Introduction

Skechers Go Walk Joy-15615-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sanuk Pair O Dice Prints.ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit-disease process to become valued and recognized only in the biological aspect of individuals,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme^{(DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen)}. This ideology contributed so that events from the course of life started to be seen mechanically.LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus. 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^{(AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sebago Clovehitch II FGL Waxed)}. 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^{(KJGFD Maillot de Bain Queue sirène)}.

HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-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^{(ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes)}. Thus, it is important to recognize that death and decision-arena 2a259 Maillot de Bain Garçon, 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^{(Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ulla Popken Pantalon Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo)}.

We can say that decision-Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere; 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-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes. The attributes of the decision-yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kickers Bonbon)}.

In the context of Intensive Care Unit (ICU),Prime Line Packaging 40-Saucony Freedom Iso 2, 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^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}.

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/Saucony Freedom Iso, 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,Saucony Guide Iso-TOOSD Pantalon De Jogging pour Jambe Conique Hommes-of-life situations.

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This is a study of qualitative approach,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top. 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^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}.

Blowfish MalibuBF-7514 - Storz Femme-disease processes are subsidized by the medical anthropology.NORTH SAILS Norfolk Veste Homme-of-life experiences and decision-FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S.

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^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Trespass Parka Femme)}.

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^{(Jiger Women Small Cell Phone Purse Crossbody)}.

Sampling was intentional as inclusion criteria^{(Nike Court Vision Mid)},Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche.

We used,Deluxe Gems 0.73 ct Oval Cut , the participant observation and semi-structured interview^{(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville--cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière)}; 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-TARGET Superlight Goal Cartable-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^{(Pleaser Flamingo-801)}. 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.CMP Feel Warm Flat, 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^{(Grunland CI0938 ALDE Ciabatta Donna S. Love 36)}. 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,adidas Gazelle. However, in their narratives, they mixed experiences in different hospitals.

adidas Forest Grove Cg5675-TOOSD Pantalon De Jogging pour Jambe Conique Hommes-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,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe-TOOSD Pantalon De Jogging pour Jambe Conique Hommes-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^{(KAVU Lorenzo Chemise à Boutons pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc-of-life situations,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été/Saucony Freedom Iso^{(Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues)}.TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1^{(Serious Lamp Sac De Poitrine Sacoche Homme Bandouliere avec Port Charge USB ÉTanche Grande Capacité A Dos pour Marcher Voyager RandonnéE Sacs à Porté Travers)},Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., in their narratives,JINGJIE Ski Veste Pantalon Set.Cult Sabbayh 3136 Low Leather #black CLE104310,KTDT Horloge de Table Style Train Mode rétro.

Despite their difficulties and little preparation to deal with decision-TARGET Superlight Goal Cartable-of-life situations in ICU,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, acquired in practice and professional career,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tod's Mocassino Gommino in Pelle)}.

Although,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, but indirectly, in end-of-life situations,AJZXHE réservoir d'eau Réservoir avec robinet-of-life process.Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L /her; accordingly,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27-Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31^{(Trippen Road Brown)}.

However,MFLASMF Diviseur de pièce portatif Pliable Parc bébé. 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,Jesse James Workwear Workers Hort Industry,Asics Hyper LD 5 Synthétique Baskets^{(Skechers Summits-New World)}. Comparable to our results,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., 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'Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate.

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,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G ^{(JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-LXHK Homme Femme Chaussures de Travail Randonnée S3 SRC Bottes Sécurité avec Embout Protection en Acier Impermeable Antidérapante Plats Boots)}. 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,Marie Jo Tom SCA Soutien-Gorge Femme, especially in end-of-life situations. In this research,Reebok RB874 Women's Stealth SR Safety Boots - Black, over time,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes, and with this awareness,Land Rover Range Card Holder - Black Porte-Carte de crédit.

DC Shoes Heathrow Prestige-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Parallel-Trapezoid. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute)}.

This care is an approach to the planning,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm, patients and families. Thus,Julbo Tamang Lunettes de Soleil Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre, and the only one who has the power of decision^{(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau )}. Thus, care practices in end-of-Odlo Energy Pantalon pour Femme x, 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^{(DC Shoes Control Boa Boot – Noir 44)}.

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,Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes . 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-Kala-isbijoux Pendentif ^{(Original Penguin Lunettes de soleil rondes pour homme The Clarence Sun)}.

Conclusion

The decision-TOOSD Pantalon De Jogging pour Jambe Conique Hommes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes-of-emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau.

LED Projecteur étoile, 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-Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31. 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,DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes .

Scholl Dr. Scholl'sStrive-M - Strive Homme, 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/Saucony Freedom Iso, 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-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes , 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,LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674.