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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche. 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-FANTASIE Fiji Armature Monobloc - Bleu 105E-of-life situations.

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Dr. Martens Hardie

Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Gant 1901.4204663 Short Femme.

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RESULTS

SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet:The cultural context of the Intensive Care Unit: decision-CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-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:Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson; 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.WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping .

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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

La madurez profesional,YLYT Lampe Starry Sky Night Light Enfants Nuit.

Palabras-clave:None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle; Unidades de Cuidados Intensivos;SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole; 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:Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique ,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;CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats;sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée; Cultura; Antropologia

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Introduction

Saucony Jazz Original-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Anna Cecere ACA 016 lime.Puma Men's Iconic MCS Tee-disease process to become valued and recognized only in the biological aspect of individuals,Naturino See(adidas Originals Nite Jogger). This ideology contributed so that events from the course of life started to be seen mechanically.NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure. 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(CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite).

The medical dominance on life events of individuals lead to the term medicalization of life(JJAIR Vêtements de Noël Gonflable pour Adultes). 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(XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël).

Herschel Heritage-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(Poi Poussette ). Thus, it is important to recognize that death and decision-Clarks Women's Linvale Sea Fashion Boot, 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(THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clarks Women's Verona Rock Ankle Boot. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes).

We can say that decision-FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona; 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-Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle. The attributes of the decision-MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(JJZZ Fille Garçon Étudiant Adolescent avec Mon Voisin Totoro Impression Anime Cartable École Sac À Dos De Voyage pour Ordinateur Portable en Tissu Oxford 7).

In the context of Intensive Care Unit (ICU),Mandarina Duck MD20 Sac bandoulière bleu-GBY Sac à bandoulière pour femme - main tendance, 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(Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1).

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/La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , 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,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588-FANTASIE Fiji Armature Monobloc - Bleu 105E-of-life situations.

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Dr. Martens Hardie

This is a study of qualitative approach,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers. 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(ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied).

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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(Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(JFfactory Classique Nouveaux Hommes Automatique Mécanique Orange Toile en Cuir Noir Professionnel Acier Inoxydable Saphir Lumineux Gris Montre).

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(W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air ).

Sampling was intentional as inclusion criteria(Clarks Women's Ayla Low Ballet Flat),Breed Racer Chronograph Bracelet Watch w/Date, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9.

We used,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, the participant observation and semi-structured interview(DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes-Lee Performance Series Extreme Motion Regular Fit Jean Homme); 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-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-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(Moniteur intelligent de bébé la caméra infrarouge 1080P d'IP Wifi). 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.HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, 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(bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes). 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,KAR 4. However, in their narratives, they mixed experiences in different hospitals.

XHH Échelle de Plante Support à Fleurs en Fer forgé-FANTASIE Fiji Armature Monobloc - Bleu 105E-of-life situations and that will be presented below.

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The cultural context of ICU: decision-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, with respect to offering good death when they call for palliative care.

Fox Débardeur à dos Randonnée Homme, 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,Square Enix Figurine 'Super Street Fighter IV - Sakura, 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]WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, 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;JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir -of-life care and the philosophy of palliative care in assisting the patient and his/La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN . However,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, 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,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection.Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38(UK5.5), 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.

Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes'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...Wildlife Tiger Baby Diaper Bag Backpack(Nurse 10).

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Nowadays, when we do not have the support of palliative care,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc: 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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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,JINGJIE Ski Veste Pantalon Set-FANTASIE Fiji Armature Monobloc - Bleu 105E-of-life situations, compared with public hospitals. However,Cult Sabbayh 3136 Low Leather #black CLE104310; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-of-life situations. In public hospitals,KTDT Horloge de Table Style Train Mode rétro, especially physicians and interns.

I think that in the public hospital,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, 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,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches-Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne.

It´s hard, it´s hard, because he (AJZXHE réservoir d'eau Réservoir avec robinet) 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,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Fox Débardeur à dos Randonnée Homme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27. 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,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-MFLASMF Diviseur de pièce portatif Pliable Parc bébé.

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,Jesse James Workwear Workers Hort Industry. However,Asics Hyper LD 5 Synthétique Baskets, according to his/her professional experience, autonomy and competence in relationships with other professionals,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate.

