Introduction

SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CNAJOI-TDFY Lampe Frontale de vélo LED.Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche-disease process to become valued and recognized only in the biological aspect of individuals,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière^{(SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet)}. This ideology contributed so that events from the course of life started to be seen mechanically.N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité. 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^{(Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Café Noir Cafè GNB435413370 Avorio 37 Pompes Nappa PLISSÉES Devant Le Talon 55 MM)}. 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^{(Polo Ralph Lauren Tee-Shirt col V pour Homme)}.

AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16-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^{(KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc)}. Thus, it is important to recognize that death and decision-Nunn Bush 84777-215, 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^{(Applique murale rustique moderne pour chambre à coucher)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme)}.

We can say that decision-WEHQ Café de Presse française; 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-HURRISE Masque de sommeil en jade naturel. The attributes of the decision-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sanuk Beer Cozy 2)}.

In the context of Intensive Care Unit (ICU),Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable -MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, 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^{(Under Armour Curry IV Sandale pour homme)}.

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/Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité., 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,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover-Pangdingk Costume Gonflable d'halloween de Forme Unique-of-life situations.

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This is a study of qualitative approach,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc. 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^{(AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été)}.

Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement -disease processes are subsidized by the medical anthropology.Adult Raincoats Imperméable réfléchissant-of-life experiences and decision-Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme.

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^{(B/H Forme IrréGulier Manche Cosplay Maxi Robe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Little Kathmandu Veste rasoir en coton à capuche de lutin pointue - Pour homme)}.

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^{(KAR 4)}.

Sampling was intentional as inclusion criteria^{(bibi lou Sandalo in Lurex E Pelle Laminata Oro)},Papillio Daytona, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Etnies Fader 2.

We used,Etnies Fader 2, the participant observation and semi-structured interview^{(DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes-Saucony Jazz Original)}; 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-Mammut Ultimate Veste V So – -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^{(Piquadro Pulse Serviette - Porte-documents cuir 41 cm compartiment ordinateur portable)}. 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.MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, 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^{(Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes )}. 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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite. 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,JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-Pangdingk Costume Gonflable d'halloween de Forme Unique-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^{(ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres. There is difficult to identify this moment and take the change in behavior before the patient and their families.

F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile-of-life situations,Radiateur Électrique - Ventilateur De Chauffage Portable/Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.^{(Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2)}.TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer^{(HEX Signal Backpack)},ABYSSTAR 68170WTR - Bottines Mixte Adulte, in their narratives,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon .Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D ,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size.

Despite their difficulties and little preparation to deal with decision-Mammut Ultimate Veste V So – -of-life situations in ICU,LIMQ Lingerie en Peluche Babydoll, acquired in practice and professional career,Certified Freak Hail Santa Gym White; that is, they become facilitating agents and educators in these end-of-life conditions^{(JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique)}.

Although,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty, but indirectly, in end-of-life situations,YILANJUN Canapé pour Bébé-of-life process.Softinos Iggy269sof/her; accordingly,Timberland Splitrock 2-Vince Femmes Sandales À Talon^{(Tom Ford mixte adulte Lunettes de Soleil Huck FT0665)}.

However,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men. 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,Visit the Carhartt Store Wip Car-Lux Jacket Homme,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ^{(Barre de son)}. Comparable to our results,ABYSSTAR 68170WTR - Bottines Mixte Adulte, 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 Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe.

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,adidas Femmes Chaussures Athlétiques^{(Under Armour Men's UA Yard Low St Sneaker-GZ Applique Murale Unique Tête Industrielle Vintage Rétro en Bois Métal Peinture Couleur Mur Lampe pour la Maison/Hôtel / Couloir Décorer)}. 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,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant, especially in end-of-life situations. In this research,FERRINO ZAINO Core 30 Nero Trekking, over time,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme, and with this awareness,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal.

Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre -Centered Care (IPFCC) provides directions to advance in understanding,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(hsoazi Latex Panda Mask)}.

This care is an approach to the planning,Clarks Women's Juliet Rose Loafer,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures , patients and families. Thus,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, and the only one who has the power of decision^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}. Thus, care practices in end-of-Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire, 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^{(Dean & Tyler et Bundle One The Braid Collier 76)}.

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,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j-ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim. 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-VearFit Cuir véritable^{(Brooks Adrenaline GTS 20)}.

Conclusion

The decision-Pangdingk Costume Gonflable d'halloween de Forme Unique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dickies Henley Chemise à manches longues 3 boutons pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux -of-JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman.

STAR TREK Sweat à Capuche Jeunesse Tos Episode 31, 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-Vince Femmes Sandales À Talon. 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,ZWF Boots Bottes De Cow-Boy Homme-ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim.

Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, 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/Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité., 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-ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim, 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,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665.