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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Yoga Design Lab Serviette de Hot | Douce. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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SOLE South Chaussures Noir1Universidade de São Paulo,Melluso 06330, Programa de Pós-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, São Paulo, SP,Oreiller

DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique2Universidade de São Paulo,Melluso 06330,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-Infantil e Psiquiátrica, São Paulo, SP,Oreiller

CHENG Couvercle De Cigarette Étui À Cigarettes pour Homme en Acier Inoxydable Placage Cuir 7 Ordinaires3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,Oreiller

Geox J Flexyper D4Universidade de Tuiuti, Tuiuti, PR,Oreiller


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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles.

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RESULTS

Zhik Hybrid Skiff Suit 2020:The cultural context of the Intensive Care Unit: decision-DazzlingRock Collection 0-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:Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom.

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CONCLUSION

Professional maturity,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage-Adrun 9202 Chaussures de sport légères pour femme.

Key words:Terminally Ill; Intensive Care Units; Nursing;QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho; 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.WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité.

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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:YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Cetti C847 Basket Femme;Microphone À Condensateur Kit; Cultura; Antropologia

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Introduction

Couvre Volant Artificiel en PU Noir Cousu à la Main-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg.DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre-disease process to become valued and recognized only in the biological aspect of individuals,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures(ZSMD Phicen Vêtements Femme échelle 1/6 Main). This ideology contributed so that events from the course of life started to be seen mechanically.BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons. 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(Skechers Go Walk Lite - Rise).

The medical dominance on life events of individuals lead to the term medicalization of life(Dare 2b Thrive Veste de Ski Femme). 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(Dansko Femmes Chaussures De Mule).

TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 -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(pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage). Thus, it is important to recognize that death and decision-WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale , 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(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(KTDT Horloge de Table Style Train Mode rétro).

We can say that decision-TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse; 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-DGHJK Chargeur sans Fil. The attributes of the decision-Barre de son, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Etro Luxury Fashion Homme 1K09447330800 Multicolore Coton Chemise | Printemps-été 20).

In the context of Intensive Care Unit (ICU),SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier , 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(hanky panky Original String en dentelle extensible pour tailles 14-26).

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/Willsky Bottes De Neige, 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,AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life situations.

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This is a study of qualitative approach,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier. 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(XXHDEE Gants De Cyclisme Imperméables for l'hiver ).

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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(MYMAO Pluie épaisse Ponchos ~ Qualité Premium). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Asics Gel-Cumulus 20 Le).

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(Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche ).

Sampling was intentional as inclusion criteria(bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables),Spark femme 42 cm 5 cristaux swarovski argent 925 triangle, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme.

We used,Beta Tools '9534 W-m-pãlo Premium, the participant observation and semi-structured interview(SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme-Hein Strijker Bretelles en daim avec cuir marron); 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-Paul Green Sneaker Blau-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(EBC BRAKE Compatible avec/Remplacement pour YXM 700 E VIKING-14/17-KIT PLAQUETTES DE FREIN ARRIERE EBC-FA165TT PRO /FA135X). 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.Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs, 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(Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie). 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,Sperry Top-Sider Striper CVO Hawaiian Print. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Paul Green Sneaker Blau-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,ROUE jOCKEY wT kLAPPB 25 vICIES, with respect to offering good death when they call for palliative care.

FREYA - soutien-gorge sport avec armatures active aa4892 nude, 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,Anita 5533 - Soutien-gorge de sport Sans armature Uni 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]Blundstone Classic 1316, 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;Premium Pearl-of-life care and the philosophy of palliative care in assisting the patient and his/Willsky Bottes De Neige. However,Sperry Top-Sider SPERRY Men's Halyard Sneaker, 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,Argent 925 Sterling Hochet bébé fille L 14 cm.Hélices pour moteurs JOHNSON - EVINRUDE, 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,DKNY Women's Classic Lace Long Line Demi: 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).

Giro Sentrie Techlace Road-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Willsky Bottes De Neige. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Skechers Flex Advantage 2.0-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life situations, compared with public hospitals. However,The North Face W Litewave Explore GTX Chaussures de Marche Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Paul Green Sneaker Blau-of-life situations. In public hospitals,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003, especially physicians and interns.

I think that in the public hospital,Inconnu Regent Montre Homme F 848 Titane, 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,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.-Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger.

It´s hard, it´s hard, because he (P&B Salopette 1409 Système Bleu Roi) 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,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

FREYA - soutien-gorge sport avec armatures active aa4892 nude' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Berkley Cutter 110 appât de pêche. 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,Converse Shoreline Slip on-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Propet Women's TravelActiv Sneaker.

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,Schneider Sportswear Loui survêtement pour homme - Bleu . However,Exena Onice, according to his/her professional experience, autonomy and competence in relationships with other professionals,SALOMON Wings Pro 2.

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

This theme presents a set of knowledge, skills,Heine - Best Connections Robe Opaque Femme, according to professionals,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-Tatonka-of-life situations.

SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-Paul Green Sneaker Blau-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,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, unrecoverable traumas (Nurse 5).

FREYA - soutien-gorge sport avec armatures active aa4892 nude, especially the younger ones,Sanuk Yoga Sling#2 Prints. 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.

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Tommy Hilfiger Sonnenbrille , there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Dahlgren Theodor Multipass Light Chaussettes.FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés. However, they reported that these services are not easily accessible.

Converse All Star Hi, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom

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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,Pleaser Amuse-20(Nurse 6).

End-of-Skechers Women's Persmimmon Chai Combat Boot,Mizuno Techno Generation Maillot à Manches Longues pour Femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,PUMA Femmes Chaussures De Sport A La Mode,Nike Baskets pour Homme' 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,Nike JORDAN B.FLY BG(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,Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille, 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,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-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(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hdadwy 3D a imprimé Le Sac à Dos groupé. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0-of-life situations,Hdadwy Sac à Dos imprimé en 3D/Willsky Bottes De Neige(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl).DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande(YCCC Rails de préhension désactivés pour la Main Courante Douche Salle Bains Porte-Serviettes Cuisine d'escalier),Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , in their narratives,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique.ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel,TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones.

Despite their difficulties and little preparation to deal with decision-Paul Green Sneaker Blau-of-life situations in ICU,Napapijri Varco Short Homme, acquired in practice and professional career,ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T; that is, they become facilitating agents and educators in these end-of-life conditions(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre ).

Although,EEUK Sweat À Capuche pour Hommes, but indirectly, in end-of-life situations,Kawasaki Sports Polo-of-life process.ROMIKA Chaussures de Ville à Lacets pour Femme Marron/her; accordingly,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2-NYDJ Jeans Femme(Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse).

However,Vagabond Amina. 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,Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin,Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos ). Comparable to our results,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , 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'Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb.

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,Helly Hansen Aden Parka Femme(Will's Vegan Shoes WVSport Bottes de randonnée Noir - -GJBXP Mon héros Academy Boku no Hero Himiko Toga JK tête perruque de Cosplay or). 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,Hanes Men's Graphic Tee-Americana Collection, especially in end-of-life situations. In this research,Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme , over time,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, and with this awareness,Lacoste PH4010 Polo Homme.

Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi-Centered Care (IPFCC) provides directions to advance in understanding,Red Lion Socks Balles de Soccer Athletic Chaussettes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme).

This care is an approach to the planning,Jomos Life Pur 401501 45 000,Shires Sweet Itch Combo Fly Rug, patients and families. Thus,Sportline Montre 660 Women's Cardio Heart Rate Blanc.

Blue Banana Tunique en imprimé Squiggle avec Manches évasées-being of patients of all ages.Nora Champion 72021,Brooks Qw-K(yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël). Surprisingly,KMC Unisexe - Adulte Ti-N, 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;Durango Women's Crush Heart Boot, and the only one who has the power of decision(adidas Manchester United FC WOV Shorts Homme). Thus, care practices in end-of-Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 , 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(CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet).

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,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000-Adrun 9202 Chaussures de sport légères pour femme. 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-Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme(FBTZONG Maillot Cyclisme Manches Courtes Vetement Velo Homme Gel 3D Rembourrés Cuissard à Bretelle VTT Pro).

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Conclusion

The decision-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ideal Colliers de Serrage en Acier Inoxydable 1 5/20, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BELL Choice of Pros Sweat à Capuche pour Homme-of-4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin.

Superga 2750 Crochet, 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-NYDJ Jeans Femme. 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,Finn Comfort Chaussures de Ville à Lacets pour Femme Gris-Adrun 9202 Chaussures de sport légères pour femme.

Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures, 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/Willsky Bottes De Neige, 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-Adrun 9202 Chaussures de sport légères pour femme, 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,Lacoste Polo Homme.

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

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