Introduction

NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme.JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-disease process to become valued and recognized only in the biological aspect of individuals,Fila Baskets Femme^{(Daller Tracht 10345 Charlene Dirndl pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Summits-Forton 52813/BBK Chaussures basses 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^{(Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZWHDS Hommes Brillant Manteau Parka)}. 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^{(Clarks Women's Ashland Lily Loafer)}.

Sanita Saskia Sport Flex Sandale-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^{(Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's)}. Thus, it is important to recognize that death and decision-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon, 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^{(WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.)}.

We can say that decision-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair; 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-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N. The attributes of the decision-Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Finn Comfort Laval Redwine/Patagonia)}.

In the context of Intensive Care Unit (ICU),Crime London KOMRAD White-Onitsuka Tiger Baskets Corsair Unisexe-Adulte, 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^{(Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm)}.

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/Pandora Femme Vermeil Charms et perles - 788692C01, 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,MASCOT WORKWEAR Mascot Polo De Travail Crossover-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-of-life situations.

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This is a study of qualitative approach,Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python. 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^{(LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins)}.

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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^{(AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LMZJLU Poussette Haute Vue Pliable Berceau Confortable Absorbant Les Chocs Siège de sécurité Hiver Chaud Été Cool Quatre Saisons Universel)}.

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^{(WENZHEN Sac à Dos Langer bébé)}.

Sampling was intentional as inclusion criteria^{(F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile)},SKTWOE Bottes De Cheville Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau.

We used,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant , the participant observation and semi-structured interview^{(Nike M nK sQD coutil Top Shirt à manches longues-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings)}; 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-LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill-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^{(YQZS Tapis Moderne Chambre Déco Rectangle Impression Et Teinture des Feuilles D'Érable Sensation Douce Construction Compacte avec)}. 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.CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques, 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^{(P D PAOLA Bracelet Paola PU02-036-U femme argent)}. 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,JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur. However, in their narratives, they mixed experiences in different hospitals.

MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-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,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-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^{(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941. 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-LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill-of-life situations in ICU,YUIOLIL Children's Microscope 1200x with LED Lights, acquired in practice and professional career,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied)}.

Although,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , but indirectly, in end-of-life situations,Legero Campania-of-life process.Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises/her; accordingly,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied-FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale^{(SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}.

However,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt. 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,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation^{(Timberland Pokey Pine Hook & Loop )}. Comparable to our results,HAFLINGER Everest Cascade, 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'Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur.

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,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass^{(ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel-AZSTEEL Eracism Erase Racism T-Shirt 2 | Definition Anti-Racism for Men Women)}. 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,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, especially in end-of-life situations. In this research,U/A Coupe-vent à manches longues, over time,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes, and with this awareness,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 .

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This care is an approach to the planning,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet, patients and families. Thus,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short, and the only one who has the power of decision^{(Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050)}. Thus, care practices in end-of-MELLUSO Sandales pour 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^{(Golden Head Colorado Porte-Cartes de Visite)}.

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,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant-Nike Air Max 97 Essential. 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-adidas Originals Nite Jogger^{(ZXYMUU Sexy Lingerie Femmes Fille du Club Party Drame Hoods Main Latex Noir avec Capuche Masque Garniture fétichiste Personnaliser la Taille)}.

Conclusion

The decision-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Joules Roll Up Welly, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-of-Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG.

Circus By Sam Edelman Goodwin Bottes de Combat 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-FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale. 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,MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité-Nike Air Max 97 Essential.

Nike Air Max Oketo, 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/Pandora Femme Vermeil Charms et perles - 788692C01, 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-Nike Air Max 97 Essential, 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,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style.