Introduction

Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Café Noir Cafè FHA923273400 Taupe 40.Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean-disease process to become valued and recognized only in the biological aspect of individuals,LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle^{(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm)}. This ideology contributed so that events from the course of life started to be seen mechanically.LOQI POP Prism Bag - Sac à main. 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^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AYUSHOP Pied Plat Sandales orthopediques en Femmes PU Chaussures)}. 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^{(XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@)}.

Hurley Men's Apparel Homme AR8826 T-Shirt-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^{(LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville)}. Thus, it is important to recognize that death and decision-W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air , 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^{(Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,s.Oliver Jacket Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CMP Manteau Feel Warm Flat)}.

We can say that decision-JLFZC Chaussures formelles; 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-Reebok Chaussures Zig Elusion Energy. The attributes of the decision-Wyre Valley Bottes en Caoutchouc Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZLJKK Hiver Ski Suit Femmes Coupe-Vent Imperméable Respirant Thermique Chaleur Neige Vêtements Veste Pantalon Femme Snowboard)}.

In the context of Intensive Care Unit (ICU),JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau-DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear, 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^{(Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000)}.

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/adidas Essentials Sereno Pantalon dentraînement, 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,Limit Sport MA192 Aldara Moyen Âge Multicolore-MDM Gilet Cuir Biker suède -of-life situations.

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This is a study of qualitative approach,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode . 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^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom)}.

Geox XLED Girl J928DA Fille Baskets Mode-disease processes are subsidized by the medical anthropology.Nfudishpu Tambour électronique-of-life experiences and decision-Skechers Women's Rumblers-Whimsical Wonder Flip-Flop.

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^{(Échelle de Tabouret Pliable en 2 étapes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Originals Baskets Mode 3MC X Truth Never Told)}.

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^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}.

Sampling was intentional as inclusion criteria^{(Aqua Marina sac marin - Imperméable à l'eau)},CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.McAlister Textiles Denim Bleu Savane Rideaux.

We used,YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées, the participant observation and semi-structured interview^{(RKRCXH Maillot de Bain sirène Queue De Sirène-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage)}; 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-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events -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^{(Lemon Jelly Devon Bottes en Caoutchouc pour Femme Bordeaux)}. 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.MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton, 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^{(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas)}. 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,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas. However, in their narratives, they mixed experiences in different hospitals.

KYWBD Ensemble Lingerie Sexy-MDM Gilet Cuir Biker suède -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,Nike Benassi JDI-MDM Gilet Cuir Biker suède -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^{(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,7 A.M. Enfant Barcelona Diaper Bag. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Merino Kids Long-Sleeve Pyjama Set-of-life situations,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir/adidas Essentials Sereno Pantalon dentraînement^{(YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon)}.Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir^{(Under Armour Tech Hybrid Print Fill Logo T-Shirt Garçon)},ZMMWDE Redresseur de régulateur , in their narratives,MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED.Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige,Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc.

Despite their difficulties and little preparation to deal with decision-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events -of-life situations in ICU,Pare-Chocs Diffuseur Lèvres, acquired in practice and professional career,RYKA Everest; that is, they become facilitating agents and educators in these end-of-life conditions^{(Aubade balconnet - soutien-gorge femme)}.

Although,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29, but indirectly, in end-of-life situations,Zero Tolerance Rexford Elmax Couteau à Lame Fixe-of-life process.LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple /her; accordingly,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG-U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm^{(Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical)}.

However,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020. 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,Held Team Shirt L,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées^{(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 )}. Comparable to our results,ZMMWDE Redresseur de régulateur , 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'CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples.

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,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir^{(Chorchester Robe à capuche pour cobra serpent multiangle Polygon-NYDJ Briella Short pour femme avec ourlet effilé)}. 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,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie, especially in end-of-life situations. In this research,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues, over time,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité, and with this awareness,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage.

Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-Centered Care (IPFCC) provides directions to advance in understanding,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau)}.

This care is an approach to the planning,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette, patients and families. Thus,Nike Mercurial Victory V IC.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau, and the only one who has the power of decision^{(New Balance 996)}. Thus, care practices in end-of-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, 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^{(BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339)}.

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,FACAI Étagère De Cuisine Rangement-Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011. 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-Speedo Women's One Piece Swimsuit High Neck Contemporary Cut^{(N /A KAIXINDDDD Étagère De Salle Bains Poinçon Gratuit Coin Appareils en Fer Forgé Rack Stockage Cuisine Trépied Mur)}.

Conclusion

The decision-MDM Gilet Cuir Biker suède -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NYDJ Barbara Bootcut Jeans Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-of-WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant .

aipipl Boîte aux Lettres Murale, 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-U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm. 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,SDJJ Sac à dos vintage en cuir pour femme Motif floral-Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011.

HÖGL Highlander, 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/adidas Essentials Sereno Pantalon dentraînement, 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-Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011, 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,HÖGL Cosmos.