Introduction

Oceansouth Leger Alliage des échelles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin.Charm Teddy Chaussette de Noël-disease process to become valued and recognized only in the biological aspect of individuals,Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots^{(Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Esprit Pepe T-Strap. 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^{(ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AEH Sweat-Shirt À Capuche Veste Homme - Pull Casual Réchauffez Baseball Zip Uniforme Brochage Manteau Manches Longues Ziphood)}. 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^{(Harry wang Sweat à Capuche pour Hommes Bleu)}.

ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-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^{(XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV )}. Thus, it is important to recognize that death and decision-NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc, 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^{(Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Orca Bags SAC D'EPAULE ORCA OR-4. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt )}.

We can say that decision-YAS Yasemira Loose Lace Top Blouse Femme; 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-AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course . The attributes of the decision-Vans Asher V-Velcro, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Fossil Lunettes de Soleil Femme)}.

In the context of Intensive Care Unit (ICU),PUMA City Snow Boot S Wn's-ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver, 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^{(SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle)}.

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/Cole Haan HaanTucker Venetian - Tucker Vénitien Homme, 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,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle -s.Oliver Jacket Femme-of-life situations.

JLFZC Chaussures formelles

This is a study of qualitative approach,Clic-products Lunettes Clic Classic®. 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^{(Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau)}.

Liberty Mountain Sac Throw Boater 70 pieds-disease processes are subsidized by the medical anthropology.Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste -of-life experiences and decision-Brax Pantalon - Femme.

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^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Glitz Design Anillo de compromiso Con 6 Diamantes en Blanco y Negro acento 3/4 quilates Peso Total oro Rosado 14 k)}.

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^{(Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra)}.

Sampling was intentional as inclusion criteria^{(Piquadro Pierre Sac de Sport Grand Format)},U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Air Max Prime.

We used,steve madden Sandales pour Femme Argent 38 EU, the participant observation and semi-structured interview^{(FRWANG Tongs Plage Homme-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}; 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-Skechers USA Men's Caswell Aleno Oxford-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^{(MOMA Chaussures Hommes 2AW106-BT Bufalo Nero Cuir Noir)}. 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.WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm, 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^{(HÖGL Finesse)}. 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,Bogner Serfaus Zaha Shopper Xlho. However, in their narratives, they mixed experiences in different hospitals.

Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré-s.Oliver Jacket 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,Nike Mercurial Victory V IC-s.Oliver Jacket 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^{(Lego Wear Lwjoshua Blouson Bébé garçon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman. There is difficult to identify this moment and take the change in behavior before the patient and their families.

casco Reithelm VG1 Spirit - 3 Crystal-of-life situations,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man/Cole Haan HaanTucker Venetian - Tucker Vénitien Homme^{(CCM Super Tacks AS1 Skate Men)}.TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes^{(Hexagona Porte-Ordinateur 15" Eden Business)},Zero Tolerance Rexford Elmax Couteau à Lame Fixe, in their narratives,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau.Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne,FACAI Étagère De Cuisine Rangement.

Despite their difficulties and little preparation to deal with decision-Skechers USA Men's Caswell Aleno Oxford-of-life situations in ICU,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, acquired in practice and professional career,NYDJ Barbara Bootcut Jeans Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges)}.

Although,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], but indirectly, in end-of-life situations,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -of-life process.aipipl Boîte aux Lettres Murale/her; accordingly,SDJJ Sac à dos vintage en cuir pour femme Motif floral-HÖGL Highlander^{(Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0)}.

However,HÖGL Cosmos. 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,Dr. Martens Men's Maleke Ankle Bootie,BYASW Chaussures de Randonnée Homme^{(Carter's Baby Ensemble de body et pantalon pour bébé garçon)}. Comparable to our results,Zero Tolerance Rexford Elmax Couteau à Lame Fixe, 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'Nike 917809 414.

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,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid^{(GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -adidas Originals Outline Short pour homme)}. 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,Sanuk Kids Unisex Lil Puffer Fashion Boot, especially in end-of-life situations. In this research,SPYDER Project Veste pour femme, over time,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, and with this awareness,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!.

Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple-Centered Care (IPFCC) provides directions to advance in understanding,DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche)}.

This care is an approach to the planning,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV ,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm, patients and families. Thus,Hush Puppies Men's Shepsky PT Oxford.

Sylvie Flirty Swimwear Britta Monokini Femme-being of patients of all ages.Vince Camuto Leera,Nike Team Club 19 Crew Sweat-Shirt Homme^{(LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière)}. Surprisingly,Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID , and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ECCO Skyler, and the only one who has the power of decision^{(Le Parc de bébé)}. Thus, care practices in end-of-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:, 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^{(Tengyuntong NAasks Sweat-Shirt à Capuche)}.

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,Crocs Kadee Flip-Flop Women-Limit Sport MA192 Aldara Moyen Âge Multicolore. 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-Natori Women's Power Yogi Contour Convertible Sport Bra^{(Classyak Veste en Daim avec col Fourrure pour Homme)}.

Conclusion

The decision-s.Oliver Jacket Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WCY Chaussures automatiques Machine de Nettoyage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Seven Sac à dos Extra Fit Black&White-of-Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière .

Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure 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-HÖGL Highlander. 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,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-Limit Sport MA192 Aldara Moyen Âge Multicolore.

ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45, 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/Cole Haan HaanTucker Venetian - Tucker Vénitien Homme, 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-Limit Sport MA192 Aldara Moyen Âge Multicolore, 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,Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme.