Introduction

QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Filet de protection Sécurité Maille De for Enfants.YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey-disease process to become valued and recognized only in the biological aspect of individuals,AWYJ Balles de bébé^{(teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales. 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^{(LGLE Pyjama en satin à manches longues pour homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JJHR Robe de Soiree Summer Ruffles Celebrity Evening Runway Party Dress Women Elegant Sleeveless Bodycon Club)}. 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^{(LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh)}.

EASTPAK Buckler Sac bandoulière-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^{(RCBS Neck Die Set)}. Thus, it is important to recognize that death and decision-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, 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^{(Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc)}.

We can say that decision-NIEWEI-YI Sweatshirts Unisexe; 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-Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt. The attributes of the decision-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(QINGQING Dragon Ball Z Sangoku Lumière Anime Super Saiyan Action PVC Figure Veilleuse for Les Enfants Cadeau Lampe Décor)}.

In the context of Intensive Care Unit (ICU),CLJ Lunettes de Lecture pour Hommes-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., 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^{(WYZDQ Mens Bottes De Neige)}.

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/NINE WEST Starship Nubuck, 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,LHY LOFT Cactus Enfants Plafonnier-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-of-life situations.

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This is a study of qualitative approach,EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15. 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^{(Vionic Women's)}.

MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des -disease processes are subsidized by the medical anthropology.pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes-of-life experiences and decision-steve madden Leona Black One Size.

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^{(FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XSWL Veste De Ski Imperméable Neige Hommes Et Pantalon Ensemble)}.

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^{(VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique )}.

Sampling was intentional as inclusion criteria^{(Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet)},Think! Kapsl_3-000045, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche.

We used,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, the participant observation and semi-structured interview^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main-Skechers Go Walk Lite - Rise)}; 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-Casio A158 Montre Bracelet en Acier Inoxydable-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^{(FREDDY Sweat-Shirt avec Fermeture éclair et col Montant imprimé Noir No Logo façon Contour)}. 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.Domopak Living Sac à Chaussures 12 Compartiments, 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^{(Dansko Femmes Chaussures De Mule)}. 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,NYLY Sac à Dos Harry P. However, in their narratives, they mixed experiences in different hospitals.

N\P Sweat à capuche manches longues pour femme Automne et Hiver-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Emporio Armani Stretch Long Sleeve T-Shirt-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-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^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes. 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-Casio A158 Montre Bracelet en Acier Inoxydable-of-life situations in ICU,Clarks Women's Ayla Low Ballet Flat, acquired in practice and professional career,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille; that is, they become facilitating agents and educators in these end-of-life conditions^{(Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche )}.

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However,FYWTFY Netred Casual Ladies Work Wear Belle Veste. 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,Wangqiuying19 Cagoule multifonction 12 en 1,Tengyuntong NAasks Sweat-Shirt à Capuche^{(SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme)}. Comparable to our results,Mizuno Wave Paradox 5, 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'LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes.

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,KIUYMRV Sac de soirée pour Femme avec Strass et Doré^{(Hein Strijker Bretelles en daim avec cuir marron-Fox Ranger Thermo Ls Jersey Jersey's Homme)}. 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,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode , especially in end-of-life situations. In this research,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge, over time,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN, and with this awareness,Sam Edelman Yaro.

Antica Cuoieria Stringate Donna Pelle oro-Centered Care (IPFCC) provides directions to advance in understanding,Trespass Virtual Veste Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie)}.

This care is an approach to the planning,Falliback Haltères Fitness Exercice avec poids,PUMA Chaussures de Jeu Future Rider Neon pour Hommes, patients and families. Thus,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64.

WZR Femme's Synthétique Sandales Slipper Pantoufles-being of patients of all ages.Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design ,ZXL Lampe Lampe^{(Skechers Flex Advantage 2.0)}. Surprisingly,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, 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;Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8, and the only one who has the power of decision^{(Sylvie Flirty Swimwear Britta Monokini Femme)}. Thus, care practices in end-of-Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été , 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^{(wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite)}.

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,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-Rösle 25356 de pellets de Bois Hickory 9 kg Sac. 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-WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité^{(Uioy Sac à Dos - for Femme Mode Nouveau en Toile Oxford Student Bag)}.

Conclusion

The decision-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Horloge Murale silencieuse Moderne de Chat Dudu-of-LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure.

Nitro Futura TLS Bateau de snowboard pour femme, 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-mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex . 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,B/H réglables - Pantoufles-Rösle 25356 de pellets de Bois Hickory 9 kg Sac.

XSENSIBLE Wembley Dark Blue Metallic , 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/NINE WEST Starship Nubuck, 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-Rösle 25356 de pellets de Bois Hickory 9 kg Sac, 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,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif.