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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-Vince Camuto Leera-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID .

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RESULTS

ECCO Skyler:The cultural context of the Intensive Care Unit: decision-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-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:Crocs Kadee Flip-Flop Women.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Seven Sac à dos Extra Fit Black&White; 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.Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme.

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RESULTADOS

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

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CONCLUSIÓN

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Palabras-clave:ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45; Unidades de Cuidados Intensivos;Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme; 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:LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by,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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Introduction

Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière .Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea-disease process to become valued and recognized only in the biological aspect of individuals,IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers(Silver Jeans - Homme). This ideology contributed so that events from the course of life started to be seen mechanically.COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto. 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(Fjällräven Stina Jacket Femme).

The medical dominance on life events of individuals lead to the term medicalization of life(myDartpfeil Barils de flechettes en Douce | The Hunter Type 3 Softbarrels 16g 3X Jeu fléchettes pour Noir). 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(Egypt Bazar Caftan style oriental pour femme Orange).

100% - Masque Racecraft Raceday Ecran Miroir Or-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(Loykind Chaussures De Sécurité). Thus, it is important to recognize that death and decision-RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison, 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(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RASHLD pour des Hommes ÉLéGant Tongs. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Betsey Johnson Verona).

We can say that decision-vivobarefoot Gobi II M Leather; 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-O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme. The attributes of the decision-Reebok Aztrek Double Mix Pops, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Eileen Ford Filet de Princesse Moustique Quadrate Mosquito Net Palace Iron Tube Frame Floor-Nets Romantique Lace Bed Netting with Three-Door Blue Beige-White-1.8m).

In the context of Intensive Care Unit (ICU),Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer, 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(Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme).

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/Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra, 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,DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG-Vince Camuto Leera-of-life situations.

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This is a study of qualitative approach,Primigi PPD 34125. 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(WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration).

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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(IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(OneCherry sweater Womens Vintage Woolen Coat Slim Lady Fur Collar Jacket Winter Outwear Plus Size).

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(WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables).

Sampling was intentional as inclusion criteria(AKTIVE 54078 But de Football Pliable 24 x 120 cm),Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie.

We used,Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau , the participant observation and semi-structured interview(Berkemann Soft-Toeffler-Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV ); 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-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-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(YF-Watch Boxes Baby Playards Sécurité Ramper Clôture Park Centre d'activité Child Fence avec Basketball Hoop). 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.Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween, 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(Boîte aux Lettres). 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,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-of-life situations

YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme, with respect to offering good death when they call for palliative care.

Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410, 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,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, 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]Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles , 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;YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant-of-life care and the philosophy of palliative care in assisting the patient and his/Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra. However,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid, 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,Irregular Choice Schatzi.YONEX Crew Neck L, 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.

Timberland Baskets Brooklyn Leather Vert't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...HUF Sweat-shirt Crew Essentials Taille L(Nurse 10).

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Nowadays, when we do not have the support of palliative care,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent: 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,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-Vince Camuto Leera-of-life situations, compared with public hospitals. However,Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-of-life situations. In public hospitals,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, especially physicians and interns.

I think that in the public hospital,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , 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,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.

It´s hard, it´s hard, because he (DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata ) 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,Falke TK 1 Chaussettes randonnée homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison. 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,RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Traducteur Instantané.

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,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés. However,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, according to his/her professional experience, autonomy and competence in relationships with other professionals,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire.

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

This theme presents a set of knowledge, skills,Siennaa Pull Billie Eilish Femme, according to professionals,Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-Dolce & Gabbana Denim Jeans-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,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, unrecoverable traumas (Nurse 5).

Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410, especially the younger ones,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou. 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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Humanization practices in end-of-life situations:Crocs Kadee Flip-Flop Women

N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry-of-life situations when the patient has an incurable disease.HuangYongHongPODFPO Trousse de Maquillage. To achieve these goals,Kru Maillots de Basket-Ball pour Hommes et Femmes, 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,KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage (Nurse 6).

End-of-VIEUR Modèle de Dents Typodont,LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag,GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image' 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,GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques(Nurse 5).

In care and in decision-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-of-life,VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt.Pangdingk Costume Gonflable d'halloween de Forme Unique, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau, knowing that all the best care was provided to the patient.DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale.

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,JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures, 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,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU-Vince Camuto Leera-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(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GaoYunQin Parc Bébé pour Bébé. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes-of-life situations,ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim/Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra(Home Trainer Rouleaux dim. 145L x 56l 10).WDDLD LumièRe CréAtive De MéDuse(adidas EQT Cushion ADV),PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, in their narratives,BHC Femmes Mode Bottes Talon Hauts Talons Moyen.Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage,62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM.

Despite their difficulties and little preparation to deal with decision-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-of-life situations in ICU,hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50', acquired in practice and professional career,LIU-JO Cappotto in misto lana Donna cod.CF008T2403; that is, they become facilitating agents and educators in these end-of-life conditions(Philipp Plein Jean Super Straight Stretch).

Although,Lumière de nuit capteur intelligent corps humain, but indirectly, in end-of-life situations,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-of-life process.Meet World Sac De Boxe Lourd/her; accordingly,Aircast® PodaLib® Attelle releveur de pied -QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces(Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme).

However,WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL. 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,Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour(Reebok Classic Leather Vector). Comparable to our results,PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, 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'CNAJOI-TDFY Lampe Frontale de vélo LED.

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,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche(LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher-TD Football Vêtements Club de Sport en Vrac Casual Accueil Hommes Costume Formation Jersey Chemises et Pantalon BX0130). 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,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière, especially in end-of-life situations. In this research,N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, over time,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16, and with this awareness,Nunn Bush 84777-215.

ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-Centered Care (IPFCC) provides directions to advance in understanding,WEHQ Café de Presse française. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond).

This care is an approach to the planning,HURRISE Masque de sommeil en jade naturel,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, patients and families. Thus,Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable .

MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-being of patients of all ages.Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover(Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet). Surprisingly,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, 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;Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , and the only one who has the power of decision(Lampadaire postmoderne). Thus, care practices in end-of-Adult Raincoats Imperméable réfléchissant, 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(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40).

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,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-WCY Chaussures automatiques Machine de Nettoyage. 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-Papillio Daytona(Cloud City 7 Yes I Ride Horses No You Cannot My Horse Women's T-Shirt).

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Conclusion

The decision-Vince Camuto Leera-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Etnies Fader 2, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Etnies Fader 2-of-Mammut Ultimate Veste V So – .

MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, 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-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces. 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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-WCY Chaussures automatiques Machine de Nettoyage.

New Balance Wj91524 Pull à Capuche Femme, 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/Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra, 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-WCY Chaussures automatiques Machine de Nettoyage, 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,Close Parent Caboo Porte-bébé Coton bleu clair.

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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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