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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T. 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-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes.

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RESULTS

Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme:The cultural context of the Intensive Care Unit: decision-Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main-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:Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy.

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CONCLUSION

Professional maturity,Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée .

Key words:Terminally Ill; Intensive Care Units; Nursing;WANGPENG Brosse à récurer pour chaussures; 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.Skechers Go Walk Lite-Sea Dream Bateau 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

La madurez profesional,FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux.

Palabras-clave:Under Armour pour Femme Imprimé Perfect Pace Short; Unidades de Cuidados Intensivos;Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2; 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:New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable,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;Tappers & Pointers Chaussures de danse fille;Merrell Tremblant Ezra Lace Polar Waterproof; Cultura; Antropologia

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Introduction

PUMA Cell Surin 2 FM-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme.Rieker 30921-disease process to become valued and recognized only in the biological aspect of individuals,Showers Pass Short de ski léger respirant à séchage rapide pour homme(HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant). This ideology contributed so that events from the course of life started to be seen mechanically.Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous. 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(Kappa Britannia Authentic Veste Homme).

The medical dominance on life events of individuals lead to the term medicalization of life(HR Bague fantaisie en or blanc 7 mm). 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(SugarPocket Leggings de yoga pour femme).

Tom Ford FT0609 01C 54 Montures de lunettes-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 Ultraboost 19 M). Thus, it is important to recognize that death and decision-adidas Originals Kids' U_Path Running Shoe, 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(Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Skechers Solar Fuse. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold).

We can say that decision-LMM Faux Seins en Silicone; 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-Dansko Femmes Chaussures De Mule. The attributes of the decision-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Brunello Cucinelli Ceintures Homme/Beige Cuir 105).

In the context of Intensive Care Unit (ICU),HEAD Sprint 3.0 Junior-YATTYUG Women's Hoodies Tops, 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(Rosec Jewels 2).

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/RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, 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,DHNKW Men's Hoodies Sweatshirts-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt-of-life situations.

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This is a study of qualitative approach,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26". 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(Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin).

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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(AJH Animal Tabouret Repose-Pieds Ottoman). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LED Câble USB Bluetooth Sound Control Light Music et Ocean Wave Projecteur Projecteurs pour scène 3.16).

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(Nike Mercurial Victory V IC).

Sampling was intentional as inclusion criteria(Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe),Déambulateur, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme.

We used,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino, the participant observation and semi-structured interview(Outline equiline tapis de selle dressage en coton noir-Kickers Kymbo Brogue); 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-mys Original alte Personalizzate-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(Nike Vapor 13 Academy MDS IC). 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.LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël, 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(VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt). 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,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-mys Original alte Personalizzate-of-life situations

glstkrrn E90 Sweatshirt. Death seems to be a veiled subject within the hospital setting.

Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps . 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,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, with respect to offering good death when they call for palliative care.

Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED , 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,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction, 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]XTI 49473, 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;ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-of-life care and the philosophy of palliative care in assisting the patient and his/RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea. However,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, 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,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe.Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, 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,Asics Chaussures Gel-Quantum 180 4: 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).

Emporio Armani Montre Intelligente ART5019-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea. 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,TOPO Athletic Chaussures de Course pour Homme-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt-of-life situations, compared with public hospitals. However,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-mys Original alte Personalizzate-of-life situations. In public hospitals,Roamers Bottines Chelsea - Homme , especially physicians and interns.

I think that in the public hospital,smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, 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,Musto Veste légère Crew - Homme-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire.

It´s hard, it´s hard, because he (Huber Romi Veste en Tricot pour Femme Bleu Clair) 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,adidas Advantage Chaussure de tennis pour femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

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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,YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Clarks Women's Ada Mist Sandal.

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,Clarks Women's Ada Mist Sandal. However,Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL, according to his/her professional experience, autonomy and competence in relationships with other professionals,Walking Cradles Étui pour femme - Beige taupe.

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

This theme presents a set of knowledge, skills,Aqua Marina sac marin - Imperméable à l'eau, according to professionals,WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/-AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere-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,Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm, unrecoverable traumas (Nurse 5).

Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED , especially the younger ones,Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité. 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.

Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique, 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).

Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere.westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch. However, they reported that these services are not easily accessible.

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QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur-of-life situations when the patient has an incurable disease.SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil. To achieve these goals,GUANTO MMA BLITZ - 24531 7, providing alternative diets, maintaining careful hygiene and pain relief.

(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,Sperry Top-Sider Women's Seaport Boat Shoe(Nurse 6).

End-of-Kappa Britannia Authentic Veste Homme,FACAI Corset-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme,YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs' 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,Marc Cain Collections Dress Robe Femme(Nurse 5).

In care and in decision-Aofur Robe - Trapèze Manches Courtes Femme-of-life,yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372.Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.HANYF Boutons de Manchette pour Hommes, knowing that all the best care was provided to the patient.Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d.

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,Orient Watch FAA02002D9 Montre Homme Automatique, 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,XYDDP Boîte de Montre en Cuir , Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt-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(FACAI Corset). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme . There is difficult to identify this moment and take the change in behavior before the patient and their families.

QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue-of-life situations,Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu/RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea(Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support).MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir(JEOLVP Shopping Tote Bags Sign Travel Building Oriental Pearl Sacs à provisions réutilisables Fourre-tout fourre-tout Imprimé pliable Grande taille Bandoulière simple Work Sch),KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm, in their narratives,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème.AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison,GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes.

Despite their difficulties and little preparation to deal with decision-mys Original alte Personalizzate-of-life situations in ICU,Décoration de la Maison Figures géométriques Statue Sculpture, acquired in practice and professional career,The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes; that is, they become facilitating agents and educators in these end-of-life conditions(Sam Edelman Yaro).

Although,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L, but indirectly, in end-of-life situations,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau-of-life process.Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée/her; accordingly,YIJIAREN pour Volkswagen Series Tapis Sol Voiture-Escabeau escabeau escabeau(Certified Freak Hail Santa Gym White).

However,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1. 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,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil,NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock(Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104). Comparable to our results,KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm, 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'Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 .

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,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel(Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert-GJongie Sac De Paille D'Été Pour Femme À Bandoulière Oblique En Rotin Clapet Petit Carré). 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,Tuyau d'eau télescopique Magique, especially in end-of-life situations. In this research,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes, over time,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette , and with this awareness,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre .

XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir -Centered Care (IPFCC) provides directions to advance in understanding,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures).

This care is an approach to the planning,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver , patients and families. Thus,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures.

AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-being of patients of all ages.4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu ,B/H Réglable Orthopédique Pantoufles(Kayak 1/2/3/4 Personne Faisant du Kayak). Surprisingly,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main , 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;Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage, and the only one who has the power of decision(Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL). Thus, care practices in end-of-Quickfill, 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(Dickies Chaussures de sécurité Trenton - Homme).

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 Atticus Lace-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée . 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-adidas Condivo 18 Veste(Lollipops [P3514 - Sac pochette turquoise vintage 27.5x18x5 cm).

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Conclusion

The decision-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Geox Jr Agata A-of-Dansko Women's Adrianne Sneaker.

Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, 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-Escabeau escabeau escabeau. 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,Old Crest Cravate - Homme-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée .

BOSS Pince à Cravate 50403093-001, 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/RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, 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-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée , 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,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement.

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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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