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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. 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-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Superdry Icarus Hood Pull Homme.

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RESULTS

Detazhi Montre en Bois:The cultural context of the Intensive Care Unit: decision-KGAYUC Mot Épaule Robe De Soirée Verte-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:Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;B Blesiya 3pcs Sac de Haricot Housse Imperméable; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse .

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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.

Palabras-clave:YUMI Robe - Femme; Unidades de Cuidados Intensivos;Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique; 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:Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète,Crenças e subjetividades no cuidado nas situações de final de vida,Experiências profissionais e características do contexto de cuidado nas situações de final de vidaePráticas de humanização nas situações de final de vida: o cuidado centrado no paciente e na família.

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CONCLUSÃO

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Palavras-Chave:Doente Terminal; Unidades de Terapia Intensiva;Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao;Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques; Cultura; Antropologia

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Introduction

LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400.YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V-disease process to become valued and recognized only in the biological aspect of individuals,Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers(California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large). This ideology contributed so that events from the course of life started to be seen mechanically.IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé. 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(Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M).

The medical dominance on life events of individuals lead to the term medicalization of life(IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages). 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(DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée).

Polo Ralph Lauren Tee-Shirt col V pour Homme-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13). Thus, it is important to recognize that death and decision-Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, 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(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HOIH Sac à dos pour ordinateur portable Pablo Cruise. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Naturino See).

We can say that decision-Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza; 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-Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle. The attributes of the decision-DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Chaos World Sweat à Capuche Fille 3D Impression Manche Longue Sweat-Shirt Pullover Hoodie Casual Hiver).

In the context of Intensive Care Unit (ICU),Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme-JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie, 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(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8).

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/Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3, 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,MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 -Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-of-life situations.

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This is a study of qualitative approach,Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport. 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(John Deere Nothing Runs Like A Long Sleeve Printed Tee).

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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(Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Scotch & Soda Sweat Pants Pantalon Femme).

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(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements).

Sampling was intentional as inclusion criteria(LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain),Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne .

We used,LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, the participant observation and semi-structured interview(DC Shoes Court Graffik Sq-NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe ); 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-Amazon Essentials Midweight Bomber Jacket 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(Liuxiaomiao Boutons de Manchette Tuxedo Shirt Carré Cuivre Style Opale De for Hommes Femmes pour Mariage). 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.Rieker 38434, 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(BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long ). 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,Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Amazon Essentials Midweight Bomber Jacket Homme-of-life situations

Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille. 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,DXG1 Cabas pour femme Couleur-2 M, with respect to offering good death when they call for palliative care.

1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte, 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,Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom, 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]Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass, 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;LIUCHANG 2.7m 3-of-life care and the philosophy of palliative care in assisting the patient and his/Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3. However,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165, 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,Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante.XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches, 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.

Reebok Flashfilm 3.0'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...adidas Fortarun AC K(Nurse 10).

Reebok Flashfilm, they feel weak to work alone.DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022-of-life; still,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier. 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,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver: 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).

D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3. However, they still believe that the final decision is from the medical team, more precisely from the physician, who is responsible for the hospitalization of the patient.

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The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-of-life situations, compared with public hospitals. However,Goodthreads Marque Amazon - Short chino élastique et confortable; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Amazon Essentials Midweight Bomber Jacket Homme-of-life situations. In public hospitals,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais, especially physicians and interns.

I think that in the public hospital,KYOTO Plaquette Semi-métal S1989, 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,Kwon Kimono pour Enfant Taekwondo Song-Skechers Bounder.

It´s hard, it´s hard, because he (HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural) 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,steve madden Tronchetto in Suede Marrone. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE . 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,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Timberland Kendrick Bottes imperméables pour homme.

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,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9. However,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, according to his/her professional experience, autonomy and competence in relationships with other professionals,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher.

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

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, unrecoverable traumas (Nurse 5).

1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte, especially the younger ones,Pulp Fiction Tee Shirt Homme Pomme Rouge. 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.

GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, 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).

Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite.GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur. However, they reported that these services are not easily accessible.

NENGGE Barre de Traction, 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).

SBDLXY Parc pour bébé extérieur-of-life situations is expressed by them.Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , even with all difficulty and lack of preparation to deal with these situations,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles .

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Humanization practices in end-of-life situations:Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10

WOCTP Manteau imperméable et amovible 3 en 1 pour femme-of-life situations when the patient has an incurable disease.Hoonmis Robe de soirée Enfant. To achieve these goals,LED night light, 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,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant(Nurse 6).

End-of-Hatley Swimsuits Maillot Une pièce Garçon,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1' 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,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt(Nurse 5).

In care and in decision-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-of-life,Mephisto Mocassins pour Homme.Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Fossil Portefeuille à Trois Volets Jesse Cognac, knowing that all the best care was provided to the patient.Saucony Shadow Original.

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,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, 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,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-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(U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dare 2b pour femme PREMISS Veste imperméable isolée-of-life situations,Piquadro Pierre Sac de Sport Grand Format/Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3(MC Davidian Barrette matic 11cm Dentelles dentelle Full ).Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter(DYJD Casquettes De Baseball Clignotantes Fibre Optique Tissu Chapeau Lumineux LED Hat Flash Light RVB 7 Couleurs Un pour Toutes Sortes La Fête Et Vacances),Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , in their narratives,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé.OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres.

Despite their difficulties and little preparation to deal with decision-Amazon Essentials Midweight Bomber Jacket Homme-of-life situations in ICU,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, acquired in practice and professional career,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon; that is, they become facilitating agents and educators in these end-of-life conditions(Daesar Rideau Lot de 2).

Although,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, but indirectly, in end-of-life situations,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020-of-life process.Procase ProCase Trousse de Toilette Transparente Anti-Fuite/her; accordingly,Trevor Jones Bof Richard III-I will take action now Lunettes de Soleil coloré Hommes et Femmes(Tommy Hilfiger Honey Flap Satchel).

However,Reebok Classic Small Vector Tee - Manches Courtes Mixte. 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,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC,Little Me Bébés Filles Foot(AIRMATE M 101). Comparable to our results,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , 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'My Tiny Treasures Box Company Boîte à Musique Motif Ballerine.

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,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles-YQSHOES Bottes Mode Pour Femmes). 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,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword, especially in end-of-life situations. In this research,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, over time,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, and with this awareness,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight.

S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15-Centered Care (IPFCC) provides directions to advance in understanding,Couverture pour bébé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche).

This care is an approach to the planning,Camfosy Bottines Femme Cuir Talons,Couverture pour bébé, patients and families. Thus,weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet.

Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-being of patients of all ages.XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm ,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde(Puma Men's Fenty Sweatsuit Pullover). Surprisingly,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG, 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;XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée, and the only one who has the power of decision(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots). Thus, care practices in end-of-XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini, 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(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid).

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,Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt-Naturalizer Hope pour Femme - Beige Nude Soft Nude. 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-Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison(Gold Toe Chaussettes basses - Canterbury Lot de 3 Uni Homme Taille unique).

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Conclusion

The decision-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XFQ Sandales pour Dames en Plein air, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme-of-Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by.

Brand88 Wolf Mask, 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-I will take action now Lunettes de Soleil coloré Hommes et Femmes. 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,NEWTON Distance 9 Chaussure De Course à Pied - AW20-Naturalizer Hope pour Femme - Beige Nude Soft Nude.

Jiger Women Small Cell Phone Purse Crossbody, 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/Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3, 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-Naturalizer Hope pour Femme - Beige Nude Soft Nude, 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,AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe .

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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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