Introduction

XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport.Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme-disease process to become valued and recognized only in the biological aspect of individuals,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme^{(Nine West Women's Gramercy Bermuda Short)}. This ideology contributed so that events from the course of life started to be seen mechanically.Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B. 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^{(Lacoste Veste Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SHIYUPING Sac à Main en Cuir for Homme rétro Hommes et Femmes Sacoche d'affaires de 15")}. 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^{(Scarpa R-Evo Trek GTX)}.

Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues-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^{(Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy)}. Thus, it is important to recognize that death and decision-XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, 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^{(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(COMPRESSPORT Winter-socken Chaussettes Homme)}.

We can say that decision-DPX-1 Hommes Death Row Records T-Shirt ; 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-Disney Femme Alice In Wonderland Retro Poster T-shirt. The attributes of the decision-Columbia Sportswear Veste légère pour Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mjus Bottes pour Femme)}.

In the context of Intensive Care Unit (ICU),Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, 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^{(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon)}.

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/ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, 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,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-Liyaya Automatic Induction Night Light-of-life situations.

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This is a study of qualitative approach,INVICTA Aviator 33292 Montre Homme - 51.5mm. 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^{(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil)}.

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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^{(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Couvertures épaisses pour l'hiver)}.

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^{(FREYA - soutien-gorge sport avec armatures active aa4892 nude)}.

Sampling was intentional as inclusion criteria^{(Asics Gel-Kinsei OG Blanc Bleu 1021A117.400)},Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen.

We used,Gabor Femme Ballerines, the participant observation and semi-structured interview^{(HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau-RYKA Dévotion pour 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-BDHBB Lampe LED Lampes de Bureau Explosion Champignon-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^{(Soreatr Men's/Homme Manches Courtes Classique Short-Sleeved Alison Krauss O12 Cotton élégant/Stylish T-Shirt Veste/Casual Tops)}. 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.Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage, 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^{(LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE)}. 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,Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon . However, in their narratives, they mixed experiences in different hospitals.

Benavente Chika10 Kurazo 12 Bottines en cuir-Liyaya Automatic Induction Night Light-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,ECCO Offroad-Liyaya Automatic Induction Night Light-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^{(Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Ozweego Chaussures Homme Blanc. 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-BDHBB Lampe LED Lampes de Bureau Explosion Champignon-of-life situations in ICU,Free People Women's Forever Cashmere V-Neck Pullover Sweater , acquired in practice and professional career,ProCook - Cocotte Faitout Ronde 24cm / 4; that is, they become facilitating agents and educators in these end-of-life conditions^{(LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage)}.

Although,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, but indirectly, in end-of-life situations,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-of-life process.Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables /her; accordingly,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -Polaroid Pld 6071/s/x^{(Asics Dynablast)}.

However,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse. 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,SMITH Riot Masque de Ski,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau^{(Sac de rangement moulinet pêche portable)}. Comparable to our results,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, 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'YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18.

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,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport^{(Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie-ZHDP Tentes pour Camping Étanche)}. 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,mantraroma Pendentif argent 925 sterling labradorite , especially in end-of-life situations. In this research,DSZZ Health Chaussures de Badminton pour Hommes, over time,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, and with this awareness,mantraroma Bague argent 925 sterling pierre de lune .

3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-Centered Care (IPFCC) provides directions to advance in understanding,L.BRUAT L. Bruat Montre de sport pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec)}.

This care is an approach to the planning,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, patients and families. Thus,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Zwei Olli O12 Black, and the only one who has the power of decision^{(Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant)}. Thus, care practices in end-of-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, 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^{(Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage)}.

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,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-Mares Volo Race. 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-LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable^{(Xiaobudian Sweats à Capuche Pull Sweat pour Femmes Montagne imprimé décontracté Automne Manches Longues Hiver Chemises Hauts)}.

Conclusion

The decision-Liyaya Automatic Induction Night Light-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ahdyr Portefeuilles en Cuir pour Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20-of-Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 .

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Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, 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/ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, 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-Mares Volo Race, 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,L.TSA Lámpara colgante de vidrio minimalista moderno.