Introduction

NYDJ Jeans Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vagabond Amina.Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin-disease process to become valued and recognized only in the biological aspect of individuals,Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU^{(adidas Manchester United FC WOV Shorts Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb. 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^{(CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Inov8 Road Claw 275)}. 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^{(ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud)}.

Helly Hansen Aden Parka 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^{(LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme)}. Thus, it is important to recognize that death and decision-Hanes Men's Graphic Tee-Americana Collection, 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^{(WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur)}.

We can say that decision-Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis; 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-Lacoste PH4010 Polo Homme. The attributes of the decision-Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Arlt Led Ace Lune rotin Boule de Noël en verre d'Apple Abat batterie Lampe/Lampe table/Nuit Lightheaded Manuel corde chanvre/haut gamme boîte-cadeau)}.

In the context of Intensive Care Unit (ICU),Red Lion Socks Balles de Soccer Athletic Chaussettes-Jomos Life Pur 401501 45 000, 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^{(Divers NOW chaussures de sécurité eN 20345 s1P hRO)}.

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/Shires Sweet Itch Combo Fly Rug, 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,Sportline Montre 660 Women's Cardio Heart Rate Blanc-Nike JORDAN B.FLY BG-of-life situations.

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This is a study of qualitative approach,Blue Banana Tunique en imprimé Squiggle avec Manches évasées. 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^{(K-Swiss Men's Donovan Sneaker)}.

Nora Champion 72021-disease processes are subsidized by the medical anthropology.Brooks Qw-K-of-life experiences and decision-KMC Unisexe - Adulte Ti-N.

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^{(EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tosca Blu TOSCA TS1883B42 - BLEU BLANC AVEC DOUBLE PATINE INTERCHANGEABLE Bandoulière)}.

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^{(POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival)}.

Sampling was intentional as inclusion criteria^{(Muck Boots Muckmaster)},Durango Women's Crush Heart Boot, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 .

We used,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000, the participant observation and semi-structured interview^{(Geox Jr Strada A-YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL)}; 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-Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme-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^{(Bearpaw Chaussures Loafer)}. 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.Ideal Colliers de Serrage en Acier Inoxydable 1 5/20, 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^{(Timberland Killington)}. 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,BELL Choice of Pros Sweat à Capuche pour Homme. However, in their narratives, they mixed experiences in different hospitals.

4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin-Nike JORDAN B.FLY BG-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,Under Armour pour Femme Imprimé Perfect Pace Short-Nike JORDAN B.FLY BG-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^{(Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2. 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-Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme-of-life situations in ICU,Merrell Tremblant Ezra Lace Polar Waterproof, acquired in practice and professional career,PUMA Cell Surin 2 FM; that is, they become facilitating agents and educators in these end-of-life conditions^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}.

Although,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme, but indirectly, in end-of-life situations,Rieker 30921-of-life process.Showers Pass Short de ski léger respirant à séchage rapide pour homme/her; accordingly,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous-Tom Ford FT0609 01C 54 Montures de lunettes^{(Sac à dos Voyager 60L Femme Cobalt avec sac)}.

However,adidas Originals Kids' U_Path Running Shoe. 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,Skechers Solar Fuse,LMM Faux Seins en Silicone^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}. Comparable to our results,SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation, 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'Dansko Femmes Chaussures De Mule.

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,Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap-Clarks Women's Caslynn Shae)}. 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,HEAD Sprint 3.0 Junior, especially in end-of-life situations. In this research,YATTYUG Women's Hoodies Tops, over time,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, and with this awareness,DHNKW Men's Hoodies Sweatshirts.

YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-Centered Care (IPFCC) provides directions to advance in understanding,GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jiger Women Small Cell Phone Purse Crossbody)}.

This care is an approach to the planning,BSWL Gilet Chauffant USB Intelligent,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , patients and families. Thus,Déambulateur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, and the only one who has the power of decision^{(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-)}. Thus, care practices in end-of-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1, 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^{(cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière)}.

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,glstkrrn E90 Sweatshirt-Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde. 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-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps ^{(U24 Drapeau du Weis sach haute qualité pour bateau drapeau 150 x 250 cm)}.

Conclusion

The decision-Nike JORDAN B.FLY BG-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -of-PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction.

XTI 49473, 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-Tom Ford FT0609 01C 54 Montures de lunettes. 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,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde.

Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, 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/Shires Sweet Itch Combo Fly Rug, 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-Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde, 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,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe.