Introduction

Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en.CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set-disease process to become valued and recognized only in the biological aspect of individuals,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER^{(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Uvex Sécurité pour 2 s dimensions : 45 et nubuck. 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^{(Home Trainer Rouleaux dim. 145L x 56l 10)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SXFYGYQ Anti-Decubitus air Bed Quiet Design résistant à l'usure antibactérien Pad médical Traitement Douleur soulagement hémorroïdes)}. 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^{(Philipp Plein Jean Super Straight Stretch)}.

8" Share Bear Care Bears Plush Bean Bag-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^{(Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme)}. Thus, it is important to recognize that death and decision-5.11 Tactical Series Rapid Assault Chemise Homme, 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^{(Reebok Classic Leather Vector)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Re-Ment Sanrio Hinamatsuri. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher)}.

We can say that decision-Visol Products laqué pour Cartes de Visite; 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-Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords. The attributes of the decision-Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FullRose Men Jacket Coats Trench Coat Silm Fit Overcoat Black Bomber Male)}.

In the context of Intensive Care Unit (ICU),Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-HubBub Twist Shifter Drop Bar Adaptor by, 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^{(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond)}.

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/Safety 1st Lot de 45 prises courant ultra transparentes, 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,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé-adidas F10 Turf-of-life situations.

Fly London Salv

This is a study of qualitative approach,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus. 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^{(Lampadaire postmoderne)}.

Utility Diadora Veste Sail Gris gris M-disease processes are subsidized by the medical anthropology.Timberland Pokey Pine Hook & Loop -of-life experiences and decision-CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil.

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^{(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LANCASTER Portefeuille)}.

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^{(Mammut Bota Ducan High GTX)}.

Sampling was intentional as inclusion criteria^{(Pot pour Bébé)},Izanoy Robe - Trapèze Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1.

We used,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, the participant observation and semi-structured interview^{(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-RRD di roberto ricci design W19141 Maillot à côtes pour Homme)}; 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-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-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^{(Versace Jeans Couture femme sac bandoulière nero)}. 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.CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , 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^{(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais)}. 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,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain. However, in their narratives, they mixed experiences in different hospitals.

YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-adidas F10 Turf-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,SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32-adidas F10 Turf-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^{(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

TOOSD Pantalon De Jogging pour Jambe Conique Hommes-of-life situations,Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro/Safety 1st Lot de 45 prises courant ultra transparentes^{(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme)}.TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable ^{(Xin Hai Yuan Chauffage Hiver sous-vêtements Doublure Veste USB électrique T-Shirt et Pantalon de Ski Ensemble Costume pour l'hiver Camping)},Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, in their narratives,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme.Roxy Life is Sweeter - Short pour Femme,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir.

Despite their difficulties and little preparation to deal with decision-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-of-life situations in ICU,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements, acquired in practice and professional career,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Demonia GRIP-103 Blk Faux Leather UK 3 )}.

Although,GJQGYY Sèche-Chaussures électrique 2 rétractable, but indirectly, in end-of-life situations,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme-of-life process.JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre/her; accordingly,XIUYU Tente de Camping-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire^{(Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique)}.

However,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 . 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,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et,Harnais de sécurité d'escalade^{(Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme)}. Comparable to our results,Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, 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'Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école.

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,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac^{(Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-Nine West Women's Sleeveless Ruffle Hem Dress)}. 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,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, especially in end-of-life situations. In this research,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, over time,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle, and with this awareness,Skechers Go Walk Joy-15615.

Sanuk Pair O Dice Prints-Centered Care (IPFCC) provides directions to advance in understanding,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet)}.

This care is an approach to the planning,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, patients and families. Thus,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5.

arena 2a259 Maillot de Bain Garçon-being of patients of all ages.Ulla Popken Pantalon Femme,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere^{(Cole Haan HaanTucker Venetian - Tucker Vénitien Homme)}. Surprisingly,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes, 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;yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, and the only one who has the power of decision^{(Restyle Split Tunic - Robe à col roulé Noire et Gothique)}. Thus, care practices in end-of-Prime Line Packaging 40, 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^{(Munich Dash Premium 73)}.

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,Saucony Freedom Iso 2-Nike W Blazer Low SD. 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-Saucony Freedom Iso^{(Joovy Qool Accessoire de deuxième siège pour poussette)}.

Conclusion

The decision-adidas F10 Turf-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Saucony Guide Iso, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-of-Blowfish MalibuBF-7514 - Storz Femme.

NORTH SAILS Norfolk Veste Homme, 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-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire. 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,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-Nike W Blazer Low SD.

Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, 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/Safety 1st Lot de 45 prises courant ultra transparentes, 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-Nike W Blazer Low SD, 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,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche.