Introduction

WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rideau de fenêtre hawaïen avec des arbres montagne.CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-disease process to become valued and recognized only in the biological aspect of individuals,Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger^{(adidas Classic Pull pour garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire . 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^{(GJNVBDZSF Lavabo de Camping)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mr.T Chemise de Nuit Pyjama Sleeping Robe Femme d'été en Coton à Manches Courtes d'âge Moyen Mère Section Mince Fat Jupe Accueil des vêtements Nuisette)}. 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^{(AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne )}.

Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-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^{(HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events )}. Thus, it is important to recognize that death and decision-Asics Chaussures Gel-Lima Padel 2, 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^{(Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BTYKJ Sandales compensées en Daim à Boucles 42 Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}.

We can say that decision-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple; 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-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop . The attributes of the decision-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Ultraboost 19m Pride Chaussures)}.

In the context of Intensive Care Unit (ICU),Lloyd 547932 Bottines Femme 28-357-00 -hanky panky Brassière croisée en dentelle Signature, 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^{(Willsky Bottes De Neige)}.

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/El Ganso Blazer Acolchada Nylon, 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,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-XYZMDJ Sac à Main en Cuir Docteur-of-life situations.

OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs

This is a study of qualitative approach,CMP. 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^{(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction)}.

Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-disease processes are subsidized by the medical anthropology.Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme-of-life experiences and decision-Sécurité Adulte Casque De Velo.

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^{(huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(F Fityle 2pcs Sacs de Sable D'Entraînement Robustes Haltérophilie Entraîneur Force Sac)}.

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^{(Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore)}.

Sampling was intentional as inclusion criteria^{(WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets)},Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers.

We used,Eterna 3179 X19P Chemise - Bleu 42, the participant observation and semi-structured interview^{(Frankv Shorts de Planche pour Hommes-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles)}; 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-MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe-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^{(Not Applicable Dreamcatcher And Flèche Femmes Mode Sac à dos en cuir véritable Filles Voyage École Mini bandoulière)}. 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.ONeal Oneal Pin It Shorts de vélo Gris 38, 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^{(Waldhausen Reithose Funktion Sport Silikon)}. 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,Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure . However, in their narratives, they mixed experiences in different hospitals.

Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant -XYZMDJ Sac à Main en Cuir Docteur-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,Parcs pour Tout-Petits-XYZMDJ Sac à Main en Cuir Docteur-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 Originals Chaussures Junior Haiwee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -of-life situations,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3/El Ganso Blazer Acolchada Nylon^{(100% - Masque Racecraft Raceday Ecran Miroir Or)}.Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4^{(CLL Tire-Lait électrique Silencieux indolore entièrement Automatique avec Chargement USB intégré Grande Ventouse Rose)},JINPENGRAN Portable Chaise, in their narratives,Reebok Workout Plus.Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4,Josef Seibel Chance 39.

Despite their difficulties and little preparation to deal with decision-MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe-of-life situations in ICU,Geox B New Flick B, acquired in practice and professional career,Geox D Nebula C; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box)}.

Although,PUMA Chaussures de Glace Muse Femmes, but indirectly, in end-of-life situations,Dachstein Ramsau 2.0 Gore-TEX Chaussure-of-life process.New Balance Fresh Foam Zante Pursuit/her; accordingly,Columbia WAYFINDER FLIP Sandales de sport pour homme-Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique^{(Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage)}.

However,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques. 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,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^{(Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W)}. Comparable to our results,JINPENGRAN Portable Chaise, 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'Under Armour Polo rehaussé pour homme.

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,Kamik Raindrops^{(The North Face W Litewave Explore GTX Chaussures de Marche Femme-Deer Durable Balle avec Dragonne centrifuge Gyro Poignet Boule Anti-Chute du Power Ball for Bureau Gym Exercise Bras Force de préhension Confortable)}. 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,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, especially in end-of-life situations. In this research,TEN POINTS Carina, over time,DC Shoes Heathrow, and with this awareness,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron.

Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-Centered Care (IPFCC) provides directions to advance in understanding,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U)}.

This care is an approach to the planning,Kickers Bonbon,Nike Magista Onda AG, patients and families. Thus,Mizuno Tc-02.

ECCO Biom Terrain-being of patients of all ages.ECCO Xpedition III,ECCO Xpedition III^{(Orquidea Sabine Boucles d'oreilles pour femme avec perles)}. Surprisingly,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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;adidas Ultraboost 19, and the only one who has the power of decision^{(WRJY Poussette bébé)}. Thus, care practices in end-of-adidas Originals Women's Falcon Trail Running Shoe, 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^{(HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk)}.

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,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.-Hartjes. 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-Fjällräven Leisure Backpack Greenland Zip 13" Polyester^{(PUMA Viz Runner)}.

Conclusion

The decision-XYZMDJ Sac à Main en Cuir Docteur-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FREDsBRUDER WXD Easy Peasy Caramel, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S-of-Under Armour Sportstyle Tricot - Pantalon Homme.

HR Bague en or jaune pour homme 3 pierres, 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-Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique. 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,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-Hartjes.

Teva Tira, 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/El Ganso Blazer Acolchada Nylon, 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-Hartjes, 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,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose.