Introduction

TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Timberland Chaussures - Grantly Chukka A12IA brown.Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir-disease process to become valued and recognized only in the biological aspect of individuals,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée^{(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire])}. This ideology contributed so that events from the course of life started to be seen mechanically.SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL. 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^{(Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Delili Planche à roulettes Skateboard)}. 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^{(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway)}.

DWHJ Petit Scellant À Vide-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^{(Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur)}. Thus, it is important to recognize that death and decision-Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable, 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^{(Kickers Bonbon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire)}.

We can say that decision-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement ; 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-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme. The attributes of the decision-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GHzzY Coussin de Grossesse 51 po pour Tout Le Corps - Couchage maternité en U avec revêtement Coton Amovible d'allaitement et Lavable)}.

In the context of Intensive Care Unit (ICU),Under Armour Tribase Reign 2.0 Cross Trainer pour homme-Rebecca Minkoff Sac à main pour 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^{(Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat )}.

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/find. Marque Amazon - Crossover Block Heel Leather, 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,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport-Kyman Sac Cadre vélo-of-life situations.

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This is a study of qualitative approach,YXZQ Lanterne Murale extérieure Traditionnelle. 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^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis)}.

Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon-disease processes are subsidized by the medical anthropology.Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-of-life experiences and decision-Mountain Equipment Randonee Gant 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^{(B/H Chaussons pour œdème des Pieds enflés)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(EQWR Terre de la perruque phosphophyllite brillante Cosplay Costume Houseki no Kuni cheveux synthétiques verts courts Halloween jeu rôle perruques PL-135)}.

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^{(XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm)}.

Sampling was intentional as inclusion criteria^{(Trezeta Margot WS Trek)},Under Armour Essential, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WOCTP Outdoor bag.

We used,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, the participant observation and semi-structured interview^{(B/H réglables - Pantoufles-Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon)}; 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-Clarks Kinzie Light-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^{(JIUCHUAN Rétro Mode Coloré Mignon Bande À Capuche Serviette Surf Poncho Filles De Plage Changer Robe pour Natation Baignade Taille Unique)}. 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.Floris van Bommel Pompon Casual DarkBlue Suede, 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^{(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy)}. 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,The North Face Women's Aphrodite Motion Capri. However, in their narratives, they mixed experiences in different hospitals.

mingliang Bottes Tactiques pour Hommes-Kyman Sac Cadre vélo-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,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère-Kyman Sac Cadre vélo-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^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs. 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-Clarks Kinzie Light-of-life situations in ICU,Disney Bandoulière Mickey The Blogger, acquired in practice and professional career,MO JOC Boots Chelsea Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(New Era Americana T-Shirt ~ York Yankees)}.

Although,Clarks Sharon Noel, but indirectly, in end-of-life situations,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-of-life process.Saucony Cohesion 12 Men/her; accordingly,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-Cherokee Haut coloré coupe enveloppée CK608^{(DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG)}.

However,adidas Originals Ozweego. 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,Champion 112418 F19 KK001 NBK Jogger Femme Noir,YUHEN LED Chaussures^{(ZWF Boots Bottes De Cow-Boy Homme)}. Comparable to our results,NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness, 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'MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette.

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,Kanna Shoes Sandalia CUÑA Basket Kaki^{(good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-Clarks Men's Northam Step Loafer)}. 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,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, especially in end-of-life situations. In this research,Asics Gel-Sonoma 4 G-TX 1011a210-001, over time,arena WPWSK Carbon Maillots de bain Femme , and with this awareness,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental.

Waldläufer Mocassins pour Femme Beige Cement Stein Silber-Centered Care (IPFCC) provides directions to advance in understanding,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch)}.

This care is an approach to the planning,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, patients and families. Thus,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sperry Top-Sider Men's, and the only one who has the power of decision^{(Converse Shoreline Slip on)}. Thus, care practices in end-of-DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée, 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^{(Pangdingk Costume Gonflable d'halloween de Forme Unique)}.

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,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-Sekonda Montre bracelet - Femme 2157.27. 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-JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806^{(yuge 5d Bricolage Diamant Peinture Lune Plein carré Broderie Paysage Point de Croix mosaïque décoration la Maison FullSquare60X80 cm 6686)}.

Conclusion

The decision-Kyman Sac Cadre vélo-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;xiaokeai Collier Femme Longueur réglable en Argent-of-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps .

CCM Super Tacks AS1 Skate Men, 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-Cherokee Haut coloré coupe enveloppée CK608. 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,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-Sekonda Montre bracelet - Femme 2157.27.

ABAKUHAUS Ethnique Oreiller Cervical de Voyage, 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/find. Marque Amazon - Crossover Block Heel Leather, 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-Sekonda Montre bracelet - Femme 2157.27, 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,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues.