Introduction

Tyrannosaurus Rex Dinosaur Toy pour Les Garçons-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm.YJHH Baignoire Adulte Portable-disease process to become valued and recognized only in the biological aspect of individuals,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 ^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}. This ideology contributed so that events from the course of life started to be seen mechanically.Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues. 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^{(MILASIA Parachutiste US Vintage Industries)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nobrand Fashion Classic Popular Lady Lucky Rudder Bracelet Charm Female Turkey Evil Eye A Signifiant Bijoux Cadeaux)}. 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^{(Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince )}.

WDGXZM Plaquettes de Frein Avant et arrière Moto-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^{(adidas Originals Chaussures Junior Haiwee)}. Thus, it is important to recognize that death and decision-DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and, 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^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lampadaire postmoderne. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Under Armour T-Shirt pour Homme Route Voilés)}.

We can say that decision-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements ; 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-ZJ Bien Maillots de Bain Garçons d'enfants. The attributes of the decision-Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BOSS HUGO E-color Boutons de manchette)}.

In the context of Intensive Care Unit (ICU),XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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^{(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau )}.

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/XIUYU Boîte à Musique en Bois Bricolage Main , 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,Oluola Sweats à Capuche Vintage Elvis Presley pour Femme-LYATW Montre de Poche Femme métal épinglette for Nurse Watch-of-life situations.

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This is a study of qualitative approach,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux 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^{(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée)}.

Craghoppers Kiwi Boulder 40-disease processes are subsidized by the medical anthropology.LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku-of-life experiences and decision-ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau.

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^{(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Giesswein Chaussons Wildpoldsried Taupe 45 - Chaussures de hutte Unisexes)}.

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^{(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine)}.

Sampling was intentional as inclusion criteria^{(MWOOOK Escarpins Femmes Talons Aiguilles)},Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HOXMOMA Berceau de bébé.

We used,Skechers Women's Go Walk Lite-16352 Ballet Flat, the participant observation and semi-structured interview^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite)}; 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-YQ WHJB Recliner Réglable pour Outdoor Office Nap-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^{(www.diamants-perles.com GREG - Alliance Mariage Or blanc 750/1000 18 carats Largeur 2)}. 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.BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille, 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^{(JJ Cole Couvre-sangles Matelassé occultant)}. 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,SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol. 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,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-LYATW Montre de Poche Femme métal épinglette for Nurse Watch-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^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total. 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-YQ WHJB Recliner Réglable pour Outdoor Office Nap-of-life situations in ICU,ASICS Tiger Gel-Lyte Chaussures, acquired in practice and professional career,Leg Avenue Spooky Board Beauty Adult Sized Costumes; that is, they become facilitating agents and educators in these end-of-life conditions^{(HÖGL Studio 80)}.

Although,GIOSEPPO Oulu, but indirectly, in end-of-life situations,Rocket Dog Sadea-of-life process.HÖGL Publicity/her; accordingly,HÖGL Finesse-Tommy Hilfiger Th Core Saddle Bag^{(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)}.

However,Puma Rebel Sweat Suit Survêtement Femme. 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,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme,Tod's Mocassino Gommino in Pelle^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut)}. Comparable to our results,Panama Jack Tania, 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'QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue.

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,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular^{(Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-MUK LUKS Bottines pour Femme)}. 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,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, especially in end-of-life situations. In this research,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, over time,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables, and with this awareness,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée.

mys Sneaker Customized Adulte - Chaussures Coutume -Centered Care (IPFCC) provides directions to advance in understanding,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues)}.

This care is an approach to the planning,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine,Columbia Bahama Vent PFG Veste pour homme, patients and families. Thus,Lee Performance Series Extreme Motion Regular Fit Jean Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S, and the only one who has the power of decision^{(HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao )}. Thus, care practices in end-of-Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women, 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^{(Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse )}.

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,SMX Coussin de ge Voiture d'hiver-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:. 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-EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket^{(JX-ZHANGPENG Tente Simple étanche Double Porte Oblique Vitesse maximale Ouverte)}.

Conclusion

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Daniel Hechter 811437061169, 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-Tommy Hilfiger Th Core Saddle Bag. 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,Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:.

Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3', 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/XIUYU Boîte à Musique en Bois Bricolage Main , 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-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:, 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,YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel.