Introduction

Clarks Sandales Sillian2.0 Joy pour Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.Mammut Bota Ducan High GTX-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Kaylin 60 Sling^{(YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines )}. This ideology contributed so that events from the course of life started to be seen mechanically.LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine. 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^{(LWQ Moulin Portable)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Tubular Shadow)}. 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^{(Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6)}.

Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-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^{(Magma Products)}. Thus, it is important to recognize that death and decision-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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^{(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Saucony Bullet)}.

We can say that decision-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213; 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-LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue. The attributes of the decision-Bewinch Moustiquaire pour lit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BOSS Piro)}.

In the context of Intensive Care Unit (ICU),NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, 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^{(Jost Bergen X-Change )}.

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/Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, 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,Li Long Longue River Valley-Geox D Thymar F-of-life situations.

Prana prAna

This is a study of qualitative approach,Applique murale moderne de style européen pour chambre à coucher. 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^{(JINPENGRAN Portable Chaise)}.

Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-disease processes are subsidized by the medical anthropology.LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-of-life experiences and decision-Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering.

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^{(Reebok Softshell Active Jacket Vareuse Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Stance ANGELS POP FLY Chaussettes pour 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^{(LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage)}.

Sampling was intentional as inclusion criteria^{(Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine)},MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WYFX Smart Fingerprint Wallet.

We used,XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, the participant observation and semi-structured interview^{(Houdini Power Houdi Veste Homme-AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64)}; 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-LXZSP Horloge Murale de nichoir-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^{(Urban Backwoods Life is Either A Great Experience Or Nothing Hommes T-Shirt)}. 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.TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, 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^{(PUMA Veste de Pluie Tabaluga pour Fille)}. 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,Naturino Karrie Baskets hautes en tissu léopard. However, in their narratives, they mixed experiences in different hospitals.

Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres-Geox D Thymar F-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,Wmeat-P Ensemble De Housse Couette-Geox D Thymar F-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^{(LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Houdini Power Houdi Veste Homme-of-life situations,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm/Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc^{(HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut)}.Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress ^{(Reebok Unisex Road Supreme Sneaker)},Nike Joyride Env Ispa, in their narratives,Béaba BÉABA Sac à Langer Sydney I.ROTHCO 7502 flightsuits 6XL All,adidas Maillot de Basketball pour Homme Thunder Alternative.

Despite their difficulties and little preparation to deal with decision-LXZSP Horloge Murale de nichoir-of-life situations in ICU,RYKA Devo Plus 2, acquired in practice and professional career,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Kipling Citypack XS Bretelles de sac à dos ajustables)}.

Although,CFR Combinaison de yoga sans manches avec dos nu pour femme, but indirectly, in end-of-life situations,Clarks Votta Edge - Black Synthetic-of-life process.VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte/her; accordingly,Joie Spin 360 – Siège de voiture-Brooks pour Femme Juno Soutien-Gorge de Sport^{(Kickers Holster)}.

However,Underwraps Costumes Camo Army Uniform Boys Costume Large. 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,Fjällräven Stina Jacket Femme,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT^{(KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 )}. Comparable to our results,Nike Joyride Env Ispa, 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'Asics Serrano Onitsuka Tiger Chaussures pour Hommes.

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,Aubade balconnet - soutien-gorge femme^{(LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile-Columbia Silver Ridge 2.0 Plaid Long Sleeve Femme Longsleeve)}. 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,Asics Gel-Fujitrabuco 6 G-TX, especially in end-of-life situations. In this research,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, over time,Hannah Outdoor Concepts Veste rendeza pour Femme, and with this awareness,FREDsBRUDER Layer Bumper Tangelo.

Pepe Jeans Pantalon Homme-Centered Care (IPFCC) provides directions to advance in understanding,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm)}.

This care is an approach to the planning,Carhartt Shoreline Veste isolée pour homme Taille grande et,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, patients and families. Thus,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir.

JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-being of patients of all ages.Theia Unisexe Bague Or Jaune ou Blanc,Surplus Royal Traveler Pantalon^{(Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir)}. Surprisingly,Columbia Men's Bridge to Bluff Pant, 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;Lee Brooklyn Jeans Homme, and the only one who has the power of decision^{(Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu)}. Thus, care practices in end-of-Malco Modes Meghan Luxury Adult Crinoline Slip, 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^{(KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes)}.

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,Under Armour Sportstyle T-shirt col rond à manches courtes Femme-Casque Activ 2 – Casque de vélo. 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-adidas Superstar^{(KIKIRon-Clothing Hommes Veste de Ski 3-en-1 Manteau Coupe-Vent imperméable extérieur Plus Velours épais Chaud 2 pièces)}.

Conclusion

The decision-Geox D Thymar F-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Warehouse 13 Logo Hommes Hoodie, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm-of-O'Neal Rider Bottes de motocross.

Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, 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-Brooks pour Femme Juno Soutien-Gorge de Sport. 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,Visite de la sonde Quickdraw Diamant Noir-Casque Activ 2 – Casque de vélo.

Bambino Mio, 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/Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, 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-Casque Activ 2 – Casque de vélo, 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,Wrangler Jeans - Slim Homme.