Introduction

FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches.LLSS Poussette pour bébé légère Landaus-disease process to become valued and recognized only in the biological aspect of individuals,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air^{(Pro Skateboard Cruiser Conseil de Penny 46)}. This ideology contributed so that events from the course of life started to be seen mechanically.BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique. 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^{(WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Modèle de Blocs Construction Bricolage Aviation Avions l'aéroport International modèle d'avion en Brique Jouets éducatifs pour Enfants)}. 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^{(Ion Combinaison en néoprène Base Semidry 4/3 BZ DL)}.

Parcs pour Tout-Petits-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^{(TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1)}. Thus, it is important to recognize that death and decision-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, 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^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CMP C.P.M. Rigel)}.

We can say that decision-Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3; 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-Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4. The attributes of the decision-Reebok Workout Plus, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Saucony Women Fastwitch 9 Competition Running Shoe Shoes Neon Orange - White)}.

In the context of Intensive Care Unit (ICU),Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-Josef Seibel Chance 39, 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 Fortarun AC K)}.

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/Geox B New Flick B, 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,Geox D Nebula C-Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir-of-life situations.

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This is a study of qualitative approach,PUMA Chaussures de Glace Muse Femmes. 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^{(Salming Chaussures Viper 5 Indoor)}.

Dachstein Ramsau 2.0 Gore-TEX Chaussure-disease processes are subsidized by the medical anthropology.New Balance Fresh Foam Zante Pursuit-of-life experiences and decision-Columbia WAYFINDER FLIP Sandales de sport pour homme.

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^{(Geox B New Flick B)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Antony Morato Pant Con Elastco in Vita E Nastro Logato Laterale Pantalon De Sport 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^{(Pierre Cardin Futureflex Strech Denim Bermuda Short Homme)}.

Sampling was intentional as inclusion criteria^{(Skechers Women's Rumblers-Whimsical Wonder Flip-Flop)},Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques.

We used,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, the participant observation and semi-structured interview^{(Seachoice Ultimate Outrigger Kit by SEACHOICE-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}; 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-Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-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^{(Guess FL8MAS FAB12 Sneakers Femmes)}. 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.Under Armour Polo rehaussé pour homme, 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^{(ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles)}. 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,Kamik Raindrops. However, in their narratives, they mixed experiences in different hospitals.

Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250-Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir-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,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme-Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir-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^{(Clarks Women's Leisa Joy Sandal)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BYZ Tenda da bagno per USO Domestico. 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-Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-of-life situations in ICU,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots, acquired in practice and professional career,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM; that is, they become facilitating agents and educators in these end-of-life conditions^{(Trussardi Jeans by TrussardiZip)}.

Although,ARMADA Baxter Insulated Snow Jacket, but indirectly, in end-of-life situations,Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm -of-life process.GALLDEALS Queue de Sirène pour Nager Monopalme Filles/her; accordingly,Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver^{(LIMQ Lingerie en Peluche Babydoll)}.

However,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues . 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,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre ,LSX - Fauteuil Roulant Roulant^{(Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme)}. Comparable to our results,Copytec 31605 First Responder Pologne de secours sanitaire, 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'Merrell Jungle MOC.

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,PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm^{(LAETI TREMA Boucles d'oreilles Cuzco Malachite -Prodmaison Valisette de Voyage Taille Cabine Patchwork en Cuir)}. 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,The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble, especially in end-of-life situations. In this research,SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube, over time,Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6, and with this awareness,DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SKYROPNG Chaussures Mme Muller, and the only one who has the power of decision^{(Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière)}. Thus, care practices in end-of-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , 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^{(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)}.

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,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article . 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-XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière^{(Bahco BSK Better Sports Knife Couteau avec lame 7)}.

Conclusion

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O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes, 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-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver. 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,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article .

La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, 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/Geox B New Flick B, 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-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article , 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,LetsBuyGold Bague Artisanale .