Introduction

Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU.J´hayber - Zapatillas Avt. Olimpo Serraje marrón-disease process to become valued and recognized only in the biological aspect of individuals,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable^{(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière. 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^{(Spank Sike Race 2.0 Potence VTT/E-Bike Mixte)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clarks Women's Linvale Loop Pump)}. 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^{(Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne)}.

NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué-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^{(RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea)}. Thus, it is important to recognize that death and decision-Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, 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^{(MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots)}.

We can say that decision-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat; 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-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine. The attributes of the decision-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Shocly Sweat Poney Noël Pull À Capuche Manches Longues Unisexe pour Halloween Adult S-3XL)}.

In the context of Intensive Care Unit (ICU),Crocs Sanrah Hammered Metallic Sandal Women-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , 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^{(FRWANG Hommes Chaussures Cuir Brogue Lacets)}.

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/yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , 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,Loykind Chaussures De Sécurité-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt-of-life situations.

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This is a study of qualitative approach,PieSanto 190801 Chaussures confortables pour femme. 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^{(Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson)}.

Box J-Boîte de Montre Coffret en Bois-disease processes are subsidized by the medical anthropology.iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-of-life experiences and decision-LDDNZH Pantoufles en Coton pour Femmes Slippers.

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^{(Timberland Baskets Brooklyn Leather Vert)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(1yess Trampoline 48 Pouces de Remise en Forme Extensible Mute Réduction du Bruit Pratique Safe Pliant et Stable 5 Couleurs Disponibles)}.

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^{(SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol)}.

Sampling was intentional as inclusion criteria^{(Saucony Freedom Iso 2)},Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Columbia Pike Lake Jacket Veste Garçon.

We used,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm, the participant observation and semi-structured interview^{(ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode -SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur)}; 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-Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron-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^{(H.ZHOU Uniforme de Football Nouvelle Saison Club la Concurrence)}. 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.EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, 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^{(adidas Real Away Chaussettes Homme)}. 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,7lljjq7 T Rex Fruit Hat-Dinosaurs. 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,Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt-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^{(vo7 Baskets Cuir Flamengo Flag Dark)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LIUCHANG 2.7m 3. 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-Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron-of-life situations in ICU,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022, acquired in practice and professional career,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier; that is, they become facilitating agents and educators in these end-of-life conditions^{(XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière)}.

Although,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver, but indirectly, in end-of-life situations,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-of-life process.Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle/her; accordingly,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-Goodthreads Marque Amazon - Short chino élastique et confortable^{(ECCO Offroad)}.

However,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais. 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,KYOTO Plaquette Semi-métal S1989,Kwon Kimono pour Enfant Taekwondo Song^{(Wilvorst - Veston Uni Bébé )}. Comparable to our results,MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 , 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'Skechers Bounder.

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,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural^{(HXF Charmant Filles Princesse Blanche Robe-DJJCN Automne Hommes Chandails Cardigans Tricotés pour Solides)}. 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,steve madden Tronchetto in Suede Marrone, especially in end-of-life situations. In this research,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE , over time,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir, and with this awareness,Timberland Kendrick Bottes imperméables pour homme.

IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-Centered Care (IPFCC) provides directions to advance in understanding,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet)}.

This care is an approach to the planning,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher,Carrelage de nivellement automatique portatif carreaux céramique, patients and families. Thus,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, and the only one who has the power of decision^{(ECCO Xpedition III)}. Thus, care practices in end-of-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, 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^{(CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6)}.

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,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-Living Kitzbühel Slip-on Mit Fellborte. 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-GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur^{(FRYE Mellissa Button Back Zip)}.

Conclusion

The decision-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NENGGE Barre de Traction, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SBDLXY Parc pour bébé extérieur-of-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz .

SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , 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-Goodthreads Marque Amazon - Short chino élastique et confortable. 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,WOCTP Manteau imperméable et amovible 3 en 1 pour femme-Living Kitzbühel Slip-on Mit Fellborte.

Hoonmis Robe de soirée Enfant, 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/yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , 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-Living Kitzbühel Slip-on Mit Fellborte, 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,LED night light.