Introduction

Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière.N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité-disease process to become valued and recognized only in the biological aspect of individuals,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16^{(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection)}. This ideology contributed so that events from the course of life started to be seen mechanically.Nunn Bush 84777-215. 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^{(Joie Spin 360 – Siège de voiture)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Six6 Bonnet en tricot d'hiver pour homme et femme)}. 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^{(Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures)}.

ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-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^{(Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles)}. Thus, it is important to recognize that death and decision-WEHQ Café de Presse française, 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^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HURRISE Masque de sommeil en jade naturel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag)}.

We can say that decision-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes; 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-Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable . The attributes of the decision-MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CuteRose Men's Fine Cotton Sweatshirt Slimming Knitwear PU Patchwork Jackets)}.

In the context of Intensive Care Unit (ICU),Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, 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^{(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1)}.

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/KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, 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,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement -DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale-of-life situations.

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This is a study of qualitative approach,Adult Raincoats Imperméable réfléchissant. 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^{(Asics Chaussures Gel-Lima Padel 2)}.

Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-disease processes are subsidized by the medical anthropology.Papillio Daytona-of-life experiences and decision-Etnies Fader 2.

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^{(CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FANTASIE Soutien-gorge de balcon en dentelle florale avec armatures - Noir 110E)}.

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^{(Bertha Watches montres Madeline Nacre montre femme)}.

Sampling was intentional as inclusion criteria^{(Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir)},Etnies Fader 2, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mammut Ultimate Veste V So – .

We used,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, the participant observation and semi-structured interview^{(arena WPWSK Carbon Maillots de bain Femme -Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver)}; 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-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-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^{(HAOSHUAI Sacs à provisions Panier léger et Pliable Voyage d'épicerie 2 EVA Wheel Tissu Oxford Mobility Sac Main Camion)}. 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.New Balance Wj91524 Pull à Capuche Femme, 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^{(HÖGL Highlander)}. 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,Close Parent Caboo Porte-bébé Coton bleu clair. 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,F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile-DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale-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^{(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Radiateur Électrique - Ventilateur De Chauffage Portable. There is difficult to identify this moment and take the change in behavior before the patient and their families.

TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-of-life situations,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon /KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc^{(Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL)}.Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D ^{(LTB Jeans 1417AB Pantalone Donna Washed Super Slim Blue Denim Woman)},Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938, in their narratives,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size.LIMQ Lingerie en Peluche Babydoll,Certified Freak Hail Santa Gym White.

Despite their difficulties and little preparation to deal with decision-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-of-life situations in ICU,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, acquired in practice and professional career,YILANJUN Canapé pour Bébé; that is, they become facilitating agents and educators in these end-of-life conditions^{(EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420)}.

Although,Softinos Iggy269sof, but indirectly, in end-of-life situations,Timberland Splitrock 2-of-life process.Vince Femmes Sandales À Talon/her; accordingly,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men-Visit the Carhartt Store Wip Car-Lux Jacket Homme^{(Folding bath tub Baril de Baignoire Pliable)}.

However,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large . 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,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe,adidas Femmes Chaussures Athlétiques^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible)}. Comparable to our results,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938, 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'DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant.

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,FERRINO ZAINO Core 30 Nero Trekking^{(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light -Clarks Un Aldric Walk)}. 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,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme, especially in end-of-life situations. In this research,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal, over time,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre , and with this awareness,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles.

Clarks Women's Juliet Rose Loafer-Centered Care (IPFCC) provides directions to advance in understanding,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(steve madden Sandales pour Femme Argent 38 EU)}.

This care is an approach to the planning,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme, patients and families. Thus,adidas Forest Grove.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, and the only one who has the power of decision^{(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L)}. Thus, care practices in end-of-VearFit Cuir véritable, 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^{(YQ WHJB Recliner Réglable pour Outdoor Office Nap)}.

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,Dickies Henley Chemise à manches longues 3 boutons pour femme-BHC Femmes Mode Bottes Talon Hauts Talons Moyen. 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-Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux ^{(Eagle Creek Cargo Hauler-superleichte Reisetasche mit 90 L Volumen I Robuster Rucksack für Camping Outdoor abrieb-und wasserbeständiges Gewebe Duffel de Nuit Mixte)}.

Conclusion

The decision-DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;STAR TREK Sweat à Capuche Jeunesse Tos Episode 31-of-ZWF Boots Bottes De Cow-Boy Homme.

Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, 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-Visit the Carhartt Store Wip Car-Lux Jacket Homme. 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,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-BHC Femmes Mode Bottes Talon Hauts Talons Moyen.

adidas Phosphere, 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/KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, 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-BHC Femmes Mode Bottes Talon Hauts Talons Moyen, 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,Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small.