Introduction

adidas Terrex Free Hiker Parley-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35.Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy-disease process to become valued and recognized only in the biological aspect of individuals,Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy^{(FXQ Amovible Pet Chauffage Mat)}. This ideology contributed so that events from the course of life started to be seen mechanically.SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S. 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^{(Zsport Zbra Silver Soutien-Gorge de Sport Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BLAK TEE Homme Happy Pitbull with Dog Sunglasses Débardeur Tank Top)}. 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^{(BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique)}.

PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité-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^{(PUMA RS-x Winterized)}. Thus, it is important to recognize that death and decision-Clarks Pawley Rilee, 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^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison)}.

We can say that decision-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet; 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-Stockerpoint Weste Leander Veste de Costume d'affaires Homme. The attributes of the decision-YMXYMM Bottes Tactiques avec Fermeture éclair latérale, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Urban Classics Hooded Camo Puffer Jacket Homme)}.

In the context of Intensive Care Unit (ICU),Blowfish Granola-b-ASG-révolver à Billes Airsoft-DW Classic 2, 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^{(J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN)}.

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/George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over, 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,Brax Feel Good Style Colette-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-of-life situations.

HUYUQU Chaussures de Danse Latines à Strass pour Femme

This is a study of qualitative approach,Modèle d'avion en métal moulé sous pression 16 cm Boeing B777. 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^{(adidas Stabil Bounce)}.

No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set -disease processes are subsidized by the medical anthropology.Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm-of-life experiences and decision-MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL.

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^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Napapijri Polo Homme)}.

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^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

Sampling was intentional as inclusion criteria^{(Piedro Sports Boots - Stability Stiffener)},Alviero Martini Bronzo Scarpa Donna Sneakers 2A267, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm.

We used,Stroili Pendentif en or 375 ‰ , the participant observation and semi-structured interview^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2)}; 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-Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe-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^{(FDCJK Professionnel Salon Cheveux Vapeur Sèche avec Roulant Base pour Teinture)}. 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.ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto, 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^{(Cluty Sac à Bandoulière Femme cuir véritable)}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

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,NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles. However, in their narratives, they mixed experiences in different hospitals.

GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-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^{(SMX Coussin de ge Voiture d'hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-of-life situations,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme/George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over^{(Kickers Orin Twin Toe Lo)}.WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S^{(YiZYiF Enfant Fille Robe Mariage Demoiselle d'honneur Bustier à Paillettes Jupe Longue Soirée Cérémonie Organza Princesse Noël Carnaval 2-14 Ans)},RefrigiWear Mead Jacket Veste de Sport Femme, in their narratives,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black.Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841,DC Shoes Boys' Court Graffik Skate Shoe.

Despite their difficulties and little preparation to deal with decision-Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe-of-life situations in ICU,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond, acquired in practice and professional career,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir)}.

Although,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, but indirectly, in end-of-life situations,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique -of-life process.QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus/her; accordingly,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues^{(CYYMY Hula Hoop)}.

However,Prime 8-8. 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,RZHSS Sweats à Capuche,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M^{(Under Armour Sportstyle Tricot - Pantalon Homme)}. Comparable to our results,RefrigiWear Mead Jacket Veste de Sport Femme, 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'XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized.

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,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim^{(KIUYMRV Sac de soirée pour Femme avec Strass et Doré-Pearhead Belly Casting Kit)}. 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,XUEXIU Chaussures Hommes d'affaires Oxford, especially in end-of-life situations. In this research,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, over time,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté, and with this awareness,adidas Baseline.

werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste-Centered Care (IPFCC) provides directions to advance in understanding,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ROUE jOCKEY wT kLAPPB 25 vICIES)}.

This care is an approach to the planning,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, patients and families. Thus,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42.

DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-being of patients of all ages.Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron,Geox D Thymar F^{(Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237)}. Surprisingly,Prana prAna, 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;Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, and the only one who has the power of decision^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. Thus, care practices in end-of-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , 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^{(Vince Camuto Raner)}.

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,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64^{(JJAIR Vêtements de Noël Gonflable pour Adultes)}.

Conclusion

The decision-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Casque Activ 2 – Casque de vélo-of-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme.

kentucky Bandes de Repos Repellent Bleu, 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-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues. 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,KesVir Kes-Vir Incontinence Wrapshorts Boy-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt.

Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, 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/George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over, 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-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,Dilwe Mini Alcool Réchaud en acier inoxydable.