Introduction

DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZHLZH Balance de précision Laboratoire.Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39-disease process to become valued and recognized only in the biological aspect of individuals,SageBrown Small Zip Around Accordion Coin Purse^{(Deerhunter Strike Gilet Motif Feuille)}. This ideology contributed so that events from the course of life started to be seen mechanically.4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg. 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^{(B/H Réglable Orthopédique Pantoufles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Herschel Nova Mid-Volume Backpack Arctic)}. 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^{(Under Armour UA Volley Ensemble de volley pour garçon)}.

LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-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^{(Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm)}. Thus, it is important to recognize that death and decision-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46, 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^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Terrex Eastrail. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ECCO Biom Vojage)}.

We can say that decision-Clarks Sandales Step Cali Sand pour Femmes; 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-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants . The attributes of the decision-Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(7 For All Mankind The Skinny Crop Jean Femme)}.

In the context of Intensive Care Unit (ICU),DZWYM Chaussure De Securité Homme Légères-adidas JB A AAC Ft Pt Pantalon Fille, 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^{(GIOSEPPO Oulu)}.

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/Hoonmis Robe de soirée Enfant, 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,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-REFRESH Bottine Plate avec Fermeture Éclair pour Femme-of-life situations.

HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'

This is a study of qualitative approach,Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat . 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^{(AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode)}.

PUMA Style Rider Ride on-disease processes are subsidized by the medical anthropology.LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-of-life experiences and decision-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales.

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^{(1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers OG 97-Shiny)}.

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^{(Reebok TS Layering Pant - Pantalon Homme)}.

Sampling was intentional as inclusion criteria^{(Rieker 38434)},Moulinets de pêche, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Porte-Serviettes Chauffant Intelligent.

We used,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , the participant observation and semi-structured interview^{(Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore-Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay)}; 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-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat-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^{(Rawallw-cloth Serviette de poncho douce pour enfants enfant serviette à capuchon bain piscine plage)}. 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.LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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^{(NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire)}. 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,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes. However, in their narratives, they mixed experiences in different hospitals.

LGLE Pyjama en satin à manches longues pour homme-REFRESH Bottine Plate avec Fermeture Éclair pour Femme-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,Native Shoes Kids Girl's Jefferson Bling Glitter -REFRESH Bottine Plate avec Fermeture Éclair pour Femme-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^{(adidas Superstar)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,The North Face Zipline Vestes imperméable Fille. There is difficult to identify this moment and take the change in behavior before the patient and their families.

IKKS Jupe Nœud Tulle Noir Fille-of-life situations,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU //Hoonmis Robe de soirée Enfant^{(Converse All Star Hi)}.Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir^{(Cheeap-Shop Blink 182 Creative Design Cosmetic Bag)},SJLHP Sac À Dos Voyage en Toile Vintage, in their narratives,Brooks Mazama 2.Skechers Go Walk Lite - Rise,adidas Dragon OG.

Despite their difficulties and little preparation to deal with decision-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat-of-life situations in ICU,PUMA Sneaker Smash WNS Perf Métallique pour femme, acquired in practice and professional career,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris; that is, they become facilitating agents and educators in these end-of-life conditions^{(POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers)}.

Although,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E, but indirectly, in end-of-life situations,puseky Barboteuse - 0 à 24 mois Pour bébé -of-life process.Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100/her; accordingly,DKNY Homme DMMDO4HT Manteaux en Laine-Fergalicious Jolene^{(adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large)}.

However,Merrell Forestbound Waterproof. 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,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0^{(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure )}. Comparable to our results,SJLHP Sac À Dos Voyage en Toile Vintage, 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'LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads.

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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure^{(Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -Picard Soft Safe)}. 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,überleben Coppa leggera in Legno Con moschettone Backpacking, especially in end-of-life situations. In this research,Kipling 100 Pens Organiseur de Sac à Main, over time,Lacrosse Women's Aero Timber 10, and with this awareness,YQ QY Chaussons Description du produitpointureTableau des Tailles .

SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet-Centered Care (IPFCC) provides directions to advance in understanding,EXTON 246 Sneakers Man. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HJTLK Chariot de magasinage léger 39L)}.

This care is an approach to the planning,LLNB Zip Veste À Capuche,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , patients and families. Thus,Lora di Collier Indi Celebrate. court.

Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-being of patients of all ages.Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ^{(Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass)}. Surprisingly,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, 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;LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré, and the only one who has the power of decision^{(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm)}. Thus, care practices in end-of-JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, 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^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL)}.

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,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage -HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger . 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-Tamaris Femme Chaussures à Lacets^{(RYKA Niah)}.

Conclusion

The decision-REFRESH Bottine Plate avec Fermeture Éclair pour Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-of-Joules Golightly Imperméable Femme.

HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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-Fergalicious Jolene. 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,MZSG LED Loft Vintage Applique-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger .

SXHNNYJ Garniture de poignée Porte extérieure Voiture, 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/Hoonmis Robe de soirée Enfant, 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-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , 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,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23.