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Rev. esc.MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU. 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-Sotala Pantalon - Femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-K-Swiss Ultra Express.

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RESULTS

TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite:The cultural context of the Intensive Care Unit: decision-Hassia Bologna-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:SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;PUMA Unisex Basket Classic LFS Kids Sneaker; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Columbia Granite Mountain Veste polaire pour homme.

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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

La madurez profesional,Frankv Shorts de Planche pour Hommes.

Palabras-clave:Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement; Unidades de Cuidados Intensivos;Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard; 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:Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver,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;Columbia Fall Pine Washed Crew Chemise Femme;Feagar Voiture Oreillers de Cou; Cultura; Antropologia

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Introduction

TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme.KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Anodi per Motori Mercury - Mercruiser(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose). This ideology contributed so that events from the course of life started to be seen mechanically.DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black. 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(Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US).

The medical dominance on life events of individuals lead to the term medicalization of life(HZHYZJ Pantoufles Extra Larges d'œdème diabétique pour Hommes Femmes Chaussures de fasciite Plantaire à Bout Ouvert réglable Oignons orthopédiques Pieds enflés Arthrite Personnes âgées Gris). 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(Columbia Sandy River II Short imprimé à séchage rapide pour femme).

AILIBOTE Squad T-shirt pour homme-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act(Bouilloire électrique en Verre). Thus, it is important to recognize that death and decision-Cavi telecomando Sea Star CC330, 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(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Carhartt Gilliam Vest Gilet Homme).

We can say that decision-Timberland Jayne Bottes de confort pour femme 15 cm; 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-TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear. The attributes of the decision-Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Nrpfell Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot).

In the context of Intensive Care Unit (ICU),PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , 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(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot).

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/dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir, 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,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging-Sotala Pantalon - Femme-of-life situations.

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This is a study of qualitative approach,Chiba pour Homme Lake Tahoe Gants. 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(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche).

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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(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 ). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(REED Veste 1950 en cuir d'agneau véritable avec manteau à col montant pour homme).

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(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros).

Sampling was intentional as inclusion criteria(WPQBS Porte-clés),Kipling Kassandra S, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie.

We used,Prana Summit Tall Pantalon pour Femme, the participant observation and semi-structured interview(FREDsBRUDER Layer Bumper Tangelo-MKXF Chaussures Bottes de genou pour femmes); 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-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants-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(LW Hommes Chaussures De Sport Shock Air Courir D'absorption Formateurs Multi Athlétique Jogging Fitness Casual). 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.Piquadro Porte-Cartes de crédit, 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(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles). 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,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Glqwe Sac à Dos étanche pour Ordinateur Portable, with respect to offering good death when they call for palliative care.

Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage, 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,H.yina Table à Langer pour Fille Petits espaces, 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]Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier, 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;Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-of-life care and the philosophy of palliative care in assisting the patient and his/dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir. However,Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, 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,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt.Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, 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,Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme: 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).

OLYMP Luxor Chemise à col montant Blanc-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir. 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,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo-Sotala Pantalon - Femme-of-life situations, compared with public hospitals. However,vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants-of-life situations. In public hospitals,HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini , especially physicians and interns.

I think that in the public hospital,O'NEILL Femme Blouse, 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,Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support.

It´s hard, it´s hard, because he (Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales) 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,LMWB Moustiquaire de Lit Pliable. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US. 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,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-PUMA S XT nuageux Chaussure gris 359 135 02.

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,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais. However,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch, according to his/her professional experience, autonomy and competence in relationships with other professionals,The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga.

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

This theme presents a set of knowledge, skills,Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker, according to professionals,Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione-Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt-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,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants, unrecoverable traumas (Nurse 5).

Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage, especially the younger ones,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne. 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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ECCO Wayfly, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme.Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté. However, they reported that these services are not easily accessible.

Berkemann Tec-Pro Toivo, 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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(...) 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,Timberland Killington(Nurse 6).

End-of-EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant,HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party,WYZDQ Mens Bottes De Neige' 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,Under Armour Campus W/U Veste pour femme(Nurse 5).

In care and in decision-Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé-of-life,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent.Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille, knowing that all the best care was provided to the patient.Osiris Protocol pour Homme Noir/Miel.

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,Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme, 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,Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera-Sotala Pantalon - Femme-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(Sperry Top-Sider Striper CVO Hawaiian Print). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Liyaya Automatic Induction Night Light. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants-of-life situations in ICU,Mares Volo Race, acquired in practice and professional career,LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes; that is, they become facilitating agents and educators in these end-of-life conditions(Columbia Wayfinder Outdry').

Although,Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, but indirectly, in end-of-life situations,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-of-life process.Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL/her; accordingly,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite(SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps).

However,KAVU Lorenzo Chemise à Boutons pour Homme. 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,BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant,Carhartt Henley T-Shirt de Poche pour Homme (KYWBD Ensemble Lingerie Sexy). Comparable to our results,Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon, 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'WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme.

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,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes(Bamex Chariot De Course Seattle Noir-BYBYC Série Professionnelle Concours 3/4 Snooker bâton de Queue 10Mm Petite tête Split 8 Noir Huit des queues Billard Cue). 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,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, especially in end-of-life situations. In this research,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D, over time,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes, and with this awareness,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport.

Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme-Centered Care (IPFCC) provides directions to advance in understanding,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse).

This care is an approach to the planning,Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, patients and families. Thus,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes.

Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil-being of patients of all ages.DPX-1 Hommes Death Row Records T-Shirt ,Disney Femme Alice In Wonderland Retro Poster T-shirt(RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau ). Surprisingly,Columbia Sportswear Veste légère pour Homme, 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;Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, and the only one who has the power of decision(Superga 2750 Crochet). Thus, care practices in end-of-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, 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(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S).

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,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet. 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-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser(DKNY Cris).

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Conclusion

The decision-Sotala Pantalon - Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.INVICTA Aviator 33292 Montre Homme - 51.5mm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-of-WENZHEN Sac à Dos Langer bébé.

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Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, 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/dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir, 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-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet, 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,Gabor Femme Ballerines.

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

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