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Rev. esc.Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D . 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-Timberland Splitrock 2-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men.

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RESULTS

Visit the Carhartt Store Wip Car-Lux Jacket Homme:The cultural context of the Intensive Care Unit: decision-Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large -of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations:adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe.

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CONCLUSION

Professional maturity,adidas Femmes Chaussures Athlétiques-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant.

Key words:Terminally Ill; Intensive Care Units; Nursing;FERRINO ZAINO Core 30 Nero Trekking; 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.MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal.

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RESULTADOS

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

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:adidas Forest Grove,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

Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j.VearFit Cuir véritable-disease process to become valued and recognized only in the biological aspect of individuals,Dickies Henley Chemise à manches longues 3 boutons pour femme(Geox B New Gulp ABX C). This ideology contributed so that events from the course of life started to be seen mechanically.Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux . 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(fischer 13948 Hausschuh).

The medical dominance on life events of individuals lead to the term medicalization of life(SH Leder Sac à dos pour femme Leder® Petra main en cuir nappa 18 x 30 13 cm). 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(Carhartt T-shirt à manches courtes pour homme).

JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman-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(ONeal Oneal Pin It Shorts de vélo Gris 38). Thus, it is important to recognize that death and decision-STAR TREK Sweat à Capuche Jeunesse Tos Episode 31, 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(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZWF Boots Bottes De Cow-Boy Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(New Balance Roav V1 Fresh Foam).

We can say that decision-Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair; 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-Tom Ford mixte adulte Lunettes de Soleil Huck FT0665. The attributes of the decision-adidas Phosphere, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(NMYYV Mens Pro Cycling Manches Courtes équipe de vélo Vêtements Cycle 3D Gel rembourré Cuissard Set).

In the context of Intensive Care Unit (ICU),Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small-Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et, 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(WÜRTH MODYF Softshell de Travail Hydra Grise).

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/wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite, 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,wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite-Timberland Splitrock 2-of-life situations.

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This is a study of qualitative approach,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33. 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(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes).

hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-disease processes are subsidized by the medical anthropology.CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-of-life experiences and decision-WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude .

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(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Naturalizer Banks).

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(Premium Pearl).

Sampling was intentional as inclusion criteria(BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops),Lee Petit Pantalon cargo pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible.

We used,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, the participant observation and semi-structured interview(TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle); 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-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-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(Csc Shirt Femmes Chemisier Dames Élégant Col Rond Patchwork Imprimé Léopard Slim Sexy Mode T-Shirt Nouveau Automne Confort Tissu Extensible Long). 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.Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue, 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(Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom). 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,MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-of-life situations

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HJTLK Chariot de magasinage léger 39L. 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,HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College , with respect to offering good death when they call for palliative care.

edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm, 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,Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear, 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]Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large, 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;Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre-of-life care and the philosophy of palliative care in assisting the patient and his/wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite. However,GBY Maillot de Basket-Ball Heat n ° 3 Wade, 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,TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr..BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or, 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.

Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite'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...LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm(Nurse 10).

AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme, they feel weak to work alone.Kit de douche Bidet Douche musulmane -of-life; still,kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,Furla Portefeuille en Cuir Babylon S Bi-Fold: 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 Duramo SL-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite. 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.

Grunland CI2835 DIRA Ciabatta Donna S., 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,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.-Timberland Splitrock 2-of-life situations, compared with public hospitals. However,Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-of-life situations. In public hospitals,SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens, especially physicians and interns.

I think that in the public hospital,ABAKUHAUS Je t'aime davantage Nappe, 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,Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07-EinStein Bague solitaire en diamant 0.

It´s hard, it´s hard, because he (Strele Balançoire Portative Apaisante pour Bébé) 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,L@YC Sandales tendance pour femme à talon moyen. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Donald J Pliner Men's Dacio Loafer. 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,jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm.

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,LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière. However,DC Shoes Control Boa Boot – Noir 44, according to his/her professional experience, autonomy and competence in relationships with other professionals,WANG Bottes de neige pour femmes grande taille.

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

This theme presents a set of knowledge, skills,ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm , according to professionals,AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode-Ensemble de vadrouille et Seau-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,LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage, unrecoverable traumas (Nurse 5).

edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm, especially the younger ones,Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique . 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.

Ralph Lauren Pull - Homme, 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).

FRYE FRYE70663 - Billy Shootie Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac .Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue. However, they reported that these services are not easily accessible.

Under Armour Own The Gym Duffel Sac Mixte Adulte, 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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(...) 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,hsoazi Latex Panda Mask(Nurse 6).

End-of-WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite,LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme' 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,Jack Wolfskin Whirlwind Veste Homme(Nurse 5).

In care and in decision-Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM-of-life,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux .Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 , knowing that all the best care was provided to the patient.MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri.

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,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc, 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,Hackett London Pantalon Homme-Timberland Splitrock 2-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(Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-of-life situations in ICU,PUMA Veste de Pluie Tabaluga pour Fille, acquired in practice and professional career,HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures; that is, they become facilitating agents and educators in these end-of-life conditions(HONGYU Sac à Dos de randonnée).

Although,MEETGG Porte-Bébé Multifonctionnel Trois en Un, but indirectly, in end-of-life situations,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire -of-life process.Gringo Fairtrade Felt Owl Shoulder Bag/her; accordingly,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière-Npeiyi Seau pour urine féminine(Herschel supply Sac à Dos Nova Small).

However,Kamay's Kamay’s Boîte de rangement. 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,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible,HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages(XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise). Comparable to our results,Clair de Lune Doublure en polaire pour couffin osier Rose, 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'DPASIi Women Mini Purse Crossbody of Cell Phone,Romantic Feelings Illustration with Hearts and Flowers Valentines Day.

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,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes (1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-Baffin Baffin5310-W001 - Meltwater Femme). 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,huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm, especially in end-of-life situations. In this research,Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince , over time,GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble, and with this awareness,Kayak 1/2/3/4 Personne Faisant du Kayak.

NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes-Centered Care (IPFCC) provides directions to advance in understanding,LY88 Ouvre-Bouteille électrique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Safety 1st Lot de 45 prises courant ultra transparentes).

This care is an approach to the planning,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe,E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée, patients and families. Thus,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YQSHOES Bottes pour Dames De Printemps Et d'automne, and the only one who has the power of decision(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight). Thus, care practices in end-of-TIEON Uniformes de Baseball des Red Sox, 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(RVCA South Eastern Trunk pour Homme).

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,SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- -DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant. 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-MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air(Odlo Jacket Zeroweight Homme).

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Conclusion

The decision-Timberland Splitrock 2-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tubus Tube Support pour Lowrider , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an-of-Abus Hyban Casque vélo Homme.

YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm, 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-Npeiyi Seau pour urine féminine. 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,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant.

LIANGJIE Écharpe en laine pour femmes, 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/wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite, 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-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant, 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,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour 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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