Introduction

Tommy Hilfiger Reversible Th Logo Bomber Blouson-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KLIM K Corp Sweat à capuche SM Noir - Jaune.ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier-disease process to become valued and recognized only in the biological aspect of individuals,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1^{(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.)}. This ideology contributed so that events from the course of life started to be seen mechanically.HENGTONGTONGXUN Hamac Anti-Renversement. 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^{(Asics Gel-Sonoma 4 G-TX 1011a210-001)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tod's Luxury Fashion Homme MCBI30910 Beige Suède Chaussures À Lacets | Saison Outlet)}. 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^{(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 )}.

XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable-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^{(Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil )}. Thus, it is important to recognize that death and decision-Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme, 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^{(Nike WMNS Run Swift)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(New Balance H754 )}.

We can say that decision-YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié; 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-SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit. The attributes of the decision-Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LnNyRf À Capuche en Fourrure Parker Velvet Fashion Manteau d'hiver de Poche vers Le Bas Veste Confortable Chaud extérieur)}.

In the context of Intensive Care Unit (ICU),Aston Martin Racing Sudadera Performance-RRD di roberto ricci design W19141 Maillot à côtes pour Homme, 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^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

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/Lottusse T2466, 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,LAETI TREMA Boucles d'oreilles Cuzco Malachite -Lee Performance Series Extreme Motion Regular Fit Jean Homme-of-life situations.

Bache Impermeable Exterieur Transparente

This is a study of qualitative approach,CYKABT Collier de lapin. 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^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman)}.

ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm-disease processes are subsidized by the medical anthropology.RESUXI Couettes de Noël Ensembles Double-of-life experiences and decision-RESUXI Couettes de Noël Ensembles Double.

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^{(Mockledd T-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Carter's Baby Garçon 2 pièces 121g898)}.

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^{(Berkley Cutter 110 appât de pêche)}.

Sampling was intentional as inclusion criteria^{(LEONE 1947 Survêtement Unisexe Adulte)},Disney Valise trolley cabine Minnie Pink Vibes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe .

We used,Baignoire Pliante en Plastique, the participant observation and semi-structured interview^{(Ideal Colliers de Serrage en Acier Inoxydable 1 5/20-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe )}; 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-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames-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^{(Anfwy Porte Autocollants PVC Étanche Autocollant Mural Maison Chambre Fond Art Décoration De 77x200cm)}. 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.Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains, 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^{(Falliback Haltères Fitness Exercice avec poids)}. 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,HUYUQU Chaussures de Danse Latines à Strass pour Femme. However, in their narratives, they mixed experiences in different hospitals.

Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine-Lee Performance Series Extreme Motion Regular Fit Jean Homme-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,CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13-Lee Performance Series Extreme Motion Regular Fit Jean Homme-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^{(Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nero Giardini E033771M Sneakers Garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.

IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi-of-life situations,Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0/Lottusse T2466^{(FANZIFAN Manteau de la Femme)}.Genuins Sandales Bio deux boucles réglables réalisées en serrure^{(Disney The Incredibles - Incredible Dad T-Shirt Red Heather)},Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche, in their narratives,AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural.HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress,Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant.

Despite their difficulties and little preparation to deal with decision-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames-of-life situations in ICU,OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm , acquired in practice and professional career,Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique; that is, they become facilitating agents and educators in these end-of-life conditions^{(Delsey Trolley Brisban Black M 4R)}.

Although,HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , but indirectly, in end-of-life situations,KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 -of-life process.New Rock M.NEWMILI083 S6 Noir/her; accordingly,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes-CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant^{(DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres)}.

However,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm. 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,DC Shoes Court Graffik Sq,Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. Comparable to our results,Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche, 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'RICOSTA Mike.

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,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch-Sylvie Flirty Swimwear Bela)}. 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,Camper Match 18824-042 Sandales Homme, especially in end-of-life situations. In this research,Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles, over time,New Balance 247v2, and with this awareness,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite.

Skechers Stamina-classy Trail-Centered Care (IPFCC) provides directions to advance in understanding,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SGSG 10x Miroir de Maquillage Mural grossissant)}.

This care is an approach to the planning,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size,RefrigiWear Mead Jacket Veste de Sport Femme, patients and families. Thus,NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Betsey Johnson Verona, and the only one who has the power of decision^{(adidas EQT Cushion ADV)}. Thus, care practices in end-of-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032, 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^{(Hoonmis Robe de soirée Enfant)}.

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,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme-SMX Coussin de ge Voiture d'hiver. 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-Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544^{(TZTZD Gilet de Sécurité/Gilet Travail/Veste Haute Visibilité fabriqué pour Course à Pied ou Vélo Cyclisme Coupe-Vent ultraléger Respirant Réfléchissant avec Poches)}.

Conclusion

The decision-Lee Performance Series Extreme Motion Regular Fit Jean Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Victoria Beckham Lunettes de soleil aviateurs Protection UV, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WDAYI Manteau de Laine Femme-of-Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme.

Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs , 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-CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant. 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,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-SMX Coussin de ge Voiture d'hiver.

LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures, 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/Lottusse T2466, 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-SMX Coussin de ge Voiture d'hiver, 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,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani..