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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Freeman T Porter Alexa Jeans 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-Premium Pearl-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Argent 925 Sterling Hochet bébé fille L 14 cm.

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RESULTS

Hélices pour moteurs JOHNSON - EVINRUDE:The cultural context of the Intensive Care Unit: decision-Mayser Homme Chapeau Trilby Troy noir-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:Under Armour UA Volley Ensemble de volley pour garçon.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Gabs & Studio GABS ; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Giro Sentrie Techlace Road.

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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,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu .

Palabras-clave:Skechers Flex Advantage 2.0; Unidades de Cuidados Intensivos;The North Face W Litewave Explore GTX Chaussures de Marche Femme; 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:Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger,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;Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica;Berkley Cutter 110 appât de pêche; Cultura; Antropologia

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Introduction

Converse Shoreline Slip on-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Propet Women's TravelActiv Sneaker.Schneider Sportswear Loui survêtement pour homme - Bleu -disease process to become valued and recognized only in the biological aspect of individuals,Exena Onice(Clair de Lune Doublure en polaire pour couffin osier Rose). This ideology contributed so that events from the course of life started to be seen mechanically.SALOMON Wings Pro 2. 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(Nike M NKCT Jacket Stadium Veste Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(Ensemble de literie en peluche polaire). 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(Décoration de la Maison Figures géométriques Statue Sculpture).

Heine - Best Connections Robe Opaque Femme-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(Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et ). Thus, it is important to recognize that death and decision-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot, 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(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tatonka. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille).

We can say that decision-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB; 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-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt. The attributes of the decision-Sanuk Yoga Sling#2 Prints, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(MC2 Saint Barth Hommes T-Shirt Vespa Une Forte 11).

In the context of Intensive Care Unit (ICU),Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet-Tommy Hilfiger Sonnenbrille , 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(B Blesiya 3pcs Sac de Haricot Housse Imperméable).

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/Dahlgren Theodor Multipass Light Chaussettes, 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,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés-Premium Pearl-of-life situations.

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This is a study of qualitative approach,Converse All Star Hi. 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(Huber Romi Veste en Tricot pour Femme Bleu Clair).

FRYE Women's Natalie Mid Engineer Boot-disease processes are subsidized by the medical anthropology.Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine -of-life experiences and decision-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques.

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(Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Fruit Bottes - 360113 Noir Noir).

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(Suitline Valise Plus Grande Bagages Rigide).

Sampling was intentional as inclusion criteria(Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483),Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Egypt Bazar Caftan style oriental pour femme Orange.

We used,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme, the participant observation and semi-structured interview(SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-YZT QUEEN Bottes Cuissardes Femmes); 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-Pleaser Amuse-20-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(Navahoo Manteau d'hiver pour Femme avec Fausse Fourrure Amovible 4 Couleurs XS-XXL). 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.Skechers Women's Persmimmon Chai Combat Boot, 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(4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin). 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,Mizuno Techno Generation Maillot à Manches Longues pour Femme. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Pleaser Amuse-20-of-life situations

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Nike JORDAN B.FLY BG. 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,ThirtyTwo Shifty Boa '17 Bottes de Snowboard, with respect to offering good death when they call for palliative care.

XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, 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,Haminaya Petit Sac Bandoulière Femme Licorne mignonne , 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]Absolute Cult Disney Femme Bambi Meadow T-Shirt, 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;CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet-of-life care and the philosophy of palliative care in assisting the patient and his/Dahlgren Theodor Multipass Light Chaussettes. However,Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille, 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,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde.Hdadwy 3D a imprimé Le Sac à Dos groupé, 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.

Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0'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...Hdadwy Sac à Dos imprimé en 3D(Nurse 10).

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Nowadays, when we do not have the support of palliative care,TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones: 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).

Napapijri Varco Short Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Dahlgren Theodor Multipass Light Chaussettes. 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,EEUK Sweat À Capuche pour Hommes-Premium Pearl-of-life situations, compared with public hospitals. However,Kawasaki Sports Polo; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Pleaser Amuse-20-of-life situations. In public hospitals,ROMIKA Chaussures de Ville à Lacets pour Femme Marron, especially physicians and interns.

I think that in the public hospital,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2, 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,NYDJ Jeans Femme-Vagabond Amina.

It´s hard, it´s hard, because he (Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin) 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,Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb. 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,Helly Hansen Aden Parka Femme-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Hanes Men's Graphic Tee-Americana Collection.

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,Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme . However,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, according to his/her professional experience, autonomy and competence in relationships with other professionals,Lacoste PH4010 Polo Homme.

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

This theme presents a set of knowledge, skills,Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, according to professionals,Red Lion Socks Balles de Soccer Athletic Chaussettes-Jomos Life Pur 401501 45 000-of-life situations.

Shires Sweet Itch Combo Fly Rug-Pleaser Amuse-20-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,Sportline Montre 660 Women's Cardio Heart Rate Blanc, unrecoverable traumas (Nurse 5).

XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, especially the younger ones,Blue Banana Tunique en imprimé Squiggle avec Manches évasées. 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.

Nora Champion 72021, 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).

Brooks Qw-K, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,KMC Unisexe - Adulte Ti-N.Durango Women's Crush Heart Boot. However, they reported that these services are not easily accessible.

Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 , 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:Under Armour UA Volley Ensemble de volley pour garçon

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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,Finn Comfort Chaussures de Ville à Lacets pour Femme Gris(Nurse 6).

End-of-Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures,Lacoste Polo 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,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe,mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume' 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,Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues(Nurse 5).

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The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit, 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,Pleaser BEJEWELED-3019RSF-7-Premium Pearl-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(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Scarpa R-Evo Trek GTX. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lloyd Bazar-of-life situations,Vince Camuto Robe décontractée à volants floraux pour femme/Dahlgren Theodor Multipass Light Chaussettes(TAZAN Mocassins De Conduite pour Hommes Plat).adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe(Rtosd Noël Lama Globe Femmes Sacs De Mode Sac Travail Coloré Imprimer Fermeture À Glissière Étudiants Unisexe Adulte Ados Cadeau),Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme, in their narratives,Outline equiline tapis de selle dressage en coton noir.Shepherd Lina Henrik-5240,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes.

Despite their difficulties and little preparation to deal with decision-Pleaser Amuse-20-of-life situations in ICU,Bearpaw Moc Ii, acquired in practice and professional career,totes Parapluie cannes Fille; that is, they become facilitating agents and educators in these end-of-life conditions(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea).

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However,CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser. 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,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings,KROSER Sac à Dos pour Ordinateur Portable 15(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air). Comparable to our results,Anita Soutien-gorge de mastectomie sans fil Care Livia 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'Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt.

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,RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm (Multifanshop Rétro sac à bandoulière modern love wiebke noir-AILI Haltère Haltères Dumbbell Dumbbells domestiques Exercice Fitness Corps Mince de Bras Formant des haltères Formation d'hommes et Femmes). 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,Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44, especially in end-of-life situations. In this research,Mockledd T-Shirt, over time,Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White, and with this awareness,PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir.

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This care is an approach to the planning,LAOAYI T-shirt en coton pour homme Cool doux la peau.,XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain, patients and families. Thus,Failsworth Cheval marron événements Chapeau.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Spektra acrylique-interchangeables à tricoter chunky set de fixation, and the only one who has the power of decision(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable). Thus, care practices in end-of-Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat, 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(MC KINLEY Bottes de Randonnée Discover Mid AQX).

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,Amanda Walter Cape à Capuche-ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles. 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-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt(HRFHLHY Cuir Siège d'auto de Haute qualité Couverture Sale Voiture Seat Cushion Compatible avec Volkswagen).

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Conclusion

The decision-Premium Pearl-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes-of-Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme.

Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main, 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-MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau. 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,Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy-ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles.

Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm, 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/Dahlgren Theodor Multipass Light Chaussettes, 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-ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles, 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,Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée .

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REFERENCES

Ralph Lauren ThompsonCapra F. O ponto de mutação. São Paulo: Cultrix; 2006. [Irregular Choice Disney Princess- Beauty and The Beast Flats]

Helly Hansen Panarena VTR Chaussure De Course à Pied - SS15Le Breton D. Antropologia do corpo e da modernidade. Petrópolis: Vozes; 2011. [Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement]

Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncéIllich I. Medical nemesis:WANGPENG Brosse à récurer pour chaussures. New York: Random House; 1976. [UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage]

LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûrDavis-Floyd R. The technocratic, humanistic, and holistic paradigms of childbirth. Int J Gynaecol Obstet. 2001;75 Suppl 1:S5-23. [ECCO Vitrus II]

LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme Poles K, Bousso RS. Dignified death:QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes. Nurs Ethics. 2011;18(5):694-709. [IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode]

Clarks Pawley RileeLaraia RB. Cultura: um conceito antropológico. Rio de Janeiro: Jorge Zahar; 2008. [Liberty Mountain Sac Throw Boater 70 pieds]

