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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.adidas Classic Pull pour garçon. 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-Little Mistress Lillian Robe longue en dentelle avec trou de serrure-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy.

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RESULTS

Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20:The cultural context of the Intensive Care Unit: decision-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert-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:Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie; 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.ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ.

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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:WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot ; Unidades de Cuidados Intensivos;Houdini Power Houdi Veste Homme; 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:ROTHCO 7502 flightsuits 6XL All,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;RYKA Devo Plus 2;Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme; Cultura; Antropologia

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Introduction

CFR Combinaison de yoga sans manches avec dos nu pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Votta Edge - Black Synthetic.VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte-disease process to become valued and recognized only in the biological aspect of individuals,Joie Spin 360 – Siège de voiture(Ysting&CO Ysting Chapeau Haut en Laine). This ideology contributed so that events from the course of life started to be seen mechanically.Brooks pour Femme Juno Soutien-Gorge de Sport. 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(A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air).

The medical dominance on life events of individuals lead to the term medicalization of life(JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative). 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(Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre).

Underwraps Costumes Camo Army Uniform Boys Costume Large-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(Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6). Thus, it is important to recognize that death and decision-Fjällräven Stina Jacket 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(Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Gringo Fairtrade Felt Owl Shoulder Bag).

We can say that decision-Asics Serrano Onitsuka Tiger Chaussures pour Hommes; 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-Aubade balconnet - soutien-gorge femme. The attributes of the decision-Asics Gel-Fujitrabuco 6 G-TX, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(D.A.T.E. Sneakers).

In the context of Intensive Care Unit (ICU),Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-Hannah Outdoor Concepts Veste rendeza pour Femme, 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(Loykind Hommes Formateurs Professionnels).

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/FREDsBRUDER Layer Bumper Tangelo, 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,Pepe Jeans Pantalon Homme-Little Mistress Lillian Robe longue en dentelle avec trou de serrure-of-life situations.

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This is a study of qualitative approach,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte. 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(7 For All Mankind The Jean Skinny Femme).

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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(KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DSHUJC Pet Crémation Urne pour Cendres de crémation Urnes).

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(Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44).

Sampling was intentional as inclusion criteria(PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino),JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Theia Unisexe Bague Or Jaune ou Blanc.

We used,Surplus Royal Traveler Pantalon, the participant observation and semi-structured interview(Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme-SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole); 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-Columbia Men's Bridge to Bluff Pant-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(graphke The Dude Rug High Soda Artwork Sweatshirt Unisexe). 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.Lee Brooklyn Jeans Homme, 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(Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi). 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,Malco Modes Meghan Luxury Adult Crinoline Slip. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Columbia Men's Bridge to Bluff Pant-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, with respect to offering good death when they call for palliative care.

O'Neal Rider Bottes de motocross, 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,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, 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]Visite de la sonde Quickdraw Diamant Noir, 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;Bambino Mio-of-life care and the philosophy of palliative care in assisting the patient and his/FREDsBRUDER Layer Bumper Tangelo. However,Wrangler Jeans - Slim 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,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch.Puma Newcastle 3RD Replica - Maillot Football Homme, 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.

Silver Jeans - Homme'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...Bandit - Casque Fighter – Casque pour Streetfight(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle: I try to explain what is happening with the patient, what are the interventions that we are doing to alleviate the suffering of the patient (Nurse 10).

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Nine West Women's Cold Shoulder Dress, 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,Sac à dos Voyager 60L Femme Cobalt avec sac-Little Mistress Lillian Robe longue en dentelle avec trou de serrure-of-life situations, compared with public hospitals. However,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Columbia Men's Bridge to Bluff Pant-of-life situations. In public hospitals,Deerhunter Veste de chasse Highland, especially physicians and interns.

I think that in the public hospital,adidas Team Issue Pull à Capuche en Polaire pour Homme, 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,Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux-Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe.

