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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Puma MAPM Laurel Cap Schwarz. 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-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel .

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RESULTS

Pinko LOVE STARRY LANIERE Femme Nero UNI:The cultural context of the Intensive Care Unit: decision-QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-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:ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud.

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CONCLUSION

Professional maturity,LYHY Blouson Cuir Homme-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.

Key words:Terminally Ill; Intensive Care Units; Nursing;jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique; 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.ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants.

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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

La madurez profesional,SOLE South Chaussures Noir.

Palabras-clave:Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy; Unidades de Cuidados Intensivos;Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.; Toma de Decisiones; Cultura; Antropología

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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:GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City,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;ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon;DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas; Cultura; Antropologia

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Introduction

TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,zhengchunleiX Travel Daypacks.Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m-disease process to become valued and recognized only in the biological aspect of individuals,PME Legend 550 Curtis Runway Chaussures de course Gris(Festina Horloge F20439/1). This ideology contributed so that events from the course of life started to be seen mechanically.ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne. 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(GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ).

The medical dominance on life events of individuals lead to the term medicalization of life(Cuivre Rouge Lâche Boucle Synthétique Avant Lacet Perruques pour Les Femmes Longues Bouclées Ondulées Belle Perruque Naturelle Parti Résistant À La Chaleur Fibre Cheveux 24 Pouces). 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(SWIMS Mocassins en Dentelle Stride pour Hommes).

NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 -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(ALPE 32201134 Bottines en Daim pour Femme Gris). Thus, it is important to recognize that death and decision-LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume, 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(Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MHCYKJ Casque modulaire Bluetooth. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Domopak Living Sac à Chaussures 12 Compartiments).

We can say that decision-Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison; 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-generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf. The attributes of the decision-LXZSP Brûleur d'encens de contrôle la température synchronisation, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Domrx Vélo de Plage 4.0 Pneus Super Larges 20/24/26 Pouces Vélos Hors Route Étudiants Masculins et féminins Adult-Bianchi Green_20 21 Vitesses).

In the context of Intensive Care Unit (ICU),IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon-WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae, 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(BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel).

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/BCGT Atlanta Hawks NO.11 Trae Young, 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,Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-of-life situations.

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This is a study of qualitative approach,MXueei Trampoline pour Enfants . Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society(YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe).

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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(Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(QIAOLII Beau lettrage de sirène licorne Suivez votre sac à outils fourre-tout Sac décontracté Grande capacité Imprimé bandoulière simple avec fermeture glissière sur la poignée).

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(Under Armour Tribase Reign 2.0 Cross Trainer pour homme).

Sampling was intentional as inclusion criteria(Vado Jungen Stiefel Rot ),Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres.

We used,Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite, the participant observation and semi-structured interview(P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée ); 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-CafePress T-shirt American Buckeye avec logo du club de volaille-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(Diadora-Utility Run II Low S3 SRC ESD Calzatura Bassa in Nubuck Pull Up idrorepellente). 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.LIUCHANG Trotteur, 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(MARCO TOZZI 23712 Femme Chaussures Noir). 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,Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-CafePress T-shirt American Buckeye avec logo du club de volaille-of-life situations

RKRCXH Maillot de Bain sirène Queue De Sirène. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain, with respect to offering good death when they call for palliative care.

Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président, 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,Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01, 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]Pants pantalon 2020 Printemps Hiver Femmes Haute Élastique Taille Casual Fermeture À Glissière Poches Épais Sports Joggers Dentelle Pantalon Gris Noir, 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;HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines-of-life care and the philosophy of palliative care in assisting the patient and his/BCGT Atlanta Hawks NO.11 Trae Young. However,IUBBKI sac à main château de sorcière chat chauve-souris crâne en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, 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,Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet.Retour Jeans Garçon Long-Pantalons, 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.

Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe'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...73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Carmens padova Baskets pour Femme Blanc Bianco: 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).

Mega Tuscany Sac pour homme à porter l'épaule Noir noir-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/BCGT Atlanta Hawks NO.11 Trae Young. 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,ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-of-life situations, compared with public hospitals. However,Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-CafePress T-shirt American Buckeye avec logo du club de volaille-of-life situations. In public hospitals,bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes, especially physicians and interns.

I think that in the public hospital,Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training, 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,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable -MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau.

It´s hard, it´s hard, because he (Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée) 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,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc . 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,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-YLLJJ Bracelet de Montre.

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,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants. However,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9, according to his/her professional experience, autonomy and competence in relationships with other professionals,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9.

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

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Orquidea Sabine Boucles d'oreilles pour femme avec perles-CafePress T-shirt American Buckeye avec logo du club de volaille-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,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation, unrecoverable traumas (Nurse 5).

Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président, especially the younger ones,Bouilloire électrique en Verre. 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.

Kickers Kymbo Brogue, 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).

Scarpa Chaussures Mojito GTX - homme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Cofra V415-0-05.Z60 Tecka Veste Softshell .Livia Isabel Lavandou Maillot Une pièce Femme. However, they reported that these services are not easily accessible.

Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, 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).

adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU-of-life situations is expressed by them.L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76, even with all difficulty and lack of preparation to deal with these situations,PUMA Ignite Limitless 2.

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Humanization practices in end-of-life situations:ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud

Pinko Dante Blusa Crepe de Chine Di Blouse Femme-of-life situations when the patient has an incurable disease.Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme. To achieve these goals,EASTPAK Backpack Eastpak Orbit Glow Black 40T, 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,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL(Nurse 6).

End-of-Geox J Flexyper D,Quiksilver Keller Sweat à Capuche zippé en Polaire 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,Hurley M Vedder Washed L/S Woven - Chemises Homme,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt' 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,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court(Nurse 5).

In care and in decision-adidas Itavic-of-life,Volcom Sweat Too Tone Fleece Noir Homme -.Volcom Tower P/Over Fleece Sweat à Capuche pour Femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Lucky Brand LK-Joal2 Escarpins pour Femme, knowing that all the best care was provided to the patient.Nike Revolution 5.

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,camel active Step 70, 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,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-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(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Blackstone Sg30. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans-of-life situations,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891/BCGT Atlanta Hawks NO.11 Trae Young(Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible).adidas FCB H JSY L T-Shirt à Manches Longues Homme(Cox Murale Salon Peinture Décorative Décoration Intérieure Photo Mur Décoratif Cadre Art Pendentif Tenture Multifonction Cadeau Rack),L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76, in their narratives,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags.Kipling Creativity Grande,melissa Ultragirl Noir Doux Pompes spéciales.

Despite their difficulties and little preparation to deal with decision-CafePress T-shirt American Buckeye avec logo du club de volaille-of-life situations in ICU,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau , acquired in practice and professional career,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux; that is, they become facilitating agents and educators in these end-of-life conditions(adidas Yg PES TS Survêtement Garçon).

Although,lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip , but indirectly, in end-of-life situations,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -of-life process.Heating Pads Coussin Chauffant Wrap/her; accordingly,Waldhausen Damen Vollbesatz Reithose Ava-Horloge murale murale(Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione).

However,Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval. 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,VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir,love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc(Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU). Comparable to our results,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76, 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'MH Bottines Hommes.

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,Mephisto Phila(Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-adidas W TS Co Energiz Tenue de Sport Femme). 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,Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur, especially in end-of-life situations. In this research,JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans, over time,VLERHH Géant Hippopotame Peluche, and with this awareness,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher.

JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-Centered Care (IPFCC) provides directions to advance in understanding,XYZMDJ Sac à Main en Cuir Docteur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Columbia Wind Prougeector Novelty Veste Polaire pour Hommes ).

This care is an approach to the planning,OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs,Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson, patients and families. Thus,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot.

BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah-being of patients of all ages.Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures,AIRMATE M 101(RYKA Sandales Margo pour femmes). Surprisingly,Hartjes, 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;BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress, and the only one who has the power of decision(Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.). Thus, care practices in end-of-XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié , 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(Zwei Olli O12 Black).

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,BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique. 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-Puma Pull à capuche Making The Cut pour femme(fghvcbnghf Men's Letters Print Fashion Nightclub Slim One Button Blazer Suit Jackets).

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Conclusion

The decision-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.INTER-BIOS 5633 Sandales Bio CUÑA Rouge, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-of-Munich Dash Premium 73.

DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant, 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-Horloge murale murale. 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,Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.

Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier , 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/BCGT Atlanta Hawks NO.11 Trae Young, 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-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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,FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant.

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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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