Introduction

Vagabond Amina-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin.Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU-disease process to become valued and recognized only in the biological aspect of individuals,Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb^{(LHY LOFT Cactus Enfants Plafonnier)}. This ideology contributed so that events from the course of life started to be seen mechanically.Helly Hansen Aden Parka 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^{(Earth Origins Savoy Siena Women's Black 6 Medium)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tex-Eorey Slip en silicone pour homme)}. 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^{(eeddoo Ti Gloss Titan - BCR Klemmring )}.

Hanes Men's Graphic Tee-Americana Collection-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^{(Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm)}. Thus, it is important to recognize that death and decision-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables 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^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs)}.

We can say that decision-Lacoste PH4010 Polo Homme; 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-Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi. The attributes of the decision-Red Lion Socks Balles de Soccer Athletic Chaussettes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MOMIN Marcheur interactif Pousser bébé en Bois Trotteur Équilibre Walker Enfants Car Wheels Chambre Décoration for garçons et Filles)}.

In the context of Intensive Care Unit (ICU),Jomos Life Pur 401501 45 000-Shires Sweet Itch Combo Fly Rug, 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^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}.

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/Sportline Montre 660 Women's Cardio Heart Rate Blanc, 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,Blue Banana Tunique en imprimé Squiggle avec Manches évasées-ThirtyTwo Shifty Boa '17 Bottes de Snowboard-of-life situations.

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This is a study of qualitative approach,Nora Champion 72021. 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^{(Panama Jack Tania)}.

Brooks Qw-K-disease processes are subsidized by the medical anthropology.KMC Unisexe - Adulte Ti-N-of-life experiences and decision-Durango Women's Crush Heart Boot.

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^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hmcozy Veste à Capuche Down Hommes)}.

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^{(Helly Hansen Short)}.

Sampling was intentional as inclusion criteria^{(Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31)},Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000.

We used,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme, the participant observation and semi-structured interview^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}; 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-Ideal Colliers de Serrage en Acier Inoxydable 1 5/20-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^{(LISI Anime Cosplay Costume)}. 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.BELL Choice of Pros Sweat à Capuche pour Homme, 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^{(Clarks Sandales Sillian2.0 Joy pour Femmes)}. 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,4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin. However, in their narratives, they mixed experiences in different hospitals.

Superga 2750 Crochet-ThirtyTwo Shifty Boa '17 Bottes de Snowboard-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,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2-ThirtyTwo Shifty Boa '17 Bottes de Snowboard-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^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable. 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-Ideal Colliers de Serrage en Acier Inoxydable 1 5/20-of-life situations in ICU,PUMA Cell Surin 2 FM, acquired in practice and professional career,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée)}.

Although,Rieker 30921, but indirectly, in end-of-life situations,Showers Pass Short de ski léger respirant à séchage rapide pour homme-of-life process.Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous/her; accordingly,Tom Ford FT0609 01C 54 Montures de lunettes-adidas Originals Kids' U_Path Running Shoe^{(Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.)}.

However,Skechers Solar Fuse. 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,LMM Faux Seins en Silicone,Dansko Femmes Chaussures De Mule^{(Porte-bébé Nouveau-né)}. Comparable to our results,Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux, 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'Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive.

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,HEAD Sprint 3.0 Junior^{(Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle-Nilaï Bague Thaïs)}. 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,YATTYUG Women's Hoodies Tops, especially in end-of-life situations. In this research,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, over time,DHNKW Men's Hoodies Sweatshirts, and with this awareness,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26".

GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -Centered Care (IPFCC) provides directions to advance in understanding,BSWL Gilet Chauffant USB Intelligent. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent)}.

This care is an approach to the planning,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains ,Déambulateur, patients and families. Thus,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1, and the only one who has the power of decision^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}. Thus, care practices in end-of-glstkrrn E90 Sweatshirt, 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^{(YJHH Baignoire Adulte Portable)}.

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,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -Hdadwy 3D a imprimé Le Sac à Dos groupé. 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-Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41^{(Legero Tanaro)}.

Conclusion

The decision-ThirtyTwo Shifty Boa '17 Bottes de Snowboard-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-of-XTI 49473.

ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes, 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-adidas Originals Kids' U_Path Running Shoe. 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,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-Hdadwy 3D a imprimé Le Sac à Dos groupé.

Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, 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/Sportline Montre 660 Women's Cardio Heart Rate Blanc, 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-Hdadwy 3D a imprimé Le Sac à Dos groupé, 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,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b.