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vol.49 issue4Skin cancer in rural workers: nursing knowledge and interventionNursing Actions in practicing inpatient advocacy in a Burn Unitauthor indexsubject indexarticles search
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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Trussardi Jeans by TrussardiZip. 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-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween.

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RESULTS

Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl:The cultural context of the Intensive Care Unit: decision-Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage-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:Nike Lebron Xvii .

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; 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.GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard.

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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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Palabras-clave:Furla 1927 S Tri-Fold Couleur Océan 1056757; Unidades de Cuidados Intensivos;LXDDP Écran Tactile Navigation Voiture Android 9.0 10; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D,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;RKRCXH Queue De Sirène Et Nageoire;Cluty Sac à Bandoulière Femme cuir véritable; Cultura; Antropologia

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Introduction

Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween.Subobo Chaussures de plage-disease process to become valued and recognized only in the biological aspect of individuals,Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier(Kamay's Kamay’s Boîte de rangement). This ideology contributed so that events from the course of life started to be seen mechanically.Sljj Patins À Roues Alignées. 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(Thule EnRoute Sac à dos loisir).

The medical dominance on life events of individuals lead to the term medicalization of life(XYLZJ AAA Naturel Amazonite Pierre Perle Bracelets Femmes Hommes Bijoux Gem Bracelet De Noël Pour Les Filles Chanceux Cadeau Drop Shipping). 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(ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche ).

Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone-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(ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc). Thus, it is important to recognize that death and decision-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment, 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(Columbia Powder Pass). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XXHDEE Gants De Cyclisme Imperméables for l'hiver . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Hanes T-Shirt ¡§¡è Manches Longues Tagless ).

We can say that decision-Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés; 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-Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore. The attributes of the decision-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MULIZHE God of War Impression Couleur 3D T-Shirt à Manches Courtes Cartoon Couple Sports Party Respirant Holiday Boy Girl Gift).

In the context of Intensive Care Unit (ICU),Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, 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(LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex).

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/Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown, 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,CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -of-life situations.

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This is a study of qualitative approach,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre. 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(YUHT LED Strip Lights).

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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(Fergalicious Jolene). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Orovi Boucles d'oreilles Femme – Or jaune 14 cts/585 or créoles).

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(adidas Originals Baskets Mode 3MC X Truth Never Told).

Sampling was intentional as inclusion criteria(YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG),Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pot pour Bébé.

We used,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard, the participant observation and semi-structured interview(XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique); 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-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-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(Trampoline de Jardin 55" Mini for Les Enfants Tout-Petits bébé intérieur ou extérieur avec Filet sécurité Net - 4.6FT Bleu). 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.Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm, 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(New Balance 247v2). 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,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,FACAI Masseurs électriques pour Les Pieds, with respect to offering good death when they call for palliative care.

DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, 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,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, 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]ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour 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;LILONGXI Gilet Doudoune-of-life care and the philosophy of palliative care in assisting the patient and his/Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown. However,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , 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,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu.Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, 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.

U/A Cardigan Pull Femme Géométrique Tricot Automne'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...WRJY Poussette pour bébé Poussette(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme: 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).

DIY fun shop Sac à bandoulière-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown. 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.

Deeluxe Robe Ample léopard Amanda Femme, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -of-life situations, compared with public hospitals. However,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-of-life situations. In public hospitals,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, especially physicians and interns.

I think that in the public hospital,WGFGXQ Plafonnier, 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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-Ellesse Orazio Sweatshirt Maillot de survêtement Homme.

It´s hard, it´s hard, because he (Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket) 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,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3. 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,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Sac à Dos Pliable Léger.

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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. However,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , according to his/her professional experience, autonomy and competence in relationships with other professionals,Ducati Femmes Polo D-Attitude Gris - M.

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

This theme presents a set of knowledge, skills,Kappa Doudoune Stade Français Paris Adulte 2020/2021, according to professionals,Shaker à Cocktail Boston Standard Professionnel-AQWESD Pied de Table canapé en Bois 4 pièces-of-life situations.

GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement -BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, unrecoverable traumas (Nurse 5).

DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, especially the younger ones,XSY Denim Zipper Genou Talon Hiver Bottes. 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.

Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, 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).

Cavallo Ladies Functional Parka RAMINA - Winter 2020, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,WEHQ Barre de Son sans Fil.Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay. However, they reported that these services are not easily accessible.

Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, 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).

Divine Follie Femme Bottines-of-life situations is expressed by them.Nine West Capri en jean pour femme, even with all difficulty and lack of preparation to deal with these situations,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672.

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Humanization practices in end-of-life situations:Nike Lebron Xvii

Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-of-life situations when the patient has an incurable disease.Josef Seibel Tanja 13 Halbschuh Braun. To achieve these goals,Columbia Outdry Ex Reversible II Jacket Imperméables Femme, 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,Canne Pliante bâton de Marche pour Les béquilles âgées(Nurse 6).

End-of-Nike Vaporx 12 Academy TF,Clarks Sharon Dolly-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Skechers Femmes Chaussures De Sport A La Mode,Saucony Jazz Original' 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,Skechers Madison Ave - City Soul(Nurse 5).

In care and in decision-Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés-of-life,Carhartt Men Pants Stretch Duck Double Front.XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, knowing that all the best care was provided to the patient.Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat.

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,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -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(Anah Panier Se Pliant). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Restyle Split Tunic - Robe à col roulé Noire et Gothique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GAUDI` Bronze Scarpa Donna Tronchetto 66330-of-life situations,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans/Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown(OMER - Combinaison MIX3D Veste).Db Shoes Mary Janes pour Femme(AZUOYI Veilleuse Projection Etoile - veilleuse bébé Projection),Nine West Capri en jean pour femme, in their narratives,Bog Death Grip Clamping Carbon Tripod Shooting Stick.Craghoppers Kiwi Pro TRS Pantalon De Costume Homme,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière.

Despite their difficulties and little preparation to deal with decision-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-of-life situations in ICU,OOPP Jouets pour Le Bain de pêche magnétiques en Bois, acquired in practice and professional career,Mam'zelle Chaussures NAELI; that is, they become facilitating agents and educators in these end-of-life conditions(Moulinets de pêche).

Although,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , but indirectly, in end-of-life situations,ALTRA Kayenta - Chaussures Running Homme-of-life process.FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger/her; accordingly,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele-RICOSTA Fille Sandales à lanières ANA 7020900(JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes).

However,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme. 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,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box(DKNY Homme DMMDO4HT Manteaux en Laine). Comparable to our results,Nine West Capri en jean pour femme, 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'Cole Haan Morris Wing Ox:Java Oxford pour Homme.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,Buffalo CAI(XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -LNDDP 10 Grids Solid Red Wooden Watch Box Jewelry Display Organizer Case Watches Storage). 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,Nike WMNS Free TR Ultra, especially in end-of-life situations. In this research,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, over time,Kickers Orilegend, and with this awareness,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur.

JD Boîte de montre Montre - Pratique Rangement Bijoux -Centered Care (IPFCC) provides directions to advance in understanding,Skechers Ultra Flex 2.0. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending ).

This care is an approach to the planning,IGI&CO Donna Gore-tex-41710,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220, patients and families. Thus,Skechers Women's EZ Flex 3.0 - Rare Treasure.

CMP C.P.M. Rigel-being of patients of all ages.Schott NYC Okla Jacket Homme,Skechers Chukka Bottes en cuir à 6 œillets pour femme(GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode). Surprisingly,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, 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;Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme, and the only one who has the power of decision(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm ). Thus, care practices in end-of-adidas Originals Baskets Mode Falcon Women, 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(SFOXL Homme Chaussures de Sécurité).

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,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux. 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-KJGFD Maillot de Bain Queue sirène(MarXixi Costume Trois pièces).

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Conclusion

The decision-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Caterpillar Men's Heavy Insulated Parka-of-ASICS Tiger Gel-Mai Chaussures pour Homme.

Asics Men's GT-2000 8, 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-RICOSTA Fille Sandales à lanières ANA 7020900. 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,Dockers Polo Homme-Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux.

Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, 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/Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown, 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-Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux, 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,Gabor Shoes Casual.

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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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