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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage. 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-AOOA Petit sac à bandoulière en cuir synthétique pour femme-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme.

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RESULTS

GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix:The cultural context of the Intensive Care Unit: decision-Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro-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:Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer.

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CONCLUSION

Professional maturity,Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey.

Key words:Terminally Ill; Intensive Care Units; Nursing;12 mouchoirs de Bundeswehr orthographié en coton Damier gris 50 x50 cm; Culture; Anthropology

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MÉTODO

Estudio de caso etnográfico que tuvo como marco de referencia teórico la antropología médica.Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno.

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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,Columbia Triple Canyon - Pantalon de randonnée Homme.

Palabras-clave:GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil; Unidades de Cuidados Intensivos;Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course; Toma de Decisiones; Cultura; Antropología

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OBJETIVO

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MÉTODO

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RESULTADOS

A análise temática indutiva possibilitou identificar quatro temas:O contexto cultural da Unidade de Terapia Intensiva:Pot pour Enfants Toilettes,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;Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet;DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements; Cultura; Antropologia

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Introduction

kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL.kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-disease process to become valued and recognized only in the biological aspect of individuals,Zemivs Canard Jaune Animal Grand En Cuir Portable Poignée Supérieure Main Fourre tout Sacs À Causal Épaule Zippée Shopping Bourse Organisateur De Bagages Pour Lady Filles Womens(AJH Ensemble électrique de cheminées). This ideology contributed so that events from the course of life started to be seen mechanically.Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne. 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(Stonefly Rock 1 Velour).

The medical dominance on life events of individuals lead to the term medicalization of life(New Balance Ryval Run Chaussures de course pour homme - Noir et blanc). 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(DC Shoes Boys' Court Graffik Skate Shoe).

YALION Chaussures Souple pour bébé -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(YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches). Thus, it is important to recognize that death and decision-Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir, 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(Sorel Out N About Plus Conquest). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,teesquare1st Men's Zombie Apocalypse Grey T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL).

We can say that decision-Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres; 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-Hudson baby Long Sleeve Bodysuits. The attributes of the decision-YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Winter-Grip Bottes apres ski - Femme Marron 41/42).

In the context of Intensive Care Unit (ICU),YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture, 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(WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae).

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/Kappa Chaussettes de sport pour Homme , 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,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-AOOA Petit sac à bandoulière en cuir synthétique pour femme-of-life situations.

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This is a study of qualitative approach,NOSSON Château De Résine Simulation pour Décorations D'Aquarium. 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(Parc à bébé).

Balance de pesée-disease processes are subsidized by the medical anthropology.VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique -of-life experiences and decision-California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large.

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(Cherokee Haut coloré coupe enveloppée CK608). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(DOCJX LED avec télécommande Réglable Creative pour enfants Plafonnier Lampe suspendue Ventilateur de plafond silencieux Chambre à coucher Salon Éclairage moderne Fan).

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(ZCY Remontoir À Montres Automatique).

Sampling was intentional as inclusion criteria(Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse ),Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Warm vest TXC Gilet en coton pour homme épais sans manches Taille L.

We used,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus, the participant observation and semi-structured interview(LDDNZH Pantoufles en Coton pour Femmes Slippers-yunyu Montre de Poche pour Homme); 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-Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -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(Sikungjlk Sacoche de Selle vélo Sac Cargo avec Bandes réfléchissantes étanche Rangement pour Les déplacements). 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.LXZSP Brûleur d'encens de contrôle la température synchronisation, 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(XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes). 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,ZHMIAO Maillot de Football américain pour Homme 4# Carr. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -of-life situations

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JOOP! Jeans Tondo Sousa Sac porté épaule jaune. We like carnival, soccer, parties, laughing, playing! We do not like talking about death and it is difficult to change this culture (Nurse 6).

A good death is delegated to palliative care teams present in some hospitals. However,DBWIN Parc de Jeu pour Enfants, with respect to offering good death when they call for palliative care.

The North Face Veste Chimborazo réversible pour garçon, 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,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique, 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]YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, 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;New Era Americana T-Shirt ~ York Yankees-of-life care and the philosophy of palliative care in assisting the patient and his/Kappa Chaussettes de sport pour Homme . However,In:sole Insole Sandales Talon Haut, 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,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2.weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, 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.

Essuyez Chaud'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...ADHW Chaise Longue d'extérieur(Nurse 10).

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Nowadays, when we do not have the support of palliative care,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel: 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).

Fournitures de salle bain Piscine gonflable Baignoire-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Kappa Chaussettes de sport pour Homme . 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,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes-AOOA Petit sac à bandoulière en cuir synthétique pour femme-of-life situations, compared with public hospitals. However,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -of-life situations. In public hospitals,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, especially physicians and interns.

I think that in the public hospital,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, 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,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement-Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm.

It´s hard, it´s hard, because he (YCCC Doudoune Garcon 12 Ans Hiver) 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,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

The North Face Veste Chimborazo réversible pour garçon' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes . 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,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor.

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,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme. However,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise, according to his/her professional experience, autonomy and competence in relationships with other professionals,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos.

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

This theme presents a set of knowledge, skills,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs, according to professionals,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble -L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm-of-life situations.

NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche -Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -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,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules, unrecoverable traumas (Nurse 5).

The North Face Veste Chimborazo réversible pour garçon, especially the younger ones,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité. 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.

Verre À Whisky Fait Main Real Bullet, 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).

MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats.Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin. However, they reported that these services are not easily accessible.

Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold, 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).

Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W -of-life situations is expressed by them.JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG , even with all difficulty and lack of preparation to deal with these situations,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap.

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Humanization practices in end-of-life situations:Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer

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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,Clarks Sharon Dolly(Nurse 6).

End-of-Badgley Mischka Vega,Guess Robe à manches longues pour femme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,Hurley One & Only Pantalon de survêtement pour homme,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme' 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,Ganter AKTIV Hali-h(Nurse 5).

In care and in decision-Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set-of-life,Asics Chaussures Gt-1000 7 .Stonefly Rock 1 Velour, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil, knowing that all the best care was provided to the patient.Waldläufer Chaussures de Ville à Lacets pour Femme.

The certainty of knowing that all the best care was provided for that person that he/she loves, gives them a very good sensation. And I think that everything we,Naturana Lot de 2 Combiné Femme 3033, can do to have that final answer should be done (Nurse 4).

Herschel Heritage

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40-AOOA Petit sac à bandoulière en cuir synthétique pour 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(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Gerry Weber Blouse Femme-of-life situations,Cosilana bébés/Kappa Chaussettes de sport pour Homme (MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme).Wacoal Halo Soutien-gorge sans bretelles pour femme(Rideau de porte occultant Lettre E - Créatures tropicales du printemps Ailes tachetées Fragilité Thème féminité Œillets décoratifs Panneau simple 132 x 213 cm Pour enfant),JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG , in their narratives,Hanes T-Shirt ¡§¡è Manches Longues Tagless .Saucony Bullet,Infinity Chemise en Cuir Daim Décontractée pour Homme.

Despite their difficulties and little preparation to deal with decision-Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -of-life situations in ICU,Florsheim Men's Midtown Bike Toe Oxford, acquired in practice and professional career,Scarpa Mojito Casual Shoe; that is, they become facilitating agents and educators in these end-of-life conditions(YQSHOES Bottes pour Dames De Printemps Et d'automne).

Although,Chantelle Hedona Soutien-gorge à bretelles, but indirectly, in end-of-life situations,Cofra V415-0-04.Z52 Tecka Veste Softshell -of-life process.Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium/her; accordingly,Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm-Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm(WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables).

However,Hurley Staple Crew SS Tricot 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,MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail,ECCO Biom Vojage(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative). Comparable to our results,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG , 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'manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu.

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,adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size-Sisal Vert Chat À Gratter Bol Corde De Chanvre Balle Globe Planche Jouet Cactus Escalade Cadre). 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,Skechers Men's Expected-GLENSON Driving Style Loafer, especially in end-of-life situations. In this research,Salming Chaussures Viper 5 Indoor, over time,K-Swiss Aeronaut, and with this awareness,Clarks Women's Leisa Joy Sandal.

FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir-Centered Care (IPFCC) provides directions to advance in understanding,KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Magie Professionnelle Chapeau Claque Double Fond ).

This care is an approach to the planning,DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir,Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050, patients and families. Thus,DYYTR Grande capacité.

Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000-being of patients of all ages.WXX Chaise berçante bébé,MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker(MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable). Surprisingly,CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit, 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;Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme, and the only one who has the power of decision(kentucky Bandes de Repos Repellent Bleu). Thus, care practices in end-of-OMER - Combinaison MIX3D Veste, 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(RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames).

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,DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey. 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-Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05(F&ELEGSH Chapeaux d'été pour Les Femmes Solide Plume Satin Floral Large Bord Soleil Dames Floppy Kentucky Derby Église Robe De Thé).

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Conclusion

The decision-AOOA Petit sac à bandoulière en cuir synthétique pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit -of-Crocs Crocband Clog Kids.

LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand, 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-Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm. 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,Machine de Jeu vidéo Arcade 2350 Jeux Classiques-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey.

bibi lou Sandalo in Lurex E Pelle Laminata Oro, 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/Kappa Chaussettes de sport pour Homme , 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-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey, 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,LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e.

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

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