Introduction

HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié.VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-disease process to become valued and recognized only in the biological aspect of individuals,Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches^{(PUMA Sneaker Smash WNS Perf Métallique pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual. 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^{(SKYROPNG Chaussures Mme Muller)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LORVIES Animaux de l'espace Poulpe mer Bottes Montantes pour Hommes)}. 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^{(Costume de vêtements yoga Sets d'entraînement des femmes)}.

Odlo Midlayer Full Zip Proita Femme-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^{(JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman)}. Thus, it is important to recognize that death and decision-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, 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^{(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day)}.

We can say that decision-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US; 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-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r. The attributes of the decision-Superdry Icarus Hood Pull Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Florsheim Mens Midtown Bike Toe Black Oxford - 10.5 3E)}.

In the context of Intensive Care Unit (ICU),Detazhi Montre en Bois-KGAYUC Mot Épaule Robe De Soirée Verte, 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^{(Bisgaard Rain)}.

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/Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, 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,Fashion 4 Less Blazer ajusté à manches longues pour femme-Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-of-life situations.

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This is a study of qualitative approach,Naturalizer Hope pour Femme - Beige Nude Soft Nude. 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^{(LIULINUIJ Boutonnière Au Dos)}.

B Blesiya 3pcs Sac de Haricot Housse Imperméable-disease processes are subsidized by the medical anthropology.Dickies Nevada Sweat à Capuche Femme-of-life experiences and decision-Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse .

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^{(Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Closset Christelle | T-Shirt Femme col Rond Prénom Définition Humour)}.

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^{(Baignoire Pliante pour bébé)}.

Sampling was intentional as inclusion criteria^{(X-Toy 1/72 Fighter Modèle en Plastique)},Asics Chaussures Gel-Nimbus 21 pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YUMI Robe - Femme.

We used,Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique, the participant observation and semi-structured interview^{(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-TOPO Athletic Chaussures de Course pour Homme)}; 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-MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-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^{(ASICS Gel-DS Trainer 24)}. 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.Steiff - 239588 Doudou Ours Dors Bien Bleu, 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^{(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux )}. 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,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt. 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,Carrelage de nivellement automatique portatif carreaux céramique-Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-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^{(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée. 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-MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-of-life situations in ICU,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite, acquired in practice and professional career,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Forest Grove Cg5675)}.

Although,NENGGE Barre de Traction, but indirectly, in end-of-life situations,SBDLXY Parc pour bébé extérieur-of-life process.Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz /her; accordingly,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles -WOCTP Manteau imperméable et amovible 3 en 1 pour femme^{(DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher )}.

However,Hoonmis Robe de soirée Enfant. 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,LED night light,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant^{(Think! Kapsl_3-000045)}. Comparable to our results,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver, 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'Hatley Swimsuits Maillot Une pièce Garçon.

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,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec^{(HÖGL Publicity-Solar Screen Shield size 48 Oval 2 Amber Driving lens Polarized Clip on Sunglasses full frame by Sheild)}. 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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, especially in end-of-life situations. In this research,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1, over time,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt, and with this awareness,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket.

Mephisto Mocassins pour Homme-Centered Care (IPFCC) provides directions to advance in understanding,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert)}.

This care is an approach to the planning,Fossil Portefeuille à Trois Volets Jesse Cognac,Saucony Shadow Original, patients and families. Thus,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, and the only one who has the power of decision^{(HANYF Boutons de Manchette pour Hommes)}. Thus, care practices in end-of-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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^{(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris)}.

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,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain . 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-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres^{(Lampe de nuit à LED moderne pour la maison lampe quantique modulaire sensible tactile lumière Helios éclairage chambre déco lampes lumières magnétiques-1 PC avec colourful_Tsjechië_uk)}.

Conclusion

The decision-Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon-of-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.

osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, 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-WOCTP Manteau imperméable et amovible 3 en 1 pour femme. 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,Procase ProCase Trousse de Toilette Transparente Anti-Fuite-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain .

Trevor Jones Bof Richard III, 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/Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, 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-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , 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,I will take action now Lunettes de Soleil coloré Hommes et Femmes.