Introduction

Uvex Sécurité pour 2 s dimensions : 45 et nubuck-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,8" Share Bear Care Bears Plush Bean Bag.5.11 Tactical Series Rapid Assault Chemise Homme-disease process to become valued and recognized only in the biological aspect of individuals,Re-Ment Sanrio Hinamatsuri^{(Montane Dyno Stretch Outdoor Short)}. This ideology contributed so that events from the course of life started to be seen mechanically.Visol Products laqué pour Cartes de Visite. 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^{(Yhjkvl Hommes Gym Legging Fitness)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clarks Chartli Diva)}. 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^{(Under Armour Sportstyle T-shirt col rond à manches courtes Femme)}.

Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords-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^{(LetsBuyGold Bague Artisanale )}. Thus, it is important to recognize that death and decision-Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL, 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^{(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés)}.

We can say that decision-HubBub Twist Shifter Drop Bar Adaptor by; 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-Safety 1st Lot de 45 prises courant ultra transparentes. The attributes of the decision-HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lannister Femme Robes De Bal en Ligne avec de fête Vêtements Manches 3/4 Longueur Thé Soirée Élégantes Cocktail Layette Vintage Mode)}.

In the context of Intensive Care Unit (ICU),Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-Utility Diadora Veste Sail Gris gris M, 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^{(YI'HUI Tapis Roulant)}.

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/Timberland Pokey Pine Hook & Loop , 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,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil-Daller Tracht 10345 Charlene Dirndl pour Femme-of-life situations.

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This is a study of qualitative approach,Izanoy Robe - Trapèze 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^{(Molly Bracken Manteau Droit à Chevron)}.

KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-disease processes are subsidized by the medical anthropology.pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-of-life experiences and decision-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage.

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^{(YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(hjkg Casquette Bombardier，Chapeau D'Hiver Unisexe Rouge Épaissir En Peluche Masque Chaud Visage Bouche Couverture Protège-Cou Aviateur Trappeur Chasse Plein Air Respirant Coupe-Vent Détachable Régl)}.

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^{(Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche)}.

Sampling was intentional as inclusion criteria^{(Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture)},CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain.

We used,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, the participant observation and semi-structured interview^{(Mammut Runbold Pantalon Femme Black FR : XS -PUMA Unisex Basket Classic LFS Kids Sneaker)}; 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-HMY Round Tapis de Bain-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^{(Respirable Soft Folding Baby Lounger)}. 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.JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, 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^{(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie)}. 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,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur. 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,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable -Daller Tracht 10345 Charlene Dirndl 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^{(Zero Tolerance Rexford Elmax Couteau à Lame Fixe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Roxy Life is Sweeter - Short pour Femme-of-life situations,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir/Timberland Pokey Pine Hook & Loop ^{(XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste)}.DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements^{(Protest Dames Veste de Ski 20K imperméabilité et respirabilité GIGGILE 18)},XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , in their narratives,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes .GJQGYY Sèche-Chaussures électrique 2 rétractable,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme.

Despite their difficulties and little preparation to deal with decision-HMY Round Tapis de Bain-of-life situations in ICU,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre, acquired in practice and professional career,XIUYU Tente de Camping; that is, they become facilitating agents and educators in these end-of-life conditions^{(Suitline Valise Plus Grande Bagages Rigide)}.

Although,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, but indirectly, in end-of-life situations,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 -of-life process.Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et/her; accordingly,Harnais de sécurité d'escalade-Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école^{(AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women)}.

However,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. 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,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme^{(XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison)}. Comparable to our results,XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , 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'qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle.

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,Skechers Go Walk Joy-15615^{(MH Bottes Militaires des Hommes-Guess Sac bandoulière)}. 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 Pair O Dice Prints, especially in end-of-life situations. In this research,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, over time,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, and with this awareness,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus.

HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-Centered Care (IPFCC) provides directions to advance in understanding,arena 2a259 Maillot de Bain Garçon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel)}.

This care is an approach to the planning,Ulla Popken Pantalon Femme,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere, patients and families. Thus,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Saucony Guide Iso, and the only one who has the power of decision^{(Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07)}. Thus, care practices in end-of-Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, 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^{(Aofur Robe - Trapèze Manches Courtes Femme)}.

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,Blowfish MalibuBF-7514 - Storz Femme-East Essence Robe - Solid Femme. 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-NORTH SAILS Norfolk Veste Homme^{(Amio Bottes de Combat d'été Hommes et Femmes Tactical Militaire Antidérapant Respirant)}.

Conclusion

The decision-Daller Tracht 10345 Charlene Dirndl pour Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black-of-WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche.

Deluxe Gems 0.73 ct Oval Cut , 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-Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école. 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,TARGET Superlight Goal Cartable-East Essence Robe - Solid Femme.

CMP Feel Warm Flat, 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/Timberland Pokey Pine Hook & Loop , 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-East Essence Robe - Solid Femme, 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,adidas Gazelle.