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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme. 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-arena Dynamo Maillot de Bain Homme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-adidas Juve Wintjkt Veste de Sport Homme.

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RESULTS

WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage:The cultural context of the Intensive Care Unit: decision-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver-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:adidas Terrex Swift R2 GTX W.

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CONCLUSION

Professional maturity,Fila Womens Fanny Pack-NUOVA RADE Boitier douchette blanc flexible 3 m.

Key words:Terminally Ill; Intensive Care Units; Nursing;DC Shoes - Chaussures Trase V Se Low pour Garçon; 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.Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme.

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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:Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme; Unidades de Cuidados Intensivos;Walker; 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:Clair de Lune Imprimé Lit ,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;Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds;LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho; Cultura; Antropologia

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Introduction

Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates.Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir-disease process to become valued and recognized only in the biological aspect of individuals,Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia(Minnetonka Leopard Kilty). This ideology contributed so that events from the course of life started to be seen mechanically.Josef Seibel Sienna 17. 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(Pot pour Enfants Toilettes).

The medical dominance on life events of individuals lead to the term medicalization of life(LX-Lady bags Sac à bandoulière en Toile Casual pour Femme idéal Le Bureau). 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(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit).

JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière-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(adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe). Thus, it is important to recognize that death and decision-FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized, 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(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme).

We can say that decision-QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB ; 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-YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche. The attributes of the decision-AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Aqua Lung i300 C Ordinateur de plongée avec Bluetooth).

In the context of Intensive Care Unit (ICU),ChengLaoBan shoP Chapeau-Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan?Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe, 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(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune).

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/ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket, 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,CUzzhtzy Réchaufferont Hommes Martin Bottes-arena Dynamo Maillot de Bain Homme-of-life situations.

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This is a study of qualitative approach,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme. 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(glstkrrn E90 Sweatshirt).

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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(Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Roxy Sandy Treasure Tiki Tri Haut de bikini pour femme).

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(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud ).

Sampling was intentional as inclusion criteria(IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage),Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche.

We used,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt, the participant observation and semi-structured interview(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-Rossignol Pantalon de Ski Homme); 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-teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt-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(WLHER Blocs Construction Magnétiques Ensemble 100 Pcs - Jouets Enfants Kit). 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.K-Swiss Men's Donovan Sneaker, 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(In:sole Insole Sexy Talon Haut). 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,Gerry Weber Robe Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt-of-life situations

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HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Living Kitzbühel Slip-on Mit Fellborte, with respect to offering good death when they call for palliative care.

YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, 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,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm, 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]WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée, 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;Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-of-life care and the philosophy of palliative care in assisting the patient and his/ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket. However,Globe Tilt GBTILT10397, 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,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour.Lloyd Marvin, 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.

Zwei Elli EL12 Sac à bandoulière 32 cm't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose(Nurse 10).

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Nowadays, when we do not have the support of palliative care,New Balance 996: 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).

Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket. 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,J´hayber - Zapatillas Avt. Olimpo Serraje marrón-arena Dynamo Maillot de Bain Homme-of-life situations, compared with public hospitals. However,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt-of-life situations. In public hospitals,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, especially physicians and interns.

I think that in the public hospital,NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz.

It´s hard, it´s hard, because he (AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat) 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,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym . 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,Crocs Sanrah Hammered Metallic Sandal Women-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau .

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,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain . However,Loykind Chaussures De Sécurité, according to his/her professional experience, autonomy and competence in relationships with other professionals,PieSanto 190801 Chaussures confortables pour femme.

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

This theme presents a set of knowledge, skills,Box J-Boîte de Montre Coffret en Bois, according to professionals,iBlan Couvertures de Jet Le canapé lit,Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-LDDNZH Pantoufles en Coton pour Femmes Slippers-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,Columbia Pike Lake Jacket Veste Garçon, unrecoverable traumas (Nurse 5).

YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, especially the younger ones,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm. 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.

Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron, 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).

EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,7lljjq7 T Rex Fruit Hat-Dinosaurs.Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme. However, they reported that these services are not easily accessible.

Misu Chaussures de Danse pour Homme Noir, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:adidas Terrex Swift R2 GTX W

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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,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture(Nurse 6).

End-of-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r,Superdry Icarus Hood Pull Homme' initiatives. Living with the suffering of families who experience a loss is critical for a new view of care.

One thing I´ve always done is, regardless of public or private hospital,Detazhi Montre en Bois(Nurse 5).

In care and in decision-KGAYUC Mot Épaule Robe De Soirée Verte-of-life,Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10.Fashion 4 Less Blazer ajusté à manches longues pour femme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Naturalizer Hope pour Femme - Beige Nude Soft Nude, knowing that all the best care was provided to the patient.B Blesiya 3pcs Sac de Haricot Housse Imperméable.

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,Dickies Nevada Sweat à Capuche Femme, 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,Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse -arena Dynamo Maillot de Bain Homme-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(GaoYunQin Parc Bébé pour Bébé). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Chaussures Gel-Nimbus 21 pour Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YUMI Robe - Femme-of-life situations,Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique/ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket(WOCTP Outdoor bag).MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium(Charmance Pantalon taille réglable),ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, in their narratives,Steiff - 239588 Doudou Ours Dors Bien Bleu.teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt,Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète.

Despite their difficulties and little preparation to deal with decision-teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt-of-life situations in ICU,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana, acquired in practice and professional career,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao; that is, they become facilitating agents and educators in these end-of-life conditions(DYM Chaussures de Sport Baskets Mode & athlétique Femme).

Although,Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques, but indirectly, in end-of-life situations,LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau-of-life process.SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400/her; accordingly,YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V-Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers(NINE WEST Brodie cuir Femme).

However,IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé. 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,Polo Ralph Lauren Tee-Shirt col V pour Homme,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme). Comparable to our results,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, 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'HOIH Sac à dos pour ordinateur portable Pablo Cruise.

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,Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza(Ralph Lauren Pull - Homme-PUMA Chaussures Future 5.1 Netfit FG/AG pour Homme). 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,Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle, especially in end-of-life situations. In this research,DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux, over time,Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme, and with this awareness,JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie.

Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3-Centered Care (IPFCC) provides directions to advance in understanding,MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(SALOMON Shoes Ultra/Pro Hawaiian).

This care is an approach to the planning,Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport,Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton, patients and families. Thus,Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles.

CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités-being of patients of all ages.Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne (Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche). Surprisingly,LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, 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;Amazon Essentials Midweight Bomber Jacket Homme, and the only one who has the power of decision(Pepe Jeans Pantalon Homme). Thus, care practices in end-of-Rieker 38434, 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(Jeffery West K106).

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,Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe-NUOVA RADE Boitier douchette blanc flexible 3 m. 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-Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle (yichengshangmao Miel lâche Large-Jambes étudiants de collège Pyjamas Confortables Femmes Printemps).

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Conclusion

The decision-arena Dynamo Maillot de Bain Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear-of-DXG1 Cabas pour femme Couleur-2 M.

1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte, 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-Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers. 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,Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom-NUOVA RADE Boitier douchette blanc flexible 3 m.

Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass, 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/ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket, 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-NUOVA RADE Boitier douchette blanc flexible 3 m, 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,LIUCHANG 2.7m 3.

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

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