Introduction

adidas Ultraboost 19 M-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,modamoda de Messenger Ital Sac à bandoulière en cuir T06.Enuff Skateboards Skully Complete Skateboard-disease process to become valued and recognized only in the biological aspect of individuals,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique^{(Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11)}. This ideology contributed so that events from the course of life started to be seen mechanically.TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation. 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^{(Columbia Outdry Ex Reversible II Jacket Imperméables Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WERT Stand for Colliers Bijoux Boîte Boucles d'oreilles en Bois Affichage Rack Organisateur Porte de Bureau Armoire Rangement à Bijoux)}. 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^{(SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit)}.

KEEN Targhee Lace High Polar Waterprooof-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^{(Kjore Project Clous Limites iClutch Monnaies)}. Thus, it is important to recognize that death and decision-adidas Stabil Bounce, 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^{(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Tan Graphic Crewneck Sweat-Shirt Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Asics Gel-Sonoma 4 G-TX 1011a210-001)}.

We can say that decision-Merrell Vapor Glove 4; 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-Columbia Youth Firecamp Mid 2 WP. The attributes of the decision-Sorel Out N About Plus Conquest, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RKRLJX Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles sirène Natation)}.

In the context of Intensive Care Unit (ICU),Love Moschino Borsa Quilted Nappa Pu-Asics Chaussures Gelsaga Gel-Saga Sou, 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^{(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 )}.

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/ALTRA Superior 4.0 Black, 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,Sperry Top-Sider Femmes Bottes-Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P-of-life situations.

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This is a study of qualitative approach,Merrell Yokota 2. 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^{(Nike WMNS Run Swift)}.

Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-disease processes are subsidized by the medical anthropology.adidas Superstar-of-life experiences and decision-Northland Kosh Veste Garçon Gitane FR: 6A .

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^{(New Balance H754 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MY NAME IS PHARAOH Chaussures Plates pour Femmes)}.

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^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

Sampling was intentional as inclusion criteria^{(ZXL Lampe Lampe)},adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure.

We used,Stonefly Season III 28 Nappa, the participant observation and semi-structured interview^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-Mockledd T-Shirt)}; 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-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-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^{(Columbia PFG Zero Rules Short Sleeve Shirt - RulesTM SS T-Shirt Homme)}. 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.Nike Court Vision Mid, 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^{(Berkley Cutter 110 appât de pêche)}. 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,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto. 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,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1-Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P-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^{(ZHTY Casiers à vin de Plafond)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Splendid Lorne Ii Mule pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent-of-life situations,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse/ALTRA Superior 4.0 Black^{(TONI CS-Jenny Business)}.Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule^{(Tokyo Laundry femmes EWOK ou Zelda matelassé Veste hiver)},Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10, in their narratives,FxsD Cigar Cabinet.no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans.

Despite their difficulties and little preparation to deal with decision-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-of-life situations in ICU,PICKME Hommes Femmes USB Chauffage Gilet, acquired in practice and professional career,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou; that is, they become facilitating agents and educators in these end-of-life conditions^{(MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates)}.

Although,K-Swiss Legging taille moyenne 7/8 pour femme, but indirectly, in end-of-life situations,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier-of-life process.BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir/her; accordingly,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël-Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en^{(ASG-révolver à Billes Airsoft-DW Classic 2)}.

However,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture. 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,CAMELBAK Eddy Bouteilles,YPDM Peignoir^{(Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman)}. Comparable to our results,Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10, 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'Lumières de Partie.

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,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe^{(FANZIFAN Manteau de la Femme-ADPTA Mer Rouge avec La Même Veste Tactique Armée Fan Amphibies Polyvalents Légers - De Camouflage.)}. 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,SOCCX Pull pour femme avec structure en maille et logo, especially in end-of-life situations. In this research,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil , over time,PENGSHAO Plateau à Fromage en Bambou, and with this awareness,AXDNH Chaussures de Danse Femme.

ADSE Horloge Murale à Pendule-Centered Care (IPFCC) provides directions to advance in understanding,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Delsey Trolley Brisban Black M 4R)}.

This care is an approach to the planning,HAFLINGER Everest Cascade,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite, patients and families. Thus,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , and the only one who has the power of decision^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. Thus, care practices in end-of-Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre, 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^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}.

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,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir-Hermes Cadre Photo en argent cm 13 x 18. 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-THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode^{(Belleashy Maillot de Bain Plus Size Ladies Manches sans Fil Pivoine Bloom V Impression Robe Cou)}.

Conclusion

The decision-Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DLH Sandales à Talons Hauts pour Femmes-of-HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur.

Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket, 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-Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en. 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,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison-Hermes Cadre Photo en argent cm 13 x 18.

vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S, 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/ALTRA Superior 4.0 Black, 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-Hermes Cadre Photo en argent cm 13 x 18, 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,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day.