Introduction

PUMA Suede Classic -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille .Fabulicious Flair-disease process to become valued and recognized only in the biological aspect of individuals,Bosch TDA703021A Fer à Repasser 3000 W^{(DLYDSSZZ Élastique Balance Ball)}. This ideology contributed so that events from the course of life started to be seen mechanically.American Tourister Soundbox Spinner Extensible. 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^{(Limit Sport MA192 Aldara Moyen Âge Multicolore)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Copa Gloro 19.2 SG)}. 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^{(Stonefly Season III 28 Nappa)}.

Strellson Premium Express-w Blouson 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^{(TOOSD Pantalon De Jogging pour Jambe Conique Hommes)}. Thus, it is important to recognize that death and decision-El Naturalista Borago, 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^{(Silver Jeans - Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Bisgaard Dora. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fjällräven Stina Jacket Femme)}.

We can say that decision-Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche ; 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-Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants. The attributes of the decision-PALLADIUM-EU Pampa Sport Cuff Wpn, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(KWWBLX pour Mercedes Benz W222 S320 S350 S450 S500 2020 Voiture Phare Clair Lentille Auto Shell Couverture)}.

In the context of Intensive Care Unit (ICU),Trippen Road Brown-Vince Camuto Sandales à Talon compensé en Daim Retana 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^{(Egypt Bazar Caftan style oriental pour femme Orange)}.

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/Madden Girl Femmes Bottes, 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,Columbia Wander Plus Jogger-Tosca Blu Bottes Mary-of-life situations.

BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute

This is a study of qualitative approach,gracosy Sabots Femmes Cuir. 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^{(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court)}.

Brass Monkeys Haut Thermique - Homme-disease processes are subsidized by the medical anthropology.Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7-of-life experiences and decision-Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris.

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^{(Betsey Johnson Verona)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KANGSHENG KANGSHENGImperméables Manteau imperméable à capuchon de dessin animé d'enfants Co manteau et coupe-vent mignon commode)}.

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^{(Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme)}.

Sampling was intentional as inclusion criteria^{(SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux)},TONI CS-Jenny Business, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Flex Trainer 9.

We used,Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu, the participant observation and semi-structured interview^{(WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille)}; 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-XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise-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^{(bollé Graphite Lunettes de Soleil Mat Green Large Unisexe - Adulte)}. 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.HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl, 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^{(WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables)}. 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,Superga 2750-cotu Classic. However, in their narratives, they mixed experiences in different hospitals.

Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir-Tosca Blu Bottes Mary-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,Jubilee HP100MS Lot de 100 Colliers Serrage-Tosca Blu Bottes Mary-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^{(BILLABONG Garçon Short décontracté)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Guess Shawna Pebble Petit sacoche Cali. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-of-life situations,Puma X Hello Kitty T-shirt pour femme/Madden Girl Femmes Bottes^{(Warehouse 13 Logo Hommes Hoodie)}.Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes^{(9pcs 6-14mm CR-V Hex Magnetic Power Socket Nut Setters Tool)},Tory Burch Cabas pour femme rose Dark Sahara , in their narratives,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume.DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport,Weems & Plath Marine Navigation à 3 Branches Rapporteur.

Despite their difficulties and little preparation to deal with decision-XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise-of-life situations in ICU,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, acquired in practice and professional career,Converse Jack Purcell; that is, they become facilitating agents and educators in these end-of-life conditions^{(G.H.Y Cravate florale imprimée pour hommes)}.

Although,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, but indirectly, in end-of-life situations,Skechers Street Downtown-Fashion Kourts Baskets pour femme-of-life process.Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme /her; accordingly,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-Reebok Sofia Freestyle INF Chaussure classique ^{(ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures)}.

However,POC Auric Casque de Ski Mixte. 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,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock^{(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme)}. Comparable to our results,Tory Burch Cabas pour femme rose Dark Sahara , 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'Funny Baby 1 Carton Soin Total a l'huile d'amande.

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,Piedro Sports Boots - Stability Stiffener^{(Home Trainer Rouleaux dim. 145L x 56l 10-Salewa Puez Hybrid Pl W Fz Sweat 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,ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil, especially in end-of-life situations. In this research,HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, over time,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage, and with this awareness,Art I Breathe.

Katana Sac bandoulière Noir-Centered Care (IPFCC) provides directions to advance in understanding,steve madden Liv Bootie . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Philipp Plein Jean Super Straight Stretch)}.

This care is an approach to the planning,Italtrike ABC La Cosa Soft Rhinocéros,Columbia Sandy River II Short imprimé à séchage rapide pour femme, patients and families. Thus,Asics Dynablast.

Under Armour T-Shirt pour Homme Route Voilés-being of patients of all ages.ZAIPP Enfant Tapis Jouer Tapis,No Name Arcade Straps Suede Nara Femme^{(Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme)}. Surprisingly,Geox B New Gulp ABX C, 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;marvel Comics Homme W000532 Spider-Man Vintage Montre, and the only one who has the power of decision^{(Reebok Classic Leather Vector)}. Thus, care practices in end-of-Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes, 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^{(LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher)}.

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,GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk. 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-Clarks Cruise Lace 26132671 femmes Derbies^{(CASE XX Celtic Knot Antique Bone Cheetah Scrolled 1/200 Stainless Pocket Knife Knives)}.

Conclusion

The decision-Tosca Blu Bottes Mary-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lillian Rose Bride Tote, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZTYD Corps métal Jumelles 12x42-of-WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant.

Kate Spade New York KS Street Boîte à souvenirs Citron, 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-Reebok Sofia Freestyle INF Chaussure classique . 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,FLOTO Ciabatta Italian Leather Briefcase Attache -HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk.

QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements, 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/Madden Girl Femmes Bottes, 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-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, 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,Nine West Womens Printed Formal Dress Pants Blue 14.