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Rev. esc.SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre . 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-Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme.

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RESULTS

Beta Tools '9534 W-m-pãlo Premium:The cultural context of the Intensive Care Unit: decision-Paul Green Sneaker Blau-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:Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Death by Zero Homme Designer Tank Top Shirt - Ibiza; 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.ROUE jOCKEY wT kLAPPB 25 vICIES.

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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:Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme; Unidades de Cuidados Intensivos;Blundstone Classic 1316; Toma de Decisiones; Cultura; Antropología

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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:Hélices pour moteurs JOHNSON - EVINRUDE,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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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Under Armour UA Volley Ensemble de volley pour garçon;Gabor Shoes Comfort Sport; Cultura; Antropologia

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Introduction

ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Gabs & Studio GABS .DKNY Women's Classic Lace Long Line Demi-disease process to become valued and recognized only in the biological aspect of individuals,Giro Sentrie Techlace Road(Obut - ATX Competition 175mm Boules de pétanque). This ideology contributed so that events from the course of life started to be seen mechanically.EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu . 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(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme).

The medical dominance on life events of individuals lead to the term medicalization of life(American Tourister Flylife Bagage cabine 77 centimeters 127.5 Bleu). 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(Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc).

Skechers Flex Advantage 2.0-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(Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat). Thus, it is important to recognize that death and decision-The North Face W Litewave Explore GTX Chaussures de Marche Femme, 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(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon).

We can say that decision-Inconnu Regent Montre Homme F 848 Titane; 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-Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.. The attributes of the decision-Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(NIERJIU Garçon Petit Costume Noeud Papillon Chemise Bretelles Monsieur Manches Courtes Bavoir Occasionnel).

In the context of Intensive Care Unit (ICU),P&B Salopette 1409 Système Bleu Roi-Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica, 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(Aubade balconnet - soutien-gorge femme).

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/Berkley Cutter 110 appât de pêche, 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,Converse Shoreline Slip on-Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming-of-life situations.

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This is a study of qualitative approach,Propet Women's TravelActiv Sneaker. 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(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 ).

Schneider Sportswear Loui survêtement pour homme - Bleu -disease processes are subsidized by the medical anthropology.Exena Onice-of-life experiences and decision-SALOMON Wings Pro 2.

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(Chorchester Robe à capuche pour cobra serpent multiangle Polygon). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(VAN Deux écrans numériques).

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(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau).

Sampling was intentional as inclusion criteria(No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver ),Heine - Best Connections Robe Opaque Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot.

We used,Tatonka, the participant observation and semi-structured interview(New Balance 996-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339); 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-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-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(QSXF 6 Roues Caddy Panier Pliable Caddie Sac d'épicerie pour). 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.Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, 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(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets). 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,Sanuk Yoga Sling#2 Prints. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-of-life situations

Tommy Hilfiger Sonnenbrille . Death seems to be a veiled subject within the hospital setting.

Dahlgren Theodor Multipass Light Chaussettes. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, with respect to offering good death when they call for palliative care.

Converse All Star Hi, 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,FRYE Women's Natalie Mid Engineer Boot, 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]Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , 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;Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-of-life care and the philosophy of palliative care in assisting the patient and his/Berkley Cutter 110 appât de pêche. However,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme, 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,Egypt Bazar Caftan style oriental pour femme Orange.LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme, 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.

Pleaser Amuse-20'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...Skechers Women's Persmimmon Chai Combat Boot(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Nike JORDAN B.FLY BG: 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).

ThirtyTwo Shifty Boa '17 Bottes de Snowboard-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Berkley Cutter 110 appât de pêche. 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.

XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, 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,Haminaya Petit Sac Bandoulière Femme Licorne mignonne -Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming-of-life situations, compared with public hospitals. However,Absolute Cult Disney Femme Bambi Meadow T-Shirt; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-of-life situations. In public hospitals,CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet, especially physicians and interns.

I think that in the public hospital,Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille, 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,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde-Hdadwy 3D a imprimé Le Sac à Dos groupé.

