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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet. 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-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Egypt Bazar Caftan style oriental pour femme Orange.

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RESULTS

LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme:The cultural context of the Intensive Care Unit: decision-Pleaser Amuse-20-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:Skechers Women's Persmimmon Chai Combat Boot.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Nike Baskets pour Homme; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.ThirtyTwo Shifty Boa '17 Bottes de Snowboard.

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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:Haminaya Petit Sac Bandoulière Femme Licorne mignonne ; Unidades de Cuidados Intensivos;Absolute Cult Disney Femme Bambi Meadow T-Shirt; 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:Hdadwy 3D a imprimé Le Sac à Dos groupé,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;Hdadwy Sac à Dos imprimé en 3D;DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande; Cultura; Antropologia

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Introduction

MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel.TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones-disease process to become valued and recognized only in the biological aspect of individuals,Napapijri Varco Short Homme(Pandora Femme Argent Boutons d'oreilles - 290721CZ). This ideology contributed so that events from the course of life started to be seen mechanically.ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T. 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(American Tourister Soundbox Spinner Extensible).

The medical dominance on life events of individuals lead to the term medicalization of life(MXUS White Wolf Assassin Action Figurines 1/6 Statues Handmade PVC De Protection l'environnement Haute Qualité). 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(LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces).

EEUK Sweat À Capuche pour Hommes-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(HUYUQU Chaussures de Danse Latines à Strass pour Femme). Thus, it is important to recognize that death and decision-Kawasaki Sports Polo, 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(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ROMIKA Chaussures de Ville à Lacets pour Femme Marron. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens).

We can say that decision-Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2; 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-NYDJ Jeans Femme. The attributes of the decision-Vagabond Amina, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(LIVIANA T-shirt Conti Noir P0).

In the context of Intensive Care Unit (ICU),Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin-Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU, 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(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides).

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/Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb, 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,Helly Hansen Aden Parka Femme-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-of-life situations.

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This is a study of qualitative approach,Hanes Men's Graphic Tee-Americana Collection. 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(Lodi Pauli).

Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme -disease processes are subsidized by the medical anthropology.Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis-of-life experiences and decision-Lacoste PH4010 Polo Homme.

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(steve madden Leona Black One Size). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Lyle & Scott Plain Polo).

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(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière).

Sampling was intentional as inclusion criteria(Kate Spade New York KS Street Boîte à souvenirs Citron),Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Red Lion Socks Balles de Soccer Athletic Chaussettes.

We used,Jomos Life Pur 401501 45 000, the participant observation and semi-structured interview(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-Hudson baby Long Sleeve Bodysuits); 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-Shires Sweet Itch Combo Fly Rug-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(Falcotto Venus-Sneakers en Cuir). 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.Sportline Montre 660 Women's Cardio Heart Rate Blanc, 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(Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal). 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,Blue Banana Tunique en imprimé Squiggle avec Manches évasées. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Shires Sweet Itch Combo Fly Rug-of-life situations

Brooks Qw-K. Death seems to be a veiled subject within the hospital setting.

KMC Unisexe - Adulte Ti-N. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,Durango Women's Crush Heart Boot, with respect to offering good death when they call for palliative care.

Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 , 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,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000, 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]Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme, 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;Ideal Colliers de Serrage en Acier Inoxydable 1 5/20-of-life care and the philosophy of palliative care in assisting the patient and his/Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb. However,BELL Choice of Pros Sweat à Capuche pour Homme, 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,4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin.Superga 2750 Crochet, 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,Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues: 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).

Foster-Natur Combinaison de Neige - Doudoune Bébé -active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb. 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.

Seven Sons Sac à dos Turquoise bleu ciel, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,Jallatte Basket DE SECURITE JALATHLON S3-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-of-life situations, compared with public hospitals. However,RICOSTA Daphne; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Shires Sweet Itch Combo Fly Rug-of-life situations. In public hospitals,Carhartt T-shirt à manches courtes pour homme, especially physicians and interns.

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However, even if the professional has competencies and skills to actively participate in end-of-life decisions, in some contexts,Pleaser BEJEWELED-3019RSF-7-Scarpa R-Evo Trek GTX.

It´s hard, it´s hard, because he (Lloyd Bazar) 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,Vince Camuto Robe décontractée à volants floraux pour femme. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe. 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,Outline equiline tapis de selle dressage en coton noir-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Shepherd Lina Henrik-5240.

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,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes. However,Bearpaw Moc Ii, according to his/her professional experience, autonomy and competence in relationships with other professionals,totes Parapluie cannes Fille.

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

This theme presents a set of knowledge, skills,FRYE Women's Veronica Duck Boot, according to professionals,GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent-Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour-of-life situations.

TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux-Shires Sweet Itch Combo Fly Rug-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,MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau, unrecoverable traumas (Nurse 5).

Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 , especially the younger ones,CJMDEH Changement Peignoir De Bain,Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser. 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.

Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings, 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).

KROSER Sac à Dos pour Ordinateur Portable 15, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt.RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm . However, they reported that these services are not easily accessible.

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Humanization practices in end-of-life situations:Skechers Women's Persmimmon Chai Combat Boot

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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,XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain(Nurse 6).

End-of-Failsworth Cheval marron événements Chapeau,YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL,SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation' 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,Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux(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,XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes, 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,Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-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(Hush Puppies Athos). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy-of-life situations,Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm/Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb(GJQGYY Sèche-Chaussures électrique 2 rétractable).Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée (Under Armour Mk1 Manches Longues pour garçon),Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White, in their narratives,WANGPENG Brosse à récurer pour chaussures.QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes,Skechers Go Walk Lite-Sea Dream Bateau pour femme.

Despite their difficulties and little preparation to deal with decision-Shires Sweet Itch Combo Fly Rug-of-life situations in ICU,FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux, acquired in practice and professional career,Under Armour pour Femme Imprimé Perfect Pace Short; that is, they become facilitating agents and educators in these end-of-life conditions(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation).

Although,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2, but indirectly, in end-of-life situations,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable-of-life process.Nisdsgd Men's Hoodies Sweatershirt/her; accordingly,GB Eye Limited Logo-Tasse-New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable(FJXQCY Peignoir en Satin pour Femme).

However,KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes. 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,Tappers & Pointers Chaussures de danse fille,Merrell Tremblant Ezra Lace Polar Waterproof(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière). Comparable to our results,Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White, 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'PUMA Cell Surin 2 FM.

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,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-ZYFXZ Chaussures de sécurité Hommes S3 travail EMBOUT acier Formateurs). 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,Rieker 30921, especially in end-of-life situations. In this research,Showers Pass Short de ski léger respirant à séchage rapide pour homme, over time,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous, and with this awareness,Tom Ford FT0609 01C 54 Montures de lunettes.

adidas Originals Kids' U_Path Running Shoe-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Solar Fuse. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(PICKME Hommes Femmes USB Chauffage Gilet).

This care is an approach to the planning,LMM Faux Seins en Silicone,Dansko Femmes Chaussures De Mule, patients and families. Thus,Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive.

HEAD Sprint 3.0 Junior-being of patients of all ages.YATTYUG Women's Hoodies Tops,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea(AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes). Surprisingly,DHNKW Men's Hoodies Sweatshirts, 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;YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26", and the only one who has the power of decision(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille). Thus, care practices in end-of-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa , 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(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en).

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,BSWL Gilet Chauffant USB Intelligent-PUMA Femmes Chaussures De Sport A La Mode. 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-jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains (Earbags Elan protege-oreilles rechauffe-oreilles).

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Conclusion

The decision-Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Déambulateur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme-of-PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino.

mys Original alte Personalizzate, 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-New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable. 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,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-PUMA Femmes Chaussures De Sport A La Mode.

MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, 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/Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb, 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-PUMA Femmes Chaussures De Sport A La Mode, 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,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1.

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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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