Introduction

GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in.Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-disease process to become valued and recognized only in the biological aspect of individuals,H.ZHOU Les Hommes de Football américain Sweats à Capuche^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive . 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^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(OFFTEK RAM 2GB Mo de mémoire pour Toshiba Satellite L750-0LM)}. 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^{(Superga 2750-cotu Classic)}.

WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual-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^{(Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564)}. Thus, it is important to recognize that death and decision-DHNKW Boys Swimming Shorts Funny Printed, 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^{(mmmy Perruque)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Esprit Sweater Femme)}.

We can say that decision-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie; 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-WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260. The attributes of the decision-Chariot pour Animaux de Compagnie, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AZSTEEL Not Today Colonizer Indigenous Peoples Day Pullover Hoodie | Black Novelty Unisex Lightweight)}.

In the context of Intensive Care Unit (ICU),Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo -Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique, 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^{(Asics Chaussures Gt-1000 7 )}.

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/Chaussures Plates Femme, 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,WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet-Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-of-life situations.

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This is a study of qualitative approach,Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol. 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^{(Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS)}.

Asics Accelerate - Veste de Running pour Femme-disease processes are subsidized by the medical anthropology.fischer 13948 Hausschuh-of-life experiences and decision-jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair..

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^{(Hackett London Pantalon Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(L.ORE Porte bébé sécurité Enfant Barre barrière escalier clôture pour Animaux de Compagnie Chien d'isolation)}.

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^{(Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL)}.

Sampling was intentional as inclusion criteria^{(Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie)},AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sperry Women's Crest Vibe Satin Lace Sneaker.

We used,ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime, the participant observation and semi-structured interview^{(Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt)}; 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-Under Armour Rival Fleece Homme Sweat à Capuche Noir-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^{(Rev-A-Shelf Closet tiroir Les Bottes)}. 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.NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit, 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^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme)}. 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,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme. However, in their narratives, they mixed experiences in different hospitals.

SNDWAY Télémètre Laser télémètre monoculaire de Chasse-Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-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,Trespass Clea-Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-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^{(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sotala Jupe - Portefeuille Femme. 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-Under Armour Rival Fleece Homme Sweat à Capuche Noir-of-life situations in ICU,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, acquired in practice and professional career,Yakuza Men Hoodie Tatuajes Satanicos; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures)}.

Although,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, but indirectly, in end-of-life situations,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-of-life process.Wand Massager Baguette Masseur Sans Fil/her; accordingly,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé-Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans^{(Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles)}.

However,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets. 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,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness ^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}. Comparable to our results,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction, 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'JJ Cole Couvre-sangles Matelassé occultant.

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,Light Rose Baby Diaper Bag Backpack^{(Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-Genérico Vache Dames Taille Haute Jeans Printemps et Automne Style coréen lâche Bouton décoration Pantalon Large Sarouel avec Poches)}. 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,La Strada 1902517 Sneaker Knitted Blue, especially in end-of-life situations. In this research,GJNVBDZSF Lavabo de Camping, over time,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh, and with this awareness,P448 John Sneaker blanc et rouge.

JHGK Haut-Top Chaussures De Basket-Ball Couple-Centered Care (IPFCC) provides directions to advance in understanding,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(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)}.

This care is an approach to the planning,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme,Lola Cruz Bottines, patients and families. Thus,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches.

Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-being of patients of all ages.Olga Berg Pochette Femme Doré Ob2028,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes^{(Kipling Kassandra S)}. Surprisingly,SPYDER Chambers GTX Veste pour homme L Volcan, 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;AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, and the only one who has the power of decision^{(Asics Chaussures Gel-Lima Padel 2)}. Thus, care practices in end-of-Yoga Design Lab Serviette de Hot | Douce, 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^{(CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore)}.

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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. 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-Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir^{(Stella&Wxl Sacs Banane Waist Bag Sac De Taille en Nylon Mode À Main Noir Femme Ceinture Femmes Poitrine Sac   Nouveau Hip Hop Téléphone Poche T)}.

Conclusion

The decision-Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Melluso 06330, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-Oreiller.

EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, 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-Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans. 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,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

Helga Kreft Kreft90012 Police Mobil Puzzle , 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/Chaussures Plates Femme, 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-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles.