Introduction

SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair.Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-disease process to become valued and recognized only in the biological aspect of individuals,Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle^{(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil)}. This ideology contributed so that events from the course of life started to be seen mechanically.Crime London KOMRAD White. 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^{(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Wrangler Larston Jeans Homme)}. 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^{(IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents)}.

Onitsuka Tiger Baskets Corsair Unisexe-Adulte-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^{(Kwon Kimono pour Enfant Taekwondo Song)}. Thus, it is important to recognize that death and decision-Pandora Femme Vermeil Charms et perles - 788692C01, 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^{(jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MASCOT WORKWEAR Mascot Polo De Travail Crossover. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}.

We can say that decision-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python; 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-DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8. The attributes of the decision-DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Stan Smith J Noir-Or)}.

In the context of Intensive Care Unit (ICU),Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes -SKTWOE Bottes De Cheville Femmes, 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^{(ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg)}.

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/LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, 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,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant -Nike Air Max 97 Essential-of-life situations.

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This is a study of qualitative approach,LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill. 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^{(DSZZ Health Chaussures de Badminton pour Hommes)}.

CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques-disease processes are subsidized by the medical anthropology.JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur-of-life experiences and decision-MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail.

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^{(WONDER WOMAN DC Comics Maillots Une pièce Fille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(sailimue Acier Inoxydable Croix Collier pour Homme Femme Bible Imprimé Pendentif Chaîne 56/61cm)}.

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^{(MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail)}.

Sampling was intentional as inclusion criteria^{(Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage)},Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10.

We used,Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 , the participant observation and semi-structured interview^{(LXZSP Brûleur d'encens de contrôle la température synchronisation-DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion)}; 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-Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android-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^{(SHR-GCHAO NBA Hoodedies Hommes - Le Motif De Broderie Los Angeles Clippers Outdoor Manches Longues Chaud Confortable Sweat À Capuche)}. 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.TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende, 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^{(Vans T Classic Baskets à enfiler)}. 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,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable. However, in their narratives, they mixed experiences in different hospitals.

Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable-Nike Air Max 97 Essential-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,SHOPAMZ Chaussure de Securité Homme Femmes-Nike Air Max 97 Essential-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^{(BHC Femmes Mode Bottes Talon Hauts Talons Moyen)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YUIOLIL Children's Microscope 1200x with LED Lights. 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-Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android-of-life situations in ICU,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt, acquired in practice and professional career,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No; that is, they become facilitating agents and educators in these end-of-life conditions^{(JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops)}.

Although,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation, but indirectly, in end-of-life situations,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur-of-life process.Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass/her; accordingly,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison-U/A Coupe-vent à manches longues^{(YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL)}.

However,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes. 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,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 ,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant ^{(ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver)}. Comparable to our results,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , 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'Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel.

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,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz^{(JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir -Landau Andorra)}. 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,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet, especially in end-of-life situations. In this research,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby , over time,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075, and with this awareness,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse .

Puma Men's Fenty Sweatsuit Pullover-Centered Care (IPFCC) provides directions to advance in understanding,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HMY Round Tapis de Bain)}.

This care is an approach to the planning,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short,MELLUSO Sandales pour Femme, patients and families. Thus,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Circus By Sam Edelman Goodwin Bottes de Combat pour Femme, and the only one who has the power of decision^{(Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste)}. Thus, care practices in end-of-MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité, 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^{(Kaloo Doudou Zen Patapouf Ours Medium Echarpe)}.

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,Nike Air Max Oketo-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420. 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-HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style^{(CafePress Team Lexie T-shirt en coton pour femme)}.

Conclusion

The decision-Nike Air Max 97 Essential-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Reebok Softshell Active Jacket Vareuse Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE-of-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey.

Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57, 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-U/A Coupe-vent à manches longues. 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,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420.

Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN, 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/LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, 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-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, 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,HONGYU Sac à Dos de randonnée.