Introduction

Reebok Chaussures Zig Elusion Energy-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wyre Valley Bottes en Caoutchouc Homme.JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau-disease process to become valued and recognized only in the biological aspect of individuals,DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear^{(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Essentials Sereno Pantalon dentraînement. 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^{(Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XTD Chaussures De Soins Infirmiers élargissement Réglable du Pied Diabétique Chaussures- Old Man Fat Grand Large Feet Chaussure- Loose Women Homme pour Taille Unisexe Blue- Ladies-3.5UK)}. 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^{(Columbia Sandy River II Short imprimé à séchage rapide pour femme)}.

Limit Sport MA192 Aldara Moyen Âge Multicolore-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^{(Bouilloire électrique en Verre)}. Thus, it is important to recognize that death and decision-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode , 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^{(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Geox XLED Girl J928DA Fille Baskets Mode. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Carhartt Gilliam Vest Gilet Homme)}.

We can say that decision-Nfudishpu Tambour électronique; 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-Skechers Women's Rumblers-Whimsical Wonder Flip-Flop. The attributes of the decision-CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ETHNIC EMPORIUM Robe Indienne 7745 en Mousseline avec Broderie Coton Motif Kameez)}.

In the context of Intensive Care Unit (ICU),McAlister Textiles Denim Bleu Savane Rideaux-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées, 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^{(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot)}.

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/HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events , 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,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme-of-life situations.

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This is a study of qualitative approach,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas. 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^{(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche)}.

KYWBD Ensemble Lingerie Sexy-disease processes are subsidized by the medical anthropology.Giro Monaco II Gel Gants de Cyclisme-of-life experiences and decision-PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir.

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^{(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers Go Run Fast-Retro Insight)}.

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^{(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros)}.

Sampling was intentional as inclusion criteria^{(WPQBS Porte-clés)},Oceansouth Leger Alliage des échelles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin.

We used,Charm Teddy Chaussette de Noël, the participant observation and semi-structured interview^{(FREDsBRUDER Layer Bumper Tangelo-MKXF Chaussures Bottes de genou pour femmes)}; 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-Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots-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^{(Kidscool Jean pour bébé et petite fille Taille élastique Trous en jean)}. 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.Esprit Pepe T-Strap, 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^{(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles)}. 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,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43. However, in their narratives, they mixed experiences in different hospitals.

NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc-MILESTONE Alicia Veste en Cuir Nappa d'agneau 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,RYKA Everest-MILESTONE Alicia Veste en Cuir Nappa d'agneau 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^{(Sperry Top-Sider Striper CVO Hawaiian Print)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29. 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-Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots-of-life situations in ICU,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées, acquired in practice and professional career,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples; that is, they become facilitating agents and educators in these end-of-life conditions^{(Columbia Wayfinder Outdry')}.

Although,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, but indirectly, in end-of-life situations,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie-of-life process."N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues/her; accordingly,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité-VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage^{(SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps)}.

However,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir. 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,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts^{(KYWBD Ensemble Lingerie Sexy)}. Comparable to our results,WÜRTH MODYF Softshell de Travail Hydra Grise, 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'Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette.

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,Nike Mercurial Victory V IC^{(Bamex Chariot De Course Seattle Noir-Columbia Omni-Shade UPF 30 Walnut River Short pour Femme 15 cm)}. 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,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman, especially in end-of-life situations. In this research,casco Reithelm VG1 Spirit - 3 Crystal, over time,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, and with this awareness,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes.

JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau-Centered Care (IPFCC) provides directions to advance in understanding,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}.

This care is an approach to the planning,FACAI Étagère De Cuisine Rangement,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, patients and families. Thus,NYDJ Barbara Bootcut Jeans Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HÖGL Highlander, and the only one who has the power of decision^{(Superga 2750 Crochet)}. Thus, care practices in end-of-HÖGL Cosmos, 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^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}.

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,Dr. Martens Men's Maleke Ankle Bootie-Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg. 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-BYASW Chaussures de Randonnée Homme^{(GoBuyMall Autocollants muraux pour Enfants et bébés Peter Rabbit)}.

Conclusion

The decision-MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nike 917809 414, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid-of-Sanuk Kids Unisex Lil Puffer Fashion Boot.

SPYDER Project Veste pour femme, 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-VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage. 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,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver-Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg.

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The difficulty for the expansion of knowledge in the decision-Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg, 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,Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple.