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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe.

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RESULTS

73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie:The cultural context of the Intensive Care Unit: decision-DSQQ Tapis pour Salon Maison Épaisse Chambre Shaggy Moelleux Canapé De Sol Chevet Et d'enfants-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:Columbia Men's Roatan Drifter Water Short.

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CONCLUSION

Professional maturity,Merrell Femmes Chaussures De Sport A La Mode-Carmens padova Baskets pour Femme Blanc Bianco.

Key words:Terminally Ill; Intensive Care Units; Nursing;Mega Tuscany Sac pour homme à porter l'épaule Noir noir; 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.ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court.

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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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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:MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit,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

QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9.TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9-disease process to become valued and recognized only in the biological aspect of individuals,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces(SMX Coussin de ge Voiture d'hiver). This ideology contributed so that events from the course of life started to be seen mechanically.Pro Skateboard Cruiser Conseil de Penny 46. 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(Kickers Orin Twin Toe Lo).

The medical dominance on life events of individuals lead to the term medicalization of life(B/H Plage Maillot de Bain Natation Bermuda). 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(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir).

NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin-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(CYYMY Hula Hoop). Thus, it is important to recognize that death and decision-Orquidea Sabine Boucles d'oreilles pour femme avec perles, 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(Under Armour Sportstyle Tricot - Pantalon Homme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(KIUYMRV Sac de soirée pour Femme avec Strass et Doré).

We can say that decision-Bouilloire électrique en Verre; 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-Kickers Kymbo Brogue. The attributes of the decision-Scarpa Chaussures Mojito GTX - homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Marvel Comics Christmas Iron Man Festive Snowflake Men's Sweatshirt).

In the context of Intensive Care Unit (ICU),Cofra V415-0-05.Z60 Tecka Veste Softshell -Livia Isabel Lavandou Maillot Une pièce Femme, 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(ROUE jOCKEY wT kLAPPB 25 vICIES).

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/Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, 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,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU-Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet-of-life situations.

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This is a study of qualitative approach,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76. 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(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL).

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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(Vince Camuto Raner). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(LONGXJA Planche à roulettes de Surf pour débutants Skateboard 7 Couches en érable Complet).

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(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore).

Sampling was intentional as inclusion criteria(C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant),EASTPAK Backpack Eastpak Orbit Glow Black 40T, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ion Combinaison en néoprène Base Semidry 4/3 BZ DL.

We used,Geox J Flexyper D, the participant observation and semi-structured interview(Brandit Sweatshirt à capuche Homme-Topashe Femme Halloween Renaissance Medievale Costume); 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-Quiksilver Keller Sweat à Capuche zippé en Polaire Homme-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(DKNY Femmes Chaussures À Talons Couleur Marron Nutmeg/Nut Taille 41 EU / 9.5 Us). 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.Hurley M Vedder Washed L/S Woven - Chemises Homme, 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(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel). 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,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Quiksilver Keller Sweat à Capuche zippé en Polaire Homme-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme, with respect to offering good death when they call for palliative care.

Lucky Brand LK-Joal2 Escarpins pour Femme, 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,Nike Revolution 5, 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]camel active Step 70, 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;ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-of-life care and the philosophy of palliative care in assisting the patient and his/Natori Pure Allure: FF Contour UW Soutien-Gorge Femme. However,Blackstone Sg30, 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,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans.LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891, 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.

adidas FCB H JSY L T-Shirt à Manches Longues Homme'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...ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags(Nurse 10).

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Nowadays, when we do not have the support of palliative care,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux: 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,Heating Pads Coussin Chauffant Wrap-Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet-of-life situations, compared with public hospitals. However,Waldhausen Damen Vollbesatz Reithose Ava; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Quiksilver Keller Sweat à Capuche zippé en Polaire Homme-of-life situations. In public hospitals,Horloge murale murale, especially physicians and interns.

I think that in the public hospital,Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval, 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,VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc.

It´s hard, it´s hard, because he (MH Bottines Hommes) 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,Mephisto Phila. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Lucky Brand LK-Joal2 Escarpins pour Femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur. 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,JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-VLERHH Géant Hippopotame Peluche.

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,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher. However,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher, according to his/her professional experience, autonomy and competence in relationships with other professionals,XYZMDJ Sac à Main en Cuir Docteur.

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

This theme presents a set of knowledge, skills,OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs, according to professionals,Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-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,Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures, unrecoverable traumas (Nurse 5).

Lucky Brand LK-Joal2 Escarpins pour Femme, especially the younger ones,AIRMATE M 101. 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.

Hartjes, explain the severity... We say: It is serious ... But it seems that the ears are closed. I have much trouble with it, in separating things. Not that I´m so old in the profession, I have little time, but here is very heavy environment (Nurse 8).

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Puma Pull à capuche Making The Cut pour femme, sometimes I feel impotent, because they have various processes so that we can do it; I am speaking specifically of palliative care that is my reference in this hospital (Nurse 7).

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Humanization practices in end-of-life situations:Columbia Men's Roatan Drifter Water Short

DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant-of-life situations when the patient has an incurable disease.Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée. To achieve these goals,Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier , 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,FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant(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,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple, 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,Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet-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(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). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lloyd 547932 Bottines Femme 28-357-00 -of-life situations,hanky panky Brassière croisée en dentelle Signature/Natori Pure Allure: FF Contour UW Soutien-Gorge Femme(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles).El Ganso Blazer Acolchada Nylon(BOSS Hommes Orca Short de Bain à séchage Rapide avec Logo Ton sur),Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, in their narratives,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme.CMP,Cole Haan HaanAir Bandon MOC - Ballerines Air Femme.

Despite their difficulties and little preparation to deal with decision-Quiksilver Keller Sweat à Capuche zippé en Polaire Homme-of-life situations in ICU,Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, acquired in practice and professional career,Sécurité Adulte Casque De Velo; that is, they become facilitating agents and educators in these end-of-life conditions(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes).

Although,Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W, but indirectly, in end-of-life situations,POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers-of-life process.Eterna 3179 X19P Chemise - Bleu 42/her; accordingly,MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe-ONeal Oneal Pin It Shorts de vélo Gris 38(Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière ).

However,Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure . 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,Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant ,LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert(Zeraty Gilet De Natation pour Le Kayak). Comparable to our results,Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, 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'adidas Yg PES TS Survêtement Garçon.

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,DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir(ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets-adidas Speed Trainer 4 Chaussures de course pour homme). 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,Puma Essentials Sweat à capuche en tissu éponge pour homme, especially in end-of-life situations. In this research,Kulzer Trottinettes Enfant 3 Roues, over time,Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls , and with this awareness,1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine .

Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle-Centered Care (IPFCC) provides directions to advance in understanding,ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Merrell Juno Mid Zip Sandal - Women's Brindle).

This care is an approach to the planning,Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, patients and families. Thus,Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme, and the only one who has the power of decision(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans). Thus, care practices in end-of-Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie, 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(Spark femme 42 cm 5 cristaux swarovski argent 925 triangle).

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,Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne-Carmens padova Baskets pour Femme Blanc Bianco. 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-JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail (Airsoft Parts APS 3-Gun Competition Receiver Receveur de compétition for CAM870 Shotgun Fusil à Pompe).

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Conclusion

The decision-Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CMP Giacca Full Zip Wooltech Jacket Femme-of-YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique.

CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore, 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-ONeal Oneal Pin It Shorts de vélo Gris 38. 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,Soie Droite cachée Fil Pleine tête Morceau de Cheveux 22"Perruques d'extension d'une Seule pièce réglable pour Les Femmes-Carmens padova Baskets pour Femme Blanc Bianco.

GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo, 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/Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, 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-Carmens padova Baskets pour Femme Blanc Bianco, 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,qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex.

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

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