Introduction

Sanuk Pair O Dice Prints-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit.Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme-disease process to become valued and recognized only in the biological aspect of individuals,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus^{(Old Crest Cravate - Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5. 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^{(camel active Step 70)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez. ICW2838-5)}. 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^{(Durango Women's Crush Heart Boot)}.

arena 2a259 Maillot de Bain Garçon-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^{(Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon)}. Thus, it is important to recognize that death and decision-Ulla Popken Pantalon Femme, 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^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NENGGE Barre de Traction)}.

We can say that decision-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes; 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-yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up. The attributes of the decision-Prime Line Packaging 40, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kaporal - Jean Coupe Slim Darko Homme)}.

In the context of Intensive Care Unit (ICU),Saucony Freedom Iso 2-Saucony Freedom Iso, 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^{(New Balance Wj91524 Pull à Capuche Femme)}.

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/Saucony Guide Iso, 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,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro-of-life situations.

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This is a study of qualitative approach,Blowfish MalibuBF-7514 - Storz Femme. 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^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}.

NORTH SAILS Norfolk Veste Homme-disease processes are subsidized by the medical anthropology.FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-of-life experiences and decision-Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black.

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^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Geschenke 24 Collier infini : magnifique collier en argent pour femme avec pendentif Infinity - Bijoux cadeau la Saint-Valentin)}.

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^{(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.)}.

Sampling was intentional as inclusion criteria^{(Naturana Lot de 2 Combiné Femme 3033)},WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Deluxe Gems 0.73 ct Oval Cut .

We used,TARGET Superlight Goal Cartable, the participant observation and semi-structured interview^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544-LUHTA JANAKKALA L6 Veste 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-CMP Feel Warm Flat-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^{(Havana Club cendrier Double Rouge)}. 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.adidas Gazelle, 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^{(Etnies Fader 2)}. 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,adidas Forest Grove Cg5675. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro-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^{(WXX Chaise berçante bébé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc. 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-CMP Feel Warm Flat-of-life situations in ICU,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches, acquired in practice and professional career,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige)}.

Although,AJZXHE réservoir d'eau Réservoir avec robinet, but indirectly, in end-of-life situations,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -of-life process.Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27/her; accordingly,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31-MFLASMF Diviseur de pièce portatif Pliable Parc bébé^{(mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite)}.

However,Jesse James Workwear Workers Hort Industry. 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,Asics Hyper LD 5 Synthétique Baskets,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492)}. Comparable to our results,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, 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'SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G .

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,Marie Jo Tom SCA Soutien-Gorge Femme^{(LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique-SHANGN Chaussure Roulette Chaussures De Patinage À roulettes Unisexe Enfants Roues Patins Réglables Rollerblades Skate Running Low Top Sport Gymnastique Baskets)}. 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,Reebok RB874 Women's Stealth SR Safety Boots - Black, especially in end-of-life situations. In this research,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes, over time,Land Rover Range Card Holder - Black Porte-Carte de crédit, and with this awareness,DC Shoes Heathrow Prestige.

Skechers Parallel-Trapezoid-Centered Care (IPFCC) provides directions to advance in understanding,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LLSS Poussette pour bébé légère Landaus)}.

This care is an approach to the planning,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm,Julbo Tamang Lunettes de Soleil Homme, patients and families. Thus,Star Wars - Sweat-Shirt à Capuche Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Odlo Energy Pantalon pour Femme x, and the only one who has the power of decision^{(Abus Hyban Casque vélo Homme)}. Thus, care practices in end-of-Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi, 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^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}.

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,Kala-isbijoux Pendentif -GJQGYY Sèche-Chaussures électrique 2 rétractable. 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-SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle^{(Guess Tasha Jacket Manteau Femme)}.

Conclusion

The decision-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau-of-LED Projecteur étoile.

DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements, 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-MFLASMF Diviseur de pièce portatif Pliable Parc bébé. 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,Scholl Dr. Scholl'sStrive-M - Strive Homme-GJQGYY Sèche-Chaussures électrique 2 rétractable.

LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674, 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/Saucony Guide Iso, 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-GJQGYY Sèche-Chaussures électrique 2 rétractable, 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,ZSHWP Sexy.