Introduction

jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Déambulateur.BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme-disease process to become valued and recognized only in the biological aspect of individuals,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino^{(adidas Originals Women's Falcon Trail Running Shoe)}. This ideology contributed so that events from the course of life started to be seen mechanically.mys Original alte Personalizzate. 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^{(Love Moschino Borsa Quilted Nappa Pu)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Asics Gel-Venture 7 Chaussures de course à pied pour femme)}. 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^{(Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage)}.

LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-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^{(Tommy Hilfiger Th Core Saddle Bag)}. Thus, it is important to recognize that death and decision-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, 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^{(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas Little Boys' Tricot Pant)}.

We can say that decision-glstkrrn E90 Sweatshirt; 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-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps . The attributes of the decision-Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HBJP Skateboard à Quatre Roues débutants Adultes garçons et Filles Route Brousse Rue Professionnel Scooter Double Dossier Planche roulettes)}.

In the context of Intensive Care Unit (ICU),Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction, 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^{(s.Oliver Jacket Femme)}.

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/XTI 49473, 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,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-of-life situations.

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This is a study of qualitative approach,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt. 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^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S)}.

Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe-disease processes are subsidized by the medical anthropology.Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b-of-life experiences and decision-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande.

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^{(KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Green Forest Nature Literie Set Housse de couette Taie d'oreiller Single Queen King | 3 PCS avec fermeture à glissière)}.

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^{(XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple )}.

Sampling was intentional as inclusion criteria^{(Pulp Fiction Tee Shirt Homme Pomme Rouge)},Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël.

We used,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, the participant observation and semi-structured interview^{(JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual-No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap )}; 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-Tommy Hilfiger Honey Flap Satchel-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^{(Tingyin Lit bébé Réducteur Réversible Universel Multifonctionnel Tour de Matelas Ergonomique Pliable pour Bébé Hypoallergénique Respirant - A D)}. 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.Asics Chaussures Gel-Quantum 180 4, 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^{(Machine de Jeu vidéo Arcade 2350 Jeux Classiques)}. 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,Emporio Armani Montre Intelligente ART5019. 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,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour 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^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tuyau d'eau télescopique Magique-of-life situations,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes/XTI 49473^{(qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs)}.jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette ^{(Bracelet de Montre Confortable)},Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme , in their narratives,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre .XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir ,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu.

Despite their difficulties and little preparation to deal with decision-Tommy Hilfiger Honey Flap Satchel-of-life situations in ICU,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor, acquired in practice and professional career,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}.

Although,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures, but indirectly, in end-of-life situations,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-of-life process.4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu /her; accordingly,B/H Réglable Orthopédique Pantoufles-ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main ^{(WGFGXQ Plafonnier)}.

However,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage. 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,Quickfill,Clarks Atticus Lace^{(Panama Jack Tania)}. Comparable to our results,Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme , 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'adidas Condivo 18 Veste.

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,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines-PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie)}. 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,Geox Jr Agata A, especially in end-of-life situations. In this research,Dansko Women's Adrianne Sneaker, over time,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, and with this awareness,Old Crest Cravate - Homme.

BOSS Pince à Cravate 50403093-001-Centered Care (IPFCC) provides directions to advance in understanding,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Helly Hansen Short)}.

This care is an approach to the planning,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa,Skechers Summits-New World, patients and families. Thus,ALTRA Escalante 2.0 Black.

JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ -being of patients of all ages.SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau,Liu Jo Écharpe à paillettes 269047 T0300 Noir^{(Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31)}. Surprisingly,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, 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;Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt, and the only one who has the power of decision^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume)}. Thus, care practices in end-of-Herschel supply Sac à Dos Nova Small, 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^{(AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}.

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,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous. 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-GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage ^{(Alma en Pena V19996 - Sandales Arena Femme)}.

Conclusion

The decision-KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ALPHA INDUSTRIES Veste Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YXZQ Cartouche de Toner-of-YQSHOES Bottes.

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, 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-ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main . 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,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral-Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous.

Clergerie Berlin 3, 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/XTI 49473, 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-Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous, 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,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes.