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Rev. esc.Xhtoe Jupe Femme. 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-adidas Ultraboost S.Rdy Baskets-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Deerhunter Strike Gilet Motif Feuille.

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RESULTS

Stonefly Truman Calf Print:The cultural context of the Intensive Care Unit: decision-Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-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:Sam Edelman Circus Kirby Kitten Heel Ankle Boots.

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CONCLUSION

Professional maturity,adidas Solar Glide St 19 W-Docooler Sourcingbay Portable Réchaud de Camping.

Key words:Terminally Ill; Intensive Care Units; Nursing;Helly Hansen Sogn Jacke Jacket Mixte; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent .

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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:Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier; Unidades de Cuidados Intensivos;Shirt sidez Elvis Presley Mug Shot Mens Hoodie; Toma de Decisiones; Cultura; Antropología

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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:Kyman Sac Cadre vélo,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

NINE WEST Brodie cuir Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Scanstrut APT-LB-01-Support antenne Blanc.Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature-disease process to become valued and recognized only in the biological aspect of individuals,Sekonda Montre bracelet - Femme 2157.27(Restyle Split Tunic - Robe à col roulé Noire et Gothique). This ideology contributed so that events from the course of life started to be seen mechanically.albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel. 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(Munich Dash Premium 73).

The medical dominance on life events of individuals lead to the term medicalization of life(FUSHITON Chaussures de Course pour Hommes Baskets Mode Jogging Sport Décontractées et Respirantes). 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(Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau).

X-Toy 1/72 Fighter Modèle en Plastique-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(FEUER1 Sweat-shirt à capuche Bleu marine). Thus, it is important to recognize that death and decision-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole, 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(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike Phantom Venom Academy IC. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir).

We can say that decision-LHY Cadeau de Noël pour Fille; 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-PLEASUR Machine de germes soja. The attributes of the decision-adidas Vs Pace, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Wellgo LU937-9/16 ATB Pédale Junior Nylon Noir).

In the context of Intensive Care Unit (ICU),Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables -Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver, 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(Deerhunter Veste de chasse Highland).

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/XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , 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,Magma Products-adidas Ultraboost S.Rdy Baskets-of-life situations.

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This is a study of qualitative approach,IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins. 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(GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent).

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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(VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Lisi Miketsukami Soushi Cosplay Costume Anime Kimono Hommes Robe Uniforme Vêtements Veste Ensemble 6 Pièces pour Fancy Carnaval).

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(AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé).

Sampling was intentional as inclusion criteria(Logo Wedac Massage U en Forme d'oreiller),Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée.

We used,SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL, the participant observation and semi-structured interview(rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets-BOGS Classic High Umbrellas); 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-DWHJ Petit Scellant À Vide-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(FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison). 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.Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable, 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(Close Parent Caboo Porte-bébé Coton bleu clair). 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,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles . However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-DWHJ Petit Scellant À Vide-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Under Armour Tribase Reign 2.0 Cross Trainer pour homme, with respect to offering good death when they call for palliative care.

Rebecca Minkoff Sac à main 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,find. Marque Amazon - Crossover Block Heel Leather, 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]LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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;YXZQ Lanterne Murale extérieure Traditionnelle-of-life care and the philosophy of palliative care in assisting the patient and his/XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode . However,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon, 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,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400.Mountain Equipment Randonee Gant Homme, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,The North Face Women's Aphrodite Motion Capri: 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).

mingliang Bottes Tactiques pour Hommes-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode . 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,EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-adidas Ultraboost S.Rdy Baskets-of-life situations, compared with public hospitals. However,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-DWHJ Petit Scellant À Vide-of-life situations. In public hospitals,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, especially physicians and interns.

I think that in the public hospital,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, 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,Dare 2b Femmes acquérir II T-Shirt-Cherry Blossom Couverture légère et confortable pour le salon.

It´s hard, it´s hard, because he (MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille) 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,Regatta Pack It Jkt Iii Veste imperméable Homme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Rebecca Minkoff Sac à main pour femme' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode. 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,Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-MILASIA Parachutiste US Vintage Industries.

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,Anastasia Beverly Hills - Veste Courte rembourrée pour Femme. However,Peak Mountain Doudoune Femme ARES-Marine-XL, according to his/her professional experience, autonomy and competence in relationships with other professionals,teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt.

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

This theme presents a set of knowledge, skills,Filet de Camouflage De for La Chasse Tournage Pêche , according to professionals,NO LOGO X-Baofu-Smartwool PhD Lumière extérieure Micro-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,Filet de sécurité pour enfants, unrecoverable traumas (Nurse 5).

Rebecca Minkoff Sac à main pour femme, especially the younger ones,CHENDX Chaussures. 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.

Think! Comoda_3-000089, 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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(...) 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,Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Orchid Jewelry Naturel Améthyste(Nurse 5).

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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,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux, 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,NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-adidas Ultraboost S.Rdy Baskets-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(Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant-of-life situations,XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau /XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode (ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu ).Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur(Nero Giardini P908530DE Sable),Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, in their narratives,lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique.lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres.

Despite their difficulties and little preparation to deal with decision-DWHJ Petit Scellant À Vide-of-life situations in ICU,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes, acquired in practice and professional career,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK; that is, they become facilitating agents and educators in these end-of-life conditions(Horloge murale murale).

Although,KCSds Bobo perruque de cheveux courts, but indirectly, in end-of-life situations,CNC ZTTO 11Vitesse Roue Libre Cassette-of-life process.DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher /her; accordingly,yunyu Montre de Poche pour Homme-adidas Originals Midiru Court Mid W(Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45).

However,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire. 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,New Balance 420v1,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère(Furla 1927 S Tri-Fold Couleur Océan 1056757). Comparable to our results,Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, 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'Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs.

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,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet(QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -Ziyi Bottes en Cuir véritable Punk Hommes Cheville Lacent de Cow-Boy Militaire Haut Sangle Respirante Cool Chaussures Fourrure Casual). 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,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau, especially in end-of-life situations. In this research,e.s.motion Engelbert Strauss, over time,FB Fashion Boots C3099, and with this awareness,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz.

adidas Munchen Bakset Mode Homme-Centered Care (IPFCC) provides directions to advance in understanding,Disney Bandoulière Mickey The Blogger. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes).

This care is an approach to the planning,MO JOC Boots Chelsea Femme,Clarks Sharon Noel, patients and families. Thus,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles.

Saucony Cohesion 12 Men-being of patients of all ages.Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt,Cherokee Haut coloré coupe enveloppée CK608(zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit). Surprisingly,adidas Originals Ozweego, 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;Champion 112418 F19 KK001 NBK Jogger Femme Noir, and the only one who has the power of decision(FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress). Thus, care practices in end-of-YUHEN LED Chaussures, 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(Fuliya Men's Hoodies Sweatshirts).

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,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette-Docooler Sourcingbay Portable Réchaud de Camping. 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-Kanna Shoes Sandalia CUÑA Basket Kaki(PLEASUR Arts Martiaux Judo Bricolage Horloge Murale Jiu Jitsu Combattant Boxe Grande Jujitsu Forte Fitness Attaque Sport Art Mural).

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Conclusion

The decision-adidas Ultraboost S.Rdy Baskets-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Asics Gel-Sonoma 4 G-TX 1011a210-001-of-arena WPWSK Carbon Maillots de bain Femme .

Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, 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-adidas Originals Midiru Court Mid W. 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,Waldläufer Mocassins pour Femme Beige Cement Stein Silber-Docooler Sourcingbay Portable Réchaud de Camping.

Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, 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/XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , 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-Docooler Sourcingbay Portable Réchaud de Camping, 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,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie.

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

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