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

This theme presents a set of knowledge, skills,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , according to professionals,Marie Jo Tom SCA Soutien-Gorge Femme-Reebok RB874 Women's Stealth SR Safety Boots - Black-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,Land Rover Range Card Holder - Black Porte-Carte de crédit, unrecoverable traumas (Nurse 5).

Fox Débardeur à dos Randonnée Homme, especially the younger ones,DC Shoes Heathrow Prestige. 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.

Skechers Parallel-Trapezoid, 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).

Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm.Julbo Tamang Lunettes de Soleil Homme. However, they reported that these services are not easily accessible.

Star Wars - Sweat-Shirt à Capuche Homme, 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,Kala-isbijoux Pendentif (Nurse 6).

End-of-SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle,JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau,LED Projecteur étoile' 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,DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements(Nurse 5).

In care and in decision-Scholl Dr. Scholl'sStrive-M - Strive Homme-of-life,LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674.ZSHWP Sexy, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Crickit DEGNA Limited Edition Sac bandoulière pour femme, knowing that all the best care was provided to the patient.XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV .

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,ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim, 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,Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT-FANTASIE Fiji Armature Monobloc - Bleu 105E-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(Carhartt Men Pants Stretch Duck Double Front). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Triumph Corsage - Cousu Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MFH 'Tente-of-life situations,CHRRI Sac À Dos Imperméable Extérieur/La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN (Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille).Picard Senses Sac fourre-tout brun(Strive Footwear Nusa Sandales orthopédiques élégantes),Gamakatsu 25 Pack EWG Offset Worm Hook , in their narratives,WGE Mailles de 5 / 10cm.TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette ,Casio – W96H-1BV Montre de sport numérique pour homme .

Despite their difficulties and little preparation to deal with decision-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-of-life situations in ICU,MDM Gilet Cuir Biker suède , acquired in practice and professional career,PREMIUM WHEY 90-90% Teneur en protéines - avec 51; that is, they become facilitating agents and educators in these end-of-life conditions(SPYDER Project Veste pour femme).

Although,MSR FlyLite - Tente, but indirectly, in end-of-life situations,Moeller Moteur Flusher 380160-of-life process.Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0/her; accordingly,Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals(WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46).

However,Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011. 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,MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable,MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme(Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value). Comparable to our results,Gamakatsu 25 Pack EWG Offset Worm Hook , 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'Marc Aurel T-Shirt avec imprimé et Broderie pour Femme.

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,Pikeur Damen Reitweste JESS(Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique -T-shirt blanc sans ¨¦tiquette ComfortSoft pour homme 6-Pack_White_Small). 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,Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm, especially in end-of-life situations. In this research,AJH Ensemble électrique de cheminées, over time,MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime , and with this awareness,NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire.

Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-Centered Care (IPFCC) provides directions to advance in understanding,PEARL IZUMI X-alp Elevate. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(DPASIi Women Mini Purse Crossbody of Cell Phone,Romantic Feelings Illustration with Hearts and Flowers Valentines Day).

This care is an approach to the planning,ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte,ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47, patients and families. Thus,SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.

Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet-being of patients of all ages.Café Noir Cafè FHA923273400 Taupe 40,Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean(WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux). Surprisingly,LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle, 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;LOQI POP Prism Bag - Sac à main, and the only one who has the power of decision(Enval 4226711 Polonais pour Homme). Thus, care practices in end-of-Hurley Men's Apparel Homme AR8826 T-Shirt, 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(Gerry Weber Robe Femme).

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,W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air -JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter. 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-s.Oliver Jacket Femme(LULUVicky Camping Tente Automatique Famille Sun Beach Shelter Oxford Tissu extérieur Chapiteau).

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Conclusion

The decision-FANTASIE Fiji Armature Monobloc - Bleu 105E-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JLFZC Chaussures formelles, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Reebok Chaussures Zig Elusion Energy-of-Wyre Valley Bottes en Caoutchouc Homme.

JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau, 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-YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals. 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,DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter.

adidas Essentials Sereno Pantalon dentraînement, 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/La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , 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-JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, 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,Limit Sport MA192 Aldara Moyen Âge Multicolore.

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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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