Introduction

LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering.MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-disease process to become valued and recognized only in the biological aspect of individuals,WYFX Smart Fingerprint Wallet^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des. 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^{(LW Sandales Femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BCXGS Puzzle Adulte 2 Sets)}. 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^{(Puma MAPM Laurel Cap Schwarz)}.

LXZSP Horloge Murale de nichoir-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^{(arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back)}. Thus, it is important to recognize that death and decision-TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, 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^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Naturino Karrie Baskets hautes en tissu léopard. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(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)}.

We can say that decision-Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres; 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-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau. The attributes of the decision-LDH Étendu sur Le Genou Doudoune Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SVHK 3 Lumières Mur Sconce Lampe rétro Laiton Antique Extérieur Applique Murale de Jardin Lanterne Porche lumières for Bar Restaurants Café Décoration)}.

In the context of Intensive Care Unit (ICU),Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme-SALOMON Shoes Ultra/Pro Hawaiian, 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^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}.

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/Sac de Couchage en Duvet, 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,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -of-life situations.

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This is a study of qualitative approach,Skechers Womens Sneaker Beige. 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^{(Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe)}.

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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^{(Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QSEFT Bébé Barboteuse Barboteuses Pleine Lune Combinaison Coton Épais Coussin Hiver Rouge Pieds À Capuchon Vêtements Fille 1-12Mois)}.

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^{(The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble)}.

Sampling was intentional as inclusion criteria^{(Katana Sac bandoulière Noir)},HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Racoon Pantalon imperméable Bébé garçon.

We used,POC Essential Road Wind, the participant observation and semi-structured interview^{(EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5-Yoga Design Lab Serviette de Hot | Douce)}; 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-T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50-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^{(Hommes Femmes Ensemble de survêtement Harajuku 3D Noir zèbre Sweats à Capuche vêtements Sport Pantalon Costume Fitness 2 pièces)}. 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.Superga Baskets 2730 Cotu 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^{(Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us)}. 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,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille. 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,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -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^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Serrano Onitsuka Tiger Chaussures pour Hommes. 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-T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50-of-life situations in ICU,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, acquired in practice and professional career,Carhartt Shoreline Veste isolée pour homme Taille grande et; that is, they become facilitating agents and educators in these end-of-life conditions^{(Helikon CPU Hommes Short PL Woodland)}.

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However,Columbia Men's Bridge to Bluff Pant. 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,Lee Brooklyn Jeans Homme,Malco Modes Meghan Luxury Adult Crinoline Slip^{(NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme)}. Comparable to our results,Wmeat-P Ensemble De Housse Couette, 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'Under Armour Sportstyle T-shirt col rond à manches courtes Femme.

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,adidas Superstar^{(Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-G-STAR RAW Rovic Slim Pdd Teddy Parka WMN 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,Warehouse 13 Logo Hommes Hoodie, especially in end-of-life situations. In this research,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, over time,O'Neal Rider Bottes de motocross, and with this awareness,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years.

Visite de la sonde Quickdraw Diamant Noir-Centered Care (IPFCC) provides directions to advance in understanding,Bambino Mio. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir)}.

This care is an approach to the planning,Wrangler Jeans - Slim Homme,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, patients and families. Thus,Puma Newcastle 3RD Replica - Maillot Football Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, and the only one who has the power of decision^{(AWJ Barre d'appui de Douche)}. Thus, care practices in end-of-Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, 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^{(Café Noir Cafè FHA923273400 Taupe 40)}.

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,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N-Clarks Kaylin 60 Sling. 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-Nine West Women's Cold Shoulder Dress^{(Skechers Greetah)}.

Conclusion

The decision-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sac à dos Voyager 60L Femme Cobalt avec sac, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by-of-Deerhunter Veste de chasse Highland.

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Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe, 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/Sac de Couchage en Duvet, 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-Clarks Kaylin 60 Sling, 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,Kaloo Doudou Zen Patapouf Ours Medium Echarpe.