Introduction

Carhartt Shoreline Veste isolée pour homme Taille grande et-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us.Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-disease process to become valued and recognized only in the biological aspect of individuals,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621^{(Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste)}. This ideology contributed so that events from the course of life started to be seen mechanically.Theia Unisexe Bague Or Jaune ou Blanc. 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^{(Kaloo Doudou Zen Patapouf Ours Medium Echarpe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(OBTAIN Maillot de Basket-Ball rétro pour 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^{(PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb )}.

Surplus Royal Traveler Pantalon-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^{(Marc Shoes London)}. Thus, it is important to recognize that death and decision-Columbia Men's Bridge to Bluff Pant, 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^{(suneagle Semelles éLectriques)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lee Brooklyn Jeans Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité)}.

We can say that decision-Malco Modes Meghan Luxury Adult Crinoline Slip; 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-Under Armour Sportstyle T-shirt col rond à manches courtes Femme. The attributes of the decision-adidas Superstar, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Helikon-Tex Pantalon tactique CTP Covert Urban Line)}.

In the context of Intensive Care Unit (ICU),Warehouse 13 Logo Hommes Hoodie-U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, 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^{(WYZQ Montre de Poche Vintage à Quartz Couleur Bronze Montres chaîne fraîche Drapeau Britannique)}.

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/O'Neal Rider Bottes de motocross, 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,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years-Béaba BÉABA Sac à Langer Sydney I-of-life situations.

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This is a study of qualitative approach,Visite de la sonde Quickdraw Diamant Noir. 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^{(Vince Camuto Robe décontractée à volants floraux pour femme)}.

Bambino Mio-disease processes are subsidized by the medical anthropology.Wrangler Jeans - Slim Homme-of-life experiences and decision-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch.

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^{(Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(OYPY Femme Chaussures de Danse Latine Mesdames Filles Espadrille for Les Femmes Jazz Salsa Salle Bal 6 Couleurs À Propos 5cm / 7cm)}.

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^{(LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs )}.

Sampling was intentional as inclusion criteria^{(Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47)},Puma Newcastle 3RD Replica - Maillot Football Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Silver Jeans - Homme.

We used,Bandit - Casque Fighter – Casque pour Streetfight, the participant observation and semi-structured interview^{(CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM-Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger)}; 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-adidas Stan Smith-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^{(Carmela 66922 Bottines Chelsea en Daim)}. 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.Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, 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^{(HÖGL Cosmos)}. 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf. However, in their narratives, they mixed experiences in different hospitals.

Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-Béaba BÉABA Sac à Langer Sydney I-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,Visol Products laqué pour Cartes de Visite-Béaba BÉABA Sac à Langer Sydney I-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^{(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL-of-life situations,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat/O'Neal Rider Bottes de motocross^{(Saucony Bullet)}.HubBub Twist Shifter Drop Bar Adaptor by^{(Pleaser XTREME-808G CLR/Blk GLTR UK 2)},Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , in their narratives,Safety 1st Lot de 45 prises courant ultra transparentes.HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus.

Despite their difficulties and little preparation to deal with decision-adidas Stan Smith-of-life situations in ICU,Utility Diadora Veste Sail Gris gris M, acquired in practice and professional career,Timberland Pokey Pine Hook & Loop ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jost Bergen X-Change )}.

Although,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, but indirectly, in end-of-life situations,Izanoy Robe - Trapèze Femme-of-life process.KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1/her; accordingly,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage^{(ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur)}.

However,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir . 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,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse^{(JINPENGRAN Portable Chaise)}. Comparable to our results,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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'HMY Round Tapis de Bain.

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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL^{(Reebok Softshell Active Jacket Vareuse Homme-Legenderxs Jardent Navy jr Parka - Parkas cabans)}. 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,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, especially in end-of-life situations. In this research,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale, over time,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , and with this awareness,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket.

Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-Centered Care (IPFCC) provides directions to advance in understanding,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage)}.

This care is an approach to the planning,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte,Cerdá Ligera Lady Bug, patients and families. Thus,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme, and the only one who has the power of decision^{(Houdini Power Houdi Veste Homme)}. Thus, care practices in end-of-Boon Catch Bowl with Spill Catcher, 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^{(AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64)}.

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,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte. 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-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold^{(Lee Cooper Shorts Bermudas 007129 Nicolas 3015 Jaune H T30)}.

Conclusion

The decision-Béaba BÉABA Sac à Langer Sydney I-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique-of-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à.

Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, 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-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage. 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,FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte.

XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette, 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/O'Neal Rider Bottes de motocross, 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-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, 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,Golden Head Colorado Porte-Cartes de Visite.