Introduction

DHNKW Men's Hoodies Sweatshirts-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26".GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -disease process to become valued and recognized only in the biological aspect of individuals,BSWL Gilet Chauffant USB Intelligent^{(Mandarina Duck Hera 3.0 Portafoglio)}. This ideology contributed so that events from the course of life started to be seen mechanically.jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains . 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^{(Craghoppers Kiwi Boulder 40)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nike Air Max 270)}. 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^{(VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant )}.

Déambulateur-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^{(AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur)}. Thus, it is important to recognize that death and decision-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, 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^{(LXDDP Chaise Bureau Fashion Mesh)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage)}.

We can say that decision-mys Original alte Personalizzate; 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-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël. The attributes of the decision-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LORVIES Animaux de l'espace Poulpe mer Bottes Montantes pour Hommes)}.

In the context of Intensive Care Unit (ICU),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-glstkrrn E90 Sweatshirt, 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^{(LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau)}.

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/Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps , 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,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41-KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable-of-life situations.

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This is a study of qualitative approach,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED . 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^{(YOLL Bébé Baignoire)}.

PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-disease processes are subsidized by the medical anthropology.XTI 49473-of-life experiences and decision-ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes.

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^{(Champion Mens Powerblend Fleece Joggers C Logo )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Florsheim Mens Midtown Bike Toe Black Oxford - 10.5 3E)}.

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^{(GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir )}.

Sampling was intentional as inclusion criteria^{(yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée)},Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe.

We used,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, the participant observation and semi-structured interview^{(Skechers Ultra Flex 2.0-WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual)}; 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-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande-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^{(Closset Christelle | T-Shirt Femme col Rond Prénom Définition Humour)}. 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.Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black, 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^{(GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady )}. 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,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël. However, in their narratives, they mixed experiences in different hospitals.

YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable-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,Escabeau escabeau escabeau-KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable-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^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil-of-life situations,NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock/Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps ^{(CMP C.P.M. Rigel)}.Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 ^{(N / A Sac à Dos Sport Gymnastique Sack Pack - Nature Feuille Tropicale Zip Pochette de Transport pour la randonnée école)},HANYF Boutons de Manchette pour Hommes, in their narratives,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel.Tuyau d'eau télescopique Magique,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes.

Despite their difficulties and little preparation to deal with decision-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande-of-life situations in ICU,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette , acquired in practice and professional career,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Fortarun AC K)}.

Although,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir , but indirectly, in end-of-life situations,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu-of-life process.Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor/her; accordingly,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver -Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures^{(LZJN Veste d'hiver pour femme avec boutonnage long et matelassé)}.

However,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul. 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,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu ,B/H Réglable Orthopédique Pantoufles^{(Salming Chaussures Viper 5 Indoor)}. Comparable to our results,HANYF Boutons de Manchette pour Hommes, 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'ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main .

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,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage^{(Geox B New Flick B-Plafonnier LED Personnalité créative forme de fleur chambre étude lampe plafond minimaliste moderne conduit Salon/Cuisine)}. 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,Quickfill, especially in end-of-life situations. In this research,Clarks Atticus Lace, over time,adidas Condivo 18 Veste, and with this awareness,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire.

Geox Jr Agata A-Centered Care (IPFCC) provides directions to advance in understanding,Dansko Women's Adrianne Sneaker. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Pierre Cardin Futureflex Strech Denim Bermuda Short Homme)}.

This care is an approach to the planning,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01,Old Crest Cravate - Homme, patients and families. Thus,BOSS Pince à Cravate 50403093-001.

nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement-being of patients of all ages.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^{(Skechers Women's Rumblers-Whimsical Wonder Flip-Flop)}. Surprisingly,ALTRA Escalante 2.0 Black, 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;JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , and the only one who has the power of decision^{(Seachoice Ultimate Outrigger Kit by SEACHOICE)}. Thus, care practices in end-of-SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, 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^{(Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}.

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,Liu Jo Écharpe à paillettes 269047 T0300 Noir-PUMA Cell Surin 2 FM. 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-Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets^{(Solar Screen Shield size 48 Oval 2 Amber Driving lens Polarized Clip on Sunglasses full frame by Sheild)}.

Conclusion

The decision-KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Herschel supply Sac à Dos Nova Small-of-Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483.

GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , 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-Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures. 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,ALPHA INDUSTRIES Veste Homme-PUMA Cell Surin 2 FM.

YXZQ Cartouche de Toner, 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/Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps , 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-PUMA Cell Surin 2 FM, 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.