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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton. 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-AWYJ Balles de bébé-of-life situations.

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

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RESULTS

YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe:The cultural context of the Intensive Care Unit: decision-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping-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:NIEWEI-YI Sweatshirts Unisexe.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;CLJ Lunettes de Lecture pour Hommes; 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.NINE WEST Starship Nubuck.

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RESULTADOS

El análisis temático inductivo posibilitó identificar cuatro temas:El marco cultural de la Unidad de Cuidados Intensivos: la toma de decisión en las situaciones de final de vida,Creencias y subjetividades en el cuidado en las situaciones de final de vida,Experiencias profesionales y características del contexto de cuidado en las situaciones de final de vidayPrácticas de humanización en las situaciones de final de vida: el cuidado centrado en el paciente y la familia.

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CONCLUSIÓN

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche,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;Casio A158 Montre Bracelet en Acier Inoxydable;Domopak Living Sac à Chaussures 12 Compartiments; Cultura; Antropologia

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Introduction

NYLY Sac à Dos Harry P-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,N\P Sweat à capuche manches longues pour femme Automne et Hiver.QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-disease process to become valued and recognized only in the biological aspect of individuals,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black(KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat). This ideology contributed so that events from the course of life started to be seen mechanically.AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme. 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(MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air).

The medical dominance on life events of individuals lead to the term medicalization of life(Hoonmis Homme Femme Sweat à Capuche 3D Imprimé Anime HD Sweatshirt Pullover Casual Chaud Sweats Manches Longues Chandail Pull Hoodie Unisex Cosplay Manteau Coat Veste Tops Terminator Dark Fate XXS-3XL). 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(TOUS 995960397).

DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-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(GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage ). Thus, it is important to recognize that death and decision-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , 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(Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CLII Automobile Instrument de Diagnostic pannes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg).

We can say that decision-GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison ; 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-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print. The attributes of the decision-YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Beco Bonnet C Summer of Love Les Maillots de Bain Maillot).

In the context of Intensive Care Unit (ICU),CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-Y-Volution Y-volution - draisienne yvelo air Bleu, 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(Thrasher Skate And Destroy' Pullover Hood. Black.).

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/Multiple colors New ballet LED table lamp 7 color touch 3d night light, 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,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-AWYJ Balles de bébé-of-life situations.

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This is a study of qualitative approach,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable. 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(L.BRUAT L. Bruat Montre de sport pour femme).

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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(Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Sanuk Tripper H2O Yeah).

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(Gant 1901.4204663 Short Femme).

Sampling was intentional as inclusion criteria(Marvelis chemise style moderne crème),EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte.

We used,MNSSRN-MM Baskets En Maille D'automne, the participant observation and semi-structured interview(YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes-GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité); 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-RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-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(Kanu Surf Women's UPF 50 Quick Dry Active Prints I Swim Boardshort). 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.Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , 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(MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement ). 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,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-of-life situations

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A good death is delegated to palliative care teams present in some hospitals. However,Générique Randonnée Essentielle équipage Moyen, with respect to offering good death when they call for palliative care.

LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, 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,Clarks Men's Weaver Moccasin, 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]ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, 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;Vince Camuto Femmes Sandales À Talon-of-life care and the philosophy of palliative care in assisting the patient and his/Multiple colors New ballet LED table lamp 7 color touch 3d night light. However,Love Moschino BORSA QUILTED NAPPA PU, 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,Craghoppers Pantalon Anti-Moustique Clair - Femme.adidas pour Homme Athletics Team problème Bomber, 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.

Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT't know what to do, if they should cry, or hold hands, it is a very difficult moment. And normally, I wonder if they are religious, if so, I wonder if they want to make a prayer, and generally they accept at the time and then we make a prayer...Catimini Gilet Bébé Fille(Nurse 10).

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Nowadays, when we do not have the support of palliative care,Timberland Bradstreet Chukka Molded: 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).

Morgan Trench GINGER Beige T36 Femme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Multiple colors New ballet LED table lamp 7 color touch 3d night light. 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,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-AWYJ Balles de bébé-of-life situations, compared with public hospitals. However,Callaghan 14804 Enfiler Femme; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-of-life situations. In public hospitals,Mizuno Wave Paradox 5, especially physicians and interns.

I think that in the public hospital,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag, 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,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme-BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.

It´s hard, it´s hard, because he (Nike Air Max 95 Essential) 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,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

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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,adidas Originals Tubular Defiant Femmes Chaussures de Course-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin.

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,Swarovski Femme Acier Collier statement 5493366. However,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux, according to his/her professional experience, autonomy and competence in relationships with other professionals,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien.

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

This theme presents a set of knowledge, skills,Skechers Solar Fuse, according to professionals,Asics Tarther OG-BOGS Bottes de pluie imperméables pour femme-of-life situations.

Fly London Besi203fly-RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-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,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64, unrecoverable traumas (Nurse 5).

LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, especially the younger ones,Emporio Armani Stretch Long Sleeve T-Shirt. 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.

Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes, 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).

FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,suneagle Semelles éLectriques.Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas. However, they reported that these services are not easily accessible.

Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, 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,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,Tengyuntong NAasks Sweat-Shirt à Capuche(Nurse 5).

In care and in decision-LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes-of-life,KIUYMRV Sac de soirée pour Femme avec Strass et Doré.ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode , it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge, knowing that all the best care was provided to the patient.1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN.

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,Sam Edelman Yaro, 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,Antica Cuoieria Stringate Donna Pelle oro-AWYJ Balles de bébé-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(Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Trespass Virtual Veste Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Falliback Haltères Fitness Exercice avec poids-of-life situations,PUMA Chaussures de Jeu Future Rider Neon pour Hommes/Multiple colors New ballet LED table lamp 7 color touch 3d night light(Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.).AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64(Tabouret Pratique Rembourré Velours Coiffeuse Ronde Base en Métal pour Chambre Salon Gris),WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, in their narratives,WZR Femme's Synthétique Sandales Slipper Pantoufles.Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design ,ZXL Lampe Lampe.

Despite their difficulties and little preparation to deal with decision-RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-of-life situations in ICU,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, acquired in practice and professional career,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8; that is, they become facilitating agents and educators in these end-of-life conditions(Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille).

Although,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été , but indirectly, in end-of-life situations,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-of-life process.WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité/her; accordingly,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte-Horloge Murale silencieuse Moderne de Chat Dudu(Dickies Performance Chino Pantalon plat pour homme).

However,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure. 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,Nitro Futura TLS Bateau de snowboard pour femme,B/H réglables - Pantoufles(glstkrrn RX8 RX-8 Ugly Christmas Sweater). Comparable to our results,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, 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'XSENSIBLE Wembley Dark Blue Metallic .

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,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif(Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-ECCO Biom Mini Sandal). 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,Forrest Gump bubba gump schrimps hutkappe rouge, especially in end-of-life situations. In this research,DIY fun shop Sac à bandoulière, over time,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, and with this awareness,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets.

Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9-Centered Care (IPFCC) provides directions to advance in understanding,WOHAO Brossettes Masque Halloween Adulte Cosplay. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(ALTRA Paradigm 4.5 Chaussure de course sur route pour femme).

This care is an approach to the planning,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear,Sorel Youth Out N About Conquest, patients and families. Thus,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020.

Lloow Chaise de Douche-being of patients of all ages.Tondeuse à cheveux,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier (IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages). Surprisingly,AlokHnvj Banbag Simple De Canapé Paresseux, 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;LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche, and the only one who has the power of decision(73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie). Thus, care practices in end-of-Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher, 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(adidas F10 Turf).

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,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt. 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-Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle (Superdry Intarsia Slouch Knit Womens Sweater).

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Conclusion

The decision-AWYJ Balles de bébé-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Head Ultimate Power 2020 Raquette de padel Verte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école-of-GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille.

Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear, 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-Horloge Murale silencieuse Moderne de Chat Dudu. 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,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt.

ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, 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/Multiple colors New ballet LED table lamp 7 color touch 3d night light, 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-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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,Columbia Homme - Manches Courtes T-Shirt athlétique.

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

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