Introduction

J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Onitsuka Tiger Mexico 66.Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe-disease process to become valued and recognized only in the biological aspect of individuals,Suitline Valise Plus Grande Bagages Rigide^{(Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel)}. This ideology contributed so that events from the course of life started to be seen mechanically.WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT. 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^{(Waldläufer Mocassins pour Femme Beige Cement Stein Silber)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WMZQW Talon Haut sur Les Bottes Au Genou de Cuisse en Cuir Suédé pour Femmes La Vie Quotidienne Bureau)}. 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^{(Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son )}.

Pierre Cardin Lyon Long Life Chino Pantalon 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^{(MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine)}. Thus, it is important to recognize that death and decision-adidas Supernova de Course pour Femme à Manches Longues Tee, 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^{(BHC Femmes Mode Bottes Talon Hauts Talons Moyen)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Montane Ineo Pro Women's Pantalon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles)}.

We can say that decision-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle; 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-Manfrotto Travel Backpack Sac à dos Gris. The attributes of the decision-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GQLB DIY Anime Modèle 3D Puzzle Building Block Mini Nano Bricolage Jouets Blocks éducation Jouet Enfants Multicolores Football Stade)}.

In the context of Intensive Care Unit (ICU),Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE, 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^{(JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops)}.

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/X-Bionic O100093 - Cuissards de vélo Femme, 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,YUHT Album Photo Hybride interstitiel-Holley 34504 Carburetor Accelerator Pump-of-life situations.

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This is a study of qualitative approach,YULIN-L YYL Imperméables pour Enfants. 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^{(ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver)}.

DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -disease processes are subsidized by the medical anthropology.Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck-of-life experiences and decision-Wilvorst - Veston Uni Bébé .

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^{(JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nine West Women's Cotton Shirt Dress with Contrast Ties at Waist)}.

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^{(HMY Round Tapis de Bain)}.

Sampling was intentional as inclusion criteria^{(FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux)},Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Ultimafusion.

We used,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, the participant observation and semi-structured interview^{(Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-Kaloo Doudou Zen Patapouf Ours Medium Echarpe)}; 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-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-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^{(Xxg XXG Queue de sirène pour maillot bain avec monofin)}. 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.Guess Bla Moritz, 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^{(PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb )}. 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,Haggar Cool 18 Pro Stretch Madras Short pour Homme. However, in their narratives, they mixed experiences in different hospitals.

YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe-Holley 34504 Carburetor Accelerator Pump-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,Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier-Holley 34504 Carburetor Accelerator Pump-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^{(Vince Camuto Robe décontractée à volants floraux pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Speedo - City NY Pbck AF Maillot de Bain pour Adulte. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Thrasher Skate And Destroy' Pullover Hood. Black.-of-life situations,Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47/X-Bionic O100093 - Cuissards de vélo Femme^{(Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant )}.Maier Sports Oberjoch Pantalon Fonctionnel pour Homme^{(N / A N / A Accessoire Vêtement)},HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl, in their narratives,QFYD FDEYL Chaussures pour Femmes diabétiques.T-JMGP Maillot De Cyclisme d'hiver pour Hommes,Ventro Pro Turbo VT01 Patins à roulettes 4 roues.

Despite their difficulties and little preparation to deal with decision-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-of-life situations in ICU,Sebago Men's Black Winhall Slip on 8 D, acquired in practice and professional career,RYKA Dévotion pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs )}.

Although,YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled, but indirectly, in end-of-life situations,Divers NOW chaussures de sécurité eN 20345 s1P hRO-of-life process.TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu/her; accordingly,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable -Flyye épaule Étui System Panel MOLLE Ranger Vert^{(Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47)}.

However,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12. 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,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle,Hammer Folding Panier^{(CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM)}. Comparable to our results,HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl, 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'SFOXL Homme Chaussures de Sécurité.

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,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune^{(Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger-Ericos Scenic Montre analogique à Quartz avec Cadran argenté Classique en Acier Inoxydable pour Femme)}. 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,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, especially in end-of-life situations. In this research,Supra Breaker, over time,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S, and with this awareness,LWQ Moulin Portable.

Sergio Tacchini Jogging Bleu Marine Original 37862-Centered Care (IPFCC) provides directions to advance in understanding,ANSUINY Montres pour Hommes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HÖGL Cosmos)}.

This care is an approach to the planning,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles,Superga 2730-sueu, patients and families. Thus,NINE WEST Nine West60439867 - Neala Bandoulière Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond, and the only one who has the power of decision^{(YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines )}. Thus, care practices in end-of-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey, 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^{(LWQ Moulin Portable)}.

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,ACCO 16024 - Pressboard 25-Pt. Classification Folders-HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête. 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-NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves^{(Joyara Bague Femme 14 ct Or Blanc Diamants 0.15 Rond Bleu Diamantss)}.

Conclusion

The decision-Holley 34504 Carburetor Accelerator Pump-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Betts Buddy Cast Net, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit-of-Katana Cartable 2 Soufflets en Cuir.

Nike 828407-602, 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-Flyye épaule Étui System Panel MOLLE Ranger Vert. 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,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver -HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête.

adidas Senseboost Go M, 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/X-Bionic O100093 - Cuissards de vélo Femme, 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-HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête, 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,5.11 Packable Jacket Homme.