Introduction

IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Columbia PFG Rostra Tongs pour femme avec adhérence élevée.TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-disease process to become valued and recognized only in the biological aspect of individuals,Timberland Chaussures - Grantly Chukka A12IA brown^{(Clarks Janey Mae)}. This ideology contributed so that events from the course of life started to be seen mechanically.Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir. 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^{(BOSS Cocola Blouse Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Diamond2Deal Pendentif en or bicolore 10 carats avec triple croix pour femme 1/10)}. 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^{(Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes)}.

Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée-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^{(QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie)}. Thus, it is important to recognize that death and decision-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons 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^{(Ysakura Bonnet Thermique Bluetooth)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DWHJ Petit Scellant À Vide. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HJJH Roulement de Roue Joint Removal Tool)}.

We can say that decision-Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable; 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-XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles . The attributes of the decision-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ALBERT 18K Piercing papillon Pierres colorées Nombril Magnifique anti-allergie Un piercing pour toujours.)}.

In the context of Intensive Care Unit (ICU),Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, 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^{(Liyaya Automatic Induction Night Light)}.

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/Under Armour Tribase Reign 2.0 Cross Trainer pour 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,Rebecca Minkoff Sac à main pour femme-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee-of-life situations.

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This is a study of qualitative approach,find. Marque Amazon - Crossover Block Heel Leather. 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^{(KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable)}.

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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^{(no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Victoria Safari Serraje Velcro)}.

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^{(JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures)}.

Sampling was intentional as inclusion criteria^{(QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme)},Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mountain Equipment Randonee Gant Homme.

We used,Under Armour Essential, the participant observation and semi-structured interview^{(Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-Haggar Cool 18 Pro Stretch Madras Short pour Homme)}; 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-WOCTP Outdoor bag-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^{(Earth Origins Navigate Noah)}. 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.Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, 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^{(OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs)}. 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,Clarks Kinzie Light. 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,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee-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^{(adidas Dragon OG)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Balance 420v1. 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-WOCTP Outdoor bag-of-life situations in ICU,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz, acquired in practice and professional career,adidas Munchen Bakset Mode Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}.

Although,Disney Bandoulière Mickey The Blogger, but indirectly, in end-of-life situations,MO JOC Boots Chelsea Femme-of-life process.Clarks Sharon Noel/her; accordingly,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-Saucony Cohesion 12 Men^{(Asics Women's Low Cut Performance Short - Coupe Basse pour Femme)}.

However,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's 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,Cherokee Haut coloré coupe enveloppée CK608,adidas Originals Ozweego^{(WEHQ Barre de Son sans Fil)}. Comparable to our results,GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe, 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'Champion 112418 F19 KK001 NBK Jogger Femme Noir.

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,YUHEN LED Chaussures^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween-Converse CT High Street Ox White)}. 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,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, especially in end-of-life situations. In this research,Kanna Shoes Sandalia CUÑA Basket Kaki, over time,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, and with this awareness,Asics Gel-Sonoma 4 G-TX 1011a210-001.

arena WPWSK Carbon Maillots de bain Femme -Centered Care (IPFCC) provides directions to advance in understanding,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne)}.

This care is an approach to the planning,Waldläufer Mocassins pour Femme Beige Cement Stein Silber,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, patients and families. Thus,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Reebok Royal Dashonic 2, and the only one who has the power of decision^{(Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif)}. Thus, care practices in end-of-F Fityle Kit de Outil Monter Démonter Axe Vélo, 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^{(YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant)}.

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,Sperry Top-Sider Men's-Scanstrut APT-LB-01-Support antenne Blanc. 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-DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée^{(GCX Confortable Enfants Robe Filles Queue De Princesse Pelucheux Fil Catwalk Petit Hôte Piano Performance Fleur Fille Soirée Doux pour la Peau)}.

Conclusion

The decision-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806-of-Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6.

xiaokeai Collier Femme Longueur réglable en Argent, 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-Saucony Cohesion 12 Men. 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,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps -Scanstrut APT-LB-01-Support antenne Blanc.

CCM Super Tacks AS1 Skate Men, 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/Under Armour Tribase Reign 2.0 Cross Trainer pour 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-Scanstrut APT-LB-01-Support antenne Blanc, 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,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10.