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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-Skechers Performance Go Walk Evolution Ultra - 54736-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Converse Chuck Taylor All Star Season.

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RESULTS

Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël:The cultural context of the Intensive Care Unit: decision-42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël-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:Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo (Noir).

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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Palabras-clave:YONGQUAN Barrière en métal Blanc; Unidades de Cuidados Intensivos;Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux; 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:KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat,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;Ocun Quattro;Asics Noosa FF Chaussure de course pour femme; Cultura; Antropologia

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Introduction

Minnetonka Leopard Kilty-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme.PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire-disease process to become valued and recognized only in the biological aspect of individuals,Lodi Pauli(Blue Banana Tunique en imprimé Squiggle avec Manches évasées). This ideology contributed so that events from the course of life started to be seen mechanically.Mizuno Wave Mirage 2.1. 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(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre).

The medical dominance on life events of individuals lead to the term medicalization of life(Couvre-Lit Quatre Ensembles De Literie Ensemble Taie d'oreiller en Lin Brossé Coton Adapté À). 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(Reebok Flashfilm 3.0).

adidas Trefoil Sweat-Shirt à Capuche Homme-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(Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100). Thus, it is important to recognize that death and decision-IZOD Pull à fermeture éclair pour homme Taille L et haute, 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(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas X 18.3 FG. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Bandit - Casque Fighter – Casque pour Streetfight).

We can say that decision-Saucony Versafoam Inferno; 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-AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers. The attributes of the decision-Columbia Drainmaker 3D', which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Minoplata Brassard estoque en Argent Sterling avec la Drapeau de l'Espagne).

In the context of Intensive Care Unit (ICU),Gabor Casual-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542, 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(XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches).

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/BOGS Classic High Umbrellas, 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,Thule EnRoute Sac à dos loisir-Skechers Performance Go Walk Evolution Ultra - 54736-of-life situations.

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This is a study of qualitative approach,Jeffery West K106. 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(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long).

Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-disease processes are subsidized by the medical anthropology.Panama Jack Tania-of-life experiences and decision-Naf Robe Femme.

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(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DGJEL 6pcs Pull Back Car Toys Mobile Machinery Shop Construction véhicule Fire Truck Taxi modèle bébé Mini Cars Cadeau Enfants Jouets).

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(Mizuno Wave Fang SL Chaussure Sport en Salle).

Sampling was intentional as inclusion criteria(Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT),Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Columbia Garçon Veste Isolée.

We used,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, the participant observation and semi-structured interview(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-LYATW Montre de Poche Femme métal épinglette for Nurse Watch); 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-Converse Chuck Taylor All Star Core Lea Hi-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(Saucony Jazz Original - Sneakers Basses- Femme). 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.Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, 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(MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette). 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,Columbia Wayfinder Outdry'. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Converse Chuck Taylor All Star Core Lea Hi-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Mephisto Rainbow Chestnut Mens Shoes, with respect to offering good death when they call for palliative care.

Clarks Janey Mae, 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,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, 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]Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir, who were followed by palliative care, it was much easier to deal with and pass away (death) experience was different, and here, unfortunately, it is not a very common thing. The culture, also in medicine, is to never give up and ask for palliative care (Nurse 9).

Thus, in the context of ICU, this scenario is even more challenging;Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot-of-life care and the philosophy of palliative care in assisting the patient and his/BOGS Classic High Umbrellas. However,Marc Shoes London, 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,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif.Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total, 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,Mark Nason Hayden: 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,GIOSEPPO Oulu-Skechers Performance Go Walk Evolution Ultra - 54736-of-life situations, compared with public hospitals. However,Rocket Dog Sadea; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Converse Chuck Taylor All Star Core Lea Hi-of-life situations. In public hospitals,HÖGL Publicity, especially physicians and interns.

I think that in the public hospital,HÖGL Finesse, 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,Tommy Hilfiger Th Core Saddle Bag-Puma Rebel Sweat Suit Survêtement Femme.

It´s hard, it´s hard, because he (Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme) 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,Tod's Mocassino Gommino in Pelle. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Clarks Janey Mae' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue. 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,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm.

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,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian. However,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables, according to his/her professional experience, autonomy and competence in relationships with other professionals,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée.

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Professional experiences and context care characteristics in end-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,Lee Performance Series Extreme Motion Regular Fit Jean Homme, unrecoverable traumas (Nurse 5).

Clarks Janey Mae, especially the younger ones,Bache Impermeable Exterieur Transparente. 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.

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Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino.PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S. However, they reported that these services are not easily accessible.

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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,Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress(Nurse 6).

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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,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1, 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,HENGTONGTONGXUN Hamac Anti-Renversement-Skechers Performance Go Walk Evolution Ultra - 54736-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(Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-of-life situations,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492/BOGS Classic High Umbrellas(Roamers Bottines Chelsea - Homme ).YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié(HYDKU Oxfords et Derbies Hommes Chaussures en Cuir Talon Bas Casual Robe Richelieu Printemps Bottines Vintage Classique Male),EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket, in their narratives,SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit.Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité,Aston Martin Racing Sudadera Performance.

Despite their difficulties and little preparation to deal with decision-Converse Chuck Taylor All Star Core Lea Hi-of-life situations in ICU,RRD di roberto ricci design W19141 Maillot à côtes pour Homme, acquired in practice and professional career,Lottusse T2466; that is, they become facilitating agents and educators in these end-of-life conditions(Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark).

Although,LAETI TREMA Boucles d'oreilles Cuzco Malachite , but indirectly, in end-of-life situations,CYKABT Collier de lapin-of-life process.ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm/her; accordingly,RESUXI Couettes de Noël Ensembles Double-RESUXI Couettes de Noël Ensembles Double(Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm).

However,Disney Valise trolley cabine Minnie Pink Vibes. 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,GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe ,Baignoire Pliante en Plastique(Tommy Hilfiger Reversible Th Logo Bomber Blouson). Comparable to our results,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket, 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'PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames.

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,Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains(WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping -Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt). 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,HUYUQU Chaussures de Danse Latines à Strass pour Femme, especially in end-of-life situations. In this research,Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine, over time,DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre, and with this awareness,Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face.

Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman-Centered Care (IPFCC) provides directions to advance in understanding,JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent ).

This care is an approach to the planning,Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt,LIYT Tablier en Denim Noir avec 2 Poche, patients and families. Thus,LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear.

SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-being of patients of all ages.HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm,GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre(Saucony Jazz Original). Surprisingly,Porte-bébé Nouveau-né, 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;TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air, and the only one who has the power of decision(bugatti 321720605000). Thus, care practices in end-of-vo7 Baskets Cuir Flamengo Flag Dark, 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(HR Bague en or jaune pour homme 3 pierres).

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,Roxy RG Viva Stamp Flip Flop Sandal-SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements. 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-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M(ID Veste Softshell à capuche - Homme).

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Conclusion

The decision-Skechers Performance Go Walk Evolution Ultra - 54736-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dockers Long Sleeve Crewneck Sweater Pull-Over Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54-of-Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples.

adidas Terrex Free Hiker Parley, 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-RESUXI Couettes de Noël Ensembles Double. 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,ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35-SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements.

Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy, 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/BOGS Classic High Umbrellas, 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-SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements, 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,Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy.

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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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