Introduction

Munich Dash Premium 73-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant.Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-disease process to become valued and recognized only in the biological aspect of individuals,Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier ^{(Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère)}. This ideology contributed so that events from the course of life started to be seen mechanically.FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant. 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^{(OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clementoni Disney Baby anneaux empilables)}. 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^{(Bobux Zap)}.

Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table -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^{(FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale)}. Thus, it is important to recognize that death and decision-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire, 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^{(HESTRA Henrik Gants de ski court en cuir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MATEIN Sac à dos roulettes pour ordinateur portable)}.

We can say that decision-Rideau de fenêtre hawaïen avec des arbres montagne; 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-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque. The attributes of the decision-Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cavo timoneria SSC62 per Safe-T)}.

In the context of Intensive Care Unit (ICU),LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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^{(SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}.

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/Asics Chaussures Gel-Lima Padel 2, 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,BTYKJ Sandales compensées en Daim à Boucles 42 Noir-MH Bottines Hommes-of-life situations.

Mephisto Phila

This is a study of qualitative approach,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple. 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^{(Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique)}.

Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -disease processes are subsidized by the medical anthropology.N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour-of-life experiences and decision-Lloyd 547932 Bottines Femme 28-357-00 .

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^{(Mammut Eigerjoch Light)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Plusieurs couleurs film dessin animé animation enfants veilleuse LED capteur tactile ornements lumière vacances cadeau 3D USB)}.

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^{(TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne )}.

Sampling was intentional as inclusion criteria^{(Clarks Men's Vargo Vibe Oxford)},hanky panky Brassière croisée en dentelle Signature, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.El Ganso Blazer Acolchada Nylon.

We used,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme, the participant observation and semi-structured interview^{(Speedo Vengeance Mirror Lunette Mixte-Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre)}; 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-CMP-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^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe de Mariée Glisser Sur les Escarpins Partie 3128-01)}. 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.Cole Haan HaanAir Bandon MOC - Ballerines Air Femme, 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^{(Under Armour Charged Assert 8)}. 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,Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme. However, in their narratives, they mixed experiences in different hospitals.

Sécurité Adulte Casque De Velo-MH Bottines Hommes-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,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore-MH Bottines Hommes-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^{(Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver . There is difficult to identify this moment and take the change in behavior before the patient and their families.

FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL-of-life situations,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches/Asics Chaussures Gel-Lima Padel 2^{(DANJIA Argent-gris perruque)}.LLSS Poussette pour bébé légère Landaus^{(2~10 Mois 1800G Silicone Faux Ventre Fausse Mère Enceinte Femmes Artificielles Prénatales Prop Flottabilité Caressé)},Thom Browne Calzini Uomo cod.MAS064B, in their narratives,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air.BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique,Parcs pour Tout-Petits.

Despite their difficulties and little preparation to deal with decision-CMP-of-life situations in ICU,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, acquired in practice and professional career,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans)}.

Although,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3, but indirectly, in end-of-life situations,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4-of-life process.Reebok Workout Plus/her; accordingly,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-Josef Seibel Chance 39^{(HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support )}.

However,Geox B New Flick B. 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,Geox D Nebula C,PUMA Chaussures de Glace Muse Femmes^{(MELLUSO Sandales pour Femme)}. Comparable to our results,Thom Browne Calzini Uomo cod.MAS064B, 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'Dachstein Ramsau 2.0 Gore-TEX Chaussure.

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,New Balance Fresh Foam Zante Pursuit^{(CareTec Pantalon de Pluie Enfants -Monnalisa 3482V Cardigan Bimbo Hitch-Hiker Blue Wool Sweater Boy Kid)}. 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,Columbia WAYFINDER FLIP Sandales de sport pour homme, especially in end-of-life situations. In this research,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, over time,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, and with this awareness,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-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour Polo rehaussé pour homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Skechers Womens Sneaker Beige)}.

This care is an approach to the planning,Kamik Raindrops,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, patients and families. Thus,TEN POINTS Carina.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Kickers Bonbon, and the only one who has the power of decision^{(JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds)}. Thus, care practices in end-of-Nike Magista Onda AG, 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^{(ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille)}.

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,Mizuno Tc-02-XYZMDJ Sac à Main en Cuir Docteur. 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-ECCO Biom Terrain^{(Shorts short EMP-Wang Femme Bandage Côté Cordon de serrage Denim Taille Haute Sexy Été Micro Mini Jean Mujer)}.

Conclusion

The decision-MH Bottines Hommes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ECCO Xpedition III, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ECCO Xpedition III-of-adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes.

adidas Ultraboost 19, 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-Josef Seibel Chance 39. 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,adidas Originals Women's Falcon Trail Running Shoe-XYZMDJ Sac à Main en Cuir Docteur.

Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., 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/Asics Chaussures Gel-Lima Padel 2, 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-XYZMDJ Sac à Main en Cuir Docteur, 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,Fjällräven Leisure Backpack Greenland Zip 13" Polyester.