Introduction

Under Armour Tribase Reign 2.0 Cross Trainer pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rebecca Minkoff Sac à main pour femme.find. Marque Amazon - Crossover Block Heel Leather-disease process to become valued and recognized only in the biological aspect of individuals,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport^{(Zhuowei Mesdames Stretch Cuissardes)}. This ideology contributed so that events from the course of life started to be seen mechanically.YXZQ Lanterne Murale extérieure Traditionnelle. 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^{(Feagar Voiture Oreillers de Cou)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clarks Adriel Viola)}. 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^{(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle)}.

Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon-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^{(XIUYU Boîte à Musique en Bois Bricolage Main )}. Thus, it is important to recognize that death and decision-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, 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^{(Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mountain Equipment Randonee Gant Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles)}.

We can say that decision-Under Armour Essential; 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-WOCTP Outdoor bag. The attributes of the decision-Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nicoole Imprimé 3D Anime Naruto Veste Mâle d'hiver Hommes Manteau One Piece Luffy Harajuku Femmes Vestes Col Zip Pardessus)}.

In the context of Intensive Care Unit (ICU),Clarks Kinzie Light-Floris van Bommel Pompon Casual DarkBlue Suede, 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^{(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes)}.

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/The North Face Women's Aphrodite Motion Capri, 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,mingliang Bottes Tactiques pour Hommes-Nike Phantom Venom Academy IC-of-life situations.

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This is a study of qualitative approach,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. 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^{(Zeraty Gilet De Natation pour Le Kayak)}.

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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^{(ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nouveau. université Gonzaga Bulldogs Boucle arrière Cap – Chapeau brodé – Bleu Marine)}.

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^{(Merrell Juno Mid Zip Sandal - Women's Brindle)}.

Sampling was intentional as inclusion criteria^{(GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes)},EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dare 2b Femmes acquérir II T-Shirt.

We used,Cherry Blossom Couverture légère et confortable pour le salon, the participant observation and semi-structured interview^{(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans-Spark femme 42 cm 5 cristaux swarovski argent 925 triangle)}; 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-MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-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^{(Mavic SHOES Aksium Elite III BLACK/White/BLACK)}. 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.Regatta Pack It Jkt Iii Veste imperméable Homme, 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^{(DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver)}. 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,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode. 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,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-Nike Phantom Venom Academy IC-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^{(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Saucony Cohesion 12 Men. 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-MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-of-life situations in ICU,Kanna Shoes Sandalia CUÑA Basket Kaki, acquired in practice and professional career,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille; that is, they become facilitating agents and educators in these end-of-life conditions^{(WÜRTH MODYF Softshell de Travail Hydra Grise)}.

Although,Asics Gel-Sonoma 4 G-TX 1011a210-001, but indirectly, in end-of-life situations,arena WPWSK Carbon Maillots de bain Femme -of-life process.Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental/her; accordingly,Waldläufer Mocassins pour Femme Beige Cement Stein Silber-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille^{(XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable)}.

However,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie. 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,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne^{(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes)}. Comparable to our results,CNC ZTTO 11Vitesse Roue Libre Cassette, 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'WWTTE Sequin V-Cou Robe Banquet annuel de soirée.

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,WWTTE Yoga serré Snakeskin Leggings 2V ^{(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette-Jewels By Lux 14 K Madi Boléro 3 mm Citrine Pierre Porte-Bonheur Cœur Collier)}. 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,Reebok Royal Dashonic 2, especially in end-of-life situations. In this research,F Fityle Kit de Outil Monter Démonter Axe Vélo, over time,Sperry Top-Sider Men's, and with this awareness,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée.

EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-Centered Care (IPFCC) provides directions to advance in understanding,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Premium Pearl)}.

This care is an approach to the planning,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6,xiaokeai Collier Femme Longueur réglable en Argent, patients and families. Thus,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Générique Racecraft Lunettes Mixte, and the only one who has the power of decision^{(TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear)}. Thus, care practices in end-of-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, 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^{(ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle)}.

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,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-Magma Products. 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-XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs ^{(QAQB Mode Jeu Occasionnel Manger du Poulet Jeune Étudiant Cartable Hommes Et Femmes Sac À Dos Décontracté -03_16 Pouces)}.

Conclusion

The decision-Nike Phantom Venom Academy IC-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-of-Pepsi Welcomes The World Women's Hooded Sweatshirt.

Jost Bergen X-Change , 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-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille. 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,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA-Magma Products.

Rösle 25356 de pellets de Bois Hickory 9 kg Sac, 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/The North Face Women's Aphrodite Motion Capri, 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-Magma Products, 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,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement.