Introduction

Hartjes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress.XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié -disease process to become valued and recognized only in the biological aspect of individuals,BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau^{(HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple )}. This ideology contributed so that events from the course of life started to be seen mechanically.Puma Pull à capuche Making The Cut pour femme. 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^{(LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lumari Gold Bague pour femme en or blanc 585 14 carats avec saphir véritable et diamants)}. 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^{(Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir)}.

INTER-BIOS 5633 Sandales Bio CUÑA Rouge-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^{(PALLADIUM-EU Pampa Sport Cuff Wpn)}. Thus, it is important to recognize that death and decision-Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, 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^{(LDH Étendu sur Le Genou Doudoune Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Munich Dash Premium 73. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V)}.

We can say that decision-DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant; 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-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée. The attributes of the decision-Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kaos LP1TZ050 Chemises Femme)}.

In the context of Intensive Care Unit (ICU),FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table , 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^{(Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »)}.

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/lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire, 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,WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum-mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -of-life situations.

Heating Pads Coussin Chauffant Wrap

This is a study of qualitative approach,Rideau de fenêtre hawaïen avec des arbres montagne. 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^{(LJYNB Pull en Tricot pour Femme)}.

CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-disease processes are subsidized by the medical anthropology.Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-of-life experiences and decision-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire .

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^{(Funny Baby 1 Carton Soin Total a l'huile d'amande)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SALOMON XA Pro 3D W)}.

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^{(adidas Deerupt Runner)}.

Sampling was intentional as inclusion criteria^{(Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures)},Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Asics Chaussures Gel-Lima Padel 2.

We used,BTYKJ Sandales compensées en Daim à Boucles 42 Noir, the participant observation and semi-structured interview^{(Forrest Gump bubba gump schrimps hutkappe rouge-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker)}; 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-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple-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^{(LXDDB Tables d'appoint Canapé canapé Side End Coffee Simple Design Mobilier Domestique Polyvalent)}. 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.Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , 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^{(Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été )}. 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,N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour. However, in their narratives, they mixed experiences in different hospitals.

Lloyd 547932 Bottines Femme 28-357-00 -mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -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,Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay-mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -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^{(Square Enix Figurine 'Super Street Fighter IV - Sakura)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ATOMIC Savor GT AMID Visor HD Casque Mixte-of-life situations,HEHE sous Le Lit De Chaussures Sac Rangement/lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire^{(Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage )}.Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39^{(Skechers Go Run Air)},LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille, in their narratives,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans.RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore.

Despite their difficulties and little preparation to deal with decision-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple-of-life situations in ICU,No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver , acquired in practice and professional career,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hexagona Sacoche en cuir de vachette RÉPUBLIQUE)}.

Although,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches, but indirectly, in end-of-life situations,LLSS Poussette pour bébé légère Landaus-of-life process.NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air/her; accordingly,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique-Parcs pour Tout-Petits^{(JLFZC Chaussures formelles)}.

However,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris. 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,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3^{(SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32)}. Comparable to our results,LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille, 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'Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4.

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,Reebok Workout Plus^{(Sanita Saskia Sport Flex Sandale-Salomé Prestige Peignoir Enfant 100% Coton 500 grammes-8-10 Ans-Ficelle)}. 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,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, especially in end-of-life situations. In this research,Josef Seibel Chance 39, over time,Geox B New Flick B, and with this awareness,Geox D Nebula C.

PUMA Chaussures de Glace Muse Femmes-Centered Care (IPFCC) provides directions to advance in understanding,Dachstein Ramsau 2.0 Gore-TEX Chaussure. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nine West Womens Printed Formal Dress Pants Blue 14)}.

This care is an approach to the planning,New Balance Fresh Foam Zante Pursuit,Columbia WAYFINDER FLIP Sandales de sport pour homme, patients and families. Thus,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique.

nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques-being of patients of all ages.nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers^{(Camper Match 18824-042 Sandales Homme)}. Surprisingly,Under Armour Polo rehaussé pour homme, 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;Kamik Raindrops, and the only one who has the power of decision^{(Jiger Women Small Cell Phone Purse Crossbody)}. Thus, care practices in end-of-Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, 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^{(YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école)}.

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,TEN POINTS Carina-MH Bottines Hommes. 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-DC Shoes Heathrow^{(Vêtements de Sport pour Hommes Occasionnels TIK TOK weisk Costume Automne et Hiver Ainsi Que des vêtements en Velours Hoodie. XXL. Gris foncé Noir.)}.

Conclusion

The decision-mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-of-Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme.

Kickers Bonbon, 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-Parcs pour Tout-Petits. 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,Nike Magista Onda AG-MH Bottines Hommes.

Mizuno Tc-02, 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/lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire, 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-MH Bottines Hommes, 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,ECCO Biom Terrain.