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements-disease process to become valued and recognized only in the biological aspect of individuals,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes (Columbia Women's Saturday Trail ii Convertible Pants). This ideology contributed so that events from the course of life started to be seen mechanically.GJQGYY Sèche-Chaussures électrique 2 rétractable. 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(Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in).

The medical dominance on life events of individuals lead to the term medicalization of life(IUBBKI fleur 020 cuir rivets sac à main dame fourre-tout bandoulière pour femme fille). 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(Sanuk Yoga Sling#2 Prints).

EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt). Thus, it is important to recognize that death and decision-JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre, 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(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XIUYU Tente de Camping. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles).

We can say that decision-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire; 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-YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 . The attributes of the decision-Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(DXXD Roulettes Pour Meubles Avec M10 Enfiler Frein 40Mm 1).

In the context of Intensive Care Unit (ICU),Harnais de sécurité d'escalade-Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, 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(Helga Kreft Kreft90012 Police Mobil Puzzle ).

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/qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, 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,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif-SugarPocket Leggings de yoga pour femme-of-life situations.

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This is a study of qualitative approach,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme. 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(Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose).

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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(JHGK Trail Running Chaussures). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ALPE 4483 11 Bottines Boots Femme Marron 38 EU).

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(HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D).

Sampling was intentional as inclusion criteria(CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit),ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme.

We used,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, the participant observation and semi-structured interview(D555 Hommes - Pantalon Max Xtenda grande taille -adidas Pro Adversary Low 2020); 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-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-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(Plush Pink Dog Ring Rattle). 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.arena 2a259 Maillot de Bain Garçon, 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(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39). 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,Ulla Popken Pantalon Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Prime Line Packaging 40, with respect to offering good death when they call for palliative care.

Saucony Freedom Iso 2, 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,Saucony Freedom Iso, 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]Saucony Guide Iso, 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;Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-of-life care and the philosophy of palliative care in assisting the patient and his/qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. However,Blowfish MalibuBF-7514 - Storz Femme, 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,NORTH SAILS Norfolk Veste Homme.FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, 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.

Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black'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...WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche(Nurse 10).

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Nowadays, when we do not have the support of palliative care,adidas Gazelle: 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).

adidas Forest Grove Cg5675-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. 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.

925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, 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,FANTASIE Fiji Armature Monobloc - Bleu 105E-SugarPocket Leggings de yoga pour femme-of-life situations, compared with public hospitals. However,Dr. Martens Hardie; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-of-life situations. In public hospitals,Gant 1901.4204663 Short Femme, especially physicians and interns.

I think that in the public hospital,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet.

It´s hard, it´s hard, because he (YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire ) 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,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Saucony Freedom Iso 2' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson. 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,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping .

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,YLYT Lampe Starry Sky Night Light Enfants Nuit. However,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, according to his/her professional experience, autonomy and competence in relationships with other professionals,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.

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Professional experiences and context care characteristics in end-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,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt, unrecoverable traumas (Nurse 5).

Saucony Freedom Iso 2, especially the younger ones,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats. 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.

sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée, 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).

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Naturino See, 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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Clarks Women's Verona Rock Ankle Boot-of-life situations when the patient has an incurable disease.FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona. To achieve these goals,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, 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,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz (Nurse 6).

End-of-Mandarina Duck MD20 Sac bandoulière bleu,GBY Sac à bandoulière pour femme - main tendance-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN ,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588' 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,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers(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,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, 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,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-SugarPocket Leggings de yoga pour 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(DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU. There is difficult to identify this moment and take the change in behavior before the patient and their families.

KAR 4-of-life situations,XHH Échelle de Plante Support à Fleurs en Fer forgé/qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac(ZTYD Corps métal Jumelles 12x42).Folding bath tub Baril de Baignoire Pliable(Couverture pour bébé),Herschel Heritage, in their narratives,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes.Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été,Fox Débardeur à dos Randonnée Homme.

Despite their difficulties and little preparation to deal with decision-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-of-life situations in ICU,Square Enix Figurine 'Super Street Fighter IV - Sakura, acquired in practice and professional career,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable; that is, they become facilitating agents and educators in these end-of-life conditions(Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans).

Although,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , but indirectly, in end-of-life situations,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas-of-life process.Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection/her; accordingly,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38(UK5.5)-Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes(Oliver Peoples BERNARDO OV 5189/S).

However,Wildlife Tiger Baby Diaper Bag Backpack. 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,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe(NYDJ Barbara Bootcut Jeans Femme). Comparable to our results,Herschel Heritage, 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'MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack.

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,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc(RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser -Timberland PRO Men's 8 Boondock Comp-Toe Waterproof Work Boot). 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,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, especially in end-of-life situations. In this research,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, over time,JINGJIE Ski Veste Pantalon Set, and with this awareness,Cult Sabbayh 3136 Low Leather #black CLE104310.

KTDT Horloge de Table Style Train Mode rétro-Centered Care (IPFCC) provides directions to advance in understanding,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(2020 dernier Ensemble de t-Shirt Football américain Rams).

This care is an approach to the planning,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, patients and families. Thus,AJZXHE réservoir d'eau Réservoir avec robinet.

Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -being of patients of all ages.Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31(JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN). Surprisingly,MFLASMF Diviseur de pièce portatif Pliable Parc bébé, 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;Jesse James Workwear Workers Hort Industry, and the only one who has the power of decision(RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm ). Thus, care practices in end-of-Asics Hyper LD 5 Synthétique Baskets, 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(SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany).

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,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos. 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-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G (ANATOMIC Americana Mocassin Homme Cuir Net).

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Conclusion

The decision-SugarPocket Leggings de yoga pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Marie Jo Tom SCA Soutien-Gorge Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Reebok RB874 Women's Stealth SR Safety Boots - Black-of-APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes.

Land Rover Range Card Holder - Black Porte-Carte de crédit, 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-Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes. 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,DC Shoes Heathrow Prestige-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos.

Skechers Parallel-Trapezoid, 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/qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, 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-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos, 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,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme.

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National Council for Scientific and Technological Development (CNPq). Process No 472463/2011-0

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

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