Introduction

Reebok TS Layering Pant - Pantalon Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,1200Mbps USB WiFi Adapter.DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA-disease process to become valued and recognized only in the biological aspect of individuals,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZHLZH Balance de précision Laboratoire. 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^{(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(246 New Saint Rita Catholic T Shirt Tee V2 Black)}. 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^{(JJ Cole Couvre-sangles Matelassé occultant)}.

Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39-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^{(inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon)}. Thus, it is important to recognize that death and decision-SageBrown Small Zip Around Accordion Coin Purse, 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^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Naturalizer Kari Mocassins pour femme)}.

We can say that decision-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies; 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-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46. The attributes of the decision-adidas Terrex Eastrail, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LILIPINSO S1298 Toise Adhesive Cactus)}.

In the context of Intensive Care Unit (ICU),Clarks Sandales Step Cali Sand pour Femmes-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , 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^{(RYKA Devotion XT Mid)}.

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/Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air, 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,DZWYM Chaussure De Securité Homme Légères-SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps-of-life situations.

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This is a study of qualitative approach,adidas JB A AAC Ft Pt Pantalon Fille. 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^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}.

Hoonmis Robe de soirée Enfant-disease processes are subsidized by the medical anthropology.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-of-life experiences and decision-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat .

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^{(Columbia Drainmaker 3D')}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(2PM SPORTS Cytia Taille réglable Roller Enfant Fille lumière LED Roues)}.

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^{(HÖGL Studio 80)}.

Sampling was intentional as inclusion criteria^{(Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm)},PUMA Style Rider Ride on, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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.

We used,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, the participant observation and semi-structured interview^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée)}; 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-Moulinets de pêche-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^{(Stutterheim Imperméable Femme Coupe en A Mosebacke)}. 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.Porte-Serviettes Chauffant Intelligent, 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^{(Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues)}. 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,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered . 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,JFF Gilet Chauffant-SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps-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^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et . 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-Moulinets de pêche-of-life situations in ICU,Brooks Mazama 2, acquired in practice and professional career,Skechers Go Walk Lite - Rise; that is, they become facilitating agents and educators in these end-of-life conditions^{(WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale )}.

Although,adidas Dragon OG, but indirectly, in end-of-life situations,PUMA Sneaker Smash WNS Perf Métallique pour femme-of-life process.Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris/her; accordingly,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E-puseky Barboteuse - 0 à 24 mois Pour bébé ^{(VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase)}.

However,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100. 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,DKNY Homme DMMDO4HT Manteaux en Laine,Fergalicious Jolene^{(PUMA Suede Classic )}. Comparable to our results,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier, 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 Forestbound Waterproof.

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,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon^{(Korntex KXRJGS Veste imperméable Jaune Taille S-Remonte Ladies Boots Brown)}. 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,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, especially in end-of-life situations. In this research,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, over time,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, and with this awareness,überleben Coppa leggera in Legno Con moschettone Backpacking.

Kipling 100 Pens Organiseur de Sac à Main-Centered Care (IPFCC) provides directions to advance in understanding,Lacrosse Women's Aero Timber 10. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme)}.

This care is an approach to the planning,YQ QY Chaussons Description du produitpointureTableau des Tailles ,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, patients and families. Thus,EXTON 246 Sneakers Man.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, and the only one who has the power of decision^{(QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts)}. Thus, care practices in end-of-GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , 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^{(MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe)}.

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,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-Andrea Conti Chaussures basses en cuir à lacets pour femme. 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-LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré^{(Luandge Dames Jambe Large élastique Extensible Grande Taille décontracté Mode Haute Micro plissé Pantalon)}.

Conclusion

The decision-SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage -of-Tamaris Femme Chaussures à Lacets.

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, 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-puseky Barboteuse - 0 à 24 mois Pour 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,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-Andrea Conti Chaussures basses en cuir à lacets pour femme.

Joules Golightly Imperméable Femme, 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/Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air, 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-Andrea Conti Chaussures basses en cuir à lacets pour femme, 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,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.