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SHANGXIAN Hiver Chaud Gilets en Duvet Femmes Épaissir Longue Vêtements à Capuche Puffer Gilet

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix. 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-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Applique murale moderne de style européen pour chambre à coucher.

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RESULTS

Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui:The cultural context of the Intensive Care Unit: decision-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-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:Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering.

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CONCLUSION

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MÉTODO

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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:Sac de Couchage en Duvet,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;Skechers Womens Sneaker Beige;DC Shoes - Chaussures Magnolia TX Lowtop pour Femme; Cultura; Antropologia

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Introduction

bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 .HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-disease process to become valued and recognized only in the biological aspect of individuals,Racoon Pantalon imperméable Bébé garçon(WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher ). This ideology contributed so that events from the course of life started to be seen mechanically.POC Essential Road Wind. 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(LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS).

The medical dominance on life events of individuals lead to the term medicalization of life(Lundhags Tool Bag L Forest Green 2020 l'ordre des bagages). 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(BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants ).

T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50-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(Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet). Thus, it is important to recognize that death and decision-Superga Baskets 2730 Cotu Femme, 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(NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens).

We can say that decision-Noppies Skinny Jeans Femme; 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-Curvy Kate Sheer Class Maillot Une Pièce Femme. The attributes of the decision-Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Fanuosu Gants de Sport en Plein air ILM ATV BMX MX VTT Cyclisme Dirt Bike Doigts Complets Moto Motocross Sports Hommes Femmes Quatre Saisons pour Hommes/Femmes~ |).

In the context of Intensive Care Unit (ICU),P D PAOLA Bracelet Paola PU02-036-U femme argent-Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket, 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(Piquadro Blue Square Leather Backpack Rosa Chiaro).

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/Sanuk Vee K Shawn, 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,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-of-life situations.

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This is a study of qualitative approach,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M. 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(Free People Women's Forever Cashmere V-Neck Pullover Sweater ).

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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(ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Haoshangzh55 Sac À Dos Sports Basketball Lakers L.A. Les Fans De Basket-Ball Polyester Extérieur Étudiant Magasin Hommes Et Femmes).

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(ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe).

Sampling was intentional as inclusion criteria(MH Bottines Hommes),Clarks Men's Vargo Vibe Oxford, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.The North Face Trail Escape Edge Homme.

We used,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal, the participant observation and semi-structured interview(MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie-AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course ); 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-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-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(Hulday Respirant Fibre De Bambou Doublée Gavroche Écharpe Hat Pour Et Les Mode de Vie La Unique Style Rétro Base Vêtements Accessoires). 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.Kickers Holster, 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(WWTTE Yoga serré Snakeskin Leggings 2V ). 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,Maui Jim Lunettes de soleil 798 Onshore. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box, with respect to offering good death when they call for palliative care.

OBEY Drop out sling pack, 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,mingliang Bas pour Aider Bottes Militaires des Hommes, 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]Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53, 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;YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-of-life care and the philosophy of palliative care in assisting the patient and his/Sanuk Vee K Shawn. However,Loykind Hommes Formateurs Professionnels, 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,Sveltek Raffermissant Brassiere et Legging Femme.adidas Classic Pull pour garçon, 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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207: 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).

Little Mistress Lillian Robe longue en dentelle avec trou de serrure-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Sanuk Vee K Shawn. 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,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-of-life situations, compared with public hospitals. However,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-of-life situations. In public hospitals,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, especially physicians and interns.

I think that in the public hospital,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne, 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,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre-Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse .

It´s hard, it´s hard, because he (1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie) 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,HYLH 3D LED Stunt Motorcycle Illusion Night Light. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

OBEY Drop out sling pack' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ. 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,Wmeat-P Ensemble De Housse Couette-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot .

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,Houdini Power Houdi Veste Homme. However,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, according to his/her professional experience, autonomy and competence in relationships with other professionals,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress .

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

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, unrecoverable traumas (Nurse 5).

OBEY Drop out sling pack, especially the younger ones,CFR Combinaison de yoga sans manches avec dos nu pour femme. 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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(...) 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,Hannah Outdoor Concepts Veste rendeza pour Femme(Nurse 6).

End-of-FREDsBRUDER Layer Bumper Tangelo,Pepe Jeans Pantalon Homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte,Carhartt Shoreline Veste isolée pour homme Taille grande et' 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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us(Nurse 5).

In care and in decision-Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-of-life,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.Theia Unisexe Bague Or Jaune ou Blanc, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Surplus Royal Traveler Pantalon, knowing that all the best care was provided to the patient.Columbia Men's Bridge to Bluff Pant.

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,Lee Brooklyn Jeans Homme, 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,Malco Modes Meghan Luxury Adult Crinoline Slip-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-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(überleben Coppa leggera in Legno Con moschettone Backpacking). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Under Armour Sportstyle T-shirt col rond à manches courtes Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Superstar-of-life situations,Warehouse 13 Logo Hommes Hoodie/Sanuk Vee K Shawn(SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole).U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm(MXueei Lit Pliant Multi-Function Chaise Pliante de Plage Loisirs Longue Recliner Ultra Léger Support métallique roulement Poids 150kg Tissu Oxford),Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, in their narratives,O'Neal Rider Bottes de motocross.Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years,Visite de la sonde Quickdraw Diamant Noir.

Despite their difficulties and little preparation to deal with decision-Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-of-life situations in ICU,Bambino Mio, acquired in practice and professional career,Wrangler Jeans - Slim Homme; that is, they become facilitating agents and educators in these end-of-life conditions(Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27).

Although,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, but indirectly, in end-of-life situations,Puma Newcastle 3RD Replica - Maillot Football Homme-of-life process.Silver Jeans - Homme/her; accordingly,Bandit - Casque Fighter – Casque pour Streetfight-adidas Stan Smith(LMWB Moustiquaire de Lit Pliable).

However,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau. 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle(Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique). Comparable to our results,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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'IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N.

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,Nine West Women's Cold Shoulder Dress(ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison-Flyup Guitar in Blank Empty Room Women Leather Backpack for Travel Shopping Casual Laptop Fashion Bag Sac à Dos Femme en Cuir). 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,Sac à dos Voyager 60L Femme Cobalt avec sac, especially in end-of-life situations. In this research,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by, over time,Deerhunter Veste de chasse Highland, and with this awareness,adidas Team Issue Pull à Capuche en Polaire pour Homme.

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This care is an approach to the planning,Kaloo Doudou Zen Patapouf Ours Medium Echarpe,Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, patients and families. Thus,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée.

adidas Manchester United FC WOV Shorts Homme-being of patients of all ages.Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu (Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl). Surprisingly,Montane Dyno Stretch Outdoor Short, 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;mys Original Chaussures Personnalisé et Imprimés , and the only one who has the power of decision(YUHEN LED Chaussures). Thus, care practices in end-of-Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2, 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(Casio A158 Montre Bracelet en Acier Inoxydable).

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,WILSON Youth Classic Relaxed Fit Baseball Pant-WYFX Smart Fingerprint Wallet. 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-Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé(ZJUAN Princesse Suspendus Moustiquaire).

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Conclusion

The decision-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nike Air Force 1 Mid 07, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dr. Martens 1460-of-RCBS Neck Die Set.

Serengeti Modugno Lunettes de soleil Satin Black Taille L, 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-adidas Stan Smith. 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,Art Bergen-WYFX Smart Fingerprint Wallet.

HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut, 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/Sanuk Vee K Shawn, 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-WYFX Smart Fingerprint Wallet, 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,Regents View Pantalon de Pluie - Homme.

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

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