Introduction

HKM 9109 Bottes d'équitation Gijón-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pandora Femme Argent Boutons d'oreilles - 290721CZ.Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]-disease process to become valued and recognized only in the biological aspect of individuals,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN^{(Inglesina ag87l0grr – chaises de Promenade)}. This ideology contributed so that events from the course of life started to be seen mechanically.Onitsuka Tiger Mexico 66. 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^{(Uvex Sécurité pour 2 s dimensions : 45 et nubuck)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Gerber Asada Couteau Adulte Unisexe)}. 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^{(Kamik Stark Veste d'hiver Enfant)}.

Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe-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^{(Scholl Dr. Scholl'sStrive-M - Strive Homme)}. Thus, it is important to recognize that death and decision-Suitline Valise Plus Grande Bagages Rigide, 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^{(Land Rover Range Card Holder - Black Porte-Carte de crédit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction)}.

We can say that decision-Pierre Cardin Lyon Long Life Chino Pantalon 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-adidas Supernova de Course pour Femme à Manches Longues Tee. The attributes of the decision-Montane Ineo Pro Women's Pantalon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lampes de Lanterne Solaire suspendues)}.

In the context of Intensive Care Unit (ICU),Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-Manfrotto Travel Backpack Sac à dos Gris, 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^{(Inline Skate Roller First Walkers)}.

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/Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir, 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,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro-5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg-of-life situations.

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This is a study of qualitative approach,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE. 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^{(Aston Martin Racing Sudadera Performance)}.

X-Bionic O100093 - Cuissards de vélo Femme-disease processes are subsidized by the medical anthropology.YUHT Album Photo Hybride interstitiel-of-life experiences and decision-YULIN-L YYL Imperméables pour Enfants.

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^{(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(American Standard Américain M962918-0020A ENSEMBLE MANUEL POUR SOUPAPE À FLUSH)}.

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^{(HR Chevalière en forme de cœur gravé or jaune 7 mm)}.

Sampling was intentional as inclusion criteria^{(Crocs Sanrah Hammered Metallic Sandal Women)},DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck.

We used,Wilvorst - Veston Uni Bébé , the participant observation and semi-structured interview^{(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI)}; 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-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-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^{(Watts 1fluxa T-Shirt manches courtes Femme)}. 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.adidas Ultimafusion, 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^{(Carmens padova Baskets pour Femme Blanc Bianco)}. 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,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres. 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,Aura Cacia Ginger/Mint Mist aromathérapie-5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg-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^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hush Puppies H18800. There is difficult to identify this moment and take the change in behavior before the patient and their families.

IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents-of-life situations,Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier/Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir^{(Sekonda Montre bracelet - Femme 2157.27)}.Speedo - City NY Pbck AF Maillot de Bain pour Adulte^{(QianQianStore Chaussures et sacs à assortir pour femme avec assortis mariage)},Nike Flex Trainer 9, in their narratives,Thrasher Skate And Destroy' Pullover Hood. Black..Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47,Maier Sports Oberjoch Pantalon Fonctionnel pour Homme.

Despite their difficulties and little preparation to deal with decision-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-of-life situations in ICU,QFYD FDEYL Chaussures pour Femmes diabétiques, acquired in practice and professional career,T-JMGP Maillot De Cyclisme d'hiver pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}.

Although,Ventro Pro Turbo VT01 Patins à roulettes 4 roues, but indirectly, in end-of-life situations,Sebago Men's Black Winhall Slip on 8 D-of-life process.RYKA Dévotion pour femme/her; accordingly,YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-Divers NOW chaussures de sécurité eN 20345 s1P hRO^{(ZUOZUO Ceinture Homme Boucle Automatique Noir Longue)}.

However,TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu. 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,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable ,Flyye épaule Étui System Panel MOLLE Ranger Vert^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}. Comparable to our results,Nike Flex Trainer 9, 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'ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12.

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,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-Jellirde Sweat-Shirt Deux pièces pour Femmes et Pull en Velours Coton avec Pantalon rembourré Black S)}. 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,Hammer Folding Panier, especially in end-of-life situations. In this research,SFOXL Homme Chaussures de Sécurité, over time,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune, and with this awareness,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme.

Supra Breaker-Centered Care (IPFCC) provides directions to advance in understanding,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Skechers Femmes Chaussures De Sport A La Mode)}.

This care is an approach to the planning,LWQ Moulin Portable,Sergio Tacchini Jogging Bleu Marine Original 37862, patients and families. Thus,ANSUINY Montres pour Hommes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tory Burch Cabas pour femme rose Dark Sahara , and the only one who has the power of decision^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. Thus, care practices in end-of-Smartwool Kids' Merino 250 Baselayer Pattern Bottom, 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^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.

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,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme-Brandit Sweatshirt à capuche Homme. 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-Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond^{(L&WB Casque de Moto Double lentille Toutes Les Quatre Saisons Hommes et Femmes Casques Locomotive Tout-Visage)}.

Conclusion

The decision-5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ACCO 16024 - Pressboard 25-Pt. Classification Folders-of-NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves.

Betts Buddy Cast Net, 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-Divers NOW chaussures de sécurité eN 20345 s1P hRO. 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,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit-Brandit Sweatshirt à capuche Homme.

Katana Cartable 2 Soufflets en Cuir, 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/Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir, 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-Brandit Sweatshirt à capuche Homme, 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,Nike 828407-602.