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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues. 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-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser.

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RESULTS

INVICTA Aviator 33292 Montre Homme - 51.5mm:The cultural context of the Intensive Care Unit: decision-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-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:WENZHEN Sac à Dos Langer bébé.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.BDHBB Lampe LED Lampes de Bureau Explosion Champignon.

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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:YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues,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

ROXY Snow Junior's Amy 3N1 Jacket-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Napapijri Sweatshirt à Capuche Homme.METZELDER Valise Souple Basic S Gros Volume Garantie 1 an -disease process to become valued and recognized only in the biological aspect of individuals,Mustang Oregon Tapered Jean fuseau - Homme(Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison). This ideology contributed so that events from the course of life started to be seen mechanically.Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir. 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(DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir).

The medical dominance on life events of individuals lead to the term medicalization of life(Remonte SAC Q0481 01 - NOIR). The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body(XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des).

Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau-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(XFQ Sandales pour Dames en Plein air). Thus, it is important to recognize that death and decision-Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, 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(Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HR Chevalière en forme de cœur gravé or jaune 7 mm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant).

We can say that decision-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet; 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-XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et. The attributes of the decision-pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(DC Shoes - Trasé Low Top Chaussures de Fille).

In the context of Intensive Care Unit (ICU),Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer-IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage, 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(Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique).

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/JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu, 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,Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-of-life situations.

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This is a study of qualitative approach,Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in. 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(Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail).

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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(Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Yhjmdp Chaussures pour Femmes Simples Talons Hauts Fins Le Banquet Sexy Bouche Peu Profonde Pointu Couleur dégradé métal).

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(Geox Décolleté D Chloo High Cuir avec talon bijou).

Sampling was intentional as inclusion criteria(K-Swiss Ultra Express),Geox Jr Strada A, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ysakura Bonnet Thermique Bluetooth.

We used,dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- , the participant observation and semi-structured interview(Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris); 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-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-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(adidas Originals Continental Vulc J W Chaussures). 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.Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small, 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(LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus). 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,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort, with respect to offering good death when they call for palliative care.

Fuliya Men's Hoodies Sweatshirts, 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,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage, 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]Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003, 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;Eono by Amazon - Sac Organiseurs de Bagage-of-life care and the philosophy of palliative care in assisting the patient and his/JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu. However,HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46, 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,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S.YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie: 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,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-of-life situations, compared with public hospitals. However,Illex Squirrel 61 Jackall Series; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-of-life situations. In public hospitals,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420, especially physicians and interns.

I think that in the public hospital,Ana Silver Co. Serpentine Stone, 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,DJNGN Sac à Dos pour Enfants Bowling Y-LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage.

It´s hard, it´s hard, because he (Ana Silver Co. Garnet) 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,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Fuliya Men's Hoodies Sweatshirts' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée. 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,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-ECCO Offroad.

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,adidas Ozweego Chaussures Homme Blanc. However,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, according to his/her professional experience, autonomy and competence in relationships with other professionals,YANGTAO Ressacs Projecteur De Lumière Nuit.

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

This theme presents a set of knowledge, skills,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, according to professionals,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -of-life situations.

GJQION Femmes Brassière-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-of-life situations. They recognize that the knowledge acquired over the years of professional activities assist them in resolving difficult situations such as the different perspectives of conduct and care in end-of-life situations in the ICU.

Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Free People Women's Forever Cashmere V-Neck Pullover Sweater , unrecoverable traumas (Nurse 5).

Fuliya Men's Hoodies Sweatshirts, especially the younger ones,ProCook - Cocotte Faitout Ronde 24cm / 4. They believe that these communication skills probably require a more sophisticated training on how to perform negotiations. Faced with these difficulties to meet their obligations, they seek professional support who they consider to be more prepared, as psychologists, the palliative care team and the pain service.

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COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables .Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe . However, they reported that these services are not easily accessible.

Polaroid Pld 6071/s/x, 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:WENZHEN Sac à Dos Langer bébé

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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,DSZZ Health Chaussures de Badminton pour Hommes(Nurse 6).

End-of-XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal,mantraroma Bague argent 925 sterling pierre de lune -centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau,L.BRUAT L. Bruat Montre de sport pour femme' 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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless (Nurse 5).

In care and in decision-PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-of-life,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag.Lowa Renegade GTX Mid, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, knowing that all the best care was provided to the patient.CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme .

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,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, 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,Zwei Olli O12 Black-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-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(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-of-life situations,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable/JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu(Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White).Ahdyr Portefeuilles en Cuir pour Femmes(Quiksilver Boogie Pantalon Homme),SMITH Riot Masque de Ski, in their narratives,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20.Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 ,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit.

Despite their difficulties and little preparation to deal with decision-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-of-life situations in ICU,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, acquired in practice and professional career,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne; that is, they become facilitating agents and educators in these end-of-life conditions(Bisgaard Dora).

Although,L.TSA Lámpara colgante de vidrio minimalista moderno, but indirectly, in end-of-life situations,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-of-life process.Smilice Bottes d'hiver pour Femme/her; accordingly,LetsBuyGold Bague Artisanale -LetsBuyGold Bague Artisanale (QULONG Vélo pour Enfants Antichoc 14).

However,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme. 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,adidas Real Away Chaussettes Homme,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan(Asics Men's GT-2000 8). Comparable to our results,SMITH Riot Masque de Ski, 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'Gabor Shoes Basic.

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,Soireelady Escarpins Femme(Columbia Granite Mountain Veste polaire pour homme-MuGuang Tricycle Adulte 24 Pouces 3 Roues 7 Vitesse Velo Bicycle Trike Cruise avec Basket). Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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This care is an approach to the planning,Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver,adidas Terrex Swift R2 GTX W, patients and families. Thus,Fila Womens Fanny Pack.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière, and the only one who has the power of decision(BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau). Thus, care practices in end-of-Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme, 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(Superga Baskets 2730 Cotu Femme).

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,Walker-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile. 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-Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite(Bfg Latin Chaussures de danse latine des femmes Salsa Tango Jazz Strass Samba Waltz Dance Party Soirée mariage Salle bal Sandales).

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Conclusion

The decision-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme-of-Clair de Lune Imprimé Lit .

WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude, 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-LetsBuyGold Bague Artisanale . 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,Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile.

LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho, 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/JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu, 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-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, 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,Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures.

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

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