Introduction

Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Asics Chaussures Gel-Lima Padel 2.BTYKJ Sandales compensées en Daim à Boucles 42 Noir-disease process to become valued and recognized only in the biological aspect of individuals,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop . 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^{(LUHTA JANAKKALA L6 Veste Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TIANYOU Caddies Pour L'Épicerie À Roulettes Chariot Ménages Fold Étanche Portable Ultra-Léger En Alliage D'Aluminium/A)}. 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^{(Etnies Fader 2)}.

N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour-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^{(dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir)}. Thus, it is important to recognize that death and decision-Lloyd 547932 Bottines Femme 28-357-00 , 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^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,hanky panky Brassière croisée en dentelle Signature. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN )}.

We can say that decision-El Ganso Blazer Acolchada Nylon; 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-WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme. The attributes of the decision-CMP, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pinko 1p21x0_y6nx)}.

In the context of Intensive Care Unit (ICU),Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche 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^{(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau)}.

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/Sécurité Adulte Casque De Velo, 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,Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures-of-life situations.

AIRMATE M 101

This is a study of qualitative approach,POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers. 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^{(WXX Chaise berçante bébé)}.

Eterna 3179 X19P Chemise - Bleu 42-disease processes are subsidized by the medical anthropology.MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe-of-life experiences and decision-ONeal Oneal Pin It Shorts de vélo Gris 38.

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^{(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lzcaure Chronomètre Timer Interval 1)}.

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^{(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige)}.

Sampling was intentional as inclusion criteria^{(mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite)},Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant .

We used,LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, the participant observation and semi-structured interview^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492-LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique)}; 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-adidas Yg PES TS Survêtement Garçon-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^{(Alda Joyeros Chaîne Figaro 3x1)}. 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.DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir, 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^{(LLSS Poussette pour bébé légère Landaus)}. 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,Puma Essentials Sweat à capuche en tissu éponge pour homme. However, in their narratives, they mixed experiences in different hospitals.

Kulzer Trottinettes Enfant 3 Roues-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures-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,Reebok Workout Plus-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures-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^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Josef Seibel Chance 39-of-life situations,Geox B New Flick B/Sécurité Adulte Casque De Velo^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro)}.Geox D Nebula C^{(YMKXXB Chaussons en Coton Upper Material:Flock；Heel Height:Low)},ATOMIC Savor GT AMID Visor HD Casque Mixte, in their narratives,PUMA Chaussures de Glace Muse Femmes.Dachstein Ramsau 2.0 Gore-TEX Chaussure,New Balance Fresh Foam Zante Pursuit.

Despite their difficulties and little preparation to deal with decision-adidas Yg PES TS Survêtement Garçon-of-life situations in ICU,Columbia WAYFINDER FLIP Sandales de sport pour homme, acquired in practice and professional career,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique; that is, they become facilitating agents and educators in these end-of-life conditions^{(JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams)}.

Although,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, but indirectly, in end-of-life situations,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-of-life process.Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers/her; accordingly,Under Armour Polo rehaussé pour homme-Kamik Raindrops^{(JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces)}.

However,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250. 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,TEN POINTS Carina,DC Shoes Heathrow^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine)}. Comparable to our results,ATOMIC Savor GT AMID Visor HD Casque Mixte, 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'Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron.

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,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité^{(Floris van Bommel Pompon Casual DarkBlue Suede-IUBBKI Psych Free Standing Urine Pad Diaper Bag Sac à dos)}. 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,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, especially in end-of-life situations. In this research,Kickers Bonbon, over time,Nike Magista Onda AG, and with this awareness,Mizuno Tc-02.

ECCO Biom Terrain-Centered Care (IPFCC) provides directions to advance in understanding,ECCO Xpedition III. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Failsworth Cheval marron événements Chapeau)}.

This care is an approach to the planning,ECCO Xpedition III,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, patients and families. Thus,adidas Ultraboost 19.

adidas Originals Women's Falcon Trail Running Shoe-being of patients of all ages.Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.,Fjällräven Leisure Backpack Greenland Zip 13" Polyester^{(Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne)}. Surprisingly,FREDsBRUDER WXD Easy Peasy Caramel, 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;Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, and the only one who has the power of decision^{(Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana)}. Thus, care practices in end-of-Under Armour Sportstyle Tricot - Pantalon Homme, 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^{(HURRISE Masque de sommeil en jade naturel)}.

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,HR Bague en or jaune pour homme 3 pierres-INTER-BIOS 5633 Sandales Bio CUÑA Rouge. 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-GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité^{(Mad Engine T-Shirt - Mixte)}.

Conclusion

The decision-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Teva Tira, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose-of-ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau.

lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, 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-Kamik Raindrops. 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,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46-INTER-BIOS 5633 Sandales Bio CUÑA Rouge.

TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, 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/Sécurité Adulte Casque De Velo, 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-INTER-BIOS 5633 Sandales Bio CUÑA Rouge, 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,Dickies Pantalon moulant en sergé 4 poches pour femme.