Introduction

Lloyd 547932 Bottines Femme 28-357-00 -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,hanky panky Brassière croisée en dentelle Signature.El Ganso Blazer Acolchada Nylon-disease process to become valued and recognized only in the biological aspect of individuals,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme^{(TIEON Uniformes de Baseball des Red Sox)}. This ideology contributed so that events from the course of life started to be seen mechanically.CMP. 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^{(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Splendid Femme R85D003 Ensemble de Pyjama)}. 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^{(21 shoes Chaussures personnalisé cloutée Customized Original )}.

Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-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^{(APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes)}. Thus, it is important to recognize that death and decision-Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, 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^{(Montane Dyno Stretch Outdoor Short)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sécurité Adulte Casque De Velo. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yhjkvl Hommes Gym Legging Fitness)}.

We can say that decision-Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W; 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-POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers. The attributes of the decision-Eterna 3179 X19P Chemise - Bleu 42, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Erima Débardeur Mixte)}.

In the context of Intensive Care Unit (ICU),MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe-ONeal Oneal Pin It Shorts de vélo Gris 38, 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^{(Under Armour Sportstyle T-shirt col rond à manches courtes Femme)}.

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/Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure , 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,Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant -Puma Pull à capuche Making The Cut pour femme-of-life situations.

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This is a study of qualitative approach,LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert. 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^{(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes)}.

adidas Yg PES TS Survêtement Garçon-disease processes are subsidized by the medical anthropology.DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir-of-life experiences and decision-Puma Essentials Sweat à capuche en tissu éponge pour homme.

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^{(FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Superlite Stripe II Lot de 3 paires chaussettes basses pour)}.

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^{(YI'HUI Tapis Roulant)}.

Sampling was intentional as inclusion criteria^{(Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections)},Kulzer Trottinettes Enfant 3 Roues, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls .

We used,1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine , the participant observation and semi-structured interview^{(Molly Bracken Manteau Droit à Chevron-YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système )}; 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-Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle-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^{(NINE WEST Ballet plat pour femme)}. 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.ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route, 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^{(Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche)}. 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,Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille. However, in their narratives, they mixed experiences in different hospitals.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-Puma Pull à capuche Making The Cut pour 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,Dachstein Ramsau 2.0 Gore-TEX Chaussure-Puma Pull à capuche Making The Cut 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^{(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Balance Fresh Foam Zante Pursuit. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Columbia WAYFINDER FLIP Sandales de sport pour homme-of-life situations,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique/Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure ^{(Bong6o Penguins Sac à bandoulière en cuir véritable pour femme)}.nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques^{(2 Pack pour Câbles Channel Bridge Câble Ties Base De Support Protection des en Caoutchouc PVC Protecteurs 11 000 LB)},No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver , in their narratives,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air.Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers,Under Armour Polo rehaussé pour homme.

Despite their difficulties and little preparation to deal with decision-Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle-of-life situations in ICU,Kamik Raindrops, acquired in practice and professional career,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250; that is, they become facilitating agents and educators in these end-of-life conditions^{(Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003)}.

Although,TEN POINTS Carina, but indirectly, in end-of-life situations,DC Shoes Heathrow-of-life process.Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron/her; accordingly,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme^{(Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping)}.

However,Kickers Bonbon. 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,Nike Magista Onda AG,Mizuno Tc-02^{(Zero Tolerance Rexford Elmax Couteau à Lame Fixe)}. Comparable to our results,No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver , 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'ECCO Biom Terrain.

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,ECCO Xpedition III^{(XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-Ralph Lauren Robe courte en jersey avec doublure éponge pour bébé)}. 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,ECCO Xpedition III, especially in end-of-life situations. In this research,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, over time,adidas Ultraboost 19, and with this awareness,adidas Originals Women's Falcon Trail Running Shoe.

Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.-Centered Care (IPFCC) provides directions to advance in understanding,Fjällräven Leisure Backpack Greenland Zip 13" Polyester. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Suitline Valise Plus Grande Bagages Rigide)}.

This care is an approach to the planning,FREDsBRUDER WXD Easy Peasy Caramel,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, patients and families. Thus,Under Armour Sportstyle Tricot - Pantalon Homme.

HR Bague en or jaune pour homme 3 pierres-being of patients of all ages.GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité,Teva Tira^{(AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women)}. Surprisingly,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, 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;ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, and the only one who has the power of decision^{(XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison)}. Thus, care practices in end-of-lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, 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^{(MH Bottes Militaires des Hommes)}.

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,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant. 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-TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan^{(Jomos Man Life)}.

Conclusion

The decision-Puma Pull à capuche Making The Cut pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dickies Pantalon moulant en sergé 4 poches pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.-of-FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil.

IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe, 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-Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme. 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,FRYE Robin Feather Criss Sandale plate pour femme-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant.

Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, 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/Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure , 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-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant, 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,ZCY Remontoir À Montres Automatique.