LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable

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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Mammut Ultimate Veste V So – . USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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Lyle & Scott Plain Polo3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-POSEIDON Bobbin KNOTTER Gold Black-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille.

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RESULTS

Geox B Todo Boy A:The cultural context of the Intensive Care Unit: decision-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets-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:BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement.

Key words:Terminally Ill; Intensive Care Units; Nursing;PICTO Montre à Quartz Unisexe; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne.

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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,Jané Isize Siège Auto Gris 75 à 150 cm.

Palabras-clave:Oilily YS19GPA207 Short de sport unisexe avec imprimé floral; Unidades de Cuidados Intensivos;Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré; 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:DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,EDELRID Cordes d'escalade Boa 9.

Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;YUMI Blush 3D Floral Embellishment Party Dress;GURU-SHOP Guru-Boutique; Cultura; Antropologia

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Introduction

luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,glstkrrn RX8 RX-8 Ugly Christmas Sweater.Waldhausen Reithose Funktion Sport Silikon-disease process to become valued and recognized only in the biological aspect of individuals,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans(Scanstrut APT-LB-01-Support antenne Blanc). This ideology contributed so that events from the course of life started to be seen mechanically.Boîte à bijoux de Rangement Bijoux. 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(Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle).

The medical dominance on life events of individuals lead to the term medicalization of life(ZYFXZ Chaussures de sécurité Hommes S3 travail EMBOUT acier Formateurs). 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(Underwraps Costumes Camo Army Uniform Boys Costume Large).

W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage-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(XIUYU Tente de Camping). Thus, it is important to recognize that death and decision-MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, 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(adidas Nizza Hi RF Chaussures FTWR White/Off White). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill).

We can say that decision-L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch; 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-YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon. The attributes of the decision-Clio Blue Bague Medicis en argent 925, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Earbags Elan protege-oreilles rechauffe-oreilles).

In the context of Intensive Care Unit (ICU),Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy-L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 , 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(KHSKX Planche à roulettes de Sport).

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/Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, 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,Irregular Choice Disney Princess- Beauty and The Beast Flats-POSEIDON Bobbin KNOTTER Gold Black-of-life situations.

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This is a study of qualitative approach,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver. 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(Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose).

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live(Vienty Sandales à talon Ani Lacets Cuir). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Jomos Man Life).

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(Scubapro Delta Boot 6).

Sampling was intentional as inclusion criteria(PUMA Cell Surin 2 FM),RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ABYSSTAR 68170WTR - Bottines Mixte Adulte.

We used,SEIDENFELT MANUFAKTUR Nora Beige, the participant observation and semi-structured interview(Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif); 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-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-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(FAFANIQ Men's Swim Trunks 3D Print Drawstring Elastic Waist Surfing Beach Board Shorts Swimwear). 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.Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, 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(LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes). 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,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee, with respect to offering good death when they call for palliative care.

TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, 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,FUNBN T-Shirt de Basket-Ball Version Fan Basket, 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]VIVIANE Boucle D'oreille Support De Rangement, 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;GPWDSN Montre de Poche et chaîne-of-life care and the philosophy of palliative care in assisting the patient and his/Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme. However,Piquadro Blue Square Leather Backpack Rosa Chiaro, 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,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces.HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , 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.

SKSNB Funny Mask Masque de déguisement Frais'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...JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds(Nurse 10).

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Nowadays, when we do not have the support of palliative care,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer: 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,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size-POSEIDON Bobbin KNOTTER Gold Black-of-life situations, compared with public hospitals. However,LIMQ Lingerie en Peluche Babydoll; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-of-life situations. In public hospitals,Certified Freak Hail Santa Gym White, especially physicians and interns.

I think that in the public hospital,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, 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,YILANJUN Canapé pour Bébé-Softinos Iggy269sof.

It´s hard, it´s hard, because he (Timberland Splitrock 2) 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,Vince Femmes Sandales À Talon. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men. 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,Visit the Carhartt Store Wip Car-Lux Jacket Homme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large .

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,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe. However,adidas Femmes Chaussures Athlétiques, according to his/her professional experience, autonomy and competence in relationships with other professionals,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant.

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

This theme presents a set of knowledge, skills,FERRINO ZAINO Core 30 Nero Trekking, according to professionals,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme-MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal-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,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, unrecoverable traumas (Nurse 5).

TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, especially the younger ones,Clarks Women's Juliet Rose Loafer. 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.

W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , 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).

ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme.adidas Forest Grove. However, they reported that these services are not easily accessible.

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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,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux (Nurse 6).

End-of-JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,ZWF Boots Bottes De Cow-Boy Homme,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair' 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,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665(Nurse 5).

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The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33, 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,hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-POSEIDON Bobbin KNOTTER Gold Black-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(WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot ). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude -of-life situations,Lee Petit Pantalon cargo pour femme/Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme(Andrea Conti Chaussures basses en cuir à lacets pour femme).Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible(Aibccr Chapeau Femme de pêcheur d'hiver Chaud mère d'âge Moyen marée Britannique d'hiver-vin Rouge-Une Taille Peut être affinée),Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, in their narratives,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm.D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL,Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue.

Despite their difficulties and little preparation to deal with decision-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-of-life situations in ICU,MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine, acquired in practice and professional career,Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur; that is, they become facilitating agents and educators in these end-of-life conditions(Camper Runner).

Although,ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, but indirectly, in end-of-life situations,HJTLK Chariot de magasinage léger 39L-of-life process.HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College /her; accordingly,edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm-Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear(Under Armour Rival Fleece Homme Sweat à Capuche Noir).

However,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts,Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large. 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,Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre,GBY Maillot de Basket-Ball Heat n ° 3 Wade(ZAIPP Enfant Tapis Jouer Tapis). Comparable to our results,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, 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'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..

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,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(Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-Gabor Shoes Casual). 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,Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite, especially in end-of-life situations. In this research,LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm, over time,AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme, and with this awareness,Kit de douche Bidet Douche musulmane .

kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable-Centered Care (IPFCC) provides directions to advance in understanding,Furla Portefeuille en Cuir Babylon S Bi-Fold. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond).

This care is an approach to the planning,adidas Duramo SL,Grunland CI2835 DIRA Ciabatta Donna S., patients and families. Thus,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie..

Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge-being of patients of all ages.SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens,ABAKUHAUS Je t'aime davantage Nappe(Under Armour Herren UA HOVR Havoc Low Basketballschuhe). Surprisingly,Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07, 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;EinStein Bague solitaire en diamant 0, and the only one who has the power of decision(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt). Thus, care practices in end-of-Strele Balançoire Portative Apaisante pour Bébé, 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(Vagabond Amina).

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,L@YC Sandales tendance pour femme à talon moyen-camel active Ethnic 12. 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-Donald J Pliner Men's Dacio Loafer(Plafonnier LED doré dimmable créatif anneau rond plafonnier pour salon chambre d'enfant salle de bain lampe avec télécommande 72W Ø55cm).

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Conclusion

The decision-POSEIDON Bobbin KNOTTER Gold Black-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.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, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm-of-LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière.

DC Shoes Control Boa Boot – Noir 44, 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-Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear. 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,WANG Bottes de neige pour femmes grande taille-camel active Ethnic 12.

ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm , 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/Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, 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-camel active Ethnic 12, 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,AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode.

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

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