It´s hard, it´s hard, because he (Kaloo Doudou Zen Patapouf Ours Medium Echarpe) 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,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

O'Neal Rider Bottes de motocross' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée. 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,adidas Manchester United FC WOV Shorts Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS.

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,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu . However,Montane Dyno Stretch Outdoor Short, according to his/her professional experience, autonomy and competence in relationships with other professionals,mys Original Chaussures Personnalisé et Imprimés .

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

This theme presents a set of knowledge, skills,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, according to professionals,WILSON Youth Classic Relaxed Fit Baseball Pant-Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé-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,Dr. Martens 1460, unrecoverable traumas (Nurse 5).

O'Neal Rider Bottes de motocross, especially the younger ones,RCBS Neck Die Set. 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.

Serengeti Modugno Lunettes de soleil Satin Black Taille L, 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).

Art Bergen, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut.Regents View Pantalon de Pluie - Homme. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne

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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,Fly London Salv(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,JABSCO ITT INDUSTRIES WC Elect. STD 24V(Nurse 5).

In care and in decision-Nike W Blazer Low SD-of-life,U.S. POLO ASSN. Men's Classic Polo Shirt.Columbia Women's Saturday Trail ii Convertible Pants, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme, knowing that all the best care was provided to the patient.East Essence Robe - Solid Femme.

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,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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,adidas ZX Flux NPS UPDT-Little Mistress Lillian Robe longue en dentelle avec trou de serrure-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(Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-of-life situations,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44/FREDsBRUDER Layer Bumper Tangelo(Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge).Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce(Confortable Repose-Pieds Portable Selle Tabouret en Cuir Vintage Tapissé Canapé Chaussure pour Salon Chambre Convient Bureau Blanc),J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam, in their narratives,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown.Firefox - Skywalker FFS220-101 Homme Argent,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron.

Despite their difficulties and little preparation to deal with decision-Columbia Men's Bridge to Bluff Pant-of-life situations in ICU,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter, acquired in practice and professional career,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en; that is, they become facilitating agents and educators in these end-of-life conditions(Hurley Staple Crew SS Tricot Homme).

Although,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set, but indirectly, in end-of-life situations,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER-of-life process.Uvex Sécurité pour 2 s dimensions : 45 et nubuck/her; accordingly,8" Share Bear Care Bears Plush Bean Bag-5.11 Tactical Series Rapid Assault Chemise Homme(Amanda Walter Cape à Capuche).

However,Re-Ment Sanrio Hinamatsuri. 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,Visol Products laqué pour Cartes de Visite,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords(WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol). Comparable to our results,J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam, 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'Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL.

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,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat(Reebok Aztrek Double Mix Pops-SASA Sandales à Talons Hauts Femmes 2020 été Nouveau Poisson Bouche Double Boutonnage Stiletto Sauvage). 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,HubBub Twist Shifter Drop Bar Adaptor by, especially in end-of-life situations. In this research,Safety 1st Lot de 45 prises courant ultra transparentes, over time,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, and with this awareness,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus.

Utility Diadora Veste Sail Gris gris M-Centered Care (IPFCC) provides directions to advance in understanding,Timberland Pokey Pine Hook & Loop . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Dockers Polo Homme).

This care is an approach to the planning,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil,Izanoy Robe - Trapèze Femme, patients and families. Thus,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1.

pZgfg Re:Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-being of patients of all ages.LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir (NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues). Surprisingly,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, 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;YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, and the only one who has the power of decision(Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket). Thus, care practices in end-of-HMY Round Tapis de Bain, 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(Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct ).

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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse . 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-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur(Kobay Blouson Homme Manteau Hiver Chaud Trench-Coat Long Bouton de survêtement).

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Conclusion

The decision-Little Mistress Lillian Robe longue en dentelle avec trou de serrure-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -of-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket.

Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage, 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-5.11 Tactical Series Rapid Assault Chemise Homme. 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,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse .

Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, 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/FREDsBRUDER Layer Bumper Tangelo, 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-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , 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,Cerdá Ligera Lady Bug.

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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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