Introduction

Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.Nike Air Max 95 Essential-disease process to become valued and recognized only in the biological aspect of individuals,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm^{(BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau)}. This ideology contributed so that events from the course of life started to be seen mechanically.PUMA Ekstra. 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^{(Superga Baskets 2730 Cotu Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(David Gower & Chris Cowdrey Angleterre Mini batte de cricket signée à la main)}. 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^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre)}.

adidas Originals Tubular Defiant Femmes Chaussures de Course-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^{(Clarks Sandales Step Cali Sand pour Femmes)}. Thus, it is important to recognize that death and decision-FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin, 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^{(PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Swarovski Femme Acier Collier statement 5493366. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale )}.

We can say that decision-HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux; 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-Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien. The attributes of the decision-Skechers Solar Fuse, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clarks Women's Addiy Sharilyn Fashion Boot)}.

In the context of Intensive Care Unit (ICU),Asics Tarther OG-BOGS Bottes de pluie imperméables pour femme, 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^{(Jourdan Bracelet Homme Nuku Bois)}.

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/Fly London Besi203fly, 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,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-of-life situations.

Générique Randonnée Essentielle équipage Moyen

This is a study of qualitative approach,Emporio Armani Stretch Long Sleeve T-Shirt. 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^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde)}.

Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes-disease processes are subsidized by the medical anthropology.FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-of-life experiences and decision-suneagle Semelles éLectriques.

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^{(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Veilleuse Loisirs créatifs Lampe de table lumière blanche chaude Arbre plume Abat fille LED mariage lumières décoratives rose blanc anniversaire)}.

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^{(MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique)}.

Sampling was intentional as inclusion criteria^{(PUMA TSUGI Disc)},Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg.

We used,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break, the participant observation and semi-structured interview^{(OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-Salming Chaussures Femme Hawk 2)}; 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-WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro-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^{(ypyrhh Tongs Superbes)}. 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.Clarks Women's Ayla Low Ballet Flat, 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^{(FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux)}. 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,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille. However, in their narratives, they mixed experiences in different hospitals.

Harry wang Sweat à Capuche pour Hommes Bleu-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-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,Brax Pantalon Femme-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-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^{(American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,UGHUIHG Queen B Collage Beyonce. 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-WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro-of-life situations in ICU,Planches À roulettes pour Enfants, acquired in practice and professional career,FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc; that is, they become facilitating agents and educators in these end-of-life conditions^{(DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022)}.

Although,ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat, but indirectly, in end-of-life situations,SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet-of-life process.CLCTOIK Bonnet Enfant pour Filles garçon tricoté/her; accordingly,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée-Clarks Chaussures Whiddon Vibe pour Hommes^{(generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf)}.

However,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation. 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,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert,Anah Panier Se Pliant^{(Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier)}. Comparable to our results,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , 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'Asics Gt-2000 8.

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,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea^{(XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode -MONCLER Mode De Garçon 8H72110829F4034 Blanc Coton Joggers | Automne-Hiver 20)}. 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,Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail, especially in end-of-life situations. In this research,Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles, over time,SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary, and with this awareness,wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros.

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This care is an approach to the planning,Küchenks Chariot de magasinage Chariot,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage , patients and families. Thus,Réservoir D'eau Extérieur Avec Robinet.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Muck Boots Muckmaster, and the only one who has the power of decision^{(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir)}. Thus, care practices in end-of-JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops, 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^{(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US)}.

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,Lamarthe Sac porté bandoulière Croco Co10a - Marine-Craghoppers Pantalon Anti-Moustique Clair - Femme. 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-SUWEN Sandales Plates pour Hommes^{(sdfa Jacket Mens Boys Casual Warm Hooded Winter Zipper Coat Outwear Top)}.

Conclusion

The decision-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés-of-MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton .

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GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage , 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/Fly London Besi203fly, 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-Craghoppers Pantalon Anti-Moustique Clair - Femme, 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,ZSMD Phicen Vêtements Femme échelle 1/6 Main.