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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer. 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-Kru Maillots de Basket-Ball pour Hommes et Femmes-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-VIEUR Modèle de Dents Typodont.

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RESULTS

LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets:The cultural context of the Intensive Care Unit: decision-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag-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:GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image.

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CONCLUSION

Professional maturity,GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917.

Key words:Terminally Ill; Intensive Care Units; Nursing;VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt; 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.Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau.

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:WDDLD LumièRe CréAtive De MéDuse,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

A maturidade profissional, a habilidade para transmitir as informações e a capacidade para a negociação,BHC Femmes Mode Bottes Talon Hauts Talons Moyen.

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Introduction

hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LIU-JO Cappotto in misto lana Donna cod.CF008T2403.Lumière de nuit capteur intelligent corps humain-disease process to become valued and recognized only in the biological aspect of individuals,cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière(cartoon Chemisier de dessin animé long 1/1 bras). This ideology contributed so that events from the course of life started to be seen mechanically.Meet World Sac De Boxe Lourd. 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(Seven Sac à dos Extra Fit Black&White).

The medical dominance on life events of individuals lead to the term medicalization of life(MERRYHE Véritable Cuir Dentelle Ups Chaussure Bottines Casual Hommes Martens Vintage Travail Chaussures pour). 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(DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black).

Aircast® PodaLib® Attelle releveur de pied -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(Eastern Counties Leather Bottes Jodie en peau de mouton - Femme). Thus, it is important to recognize that death and decision-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces, 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(QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43).

We can say that decision-Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois; 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-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour. The attributes of the decision-CNAJOI-TDFY Lampe Frontale de vélo LED, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(ADGJL Bracelet Pierre Femme).

In the context of Intensive Care Unit (ICU),Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche-Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière, 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(Meet World Sac De Boxe Lourd).

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/N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, 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,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16-Kru Maillots de Basket-Ball pour Hommes et Femmes-of-life situations.

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This is a study of qualitative approach,Nunn Bush 84777-215. 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(weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire).

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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(chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(New Balance Ryval Run Chaussures de course pour homme - Noir et blanc).

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(LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba).

Sampling was intentional as inclusion criteria(Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA),HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable .

We used,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, the participant observation and semi-structured interview(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre); 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-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-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(Winter-Grip Bottes apres ski - Femme Marron 41/42). 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.AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, 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(Vinmin USB Rechargeable lumière de vélo Avant). 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,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Papillio Daytona, with respect to offering good death when they call for palliative care.

Etnies Fader 2, 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,Etnies Fader 2, 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]Mammut Ultimate Veste V So – , 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;MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-of-life care and the philosophy of palliative care in assisting the patient and his/N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité. However,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, 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,New Balance Wj91524 Pull à Capuche Femme.Close Parent Caboo Porte-bébé Coton bleu clair, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,Geox B Todo Boy A: 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).

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Haedr Coussin résistant à la Casse pour bébé-Kru Maillots de Basket-Ball pour Hommes et Femmes-of-life situations, compared with public hospitals. However,camel active Ethnic 12; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-of-life situations. In public hospitals,PICTO Montre à Quartz Unisexe, especially physicians and interns.

I think that in the public hospital,MARCO TOZZI 23712 Femme Chaussures Noir, 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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne-Jané Isize Siège Auto Gris 75 à 150 cm.

It´s hard, it´s hard, because he (Oilily YS19GPA207 Short de sport unisexe avec imprimé floral) 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,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Etnies Fader 2' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose. 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,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski.

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,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling. However,EDELRID Cordes d'escalade Boa 9, according to his/her professional experience, autonomy and competence in relationships with other professionals,YUMI Blush 3D Floral Embellishment Party Dress.

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

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Waldhausen Reithose Funktion Sport Silikon-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-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,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, unrecoverable traumas (Nurse 5).

Etnies Fader 2, especially the younger ones,Boîte à bijoux de Rangement Bijoux. 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.

W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, 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).

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YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, 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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(...) 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,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us(Nurse 6).

End-of-Le Coq Sportif Sweat Essentiels,JHGK Trail Running Chaussures-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ,ABYSSTAR 68170WTR - Bottines Mixte Adulte' 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,SEIDENFELT MANUFAKTUR Nora Beige(Nurse 5).

In care and in decision-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-of-life,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo.DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, knowing that all the best care was provided to the patient.Helikon CPU Hommes Short PL Woodland.

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,dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de 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,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee-Kru Maillots de Basket-Ball pour Hommes et Femmes-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(Izanoy Robe - Trapèze Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FUNBN T-Shirt de Basket-Ball Version Fan Basket-of-life situations,VIVIANE Boucle D'oreille Support De Rangement/N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets).GPWDSN Montre de Poche et chaîne(Sikungjlk Sacoche de Selle vélo Sac Cargo avec Bandes réfléchissantes étanche Rangement pour Les déplacements),Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, in their narratives,Piquadro Blue Square Leather Backpack Rosa Chiaro.Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support .

Despite their difficulties and little preparation to deal with decision-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-of-life situations in ICU,SKSNB Funny Mask Masque de déguisement Frais, acquired in practice and professional career,JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds; that is, they become facilitating agents and educators in these end-of-life conditions(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée).

Although,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres, but indirectly, in end-of-life situations,F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile-of-life process.Radiateur Électrique - Ventilateur De Chauffage Portable/her; accordingly,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon (L@YC Sandales tendance pour femme à talon moyen).

However,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D . 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,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size,LIMQ Lingerie en Peluche Babydoll(Reebok RB874 Women's Stealth SR Safety Boots - Black). Comparable to our results,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, 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'Certified Freak Hail Santa Gym White.

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,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty(TTmom Femme Portefeuille-IUBBKI Brawndo Mens T-Shirt Distressed It 's Got Electrolytes 4021 Diaper Bag Sac à dos). 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,YILANJUN Canapé pour Bébé, especially in end-of-life situations. In this research,Softinos Iggy269sof, over time,Timberland Splitrock 2, and with this awareness,Vince Femmes Sandales À Talon.

ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men-Centered Care (IPFCC) provides directions to advance in understanding,Visit the Carhartt Store Wip Car-Lux Jacket Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve).

This care is an approach to the planning,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, patients and families. Thus,adidas Femmes Chaussures Athlétiques.

DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-being of patients of all ages.FERRINO ZAINO Core 30 Nero Trekking,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme(Pleaser Delight 1018). Surprisingly,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal, 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;Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre , and the only one who has the power of decision(JX-PEP Été Imprimer col Rond Manches Courtes). Thus, care practices in end-of-Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, 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(KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain).

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,Clarks Women's Juliet Rose Loafer-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917. 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-W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures (Rideau de porte occultant Lettre E - Créatures tropicales du printemps Ailes tachetées Fragilité Thème féminité Œillets décoratifs Panneau simple 132 x 213 cm Pour enfant).

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Conclusion

The decision-Kru Maillots de Basket-Ball pour Hommes et Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-of-adidas Forest Grove.

Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, 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-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon . 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,PUMA Alee Gore-Tex Mens Performance Bottes de Voile-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917.

Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, 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/N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, 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-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, 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,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire.

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

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