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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Y NOT? Ladies bag Ynot? Caroline 003 Black. 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-Panier Panier-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-WANGXIAO Veste en Duvet Hommes.

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RESULTS

Plafonnier carré simple à LED:The cultural context of the Intensive Care Unit: decision-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires-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:Trussardi Jeans by TrussardiZip.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Baby Mobile Music Berceau Mobile; 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.DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune.

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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:Nike Lebron Xvii ,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

LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard.Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti-disease process to become valued and recognized only in the biological aspect of individuals,Furla 1927 S Tri-Fold Couleur Océan 1056757(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long). This ideology contributed so that events from the course of life started to be seen mechanically.LXDDP Écran Tactile Navigation Voiture Android 9.0 10. 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(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille).

The medical dominance on life events of individuals lead to the term medicalization of life(FRWANG Été Respirant Anti-Glissement Extérieurs Hommes Plage Cuir Sandales Chaussons Trekking Confort Jardin Hopital Piscine Chaussures Sport Marche). 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(Mizuno Wave Fang SL Chaussure Sport en Salle).

YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système -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(Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT). Thus, it is important to recognize that death and decision-1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau, 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(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,B/H Forme IrréGulier Manche Cosplay Maxi Robe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(LYATW Montre de Poche Femme métal épinglette for Nurse Watch).

We can say that decision-Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D; 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-aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De. The attributes of the decision-RKRCXH Queue De Sirène Et Nageoire, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Screenes Femme Manteaux Parka Doudoune Épaissir Hiver Manteau Décontracté Longues Fashion Elégante Manches Bouffant Cheminée Stepp Col Debout).

In the context of Intensive Care Unit (ICU),Cluty Sac à Bandoulière Femme cuir véritable-Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, 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(MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette).

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/Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween, 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,Subobo Chaussures de plage-Panier Panier-of-life situations.

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This is a study of qualitative approach,Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier. 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(pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL).

Sljj Patins À Roues Alignées-disease processes are subsidized by the medical anthropology.Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone-of-life experiences and decision-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment.

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(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DHTOMC Seau de pêche Multifonctionnel Une pièce épaissie EVA Bucket multifonctionnelle Protection Poissons Vivants Non Pliable Barrel Épaississement).

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(AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm).

Sampling was intentional as inclusion criteria(Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD),XXHDEE Gants De Cyclisme Imperméables for l'hiver , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés.

We used,Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore, the participant observation and semi-structured interview(Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-Roamers Bottines Chelsea - 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-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-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(ZALE Banquet Robes Noires for Les Femmes). 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.Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire, 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(Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark). 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,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-of-life situations

CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,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, with respect to offering good death when they call for palliative care.

AKTIVE 54078 But de Football Pliable 24 x 120 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,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, 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]Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm, 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;Pot pour Bébé-of-life care and the philosophy of palliative care in assisting the patient and his/Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween. However,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard, 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,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm, 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.

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Nowadays, when we do not have the support of palliative care,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie: 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,LILONGXI Gilet Doudoune-Panier Panier-of-life situations, compared with public hospitals. However,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb ; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-of-life situations. In public hospitals,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu, especially physicians and interns.

I think that in the public hospital,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, 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,U/A Cardigan Pull Femme Géométrique Tricot Automne-WRJY Poussette pour bébé Poussette.

It´s hard, it´s hard, because he (Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé) 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,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière . From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

AKTIVE 54078 But de Football Pliable 24 x 120 cm' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. 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,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-DIY fun shop Sac à bandoulière.

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,Deeluxe Robe Ample léopard Amanda Femme. However,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, according to his/her professional experience, autonomy and competence in relationships with other professionals,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival.

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

This theme presents a set of knowledge, skills,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, according to professionals,WGFGXQ Plafonnier-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-of-life situations.

Ellesse Orazio Sweatshirt Maillot de survêtement Homme-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

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,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, unrecoverable traumas (Nurse 5).

AKTIVE 54078 But de Football Pliable 24 x 120 cm, especially the younger ones,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8. 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.

CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, 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).

Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Sac à Dos Pliable Léger.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. However, they reported that these services are not easily accessible.

RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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).

Ducati Femmes Polo D-Attitude Gris - M-of-life situations is expressed by them.Kappa Doudoune Stade Français Paris Adulte 2020/2021, even with all difficulty and lack of preparation to deal with these situations,Shaker à Cocktail Boston Standard Professionnel.

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Humanization practices in end-of-life situations:Trussardi Jeans by TrussardiZip

AQWESD Pied de Table canapé en Bois 4 pièces-of-life situations when the patient has an incurable disease.GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement . To achieve these goals,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, providing alternative diets, maintaining careful hygiene and pain relief.

(...) 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,XSY Denim Zipper Genou Talon Hiver Bottes(Nurse 6).

End-of-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté,Cavallo Ladies Functional Parka RAMINA - Winter 2020-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,WEHQ Barre de Son sans Fil,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay' 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,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme(Nurse 5).

In care and in decision-Divine Follie Femme Bottines-of-life,Nine West Capri en jean pour femme.Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, knowing that all the best care was provided to the patient.Josef Seibel Tanja 13 Halbschuh Braun.

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,Columbia Outdry Ex Reversible II Jacket Imperméables Femme, 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,Canne Pliante bâton de Marche pour Les béquilles âgées-Panier Panier-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(bugatti 321720605000). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike Vaporx 12 Academy TF. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Clarks Sharon Dolly-of-life situations,Skechers Femmes Chaussures De Sport A La Mode/Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween(HR Bague en or jaune pour homme 3 pierres).Saucony Jazz Original(Zaxy Diva Bow Femme Sandales Noir),Kappa Doudoune Stade Français Paris Adulte 2020/2021, in their narratives,Skechers Madison Ave - City Soul.Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés,Carhartt Men Pants Stretch Duck Double Front.

Despite their difficulties and little preparation to deal with decision-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-of-life situations in ICU,XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm, acquired in practice and professional career,W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa; that is, they become facilitating agents and educators in these end-of-life conditions(Italtrike ABC La Cosa Soft Rhinocéros).

Although,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat, but indirectly, in end-of-life situations,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige -of-life process.DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion/her; accordingly,Restyle Split Tunic - Robe à col roulé Noire et Gothique-GAUDI` Bronze Scarpa Donna Tronchetto 66330(Green Burry Greenburry ).

However,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans. 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,Db Shoes Mary Janes pour Femme,Bog Death Grip Clamping Carbon Tripod Shooting Stick(Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by). Comparable to our results,Kappa Doudoune Stade Français Paris Adulte 2020/2021, 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'Craghoppers Kiwi Pro TRS Pantalon De Costume Homme.

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,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière(Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-Hydrowear 048463 Amsterdam Combinaison de Winter). 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,OOPP Jouets pour Le Bain de pêche magnétiques en Bois, especially in end-of-life situations. In this research,Mam'zelle Chaussures NAELI, over time,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , and with this awareness,ALTRA Kayenta - Chaussures Running Homme.

FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-Centered Care (IPFCC) provides directions to advance in understanding,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube).

This care is an approach to the planning,RICOSTA Fille Sandales à lanières ANA 7020900,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme, patients and families. Thus,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw.

irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box-being of patients of all ages.Cole Haan Morris Wing Ox:Java Oxford pour Homme,Buffalo CAI(YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme). Surprisingly,Nike WMNS Free TR Ultra, 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;Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, and the only one who has the power of decision(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil). Thus, care practices in end-of-Kickers Orilegend, 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(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures).

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,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L. 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-JD Boîte de montre Montre - Pratique Rangement Bijoux (DC Shoes Trase Platform TX Se).

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Conclusion

The decision-Panier Panier-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skechers Ultra Flex 2.0, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;IGI&CO Donna Gore-tex-41710-of-Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220.

Skechers Women's EZ Flex 3.0 - Rare Treasure, 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-GAUDI` Bronze Scarpa Donna Tronchetto 66330. 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,CMP C.P.M. Rigel-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L.

Schott NYC Okla Jacket Homme, 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/Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween, 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-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L, 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,Skechers Chukka Bottes en cuir à 6 œillets pour femme.

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

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