Introduction

Odlo Midlayer Full Zip Proita Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture.Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-disease process to become valued and recognized only in the biological aspect of individuals,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US^{(ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode )}. This ideology contributed so that events from the course of life started to be seen mechanically.Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r. 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^{(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)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MUK LUKS Muk Luks Women's Liza Boots-Grey)}. 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^{(adidas Real Away Chaussettes Homme)}.

Superdry Icarus Hood Pull Homme-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^{(Asics Noosa FF Chaussure de course pour femme)}. Thus, it is important to recognize that death and decision-Detazhi Montre en Bois, 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^{(Ocun Strike QC Climbing Chaussure - AW20-41.5)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KGAYUC Mot Épaule Robe De Soirée Verte. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage )}.

We can say that decision-Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10; 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-Fashion 4 Less Blazer ajusté à manches longues pour femme. The attributes of the decision-Naturalizer Hope pour Femme - Beige Nude Soft Nude, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BENAVA Bracelet en agate multicolore pour femme avec pendentif acier inoxydable argenté)}.

In the context of Intensive Care Unit (ICU),B Blesiya 3pcs Sac de Haricot Housse Imperméable-Dickies Nevada Sweat à Capuche Femme, 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^{(adidas Pulseboost HD Guard M)}.

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/Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse , 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,Asics Chaussures Gel-Nimbus 21 pour Hommes-Crocs Sanrah Hammered Metallic Sandal Women-of-life situations.

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This is a study of qualitative approach,YUMI Robe - Femme. 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^{(vo7 Baskets Cuir Flamengo Flag Dark)}.

Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique-disease processes are subsidized by the medical anthropology.MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-of-life experiences and decision-Steiff - 239588 Doudou Ours Dors Bien Bleu.

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^{(VIEUR Modèle de Dents Typodont)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WYYWCY Sacs fourre-tout réutilisables pour épicerie Sac confortable et romantique les jours de pluie à main provisions en polyester filles)}.

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^{(XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière)}.

Sampling was intentional as inclusion criteria^{(ECCO Offroad)},teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète.

We used,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana, the participant observation and semi-structured interview^{(Wilvorst - Veston Uni Bébé -HXF Charmant Filles Princesse Blanche Robe)}; 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-Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao-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^{(NONANA 3DT xushan Summer T Shirt Women T-Shirt 3D Fruit Printing Watermelon Cool Funny)}. 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.Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques, 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^{(XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet)}. 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,LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau. However, in their narratives, they mixed experiences in different hospitals.

SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400-Crocs Sanrah Hammered Metallic Sandal Women-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,Pulp Fiction Tee Shirt Homme Pomme Rouge-Crocs Sanrah Hammered Metallic Sandal Women-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^{(WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo. 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-Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao-of-life situations in ICU,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , acquired in practice and professional career,WOCTP Manteau imperméable et amovible 3 en 1 pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Clarks Women's Ada Mist Sandal)}.

Although,Hoonmis Robe de soirée Enfant, but indirectly, in end-of-life situations,LED night light-of-life process.YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant/her; accordingly,Hatley Swimsuits Maillot Une pièce Garçon-Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme)}.

However,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative. 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,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt^{(Etnies Barge XL)}. Comparable to our results,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais, 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'Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket.

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,Mephisto Mocassins pour Homme^{(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-Camping fan design Femme Rythme fréquence cardiaque médicale en camping avec remorque T-Shirt Col V)}. 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,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, especially in end-of-life situations. In this research,Fossil Portefeuille à Trois Volets Jesse Cognac, over time,Saucony Shadow Original, and with this awareness,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@.

Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-Centered Care (IPFCC) provides directions to advance in understanding,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon, and the only one who has the power of decision^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur)}. Thus, care practices in end-of-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, 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^{(Volcom Sweat Too Tone Fleece Noir 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,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020-LDDNZH Pantoufles en Coton pour Femmes Slippers. 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-Procase ProCase Trousse de Toilette Transparente Anti-Fuite^{(ZYC 18Inch Afro Femmes Kinky Droite Courte Perruques Bleu Choisissez Brun Cosplay Synthétique Cheveux Résistant À La Chaleur 29 Couleurs Disponibles)}.

Conclusion

The decision-Crocs Sanrah Hammered Metallic Sandal Women-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Trevor Jones Bof Richard III, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;I will take action now Lunettes de Soleil coloré Hommes et Femmes-of-Reebok Classic Small Vector Tee - Manches Courtes Mixte.

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My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, 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/Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse , 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-LDDNZH Pantoufles en Coton pour Femmes Slippers, 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,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen.