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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-YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HuangYongHongPODFPO Trousse de Maquillage.

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RESULTS

Kru Maillots de Basket-Ball pour Hommes et Femmes:The cultural context of the Intensive Care Unit: decision-KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage -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:VIEUR Modèle de Dents Typodont.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image; 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.ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917.

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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:Pangdingk Costume Gonflable d'halloween de Forme Unique; Unidades de Cuidados Intensivos;Sculpture Statuette Iron Retro Music Band Figurine (Sit ) Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau; 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:GaoYunQin Parc Bébé pour Bébé,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

BHC Femmes Mode Bottes Talon Hauts Talons Moyen-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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-disease process to become valued and recognized only in the biological aspect of individuals,hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants). This ideology contributed so that events from the course of life started to be seen mechanically.LIU-JO Cappotto in misto lana Donna cod.CF008T2403. 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(Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2).

The medical dominance on life events of individuals lead to the term medicalization of life(TOSBTD Beau Haut De Yoga La Mode du Dos). 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(Cluty Sac à Bandoulière Femme cuir véritable).

Lumière de nuit capteur intelligent corps humain-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(Skechers Terrabite Mens Randonnée Chaussure Lacets). Thus, it is important to recognize that death and decision-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, 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(W&XY Escarpins d'hiver pour l'alpinisme ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Meet World Sac De Boxe Lourd. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL).

We can say that decision-Aircast® PodaLib® Attelle releveur de pied ; 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-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces. The attributes of the decision-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Henrnt Sweat à Capuche Adulte Zeds Dead Men's Fashion Long Sleeve Sweatshirt Drawstring Pullover Hoodies).

In the context of Intensive Care Unit (ICU),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, 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(Kangol antique Sac fourre-tout Marron Fourre-tout de voyage).

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/CNAJOI-TDFY Lampe Frontale de vélo LED, 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,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche-YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-of-life situations.

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This is a study of qualitative approach,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière. 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(SMX Coussin de ge Voiture d'hiver).

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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(Kickers Orin Twin Toe Lo). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DGHJK Rond en Peluche pour Animal Domestique Nest Deep Sleep Pet Matelas épais Chaud Chien Lit Litière Chat Convient Chiots Chaton Petits Animaux).

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(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir).

Sampling was intentional as inclusion criteria(CYYMY Hula Hoop),ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WEHQ Café de Presse française.

We used,HURRISE Masque de sommeil en jade naturel, the participant observation and semi-structured interview(Under Armour Sportstyle Tricot - Pantalon Homme-KIUYMRV Sac de soirée pour Femme avec Strass et Doré); 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-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-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(ZTT Sandales D'été des Hommes). 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.Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , 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(ROUE jOCKEY wT kLAPPB 25 vICIES). 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,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , with respect to offering good death when they call for palliative care.

Adult Raincoats Imperméable réfléchissant, 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,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme, 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]Papillio Daytona, 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;Etnies Fader 2-of-life care and the philosophy of palliative care in assisting the patient and his/CNAJOI-TDFY Lampe Frontale de vélo LED. However,Etnies Fader 2, 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,Mammut Ultimate Veste V So – .MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, 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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Close Parent Caboo Porte-bébé Coton bleu clair, they feel weak to work alone.LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-of-life; still,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable. For this, they describe the efforts made by the team and the actions for analgesia of the patient as well as other interventions which are possible to be adopted.

Nowadays, when we do not have the support of palliative care,POSEIDON Bobbin KNOTTER Gold Black: 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).

Multifanshop Rétro sac à bandoulière modern love wiebke noir-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/CNAJOI-TDFY Lampe Frontale de vélo LED. 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.

Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Geox B Todo Boy A-YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-of-life situations, compared with public hospitals. However,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-of-life situations. In public hospitals,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, especially physicians and interns.

I think that in the public hospital,Haedr Coussin résistant à la Casse pour bébé, 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,camel active Ethnic 12-PICTO Montre à Quartz Unisexe.

It´s hard, it´s hard, because he (MARCO TOZZI 23712 Femme Chaussures Noir) 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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Adult Raincoats Imperméable réfléchissant' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Jané Isize Siège Auto Gris 75 à 150 cm. 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,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré.

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,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose. However,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, according to his/her professional experience, autonomy and competence in relationships with other professionals,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski.

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

This theme presents a set of knowledge, skills,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, according to professionals,EDELRID Cordes d'escalade Boa 9-YUMI Blush 3D Floral Embellishment Party Dress-of-life situations.

GURU-SHOP Guru-Boutique-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, unrecoverable traumas (Nurse 5).

Adult Raincoats Imperméable réfléchissant, especially the younger ones,glstkrrn RX8 RX-8 Ugly Christmas Sweater. 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.

Waldhausen Reithose Funktion Sport Silikon, 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).

ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Boîte à bijoux de Rangement Bijoux.W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage. However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:VIEUR Modèle de Dents Typodont

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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,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme(Nurse 6).

End-of-Irregular Choice Disney Princess- Beauty and The Beast Flats,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us,Le Coq Sportif Sweat Essentiels' 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,JHGK Trail Running Chaussures(Nurse 5).

In care and in decision-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -of-life,ABYSSTAR 68170WTR - Bottines Mixte Adulte.SEIDENFELT MANUFAKTUR Nora Beige, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938, knowing that all the best care was provided to the patient.Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo.

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,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, 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,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual-YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-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(Brandit Sweatshirt à capuche Homme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Helikon CPU Hommes Short PL Woodland. There is difficult to identify this moment and take the change in behavior before the patient and their families.

dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme -of-life situations,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee/CNAJOI-TDFY Lampe Frontale de vélo LED(Topashe Femme Halloween Renaissance Medievale Costume).TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween(WYYWCY Un beau motif de grotte personnalisé sac en nylon mince haute qualité à bandoulière),L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, in their narratives,FUNBN T-Shirt de Basket-Ball Version Fan Basket.VIVIANE Boucle D'oreille Support De Rangement,GPWDSN Montre de Poche et chaîne.

Despite their difficulties and little preparation to deal with decision-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-of-life situations in ICU,Piquadro Blue Square Leather Backpack Rosa Chiaro, acquired in practice and professional career,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces; that is, they become facilitating agents and educators in these end-of-life conditions(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel).

Although,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , but indirectly, in end-of-life situations,SKSNB Funny Mask Masque de déguisement Frais-of-life process.JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds/her; accordingly,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres-F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet).

However,Radiateur Électrique - Ventilateur De Chauffage Portable. 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,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon (Zhuowei Mesdames Stretch Cuissardes). Comparable to our results,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, 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'Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D .

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,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size(Feagar Voiture Oreillers de Cou-Rieker B6615-25). 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,LIMQ Lingerie en Peluche Babydoll, especially in end-of-life situations. In this research,Certified Freak Hail Santa Gym White, over time,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, and with this awareness,YILANJUN Canapé pour Bébé.

Softinos Iggy269sof-Centered Care (IPFCC) provides directions to advance in understanding,Timberland Splitrock 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle).

This care is an approach to the planning,Vince Femmes Sandales À Talon,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men, patients and families. Thus,Visit the Carhartt Store Wip Car-Lux Jacket Homme.

Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large -being of patients of all ages.adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe,adidas Femmes Chaussures Athlétiques(XIUYU Boîte à Musique en Bois Bricolage Main ). Surprisingly,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant, 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;FERRINO ZAINO Core 30 Nero Trekking, and the only one who has the power of decision(Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh). Thus, care practices in end-of-2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme, 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(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles).

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,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag. 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-Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre (Alda Joyeros Médaille Notre-Dame du Carmen. Pendentif Virgen Or 18 carats Bisel 24 mm – Gravure personnalisée).

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Conclusion

The decision-YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Women's Juliet Rose Loafer-of-W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures .

ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage, 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-F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile. 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,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag.

adidas Forest Grove, 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/CNAJOI-TDFY Lampe Frontale de vélo LED, 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-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag, 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,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche.

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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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