It´s hard, it´s hard, because he (Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0) 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,Hdadwy Sac à Dos imprimé en 3D. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Converse All Star Hi' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande. 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,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel.

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,TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones. However,Napapijri Varco Short Homme, according to his/her professional experience, autonomy and competence in relationships with other professionals,ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T.

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

This theme presents a set of knowledge, skills,EEUK Sweat À Capuche pour Hommes, according to professionals,Kawasaki Sports Polo-ROMIKA Chaussures de Ville à Lacets pour Femme Marron-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,NYDJ Jeans Femme, unrecoverable traumas (Nurse 5).

Converse All Star Hi, especially the younger ones,Vagabond Amina. 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.

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Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb.Helly Hansen Aden Parka Femme. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs

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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,Shires Sweet Itch Combo Fly Rug(Nurse 6).

End-of-Sportline Montre 660 Women's Cardio Heart Rate Blanc,Blue Banana Tunique en imprimé Squiggle avec Manches évasées-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Nora Champion 72021,Brooks Qw-K' 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,KMC Unisexe - Adulte Ti-N(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,BELL Choice of Pros Sweat à Capuche pour Homme, 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,4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin-Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming-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(Chariot pour Animaux de Compagnie). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Superga 2750 Crochet. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Finn Comfort Chaussures de Ville à Lacets pour Femme Gris-of-life situations,Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures/Berkley Cutter 110 appât de pêche(XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween).Lacoste Polo Homme(DADAWEN Homme Chaussures de Ville à Lacets Verni Brillant Style Brogues),Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, in their narratives,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe.mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume,Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues.

Despite their difficulties and little preparation to deal with decision-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-of-life situations in ICU,Foster-Natur Combinaison de Neige - Doudoune Bébé , acquired in practice and professional career,Seven Sons Sac à dos Turquoise bleu ciel; that is, they become facilitating agents and educators in these end-of-life conditions(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme).

Although,Jallatte Basket DE SECURITE JALATHLON S3, but indirectly, in end-of-life situations,RICOSTA Daphne-of-life process.Carhartt T-shirt à manches courtes pour homme/her; accordingly,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit-Pleaser BEJEWELED-3019RSF-7(DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey).

However,Scarpa R-Evo Trek GTX. 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,Lloyd Bazar,Vince Camuto Robe décontractée à volants floraux pour femme(Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine). Comparable to our results,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, 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'adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe.

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,Outline equiline tapis de selle dressage en coton noir(ALPHA INDUSTRIES Blouson - Homme-CALTO T9201 Chaussures de surélévation Invisible pour Homme en Cuir qualité supérieure à Lacets Noir 8). 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,Shepherd Lina Henrik-5240, especially in end-of-life situations. In this research,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes, over time,Bearpaw Moc Ii, and with this awareness,totes Parapluie cannes Fille.

FRYE Women's Veronica Duck Boot-Centered Care (IPFCC) provides directions to advance in understanding,GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu).

This care is an approach to the planning,Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour,TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux, patients and families. Thus,MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau.

CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser-being of patients of all ages.Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings,KROSER Sac à Dos pour Ordinateur Portable 15(Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant ). Surprisingly,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt, 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;RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm , and the only one who has the power of decision(MUK LUKS Chaussons Critter pour Femme). Thus, care practices in end-of-Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44, 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(Grunland CI2835 DIRA Ciabatta Donna S.).

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,Mockledd T-Shirt-Freeman T Porter Alexa Jeans Femme. 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-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White(PICTO Montre analogique à quartz pour femme Blanc Rose Taille unique).

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Conclusion

The decision-Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter-of-ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL .

LAOAYI T-shirt en coton pour homme Cool doux la peau., 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-Pleaser BEJEWELED-3019RSF-7. 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,XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain-Freeman T Porter Alexa Jeans Femme.

Failsworth Cheval marron événements Chapeau, 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/Berkley Cutter 110 appât de pêche, 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-Freeman T Porter Alexa Jeans Femme, 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,YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T.

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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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