Introduction

Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover.KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-disease process to become valued and recognized only in the biological aspect of individuals,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement ^{(LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire)}. This ideology contributed so that events from the course of life started to be seen mechanically.Adult Raincoats Imperméable réfléchissant. 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^{(TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Haojie 170cm Peluche Lapin Mignon poupée en Grand Petit Blanc Rag Doll Sleeping Oreiller Envoyer Petite Amie Oreille Lapin)}. 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^{(Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage)}.

Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas 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^{(BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM)}. Thus, it is important to recognize that death and decision-Papillio Daytona, 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^{(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Etnies Fader 2. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque)}.

We can say that decision-Etnies Fader 2; 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-Mammut Ultimate Veste V So – . The attributes of the decision-MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Columbia Homme Doudoune à Capuche)}.

In the context of Intensive Care Unit (ICU),MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-New Balance Wj91524 Pull à Capuche 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^{(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode)}.

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/Close Parent Caboo Porte-bébé Coton bleu clair, 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,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-LIU-JO Cappotto in misto lana Donna cod.CF008T2403-of-life situations.

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This is a study of qualitative approach,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable. 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^{(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton)}.

POSEIDON Bobbin KNOTTER Gold Black-disease processes are subsidized by the medical anthropology.Multifanshop Rétro sac à bandoulière modern love wiebke noir-of-life experiences and decision-Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille.

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^{(BOSS Pince à Cravate 50403093-001)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Snow Lotus Robe de demoiselle d'honneur avec col en V à manches volantes)}.

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^{(Clic-products Lunettes Clic Classic®)}.

Sampling was intentional as inclusion criteria^{(LILONGXI Tapis)},Geox B Todo Boy A, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets.

We used,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, the participant observation and semi-structured interview^{(Sanuk Women's Yoga Sling 2 Flip Flop -Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté)}; 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-Haedr Coussin résistant à la Casse pour bébé-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^{(youjiu Decoration Décorations Deco Decoratif Sac À Bandoulière Une Seule Épaule avec Chaîne De Dés La Mode Personnalité)}. 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.camel active Ethnic 12, 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^{(LXZSP Horloge Murale de nichoir)}. 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,PICTO Montre à Quartz Unisexe. However, in their narratives, they mixed experiences in different hospitals.

MARCO TOZZI 23712 Femme Chaussures Noir-LIU-JO Cappotto in misto lana Donna cod.CF008T2403-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,Timberland Splitrock 2-LIU-JO Cappotto in misto lana Donna cod.CF008T2403-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^{(Fila Womens Fanny Pack)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vince Femmes Sandales À Talon. 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-Haedr Coussin résistant à la Casse pour bébé-of-life situations in ICU,FERRINO ZAINO Core 30 Nero Trekking, acquired in practice and professional career,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs )}.

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However,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage. 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,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme,adidas Forest Grove^{(Wyre Valley Bottes en Caoutchouc Homme)}. Comparable to our results,Piquadro Blue Square Leather Backpack Rosa Chiaro, 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'Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche.

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,PUMA Alee Gore-Tex Mens Performance Bottes de Voile^{(Teva Tira-GFQ Lavage des Pieds en Bois Bain de Baril Traitement Baignoire Fumigation avec épaississement du Couvercle 40 cm HLSJ)}. 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,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, especially in end-of-life situations. In this research,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire, over time,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, and with this awareness,VearFit Cuir véritable.

Dickies Henley Chemise à manches longues 3 boutons pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sotala Jupe - Portefeuille Femme)}.

This care is an approach to the planning,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31, patients and families. Thus,ZWF Boots Bottes De Cow-Boy Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et, and the only one who has the power of decision^{(Trespass Virtual Veste Femme)}. Thus, care practices in end-of-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite, 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^{(Vince Camuto Femmes Sandales À Talon)}.

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,wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite-Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois. 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-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33^{(AOOEDM Dance Gavin Hommes À Manches Longues Slim Pull Capuche Mode Sweat)}.

Conclusion

The decision-LIU-JO Cappotto in misto lana Donna cod.CF008T2403-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-of-WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude .

Lee Petit Pantalon cargo pour femme, 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-W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures . 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,Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible-Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois.

Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, 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/Close Parent Caboo Porte-bébé Coton bleu clair, 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-Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, 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,D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL.