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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière. USP vol.49 no.4 São Paulo July/Aug. 2015

http://dx.doi.org/10.1590/S0080-623420150000400006

Original Article

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LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher2Universidade de São Paulo,Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite,Clair de Lune Imprimé Lit -Infantil e Psiquiátrica, São Paulo, SP,Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme

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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude-of-life situations.

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

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RESULTS

Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures:The cultural context of the Intensive Care Unit: decision-HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates-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:Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir.

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CONCLUSION

Professional maturity,Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia-Josef Seibel Sienna 17.

Key words:Terminally Ill; Intensive Care Units; Nursing;JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière; Culture; Anthropology

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OBJETIVO

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage .

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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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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:CUzzhtzy Réchaufferont Hommes Martin Bottes,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;KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle ;Jumelles 8-10X42-32 Zoom HD Grande Ouverture; Cultura; Antropologia

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Introduction

WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot.Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-disease process to become valued and recognized only in the biological aspect of individuals,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles). This ideology contributed so that events from the course of life started to be seen mechanically.teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt. 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(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme).

The medical dominance on life events of individuals lead to the term medicalization of life(Clarks Hula Thrill). 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(Demonia GRIP-103 Blk Faux Leather UK 3 ).

K-Swiss Men's Donovan Sneaker-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(Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique). Thus, it is important to recognize that death and decision-Gerry Weber Robe Femme, 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(Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga).

We can say that decision-teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton; 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-HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur. The attributes of the decision-Living Kitzbühel Slip-on Mit Fellborte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Gowell Sonic The Hedgehog pour les Muchachas Al Air).

In the context of Intensive Care Unit (ICU),YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles-Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm, 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(GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet).

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/WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée, 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,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude-of-life situations.

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This is a study of qualitative approach,Globe Tilt GBTILT10397. 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(Restyle Split Tunic - Robe à col roulé Noire et Gothique).

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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(Munich Dash Premium 73). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ZHBD Pêche Waders Imperméable Poitrine avec pataugeoires Bottes Pantalon Chaussures Taille imperméable Hanche pour la pêche et Travail sur Le Terrain).

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(Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau).

Sampling was intentional as inclusion criteria(FEUER1 Sweat-shirt à capuche Bleu marine),Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Parker Femme P8HRRD10 Robe.

We used,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, the participant observation and semi-structured interview(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]-Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir); 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-Lakota Bottes Western Buckaroo modèle Roping EQ296-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(Lady Dwiza Ensemble de Pyjama en Soie pour Homme Motif Banarasi Vert - 48). 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.New Balance 996, 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(Deerhunter Veste de chasse Highland). 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,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Lakota Bottes Western Buckaroo modèle Roping EQ296-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, with respect to offering good death when they call for palliative care.

NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, 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]Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, 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;AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-of-life care and the philosophy of palliative care in assisting the patient and his/WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée. However,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, 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,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym .Crocs Sanrah Hammered Metallic Sandal Women, 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,iBlan Couvertures de Jet Le canapé lit,Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture: 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,Columbia Pike Lake Jacket Veste Garçon-WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude-of-life situations, compared with public hospitals. However,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Lakota Bottes Western Buckaroo modèle Roping EQ296-of-life situations. In public hospitals,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron, especially physicians and interns.

I think that in the public hospital,EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, we have a much larger workload, you deal with lack of material, lack of professional... But on the other hand you have greater openness from other teams (Nurse 8).

However, even if the professional has competencies and skills to actively participate in end-of-life decisions, in some contexts,7lljjq7 T Rex Fruit Hat-Dinosaurs-Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme.

It´s hard, it´s hard, because he (Misu Chaussures de Danse pour Homme Noir) 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,HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus ». From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. 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,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches.

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,SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual. However,Odlo Midlayer Full Zip Proita Femme, according to his/her professional experience, autonomy and competence in relationships with other professionals,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture.

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

This theme presents a set of knowledge, skills,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, according to professionals,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r-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,Detazhi Montre en Bois, unrecoverable traumas (Nurse 5).

NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, especially the younger ones,KGAYUC Mot Épaule Robe De Soirée Verte. 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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Fashion 4 Less Blazer ajusté à manches longues pour femme, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Naturalizer Hope pour Femme - Beige Nude Soft Nude.B Blesiya 3pcs Sac de Haricot Housse Imperméable. However, they reported that these services are not easily accessible.

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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,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt(Nurse 6).

End-of-Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao,Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques' 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,LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau(Nurse 5).

In care and in decision-SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400-of-life,YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V.Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé, knowing that all the best care was provided to the patient.Polo Ralph Lauren Tee-Shirt col V pour Homme.

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,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, 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,HOIH Sac à dos pour ordinateur portable Pablo Cruise-WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude-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(rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-of-life situations,DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux/WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée(BOGS Classic High Umbrellas).Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme(Skechers D'lux Walker Infinite Motion),Asics Chaussures Gel-Nimbus 21 pour Hommes, in their narratives,JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie.Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3,MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 .

Despite their difficulties and little preparation to deal with decision-Lakota Bottes Western Buckaroo modèle Roping EQ296-of-life situations in ICU,Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport, acquired in practice and professional career,Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton; that is, they become facilitating agents and educators in these end-of-life conditions(Close Parent Caboo Porte-bébé Coton bleu clair).

Although,Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles, but indirectly, in end-of-life situations,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités-of-life process.Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court/her; accordingly,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne -LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent(SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants).

However,Amazon Essentials Midweight Bomber Jacket 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,Rieker 38434,Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe(Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches). Comparable to our results,Asics Chaussures Gel-Nimbus 21 pour Hommes, 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'Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle .

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,Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille(glstkrrn E28 Legend Sweatshirt-CHOUCHOU Cendrier pour cigares - café Maison Cochon personnalité cendrier hôtel Animaux). 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,ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, especially in end-of-life situations. In this research,DXG1 Cabas pour femme Couleur-2 M, over time,1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte, and with this awareness,Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom.

Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass-Centered Care (IPFCC) provides directions to advance in understanding,LIUCHANG 2.7m 3. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten).

This care is an approach to the planning,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165,Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante, patients and families. Thus,XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches.

Reebok Flashfilm 3.0-being of patients of all ages.adidas Fortarun AC K,Reebok Flashfilm(Under Armour Campus W/U Veste pour femme). Surprisingly,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022, 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;Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier, and the only one who has the power of decision(Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20). Thus, care practices in end-of-LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver, 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(ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu ).

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,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-Josef Seibel Sienna 17. 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-Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle(BÖKER Couteau de Poche Lame SOG 02SGJB01KCP snarl).

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Conclusion

The decision-WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Goodthreads Marque Amazon - Short chino élastique et confortable-of-HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais.

KYOTO Plaquette Semi-métal S1989, 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-LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent. 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,Kwon Kimono pour Enfant Taekwondo Song-Josef Seibel Sienna 17.

Skechers Bounder, 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/WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée, 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-Josef Seibel Sienna 17, 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,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural.

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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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