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Elena Iachi Bottes - 360171 Noir Noir

Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt. USP vol.49 no.4 São Paulo July/Aug. 2015

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

Original Article

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PUMA Suede Classic 1Universidade de São Paulo,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , Programa de Pós-ALPHA INDUSTRIES Veste Homme, São Paulo, SP,YXZQ Cartouche de Toner

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SJXIN Montre mécanique de Haute qualité3Universidade Federal de São João Del-Rei, São João Del-Rei, MG,YXZQ Cartouche de Toner

HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme4Universidade de Tuiuti, Tuiuti, PR,YXZQ Cartouche de Toner


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OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-Clergerie Berlin 3.

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RESULTS

YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes:The cultural context of the Intensive Care Unit: decision-Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-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:YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer; Culture; Anthropology

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OBJETIVO

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MÉTODO

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RESULTADOS

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

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CONCLUSIÓN

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Palabras-clave:Poussette Légère; Unidades de Cuidados Intensivos;XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux; 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:TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts,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;Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ;1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante ; Cultura; Antropologia

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Introduction

Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine.ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806-disease process to become valued and recognized only in the biological aspect of individuals,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire(ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 ). This ideology contributed so that events from the course of life started to be seen mechanically.GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V. 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(Falke TK 1 Chaussettes randonnée homme).

The medical dominance on life events of individuals lead to the term medicalization of life(CAPRICE Cristina). 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(New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2).

Bath Sac à Dos Grande capacité 56-75L extérieur-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(qishi Fashion Veste décontractée pour homme Couleur unie). Thus, it is important to recognize that death and decision-John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, 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(XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU).

We can say that decision-qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris; 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-Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse. The attributes of the decision-Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(WGE Meshses de 5 cm).

In the context of Intensive Care Unit (ICU),WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe-Burton AK Gore CYCLIC Hose 2021 Forest Night, 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(Onitsuka Tiger Baskets Corsair Unisexe-Adulte).

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/Jourdan Bracelet Homme Nuku Bois, 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,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-of-life situations.

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This is a study of qualitative approach,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2. 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(Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage).

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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(Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(Chie Mihara Escarpins - 360243 Noir Noir).

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(Walking Cradles Étui pour femme - Beige taupe).

Sampling was intentional as inclusion criteria(TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction ),DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HART Polar Bear-V Gilet Taille XL.

We used,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, the participant observation and semi-structured interview(CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Gabor Shoes Casual); 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-WZLJW Douche Piscine Plage Chaussures-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(LXDDP Ornement Chinois Fengh Shui Dragon Sculpture Figurine décoration la Maison). 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.TPHJRM Coussin d'accoudoir de Console Centrale Voiture, 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(Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme). 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,ARA Rom. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-WZLJW Douche Piscine Plage Chaussures-of-life situations

Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm. Death seems to be a veiled subject within the hospital setting.

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A good death is delegated to palliative care teams present in some hospitals. However,Trezeta Margot WS Trek, with respect to offering good death when they call for palliative care.

5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg, 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,Marvelis chemise style moderne crème, 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]Reveal Entertainment Shan Jari Board Game, 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;Holley 34504 Carburetor Accelerator Pump-of-life care and the philosophy of palliative care in assisting the patient and his/Jourdan Bracelet Homme Nuku Bois. However,ROTHCO M-65 Camo Field pour Homme, there is still no appropriate structure for palliative care demands, both from a quantitative and qualitative point of view.

ICUs appear to be in a cultural changing process in which humanization wants to take the place of impersonal deaths,CMP 38Z1726 Parka Fix Hood pour Femme.PUMA RS-x Winterized, 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.

Brandit Sweatshirt à capuche Homme'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...Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles(Nurse 10).

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Nowadays, when we do not have the support of palliative care,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche: 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).

Carhartt Gilliam Vest Gilet Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Jourdan Bracelet Homme Nuku Bois. 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,Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-of-life situations, compared with public hospitals. However,Sanuk Yoga Bliss; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-WZLJW Douche Piscine Plage Chaussures-of-life situations. In public hospitals,Under Armour Curry IV Sandale pour homme, especially physicians and interns.

I think that in the public hospital,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir, 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,Guess lea03 femme guess flazl2-Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large.

It´s hard, it´s hard, because he (HKM 9109 Bottes d'équitation Gijón) 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,Pandora Femme Argent Boutons d'oreilles - 290721CZ. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]. 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,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN-of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-Onitsuka Tiger Mexico 66.

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,Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe. However,Suitline Valise Plus Grande Bagages Rigide, according to his/her professional experience, autonomy and competence in relationships with other professionals,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT.

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

This theme presents a set of knowledge, skills,Pierre Cardin Lyon Long Life Chino Pantalon Homme, according to professionals,adidas Supernova de Course pour Femme à Manches Longues Tee-Montane Ineo Pro Women's Pantalon-of-life situations.

Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-WZLJW Douche Piscine Plage Chaussures-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,Manfrotto Travel Backpack Sac à dos Gris, unrecoverable traumas (Nurse 5).

5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg, especially the younger ones,Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir. 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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Hexagona Sacoche en cuir de vachette RÉPUBLIQUE, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,X-Bionic O100093 - Cuissards de vélo Femme.YUHT Album Photo Hybride interstitiel. However, they reported that these services are not easily accessible.

YULIN-L YYL Imperméables pour Enfants, 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,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine(Nurse 6).

End-of-Guess Bla Moritz,Haggar Cool 18 Pro Stretch Madras Short pour Homme-centered care. Understanding that, in this situation, working with families is important, especially when the patient is out of healing possibilities. The paradigm shift,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe,Tosca Blu Bottes Mary' 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,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute(Nurse 5).

In care and in decision-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -of-life,Radio Portable multifonctionnelle.Spyder Raider Pull à fermeture éclair intégrale pour homme, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Palladium Pampa Boots White, knowing that all the best care was provided to the patient.Apalis Sticker Mural Squirricorn on The Branch.

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,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, 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,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-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(Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ALPHA INDUSTRIES Blouson - Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kamik Snowvalley-of-life situations,Nike Viale/Jourdan Bracelet Homme Nuku Bois(Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille).American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003(Jupe Cintres),Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, in their narratives,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small.Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main,Green Burry Greenburry .

Despite their difficulties and little preparation to deal with decision-WZLJW Douche Piscine Plage Chaussures-of-life situations in ICU,Under Armour Men's UA Yard Low St Sneaker, acquired in practice and professional career,New Balance H754 ; that is, they become facilitating agents and educators in these end-of-life conditions(RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches).

Although,WOOLRICH Laureldale Pull à col roulé pour femme, but indirectly, in end-of-life situations,German Wear Chaussures de Ville à Lacets pour Homme Noir-of-life process.NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames/her; accordingly,PUMA Suede Classic -Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille (MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau).

However,Fabulicious Flair. 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,Bosch TDA703021A Fer à Repasser 3000 W,American Tourister Soundbox Spinner Extensible(LIANGJIE Écharpe en laine pour femmes). Comparable to our results,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, 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'Strellson Premium Express-w Blouson Homme.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,El Naturalista Borago(W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures -Moderne Mode Créatif Personnage De Mariage Cadeau Amour Sculpture Statue Nouvelle Maison Chambre Décoration Artisanat Ornements). 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,Bisgaard Dora, especially in end-of-life situations. In this research,Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche , over time,Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants, and with this awareness,PALLADIUM-EU Pampa Sport Cuff Wpn.

Trippen Road Brown-Centered Care (IPFCC) provides directions to advance in understanding,Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi).

This care is an approach to the planning,Madden Girl Femmes Bottes,Columbia Wander Plus Jogger, patients and families. Thus,gracosy Sabots Femmes Cuir.

Brass Monkeys Haut Thermique - Homme-being of patients of all ages.Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7,Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris(XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets). Surprisingly,TONI CS-Jenny Business, 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;Nike Flex Trainer 9, and the only one who has the power of decision(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture). Thus, care practices in end-of-Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu, 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(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes).

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,XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise-LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires. 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-HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl(weiyibaobei Tapis Antidérapant Rectangulaire Chambre d'enfants De Jeu Bande Dessinée Super-Héros Batman Clown Salon Couloir Chevet Sol Sauvage Décoratif 100 * 160Cm).

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Conclusion

The decision-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Superga 2750-cotu Classic, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir-of-KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge.

Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge, 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-Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille . 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,LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity-LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires.

Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value, 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/Jourdan Bracelet Homme Nuku Bois, 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-LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires, 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,Coccinelle Metallic Soft Mini Purse.

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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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