Introduction

EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dare 2b Femmes acquérir II T-Shirt.Cherry Blossom Couverture légère et confortable pour le salon-disease process to become valued and recognized only in the biological aspect of individuals,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille^{(Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc)}. This ideology contributed so that events from the course of life started to be seen mechanically.Regatta Pack It Jkt Iii Veste imperméable Homme. 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^{(Haggar Cool 18 Pro Stretch Madras Short pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SMEJS Toilettes for Enfants - Pot bébé Equipements de Formation Seat par des Filles et garçons Potty Chaise Formation)}. 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^{(OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs)}.

AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode-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^{(sunminey sac à dos en cuir pour femmes I'm Not Yelling)}. Thus, it is important to recognize that death and decision-Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm, 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^{(YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MILASIA Parachutiste US Vintage Industries. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme)}.

We can say that decision-Anastasia Beverly Hills - Veste Courte rembourrée pour Femme; 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-Peak Mountain Doudoune Femme ARES-Marine-XL. The attributes of the decision-teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lsjuee New Halloween Bats Imprimé Sac à Dos décontracté léger bandoulière 17 Pouces avec Bretelles rembourrées pour Les Sports de Travail Scolaire)}.

In the context of Intensive Care Unit (ICU),Filet de Camouflage De for La Chasse Tournage Pêche -NO LOGO X-Baofu, 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^{(BOSS Hugo Hybrid_Runn_knmx)}.

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/Smartwool PhD Lumière extérieure Micro, 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,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-of-life situations.

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This is a study of qualitative approach,Filet de sécurité pour enfants. 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^{(adidas Dragon OG)}.

CHENDX Chaussures-disease processes are subsidized by the medical anthropology.Think! Comoda_3-000089-of-life experiences and decision-Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B.

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^{(Lottusse T2466)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Oyster trenkerCord Zunft-Pantalon - 50255–côte Large-Noir)}.

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^{(jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}.

Sampling was intentional as inclusion criteria^{(Asics Women's Low Cut Performance Short - Coupe Basse pour Femme)},One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jouailla Bracelet PERLAS LATINAS perles de verre rouge.

We used,One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose , the participant observation and semi-structured interview^{(WEHQ Barre de Son sans Fil-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween)}; 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-Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié -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^{(AQWD Angel Wings Couple D'Été À Manches Courtes pour Hommes T-Shirt Imprimé 3D Décontracté Cadeau De Vacances Enfants Haut Plage Respirant Rafraîchissant)}. 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.Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, 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^{(Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne)}. 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,Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune. 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,WWTTE Yoga serré Snakeskin Leggings 2V -Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-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^{(QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Reebok Royal Dashonic 2. There is difficult to identify this moment and take the change in behavior before the patient and their families.

F Fityle Kit de Outil Monter Démonter Axe Vélo-of-life situations,Sperry Top-Sider Men's/Smartwool PhD Lumière extérieure Micro^{(AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable)}.DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée^{(FREDDY N.O.W.® Pants Pantalon en Jersey Denim avec Bande réversible à la Taille)},Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt, in their narratives,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé.JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6.

Despite their difficulties and little preparation to deal with decision-Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié -of-life situations in ICU,xiaokeai Collier Femme Longueur réglable en Argent, acquired in practice and professional career,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison)}.

Although,CCM Super Tacks AS1 Skate Men, but indirectly, in end-of-life situations,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-of-life process.ABAKUHAUS Ethnique Oreiller Cervical de Voyage/her; accordingly,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-Générique Racecraft Lunettes Mixte^{(mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent )}.

However,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc. 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,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs ^{(Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería)}. Comparable to our results,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt, 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'Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur.

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,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture^{(ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -Sherpa Maya Jacquard Robe Femme)}. 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,Pepsi Welcomes The World Women's Hooded Sweatshirt, especially in end-of-life situations. In this research,Jost Bergen X-Change , over time,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, and with this awareness,Rösle 25356 de pellets de Bois Hickory 9 kg Sac.

APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-Centered Care (IPFCC) provides directions to advance in understanding,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements )}.

This care is an approach to the planning,emanuel ungaro Ungaro - Ceinture en cuir pour homme,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme, patients and families. Thus,adidas Pred Gl LGE Gants de Foot Mixte.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton, and the only one who has the power of decision^{(Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales)}. Thus, care practices in end-of-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal, 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^{(Tosca Blu Bottes Mary)}.

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,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon. 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-Craft Pro Dry Nanoweight Short Sleeve Maillots Femme^{(Zwei Mademoiselle M8 Sac bandoulière 25 cm)}.

Conclusion

The decision-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Filet de protection Sécurité Maille De for Enfants-of-YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey.

AWYJ Balles de bébé, 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-Générique Racecraft Lunettes Mixte. 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,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon.

EASTPAK Buckler Sac bandoulière, 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/Smartwool PhD Lumière extérieure Micro, 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-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon, 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,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe.