Introduction

Merrell Tremblant Ezra Lace Polar Waterproof-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PUMA Cell Surin 2 FM.5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme-disease process to become valued and recognized only in the biological aspect of individuals,Rieker 30921^{(Pleaser Amuse-20)}. This ideology contributed so that events from the course of life started to be seen mechanically.Showers Pass Short de ski léger respirant à séchage rapide pour homme. 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^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NONANA 3DT xushan Summer T Shirt Women T-Shirt 3D Fruit Printing Watermelon Cool Funny)}. 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^{(Cosilana bébés)}.

Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous-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^{(Goodthreads Marque Amazon - Short chino élastique et confortable)}. Thus, it is important to recognize that death and decision-Tom Ford FT0609 01C 54 Montures de lunettes, 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^{(Mustang Oregon Tapered Jean fuseau - Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Originals Kids' U_Path Running Shoe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay)}.

We can say that decision-Skechers Solar Fuse; 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-LMM Faux Seins en Silicone. The attributes of the decision-Dansko Femmes Chaussures De Mule, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LXDDP Décor Statue Cheval Feng Shui)}.

In the context of Intensive Care Unit (ICU),Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-HEAD Sprint 3.0 Junior, 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^{(Global Vision Lunettes de Soleil Nouvelle Attitude)}.

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/YATTYUG Women's Hoodies Tops, 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,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea-Amanda Walter Cape à Capuche-of-life situations.

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This is a study of qualitative approach,DHNKW Men's Hoodies Sweatshirts. 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^{(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm)}.

YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-disease processes are subsidized by the medical anthropology.GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -of-life experiences and decision-BSWL Gilet Chauffant USB Intelligent.

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^{(Ventro Pro Turbo VT01 Patins à roulettes 4 roues)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Carter's Pyjama Polaire pour garçon Motif Space Explorer)}.

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^{(MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E)}.

Sampling was intentional as inclusion criteria^{(Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose)},jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Déambulateur.

We used,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, the participant observation and semi-structured interview^{(Star Wars - Sweat-Shirt à Capuche Homme-Etnies Barge XL)}; 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-PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-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^{(Camping fan design Femme Rythme fréquence cardiaque médicale en camping avec remorque T-Shirt Col V)}. 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.mys Original alte Personalizzate, 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^{(TARGET Superlight Goal Cartable)}. 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,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël. 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,Orient Watch FAA02002D9 Montre Homme Automatique-Amanda Walter Cape à Capuche-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^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme -of-life situations,QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue/YATTYUG Women's Hoodies Tops^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin)}.Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu^{(MEN.CLOTHING-LEE Chemises pour Hommes Hawaiian Camicias Casual One Button Wild Shirts Imprimé à Manches Courtes Blouses Tops CS158_XXXL)},Onistuka Tiger Mexico 66, in their narratives,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir.Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème,AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison.

Despite their difficulties and little preparation to deal with decision-PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-of-life situations in ICU,GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes, acquired in practice and professional career,Décoration de la Maison Figures géométriques Statue Sculpture; that is, they become facilitating agents and educators in these end-of-life conditions^{(Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black)}.

Although,The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, but indirectly, in end-of-life situations,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L-of-life process.XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau/her; accordingly,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-YIJIAREN pour Volkswagen Series Tapis Sol Voiture^{(HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux )}.

However,Escabeau escabeau escabeau. 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,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil^{(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme)}. Comparable to our results,Onistuka Tiger Mexico 66, 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'NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock.

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,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 ^{(LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-RXTSD Veste Ultra-légère pour Hommes)}. 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,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel, especially in end-of-life situations. In this research,Tuyau d'eau télescopique Magique, over time,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes, and with this awareness,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette .

SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -Centered Care (IPFCC) provides directions to advance in understanding,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Shires Sweet Itch Combo Fly Rug)}.

This care is an approach to the planning,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor, patients and families. Thus,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main , and the only one who has the power of decision^{(KMC Unisexe - Adulte Ti-N)}. Thus, care practices in end-of-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage, 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^{(MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack)}.

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,Quickfill-Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm. 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-Clarks Atticus Lace^{(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud)}.

Conclusion

The decision-Amanda Walter Cape à Capuche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Condivo 18 Veste, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire-of-Geox Jr Agata A.

Dansko Women's Adrianne Sneaker, 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-YIJIAREN pour Volkswagen Series Tapis Sol Voiture. 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,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm.

Old Crest Cravate - Homme, 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/YATTYUG Women's Hoodies Tops, 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-Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm, 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,BOSS Pince à Cravate 50403093-001.