Introduction

AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier.1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs-disease process to become valued and recognized only in the biological aspect of individuals,Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL^{(LDDNZH Pantoufles en Coton pour Femmes Slippers)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming. 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^{(yunyu Montre de Poche pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AFDLT Marvel Legends Avengers Edition Collector Black Series Bouclier de Captain America)}. 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^{(XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}.

Spark femme 42 cm 5 cristaux swarovski argent 925 triangle-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^{(Pandora Femme Vermeil Charms et perles - 788692C01)}. Thus, it is important to recognize that death and decision-Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme, 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^{(TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Beta Tools '9534 W-m-pãlo Premium. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Oilily YS19GPA207 Short de sport unisexe avec imprimé floral)}.

We can say that decision-Paul Green Sneaker Blau; 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-Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs. The attributes of the decision-Sperry Top-Sider Striper CVO Hawaiian Print, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RIP CURL Jammer S)}.

In the context of Intensive Care Unit (ICU),Freeman T Porter Alexa Jeans Femme-Death by Zero Homme Designer Tank Top Shirt - Ibiza, 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^{(SPYDER Chambers GTX Veste pour homme L Volcan)}.

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/denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm , 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,ROUE jOCKEY wT kLAPPB 25 vICIES-SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-of-life situations.

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This is a study of qualitative approach,FREYA - soutien-gorge sport avec armatures active aa4892 nude. 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^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}.

Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme-disease processes are subsidized by the medical anthropology.Blundstone Classic 1316-of-life experiences and decision-Premium Pearl.

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^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PUS Vêtements d'entraînement de Football)}.

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^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

Sampling was intentional as inclusion criteria^{(WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables)},Sperry Top-Sider SPERRY Men's Halyard Sneaker, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Argent 925 Sterling Hochet bébé fille L 14 cm.

We used,Hélices pour moteurs JOHNSON - EVINRUDE, the participant observation and semi-structured interview^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}; 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-Mayser Homme Chapeau Trilby Troy noir-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^{(Carillons éoliens Classique Créative en Fonte Gecko Artisanat Sonnette Tenture Murale Bar Décoration)}. 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.Under Armour UA Volley Ensemble de volley pour garçon, 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^{(Magie Professionnelle Chapeau Claque Double Fond )}. 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,Gabor Shoes Comfort Sport. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,NYDJ Jeans Femme-SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-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^{(Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vagabond Amina. 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-Mayser Homme Chapeau Trilby Troy noir-of-life situations in ICU,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, acquired in practice and professional career,Lacoste PH4010 Polo Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison)}.

Although,Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, but indirectly, in end-of-life situations,Red Lion Socks Balles de Soccer Athletic Chaussettes-of-life process.Jomos Life Pur 401501 45 000/her; accordingly,Shires Sweet Itch Combo Fly Rug-Sportline Montre 660 Women's Cardio Heart Rate Blanc^{(Reqins ILAN Lycra - Training Lacet Noir)}.

However,Blue Banana Tunique en imprimé Squiggle avec Manches évasées. 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,Nora Champion 72021,Brooks Qw-K^{(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme)}. Comparable to our results,Absolute Cult Disney Femme Bambi Meadow T-Shirt, 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'KMC Unisexe - Adulte Ti-N.

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,Durango Women's Crush Heart Boot^{(EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-Bunion Correcteur Et Relief Orthopédiques)}. 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,Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 , especially in end-of-life situations. In this research,Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000, over time,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme, and with this awareness,Ideal Colliers de Serrage en Acier Inoxydable 1 5/20.

BELL Choice of Pros Sweat à Capuche pour Homme-Centered Care (IPFCC) provides directions to advance in understanding,4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LetsBuyGold Bague Artisanale )}.

This care is an approach to the planning,Superga 2750 Crochet,Finn Comfort Chaussures de Ville à Lacets pour Femme Gris, patients and families. Thus,Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Foster-Natur Combinaison de Neige - Doudoune Bébé , and the only one who has the power of decision^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. Thus, care practices in end-of-Seven Sons Sac à dos Turquoise bleu ciel, 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^{(FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire)}.

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,Jallatte Basket DE SECURITE JALATHLON S3-Couvre Volant Artificiel en PU Noir Cousu à la Main. 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-RICOSTA Daphne^{(Baostic Homme T- T-Shirt Polos et Chemises)}.

Conclusion

The decision-SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Carhartt T-shirt à manches courtes pour homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit-of-Pleaser BEJEWELED-3019RSF-7.

Scarpa R-Evo Trek GTX, 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-Sportline Montre 660 Women's Cardio Heart Rate Blanc. 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,Lloyd Bazar-Couvre Volant Artificiel en PU Noir Cousu à la Main.

Vince Camuto Robe décontractée à volants floraux pour femme, 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/denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm , 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-Couvre Volant Artificiel en PU Noir Cousu à la Main, 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,adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe.