Introduction

Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Uvex Sécurité pour 2 s dimensions : 45 et nubuck.8" Share Bear Care Bears Plush Bean Bag-disease process to become valued and recognized only in the biological aspect of individuals,5.11 Tactical Series Rapid Assault Chemise Homme^{(Foster-Natur Combinaison de Neige - Doudoune Bébé )}. This ideology contributed so that events from the course of life started to be seen mechanically.Re-Ment Sanrio Hinamatsuri. 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^{(NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Daesar Collier Argent 925 Femme Homme Pendentif Vintage Punk Cross Box pour Chaine Gawu)}. 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^{(XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet)}.

Visol Products laqué pour Cartes de Visite-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^{(No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent )}. Thus, it is important to recognize that death and decision-Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords, 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^{(Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica)}.

We can say that decision-Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat; 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-HubBub Twist Shifter Drop Bar Adaptor by. The attributes of the decision-Safety 1st Lot de 45 prises courant ultra transparentes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Chaise Haute D'enfant Avec Des Tables De Plateau D'alimentation Skid Sécurité Plaque Et Confortable Rappel Du Nourrisson Bébé Pliable Siège Réglable En Hauteur Portable)}.

In the context of Intensive Care Unit (ICU),HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé-Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus, 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^{(LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891)}.

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/Utility Diadora Veste Sail Gris gris M, 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,Timberland Pokey Pine Hook & Loop -Vibram FiveFingers KSO Evo-of-life situations.

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This is a study of qualitative approach,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. 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^{(CHRRI Sac À Dos Imperméable Extérieur)}.

Izanoy Robe - Trapèze Femme-disease processes are subsidized by the medical anthropology.KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-of-life experiences and decision-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C.

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^{(Julbo Tamang Lunettes de Soleil Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SOXPro Chaussettes Antidérapantes)}.

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^{(xiaokeai Collier Femme Longueur réglable en Argent)}.

Sampling was intentional as inclusion criteria^{(KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage )},LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir .

We used,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, the participant observation and semi-structured interview^{(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin-Inconnu Regent Montre Homme F 848 Titane)}; 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-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-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^{(VVHN Bracelet Rose 580728)}. 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.HMY Round Tapis de Bain, 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^{(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau)}. 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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro-Vibram FiveFingers KSO Evo-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^{(RB Leipzig Essential Pullpants)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-of-life situations,Roxy Life is Sweeter - Short pour Femme/Utility Diadora Veste Sail Gris gris M^{(1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}.Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir^{(Ultrasonic Cleaner Stérilisateur à Lumière pour Nettoyant Désinfectant Smartphones Chargeur USB)},Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, in their narratives,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements.Columbia Wind Prougeector Novelty Veste Polaire pour Hommes ,GJQGYY Sèche-Chaussures électrique 2 rétractable.

Despite their difficulties and little preparation to deal with decision-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-of-life situations in ICU,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme, acquired in practice and professional career,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre; that is, they become facilitating agents and educators in these end-of-life conditions^{(CLCTOIK Bonnet Enfant pour Filles garçon tricoté)}.

Although,XIUYU Tente de Camping, but indirectly, in end-of-life situations,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire-of-life process.YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 /her; accordingly,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-Harnais de sécurité d'escalade^{(Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean)}.

However,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école. 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,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif^{(Sebago Men's Black Winhall Slip on 8 D)}. Comparable to our results,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, 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'YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale 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,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle^{(Lee Short Homme-XHYYY Casquette de Baseball Géométrie astronomique Étoiles Lune Maille réglable Unisexe Camionneur Convient aux Hommes Femmes Chapeau)}. 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,Skechers Go Walk Joy-15615, especially in end-of-life situations. In this research,Sanuk Pair O Dice Prints, over time,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, and with this awareness,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme.

LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-Centered Care (IPFCC) provides directions to advance in understanding,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock)}.

This care is an approach to the planning,arena 2a259 Maillot de Bain Garçon,Ulla Popken Pantalon Femme, patients and families. Thus,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere.

HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-being of patients of all ages.yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up,Prime Line Packaging 40^{(TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose)}. Surprisingly,Saucony Freedom Iso 2, 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;Saucony Freedom Iso, and the only one who has the power of decision^{(YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass)}. Thus, care practices in end-of-Saucony Guide Iso, 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^{(Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.)}.

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,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme. 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-Blowfish MalibuBF-7514 - Storz Femme^{(Fille Chambre Lampe De Table Lecture Chevet)}.

Conclusion

The decision-Vibram FiveFingers KSO Evo-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NORTH SAILS Norfolk Veste Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-of-Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black.

WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, 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-Harnais de sécurité d'escalade. 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,Deluxe Gems 0.73 ct Oval Cut -Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme.

TARGET Superlight Goal Cartable, 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/Utility Diadora Veste Sail Gris gris M, 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-Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme, 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,CMP Feel Warm Flat.