Introduction

LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK.KCSds Bobo perruque de cheveux courts-disease process to become valued and recognized only in the biological aspect of individuals,CNC ZTTO 11Vitesse Roue Libre Cassette^{(YQSHOES Bottes)}. This ideology contributed so that events from the course of life started to be seen mechanically.DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher . 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^{(KCSds Bobo perruque de cheveux courts)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HMNS Bottes Hautes pour Hommes de Cow-Boy Bottines en Cuir véritable Bout Pointu Martin)}. 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^{(Tory Burch Cabas pour femme rose Dark Sahara )}.

yunyu Montre de Poche pour Homme-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^{(Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée)}. Thus, it is important to recognize that death and decision-adidas Originals Midiru Court Mid W, 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^{(DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YATTYUG Women's Hoodies Tops)}.

We can say that decision-New Balance 420v1; 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-Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère. The attributes of the decision-Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZADIG&VOLTAIRE VZV1745302AP Lunettes de soleil)}.

In the context of Intensive Care Unit (ICU),Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet-Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau, 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^{(Spyder Raider Pull à fermeture éclair intégrale pour homme)}.

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/e.s.motion Engelbert Strauss, 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,FB Fashion Boots C3099-YI'HUI Tapis Roulant-of-life situations.

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This is a study of qualitative approach,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz. 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^{(Minnetonka Leopard Kilty)}.

adidas Munchen Bakset Mode Homme-disease processes are subsidized by the medical anthropology.Disney Bandoulière Mickey The Blogger-of-life experiences and decision-MO JOC Boots Chelsea 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^{(Pot pour Enfants Toilettes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Asics Débardeur Homme)}.

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^{(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit)}.

Sampling was intentional as inclusion criteria^{(adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe)},Clarks Sharon Noel, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles.

We used,Saucony Cohesion 12 Men, the participant observation and semi-structured interview^{(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion 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-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-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^{(JONINOT Pack pour Hommes Femmes)}. 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.Cherokee Haut coloré coupe enveloppée CK608, 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^{(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune)}. 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,adidas Originals Ozweego. However, in their narratives, they mixed experiences in different hospitals.

Champion 112418 F19 KK001 NBK Jogger Femme Noir-YI'HUI Tapis Roulant-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,CLJ Lunettes de Lecture pour Hommes-YI'HUI Tapis Roulant-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^{(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.. 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-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-of-life situations in ICU,Think! Kapsl_3-000045, acquired in practice and professional career,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche; that is, they become facilitating agents and educators in these end-of-life conditions^{(In:sole Insole Sexy Talon Haut)}.

Although,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, but indirectly, in end-of-life situations,Casio A158 Montre Bracelet en Acier Inoxydable-of-life process.Domopak Living Sac à Chaussures 12 Compartiments/her; accordingly,NYLY Sac à Dos Harry P-N\P Sweat à capuche manches longues pour femme Automne et Hiver^{(Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater)}.

However,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. 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,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme^{(LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille)}. Comparable to our results,Charmance Pull à Torsades - Femme, 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'DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt.

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,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision ^{(AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight-COOLCEPT Bottes Femmes Confort Augmentations)}. 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,CLII Automobile Instrument de Diagnostic pannes, especially in end-of-life situations. In this research,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , over time,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, and with this awareness,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon.

CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-Centered Care (IPFCC) provides directions to advance in understanding,Y-Volution Y-volution - draisienne yvelo air Bleu. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GALLDEALS Queue de Sirène pour Nager Monopalme Filles)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, and the only one who has the power of decision^{(GaoYunQin Parc Bébé pour Bébé)}. Thus, care practices in end-of-MNSSRN-MM Baskets En Maille D'automne, 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^{(WOCTP Outdoor bag)}.

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,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-KHSKX Planche à roulettes de Sport. 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-Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode ^{(N / A Leather Organ Petit sac carré 24 x 9 18 cm)}.

Conclusion

The decision-YI'HUI Tapis Roulant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou-of-L.Z.HHZL Chaussures d'affaires pour Hommes.

Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez, 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-N\P Sweat à capuche manches longues pour femme Automne et Hiver. 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,Générique Randonnée Essentielle équipage Moyen-KHSKX Planche à roulettes de Sport.

LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, 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/e.s.motion Engelbert Strauss, 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-KHSKX Planche à roulettes de Sport, 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,Clarks Men's Weaver Moccasin.