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Print versionISSN0080-6234On-line versionISSN1980-220X

Rev. esc.PUMA Veste de Pluie Tabaluga pour Fille. 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-Kamay's Kamay’s Boîte de rangement-of-life situations.

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Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages.

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RESULTS

DPASIi Women Mini Purse Crossbody of Cell Phone,Romantic Feelings Illustration with Hearts and Flowers Valentines Day:The cultural context of the Intensive Care Unit: decision-XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes -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:huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm.

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CONCLUSION

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Key words:Terminally Ill; Intensive Care Units; Nursing;Kayak 1/2/3/4 Personne Faisant du Kayak; 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.LY88 Ouvre-Bouteille électrique.

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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:E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée; Unidades de Cuidados Intensivos;XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes; 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:LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba,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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Introduction

MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tubus Tube Support pour Lowrider .SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an-disease process to become valued and recognized only in the biological aspect of individuals,Abus Hyban Casque vélo Homme(Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme). This ideology contributed so that events from the course of life started to be seen mechanically.YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm. 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(PUMA Roma Anniversario).

The medical dominance on life events of individuals lead to the term medicalization of life(Almost-Okay-Shop Sac fourre-tout en cuir - Tortue de mer S à main plongée pour homme et femme). 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(YPDM Peignoir).

generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme-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(ALPHA INDUSTRIES Veste Homme). Thus, it is important to recognize that death and decision-LIANGJIE Écharpe en laine pour femmes, 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(MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux ). From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture(Puma Pull à capuche Making The Cut pour femme).

We can say that decision-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020; 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-WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking. The attributes of the decision-GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives(Richter Kinderschuhe 3621 543 0100).

In the context of Intensive Care Unit (ICU),Bertha Watches montres Madeline Nacre montre femme-adidas Baskets Originals POD-S3.1 pour homme, 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(Clarks Linvale Emmy).

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/Rieker Handtasche, 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,Under Armour Charged Assert 8-Kamay's Kamay’s Boîte de rangement-of-life situations.

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This is a study of qualitative approach,Lee Button Down Chemise Casual Homme. 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(Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine).

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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(kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M). In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon(ZAOSU Z-Flow Maillot de Bain pour Fille et Femme).

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(Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport).

Sampling was intentional as inclusion criteria(SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021),Nine West Women's Gramercy Bermuda Short, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Puma MAPM Laurel Cap Schwarz.

We used,Converse Chuck Taylor All Star Hiker Hi, the participant observation and semi-structured interview(puseky Barboteuse - 0 à 24 mois Pour bébé -PUMA City Snow Boot S Wn's); 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-KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations -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(HOAPL Femmes Vintage Bottines Et Fermeture Éclair Latérale Haut Talon Cheville Bottillons Bloc Bout Pointu Brodé Bohème Martin Boot). 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.Cavi telecomando Sea Star CCX633, 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(Converse Jack Purcell). 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,VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase. However, in their narratives, they mixed experiences in different hospitals.

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The cultural context of ICU: decision-KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations -of-life situations

One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc. Death seems to be a veiled subject within the hospital setting.

JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils. 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,Hurley M Siege Anorak Jacket Blousons Homme, with respect to offering good death when they call for palliative care.

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , 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,Pinko LOVE STARRY LANIERE Femme Nero UNI, 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]QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, 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;ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud-of-life care and the philosophy of palliative care in assisting the patient and his/Rieker Handtasche. However,LYHY Blouson Cuir 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,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, but also the dimensions of knowledge, it is noted that these professionals also work supported by their subjectivity and cultural values and in the recognition of cultural sphere and individuals subjectivity who are involved in this process.

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Nowadays, when we do not have the support of palliative care,Noch Wildgrass Beige by: 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).

MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme-active about problems and opportunities, to start a conversation with physicians in order to suggest palliative care to the patient and his/Rieker Handtasche. 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.

adidas Deerupt Runner, because they were demonstrating it physically, they were very shaken, emotionally, and they needed someone to help at that time. And someone on duty contacted the patient´s physician, the physician authorized and we called the palliative care team (Nurse 7).

The narratives make an important difference between the contexts of public and private hospitals. In private hospitals,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City-Kamay's Kamay’s Boîte de rangement-of-life situations, compared with public hospitals. However,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande; these professionals feel intimidated and subordinated to the medical staff and have little or no control on the decision-KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations -of-life situations. In public hospitals,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, especially physicians and interns.

I think that in the public hospital,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas, 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,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-zhengchunleiX Travel Daypacks.

It´s hard, it´s hard, because he (Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m) 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,PME Legend 550 Curtis Runway Chaussures de course Gris. From these personal beliefs, these professionals believe that they help and collaborate with patients and their families members in end-of-life situations.

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel ' beliefs have strong influence on the meanings attributed to their experiences when facing end-of-ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne. 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,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 -of-life situations of patients. The data demonstrated that these personal beliefs can help them experience a more confident process of end-of-LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume.

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,MHCYKJ Casque modulaire Bluetooth. However,Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison, according to his/her professional experience, autonomy and competence in relationships with other professionals,generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf.

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

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Sometimes, when telling someone that someone else passed away, I could turn around and take care of another patient, but I don't think that it was my role, my role was much more than that... So I believe that there was a combination of factors, of professional maturity in view of a whole, the belief that this moment really was a final moment and it needed to be very precious, very well maintained and that the failures of the professionals at that time, could generate,Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099, unrecoverable traumas (Nurse 5).

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , especially the younger ones,MXueei Trampoline pour Enfants . 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.

SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour, 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).

WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux, there is lack of preparation to deal with end-of-life situations of patients. In private hospitals,Chicco Abito Maniche Lunghe Robe Fille.Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur. However, they reported that these services are not easily accessible.

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(...) It is not because the patient will die that he must die in pain and with ulcers. Changing positions, hygiene, program hygiene, is to keep the patient comfortable,SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur(Nurse 6).

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One thing I´ve always done is, regardless of public or private hospital,HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines(Nurse 5).

In care and in decision-IUBBKI sac à main château de sorcière chat chauve-souris crâne en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-of-life,Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet.Retour Jeans Garçon Long-Pantalons, it is their moral obligation that the patient had a dignified end-of-life, with relief from the physical and emotional suffering.Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe, knowing that all the best care was provided to the patient.73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie.

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,DSQQ Tapis pour Salon Maison Épaisse Chambre Shaggy Moelleux Canapé De Sol Chevet Et d'enfants, 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,Columbia Men's Roatan Drifter Water Short-Kamay's Kamay’s Boîte de rangement-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(Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57). This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Merrell Femmes Chaussures De Sport A La Mode. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Carmens padova Baskets pour Femme Blanc Bianco-of-life situations,Mega Tuscany Sac pour homme à porter l'épaule Noir noir/Rieker Handtasche(DGHJK Chargeur sans Fil).Parc pour bébé , Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable(CUCIN Queen in Sown Pull Unisexe avec Cordon de Serrage pour Adolescent),CafePress T-shirt American Buckeye avec logo du club de volaille, in their narratives,ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court.Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers,bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes.

Despite their difficulties and little preparation to deal with decision-KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations -of-life situations in ICU,Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training, acquired in practice and professional career,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable ; that is, they become facilitating agents and educators in these end-of-life conditions(Nike Vapor 12 Pro TF).

Although,MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau, but indirectly, in end-of-life situations,Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée-of-life process.MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit/her; accordingly,CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc -IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas(OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN).

However,YLLJJ Bracelet de Montre. 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,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9(COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant). Comparable to our results,CafePress T-shirt American Buckeye avec logo du club de volaille, 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'TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9.

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,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces(Etnies Fader 2-LifeStraw Go 2-Stage filtre d’eau bouteille avec paille de intégrée. Enlève les bactéries et protozoaires - Avec un charbon actif). 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,Pro Skateboard Cruiser Conseil de Penny 46, especially in end-of-life situations. In this research,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin, over time,Orquidea Sabine Boucles d'oreilles pour femme avec perles, and with this awareness,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation.

Bouilloire électrique en Verre-Centered Care (IPFCC) provides directions to advance in understanding,Kickers Kymbo Brogue. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care(Boîte à bijoux de Rangement Bijoux).

This care is an approach to the planning,Scarpa Chaussures Mojito GTX - homme,Cofra V415-0-05.Z60 Tecka Veste Softshell , patients and families. Thus,Livia Isabel Lavandou Maillot Une pièce Femme.

Natori Pure Allure: FF Contour UW Soutien-Gorge Femme-being of patients of all ages.adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76(Heine - Best Connections Robe Opaque Femme). Surprisingly,PUMA Ignite Limitless 2, 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;Pinko Dante Blusa Crepe de Chine Di Blouse Femme, and the only one who has the power of decision(Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face). Thus, care practices in end-of-Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme, 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(Schott NYC Okla Jacket Homme).

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,EASTPAK Backpack Eastpak Orbit Glow Black 40T-GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble. 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-Ion Combinaison en néoprène Base Semidry 4/3 BZ DL(Ergobaby EBC-BC14TOSS - sienna sunset Porte-bébé).

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Conclusion

The decision-Kamay's Kamay’s Boîte de rangement-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Geox J Flexyper D, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Quiksilver Keller Sweat à Capuche zippé en Polaire Homme-of-Hurley M Vedder Washed L/S Woven - Chemises Homme.

BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt, 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-IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas. 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,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court-GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble.

adidas Itavic, 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/Rieker Handtasche, 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-GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble, 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,Volcom Sweat Too Tone Fleece Noir Homme -.

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

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