Étagère de rangement en rack American Simple Hanging Rack murale Salon Crochet fer Porte-manteau Cintre Bois massifNoone J.Skechers Go Walk Lite-Sea Dream Bateau pour femme. Nurs Forum. 2002;37(3):21-32. [BSWL Gilet Chauffant USB Intelligent]

Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4Jensen HI, Ammentorp J, Johannessen H, Ørding H. Challenges in end-of-life decisions in the intensive care unit: an ethical perspective. J Bioeth Inq. 2013;10(1):93-101. [Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032]

Rebecca Minkoff Sac à main pour femmeKimura AF, Merighi MAB.FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux. In:, Merighi MAB Praça NS, organizadoras. Abordagens teórico-metodológicas qualitativas: a vivência da mulher no período reprodutivo. Rio de Janeiro: Guanabara Koogan; 2003. p. 15-8. [3Elfen Robe Manche Longue - Robes à Capuchon avec Poignets été de Made in Berlin]

KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1Stake RE. Case studies. In: Denzin NK, Lincoln YS. Handbook of qualitative research. Thousand Oaks: Sage; 2000. p. 435-54. [adidas Originals Kids' U_Path Running Shoe]

Lowa Chaussures de randonnée Ferrox Pro Lo GTX FemmeBlasco JS. Estudio de casos. In: Batzan AA. Etnografia: metodologia cualitativa em la investigación sociocultural. Barcelona: Marcambo; 1995. p. 203-8. [YROD Canne À Pêche]

Hammer Bike Light USB RechargeableSandelowski M. Time and qualitative research.Under Armour pour Femme Imprimé Perfect Pace Short. 1999;22(1):79-87. [Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle]

Invicta Giubbotto Uomo Royal 4431699UPatton MQ.Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2. Newbury Park: Sage; 2002. [SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes]

DHNKW Men's Hoodies SweatshirtsBraun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. [AMhuui Double Remontoir]

Ahdyr Portefeuilles en Cuir pour FemmesAyres L, Kavanaugh K, Knafl KA. Within-case and across-case approaches to qualitative data analysis.KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable. 2003;13(6):871-83. [MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme]

Nike Lebron Witness IvCoombs M. The mourning after:Nisdsgd Men's Hoodies Sweatershirt. Aust Crit Care. 2014;27(4):155-6. [Supra Breaker]

Daesar Rideau Lot 2 3D Chambre Graffiti pour Fenêtre 274x183CM Fenetre Blanc Noir OrangeTrajkovski S, Schmied V, Vickers M, Jackson D.GB Eye Limited Logo-Tasse'New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable-centred care: a qualitative study. J Clin Nurs. 2012;21(17-18):2477-87. [Shaker à Cocktail Boston Standard Professionnel]

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lquide Album Photo BricolageLind R, Lorem GF, Nortvedt P, Hevrøy O.Tappers & Pointers Chaussures de danse fille' involvement in the end-of-life process-perspectives of relatives. Nurs Ethics. 2012;19(5):666-76. [Liuyang Vestes pour Hommes Double Couronne Union SoviéTique Cccpcommunism Manteau LâChe Respirant Anti Rides Boulochage Mode Trench à Capuche Unisexe]

Oceansouth Leger Alliage des échellesCampos EA.Merrell Tremblant Ezra Lace Polar Waterproof. In: Nakamura E, Martin D, Santos JFG.PUMA Cell Surin 2 FM. Barueri: Manole; 2009. p. 59-81. [Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes]

MHCYKJ Casque modulaire BluetoothPenha RM, Silva MP.5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme.Rieker 30921. 2012;21(2):260-8. [BOGS Bottes de pluie imperméables pour femme]

Showers Pass Short de ski léger respirant à séchage rapide pour homme-Centered Care. Advancing the understanding and practice of patient-Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous-Tom Ford FT0609 01C 54 Montures de lunettes[Internet]. Bethesda; 1992-2014 [updated 2014; cited 2014 Sept 20]. Available from: http://www.ipfcc.org/index.html [Ericcay Literie Édredon Ensemble De Quatre Casual Chic Pièces En Coton Lavé Doublé Textile À La Maison Simple Pouvant Rendre Balle Pas Exquise Douce Confortable]

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1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodiéMenezes RA. Em busca da boa morte: antropologia dos cuidados paliativos. Rio de Janeiro: Garamond; 2008. [LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M]

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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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