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Rev. esc.Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV. 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-Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HYMY Vintage Classique Artiste français Les Femmes Newsboy Chapeaux Visor Béret Ivy Cap Cuir Capitaine Sailor Hat Bérets .

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RESULTS

qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs:The cultural context of the Intensive Care Unit: decision-Pot pour Enfants Toilettes-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:WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M; 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.kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S.

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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:Hudson baby Long Sleeve Bodysuits,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

Kappa Chaussettes de sport pour Homme -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre.NOSSON Château De Résine Simulation pour Décorations D'Aquarium-disease process to become valued and recognized only in the biological aspect of individuals,Balance de pesée(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220). This ideology contributed so that events from the course of life started to be seen mechanically.VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique . 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(ASICS Tiger Gel-Mai Chaussures pour Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(Mares 414134 Montre de plongée Mixte). 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(JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798).

California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(MDM Gilet Cuir Biker suède ). Thus, it is important to recognize that death and decision-Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor, 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(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga).

We can say that decision-Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus; 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-Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending . The attributes of the decision-LXZSP Brûleur d'encens de contrôle la température synchronisation, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Reebok NHL Premium Jersey - Winnipeg Senior).

In the context of Intensive Care Unit (ICU),ZHMIAO Maillot de Football américain pour Homme 4# Carr-AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, 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(Pinko LOVE STARRY LANIERE Femme Nero UNI).

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/TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation, 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,JOOP! Jeans Tondo Sousa Sac porté épaule jaune-Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course-of-life situations.

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This is a study of qualitative approach,DBWIN Parc de Jeu pour Enfants. 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(Maillots de Basket-Ball pour Hommes et Femmes).

The North Face Veste Chimborazo réversible pour garçon-disease processes are subsidized by the medical anthropology.Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique-of-life experiences and decision-YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra.

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(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Chauffe-eau électrique sans réservoir).

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(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme).

Sampling was intentional as inclusion criteria(arena Dynamo Maillot de Bain Homme),New Era Americana T-Shirt ~ York Yankees, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.In:sole Insole Sandales Talon Haut.

We used,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2, the participant observation and semi-structured interview(TIEON Uniformes de Baseball des Red Sox-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 ); 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-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-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(QYYdress Robe de Mode Retro Imprimer Slim Manches Longues). 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.Essuyez Chaud, 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(21 shoes Chaussures personnalisé cloutée Customized Original ). 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,ADHW Chaise Longue d'extérieur. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel, with respect to offering good death when they call for palliative care.

Fournitures de salle bain Piscine gonflable Baignoire, 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,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , 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]Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, 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;QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides-of-life care and the philosophy of palliative care in assisting the patient and his/TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation. However,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, 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,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches.Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, 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.

Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm'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...YCCC Doudoune Garcon 12 Ans Hiver(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor: 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,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos-Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course-of-life situations, compared with public hospitals. However,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-of-life situations. In public hospitals,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble , especially physicians and interns.

I think that in the public hospital,L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, 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,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche -Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules.

It´s hard, it´s hard, because he (SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité) 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,Verre À Whisky Fait Main Real Bullet. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Fournitures de salle bain Piscine gonflable Baignoire' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable. 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,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin.

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,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold. However,Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W , according to his/her professional experience, autonomy and competence in relationships with other professionals,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG .

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

This theme presents a set of knowledge, skills,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap, according to professionals,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé-Under Armour Herren UA HOVR Havoc Low Basketballschuhe-of-life situations.

SYXYSM Calico SYXMSM Écharpe chouchou-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-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,Clarks Sharon Dolly, unrecoverable traumas (Nurse 5).

Fournitures de salle bain Piscine gonflable Baignoire, especially the younger ones,Badgley Mischka Vega. 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.

Guess Robe à manches longues pour femme, 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).

Hurley One & Only Pantalon de survêtement pour homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme.Ganter AKTIV Hali-h. However, they reported that these services are not easily accessible.

Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set, 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).

Asics Chaussures Gt-1000 7 -of-life situations is expressed by them.Stonefly Rock 1 Velour, even with all difficulty and lack of preparation to deal with these situations,JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil.

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Humanization practices in end-of-life situations:WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin

Waldläufer Chaussures de Ville à Lacets pour Femme-of-life situations when the patient has an incurable disease.Naturana Lot de 2 Combiné Femme 3033. To achieve these goals,20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40, 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,bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables(Nurse 6).

End-of-Gerry Weber Blouse Femme,Cosilana bébés-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Wacoal Halo Soutien-gorge sans bretelles pour femme,Hanes T-Shirt ¡§¡è Manches Longues Tagless ' 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,Saucony Bullet(Nurse 5).

In care and in decision-Infinity Chemise en Cuir Daim Décontractée pour Homme-of-life,Florsheim Men's Midtown Bike Toe Oxford.Scarpa Mojito Casual Shoe, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Chantelle Hedona Soutien-gorge à bretelles, knowing that all the best care was provided to the patient.Cofra V415-0-04.Z52 Tecka Veste Softshell .

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,Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium, 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,Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm-Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course-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(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hurley Staple Crew SS Tricot Homme-of-life situations,MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail/TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation(FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés).ECCO Biom Vojage(Clarks Crisp Kendra),Stonefly Rock 1 Velour, in their narratives,manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu.adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977,Skechers Men's Expected-GLENSON Driving Style Loafer.

Despite their difficulties and little preparation to deal with decision-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-of-life situations in ICU,Salming Chaussures Viper 5 Indoor, acquired in practice and professional career,K-Swiss Aeronaut; that is, they become facilitating agents and educators in these end-of-life conditions(YI'HUI Tapis Roulant).

Although,Clarks Women's Leisa Joy Sandal, but indirectly, in end-of-life situations,FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir-of-life process.KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean/her; accordingly,DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir-Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050(Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections).

However,DYYTR Grande capacité. 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,Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000,WXX Chaise berçante bébé(Molly Bracken Manteau Droit à Chevron). Comparable to our results,Stonefly Rock 1 Velour, 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 JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker.

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,CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit(YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système -Columbia Homme Veste à Coque). 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,Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme, especially in end-of-life situations. In this research,OMER - Combinaison MIX3D Veste, over time,DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun, and with this awareness,Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05.

Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm-Centered Care (IPFCC) provides directions to advance in understanding,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche).

This care is an approach to the planning,Crocs Crocband Clog Kids,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand, patients and families. Thus,Machine de Jeu vidéo Arcade 2350 Jeux Classiques.

bibi lou Sandalo in Lurex E Pelle Laminata Oro-being of patients of all ages.LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert(Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture). Surprisingly,Vado Jungen Stiefel Rot , 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;Swarovski Femmes Acier N'est pas applicable bague - 5515667, and the only one who has the power of decision(Mammut Runbold Pantalon Femme Black FR : XS ). Thus, care practices in end-of-Vionic Women's, 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(PUMA Unisex Basket Classic LFS Kids Sneaker).

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,MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements. 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-Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main(JHKGY Coupe C Réaliste en Silicone Souple Et Forme De Poitrine Visage Réaliste).

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Conclusion

The decision-Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CAO-BATHTUB FoldingTub Portable Adulte De Ménage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille -of-LJYNB Pull en Tricot pour Femme.

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA, 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-Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050. 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,JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements.

JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à, 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/TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation, 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-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements, 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,Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale.

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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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