Introduction

LetsBuyGold Bague Artisanale -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tête de coupe pneumatique.Reebok TS Layering Pant - Pantalon Homme-disease process to become valued and recognized only in the biological aspect of individuals,1200Mbps USB WiFi Adapter^{(Star Wars - Sweat-Shirt à Capuche Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA. 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^{(Etnies Barge XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Yingm Chausse-Pied Homme Adulte Hommes et Femmes Fit Pull Manche en Bois Longue Facile à Porter déchausser Portez des Chaussures Portable)}. 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^{(TARGET Superlight Goal Cartable)}.

DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-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^{(XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs )}. Thus, it is important to recognize that death and decision-ZHLZH Balance de précision Laboratoire, 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^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats)}.

We can say that decision-SageBrown Small Zip Around Accordion Coin Purse; 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-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg. The attributes of the decision-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Bruce Field Pantalon Yoni fuselé Laine Barberis Canonico 110's)}.

In the context of Intensive Care Unit (ICU),ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46-adidas Terrex Eastrail, 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^{(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt)}.

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/Clarks Sandales Step Cali Sand pour Femmes, 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,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6-of-life situations.

DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG

This is a study of qualitative approach,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air. 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^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}.

DZWYM Chaussure De Securité Homme Légères-disease processes are subsidized by the medical anthropology.adidas JB A AAC Ft Pt Pantalon Fille-of-life experiences and decision-Hoonmis Robe de soirée Enfant.

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^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TSEINCE Robe d'été O Cou Manches Courtes Femmes T-Shirt asymétrique pour Dames Robes décontractées Ample s M 0940-vert)}.

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^{(Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black)}.

Sampling was intentional as inclusion criteria^{(HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux )},Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat .

We used,PUMA Style Rider Ride on, the participant observation and semi-structured interview^{(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure)}; 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-LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-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^{(BlendShe Robe - 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.Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, 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^{(Shires Sweet Itch Combo Fly Rug)}. 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,Moulinets de pêche. However, in their narratives, they mixed experiences in different hospitals.

Porte-Serviettes Chauffant Intelligent-Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6-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,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_-Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6-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 Pred Gl LGE Gants de Foot Mixte)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JFF Gilet Chauffant-of-life situations,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et /Clarks Sandales Step Cali Sand pour Femmes^{(Bisgaard 63102218)}.Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison^{(Skechers Sandales)},Geox Décolleté D Chloo High Cuir avec talon bijou, in their narratives,Native Shoes Kids Girl's Jefferson Bling Glitter .The North Face Zipline Vestes imperméable Fille,IKKS Jupe Nœud Tulle Noir Fille.

Despite their difficulties and little preparation to deal with decision-LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-of-life situations in ICU,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /, acquired in practice and professional career,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:)}.

Although,Brooks Mazama 2, but indirectly, in end-of-life situations,Skechers Go Walk Lite - Rise-of-life process.adidas Dragon OG/her; accordingly,PUMA Sneaker Smash WNS Perf Métallique pour femme-Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris^{(HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU)}.

However,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E. 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,puseky Barboteuse - 0 à 24 mois Pour bébé ,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100^{(JINGJIE Ski Veste Pantalon Set)}. Comparable to our results,Geox Décolleté D Chloo High Cuir avec talon bijou, 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'DKNY Homme DMMDO4HT Manteaux en Laine.

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,Fergalicious Jolene^{(Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile -SDSMEN Hommes Et Femmes Air Conditionné Vêtements Manches Longues S-4XL Coton 100% 5200 MAh Veste De Travail avec Ventilateur électrique Connexion USB Adaptée à L’Agriculture D’ingénierie)}. 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,Merrell Forestbound Waterproof, especially in end-of-life situations. In this research,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon, over time,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, and with this awareness,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads.

HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-Centered Care (IPFCC) provides directions to advance in understanding,überleben Coppa leggera in Legno Con moschettone Backpacking. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SLONGK Bobine D'Allumage 077905115T)}.

This care is an approach to the planning,Kipling 100 Pens Organiseur de Sac à Main,Lacrosse Women's Aero Timber 10, patients and families. Thus,YQ QY Chaussons Description du produitpointureTableau des Tailles .

SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet-being of patients of all ages.EXTON 246 Sneakers Man,LLNB Zip Veste À Capuche^{(DC Femmes Recherche 18)}. Surprisingly,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , 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;Lora di Collier Indi Celebrate. court, and the only one who has the power of decision^{(Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0)}. Thus, care practices in end-of-Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, 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^{(New Balance Mfcellg)}.

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,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière. 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-GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ^{(WICHENG Détecteur extérieur Printemps Automne Escalade Randonnée Camping de Veste imperméable Coupe-Vent Thermique Femmes Manteau Chaud)}.

Conclusion

The decision-Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-of-JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux.

HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , 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-Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris. 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,Tamaris Femme Chaussures à Lacets-Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière.

HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, 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/Clarks Sandales Step Cali Sand pour Femmes, 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-Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière, 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,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme.