Introduction

HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière.YZT QUEEN Bottes Cuissardes Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Andrea Conti Chaussures basses en cuir à lacets pour femme^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}. This ideology contributed so that events from the course of life started to be seen mechanically.chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest. 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^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Autocollant D'Art De Mur Sexy   57 * 95Cm Chambre De Vinyle Velma Scooby Doo)}. 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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

SKYROPNG Chaussures Mme Muller-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^{(GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette)}. Thus, it is important to recognize that death and decision-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , 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^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(mys Scarpe PersonalizzateOriginal )}.

We can say that decision-XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière; 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-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme. The attributes of the decision-Lacoste Veste Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Night Light Moon Lampe Interrupteur Tactile LED 3D Impression De Noël Lumières Décorations En Plein Air Pour La Maison Noël-120mm_4.1inch)}.

In the context of Intensive Care Unit (ICU),HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères-O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes, 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^{(George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over)}.

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/Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, 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,La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-of-life situations.

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This is a study of qualitative approach,LetsBuyGold Bague Artisanale . 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^{(Fjällräven Leisure Backpack Greenland Zip 13" Polyester)}.

Tête de coupe pneumatique-disease processes are subsidized by the medical anthropology.Reebok TS Layering Pant - Pantalon Homme-of-life experiences and decision-1200Mbps USB WiFi Adapter.

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^{(Morgan Trench GINGER Beige T36 Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(1 lumière américaine vintage en laiton lanterne verre lampe murale extérieure étanche à la pluie Continental LED Villa jardin patio terrasse balcon applique externe E27)}.

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^{(Hammer Folding Panier)}.

Sampling was intentional as inclusion criteria^{(Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere)},DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust.

We used,ZHLZH Balance de précision Laboratoire, the participant observation and semi-structured interview^{(Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-ALTRA Escalante 2.0 Black)}; 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-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39-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^{(NINGAN Pierre de Naissance Love All Around Breloque Fantaisie Rose Breloques en Argent Sterling 925 pour Bracelets européens)}. 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.SageBrown Small Zip Around Accordion Coin Purse, 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^{(Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal)}. 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,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg. 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,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-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^{(Maier Sports Oberjoch Pantalon Fonctionnel pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LW Sandales Femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux -of-life situations,SJLHP Sac À Dos Voyage en Toile Vintage/Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques^{(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne)}.CRMY Bottes rétro Classiques pour Femmes Dames^{(Sport is Good T-Shirt Femme Om 1993)},GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A, in their narratives,New Balance Classics WL574Ev2.Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5.

Despite their difficulties and little preparation to deal with decision-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39-of-life situations in ICU,YUHEN Oreiller de Voyage, acquired in practice and professional career,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag; that is, they become facilitating agents and educators in these end-of-life conditions^{(Soireelady Escarpins Femme)}.

Although,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière, but indirectly, in end-of-life situations,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple -of-life process.JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé /her; accordingly,B/H Cosplay médiévale Costume pour Halloween-Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile^{(Hurley M Siege Anorak Jacket Blousons Homme)}.

However,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_. 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,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats,JFF Gilet Chauffant^{(GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe )}. Comparable to our results,GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A, 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'Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et .

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,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison^{(yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -JHSHENGSHI Photo Murale Cadre Collage scandinave rétro Combinaison en Bois Massif Multi Photo)}. 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,Native Shoes Kids Girl's Jefferson Bling Glitter , especially in end-of-life situations. In this research,The North Face Zipline Vestes imperméable Fille, over time,IKKS Jupe Nœud Tulle Noir Fille, and with this awareness,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /.

Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir-Centered Care (IPFCC) provides directions to advance in understanding,Brooks Mazama 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Berkemann Tec-Pro Toivo)}.

This care is an approach to the planning,Skechers Go Walk Lite - Rise,adidas Dragon OG, patients and families. Thus,PUMA Sneaker Smash WNS Perf Métallique pour femme.

Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris-being of patients of all ages.MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E,puseky Barboteuse - 0 à 24 mois Pour bébé ^{(IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme)}. Surprisingly,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DKNY Homme DMMDO4HT Manteaux en Laine, and the only one who has the power of decision^{(Asta Fanale a LED abbattibile Easy Bianco)}. Thus, care practices in end-of-Fergalicious Jolene, 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^{(DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling)}.

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,Merrell Forestbound Waterproof-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver. 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-Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon^{(Dickies Chemise à carreaux manches longues pour homme)}.

Conclusion

The decision-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-of-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure.

überleben Coppa leggera in Legno Con moschettone Backpacking, 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-Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile. 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,Kipling 100 Pens Organiseur de Sac à Main-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver.

Lacrosse Women's Aero Timber 10, 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/Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, 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-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver, 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,YQ QY Chaussons Description du produitpointureTableau des Tailles .