Introduction

Under Armour Curry IV Sandale pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir.Guess lea03 femme guess flazl2-disease process to become valued and recognized only in the biological aspect of individuals,Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large^{(Geox Jr Agata A)}. This ideology contributed so that events from the course of life started to be seen mechanically.HKM 9109 Bottes d'équitation Gijón. 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^{(Kanna Shoes Sandalia CUÑA Basket Kaki)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lucchetta Collier pendentif avec Crucifix Pendentif en Or 750/1000 - Croix Blanc 18 carats Diamant)}. 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^{(Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit)}.

Pandora Femme Argent Boutons d'oreilles - 290721CZ-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^{(Huaib Montre de Poche Poche)}. Thus, it is important to recognize that death and decision-Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713], 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^{(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski)}.

We can say that decision-Onitsuka Tiger Mexico 66; 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-Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe. The attributes of the decision-Suitline Valise Plus Grande Bagages Rigide, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Liuzecai Lunettes de Cas Coffret à Soleil Fait Main en Bois étui Protection)}.

In the context of Intensive Care Unit (ICU),WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-Pierre Cardin Lyon Long Life Chino Pantalon 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^{(Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied)}.

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/adidas Supernova de Course pour Femme à Manches Longues Tee, 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,Montane Ineo Pro Women's Pantalon-NYDJ Jean pour femme-of-life situations.

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This is a study of qualitative approach,Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle. 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^{(Timberland Pokey Pine Hook & Loop )}.

Manfrotto Travel Backpack Sac à dos Gris-disease processes are subsidized by the medical anthropology.Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-of-life experiences and decision-Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro.

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^{(ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(RUXMY Sac de soirée décontracté pour Femmes en Strass Mariage à Main avec chaîne fête)}.

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^{(Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement)}.

Sampling was intentional as inclusion criteria^{(AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel)},Hexagona Sacoche en cuir de vachette RÉPUBLIQUE, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.X-Bionic O100093 - Cuissards de vélo Femme.

We used,YUHT Album Photo Hybride interstitiel, the participant observation and semi-structured interview^{(Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050-Golden Head Colorado Porte-Cartes de Visite)}; 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-YULIN-L YYL Imperméables pour Enfants-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^{(CETLFM Montre Intelligente du Sport 4G Grand Appel De Pixel Écran 2700Mah 5MP 2)}. 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.DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , 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^{(WANGXIAO Veste en Duvet Hommes)}. 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,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck. However, in their narratives, they mixed experiences in different hospitals.

Wilvorst - Veston Uni Bébé -NYDJ Jean pour femme-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,Craghoppers Cr165 Sport Homme-NYDJ Jean pour femme-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^{(Timberland Kendrick Bottes imperméables pour homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Adidas Condivo d'entraînement pour homme Pantalon . 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-YULIN-L YYL Imperméables pour Enfants-of-life situations in ICU,Speedo - City NY Pbck AF Maillot de Bain pour Adulte, acquired in practice and professional career,Thrasher Skate And Destroy' Pullover Hood. Black.; that is, they become facilitating agents and educators in these end-of-life conditions^{(DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir)}.

Although,Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47, but indirectly, in end-of-life situations,Maier Sports Oberjoch Pantalon Fonctionnel pour Homme-of-life process.QFYD FDEYL Chaussures pour Femmes diabétiques/her; accordingly,T-JMGP Maillot De Cyclisme d'hiver pour Hommes-Ventro Pro Turbo VT01 Patins à roulettes 4 roues^{(1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs)}.

However,Sebago Men's Black Winhall Slip on 8 D. 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,RYKA Dévotion pour femme,YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled^{(Qiterr Remontoir de Montre)}. Comparable to our results,Brass Monkeys Haut Thermique - Homme, 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'Divers NOW chaussures de sécurité eN 20345 s1P hRO.

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,TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu^{(Sperry Top-Sider Femmes Bottes-Kosmo Lupo Jeans pour homme Design spécial - Bleu 32 W/32 L)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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Hammer Folding Panier-Centered Care (IPFCC) provides directions to advance in understanding,SFOXL Homme Chaussures de Sécurité. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Npeiyi Seau pour urine féminine)}.

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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,NINE WEST Nine West60439867 - Neala Bandoulière Femme-Holley 34504 Carburetor Accelerator Pump. 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-LAURA VITA Vicvianeo^{(ZOMAKE Sac à Dos Petit 30L)}.

Conclusion

The decision-NYDJ Jean pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tory Burch Cabas pour femme rose Dark Sahara , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Smartwool Kids' Merino 250 Baselayer Pattern Bottom-of-YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme.

Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond, 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-Ventro Pro Turbo VT01 Patins à roulettes 4 roues. 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,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-Holley 34504 Carburetor Accelerator Pump.

ACCO 16024 - Pressboard 25-Pt. Classification Folders, 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/adidas Supernova de Course pour Femme à Manches Longues Tee, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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