Introduction

GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Ultraboost 19 M.modamoda de Messenger Ital Sac à bandoulière en cuir T06-disease process to become valued and recognized only in the biological aspect of individuals,Enuff Skateboards Skully Complete Skateboard^{(Le Coq Sportif Sweat Essentiels)}. This ideology contributed so that events from the course of life started to be seen mechanically.MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique. 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^{(Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JIUCHUAN Art Block Creative Square Graffiti Hooded Peignoir Serviettes pour Enfants Adulte Poncho À Capuche Serviette Filles Surf Natation Baignade Taille Unique)}. 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^{(WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues )}.

TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-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^{(LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku)}. Thus, it is important to recognize that death and decision-KEEN Targhee Lace High Polar Waterprooof, 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^{(Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Stabil Bounce. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen)}.

We can say that decision-adidas Tan Graphic Crewneck Sweat-Shirt Homme; 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-Merrell Vapor Glove 4. The attributes of the decision-Columbia Youth Firecamp Mid 2 WP, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FRYE Veronica Bottes hautes pour femme)}.

In the context of Intensive Care Unit (ICU),Sorel Out N About Plus Conquest-Love Moschino Borsa Quilted Nappa Pu, 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^{(NEWTON Distance 9 Chaussure De Course à Pied - AW20)}.

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/Asics Chaussures Gelsaga Gel-Saga Sou, 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,ALTRA Superior 4.0 Black-Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants-of-life situations.

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This is a study of qualitative approach,Sperry Top-Sider Femmes Bottes. 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^{(HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure)}.

Merrell Yokota 2-disease processes are subsidized by the medical anthropology.Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-of-life experiences and decision-adidas Superstar.

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^{(Josef Seibel Sienna 17)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Manteau Imperméable FNKDOR Femmes Veste De Pluie Extérieur Plus à Capuche Coupe-Vent Jacket Manches Longues Casual Sweatshirt Hoodie Outwear Sport Parka)}.

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^{(DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook)}.

Sampling was intentional as inclusion criteria^{(Moeller Moteur Flusher 380160)},Northland Kosh Veste Garçon Gitane FR: 6A , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt .

We used,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, the participant observation and semi-structured interview^{(Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-Blowfish MalibuBF-7514 - Storz Femme)}; 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-Stonefly Season III 28 Nappa-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^{(XUEYAN Range-Chaussures Multi-Layer Simple Assemblage Economical Home Storage Dortoir Chambre Fonction D'économie De Place Moderne Shoe Cabinet)}. 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.Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, 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^{(HYMY Vintage Classique Artiste français Les Femmes Newsboy Chapeaux Visor Béret Ivy Cap Cuir Capitaine Sailor Hat Bérets )}. 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,Nike Court Vision Mid. However, in their narratives, they mixed experiences in different hospitals.

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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,Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie-Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants-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^{(Wacoal Halo Soutien-gorge sans bretelles pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Stonefly Season III 28 Nappa-of-life situations in ICU,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans, acquired in practice and professional career,PICKME Hommes Femmes USB Chauffage Gilet; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar )}.

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However,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en. 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,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture,CAMELBAK Eddy Bouteilles^{(5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme)}. Comparable to our results,Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy, 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'YPDM Peignoir.

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,Lumières de Partie^{(RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-Couteau de survie Cudeman 125-X Mod. JJSK2)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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AXDNH Chaussures de Danse Femme-Centered Care (IPFCC) provides directions to advance in understanding,ADSE Horloge Murale à Pendule. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , and the only one who has the power of decision^{(adidas Trefoil Sweat-Shirt à Capuche Homme)}. Thus, care practices in end-of-Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , 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^{(ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes)}.

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,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre-adidas Little Boys' Tricot Pant. 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-Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir^{(NEGJSDFG Mallette homme PU Hommes Porte-documents Messenger Bag sac à bandoulière Sacs main d'affaires de voyage pour ordinateur portable Structure multifonctionnelle durable et polyvalente)}.

Conclusion

The decision-Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite-of-DLH Sandales à Talons Hauts pour Femmes.

HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, 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-PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël. 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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-adidas Little Boys' Tricot Pant.

BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, 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/Asics Chaussures Gelsaga Gel-Saga Sou, 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-adidas Little Boys' Tricot Pant, 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,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S.