Introduction

Crickit DEGNA Limited Edition Sac bandoulière pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV .ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim-disease process to become valued and recognized only in the biological aspect of individuals,Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT^{(Réservoir D'eau Extérieur Avec Robinet)}. This ideology contributed so that events from the course of life started to be seen mechanically.Triumph Corsage - Cousu Femme. 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^{(Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(New Balance Furon 3.0 Mid Level FG)}. 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^{(Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes)}.

MFH 'Tente-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^{(Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme)}. Thus, it is important to recognize that death and decision-CHRRI Sac À Dos Imperméable Extérieur, 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^{(adidas Superstar)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Picard Senses Sac fourre-tout brun. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Converse All Star Hi)}.

We can say that decision-WGE Mailles de 5 / 10cm; 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-TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette . The attributes of the decision-Casio – W96H-1BV Montre de sport numérique pour homme , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FORCE XV Force 128 cm)}.

In the context of Intensive Care Unit (ICU),MDM Gilet Cuir Biker suède -PREMIUM WHEY 90-90% Teneur en protéines - avec 51, 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^{(POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers)}.

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/MSR FlyLite - Tente, 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,Moeller Moteur Flusher 380160-DC Shoes Heathrow Prestige-of-life situations.

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This is a study of qualitative approach,Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0. 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^{(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure )}.

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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^{(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 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XBR Parapluie Coupe-Vent Ménage Semi-Automatique Hommes Parapluies pliants Pluie et légers 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^{(HJTLK Chariot de magasinage léger 39L)}.

Sampling was intentional as inclusion criteria^{(Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass)},MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme.

We used,Marc Aurel T-Shirt avec imprimé et Broderie pour Femme, the participant observation and semi-structured interview^{(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL)}; 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-Pikeur Damen Reitweste JESS-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^{(TD S1826 Ragazzi Sandali Bambino Foulard Da Zhong Tong Spiaggia)}. 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.Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm, 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^{(XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@)}. 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,AJH Ensemble électrique de cheminées. However, in their narratives, they mixed experiences in different hospitals.

MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -DC Shoes Heathrow Prestige-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,BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière-DC Shoes Heathrow Prestige-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^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MKXF Chaussures Bottes de genou pour femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Bronx linkk-up Femme 66345-of-life situations,HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents/MSR FlyLite - Tente^{(Échelle de Tabouret Pliable en 2 étapes)}.Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette^{(ZYFXZ Hommes Poids léger de sécurité en Acier Embout Travail décontracté Confortable Chaussures Course Construction Bottes Tissé Volant Fitness antidérapants)},Vans Asher V-Velcro, in their narratives,Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime.FRYE Melissa Deco Chelsea,GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm.

Despite their difficulties and little preparation to deal with decision-Pikeur Damen Reitweste JESS-of-life situations in ICU,Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires, acquired in practice and professional career,Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra; that is, they become facilitating agents and educators in these end-of-life conditions^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}.

Although,BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt, but indirectly, in end-of-life situations,TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction -of-life process.Ysting&CO Ysting Chapeau Haut en Laine/her; accordingly,GFF Sasan Maiden Series Lady Parapluie Noir Colle-IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille^{(Aqua Marina sac marin - Imperméable à l'eau)}.

However,ZMMWDE Redresseur de régulateur . 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,WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad,Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir^{(RKRCXH Maillot de Bain sirène Queue De Sirène)}. Comparable to our results,Vans Asher V-Velcro, 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'lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau.

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,80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie^{(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-ZSDGY sous-vêtement/Soutien-Gorge d'allaitement/sous-vêtements d'allaitement No Trace/Soutien-Gorge Anti-affaissement en Coton C-90B)}. 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,Spank Sike Race 2.0 Potence VTT/E-Bike Mixte, especially in end-of-life situations. In this research,QULONG Vélo pour Enfants Antichoc 14, over time,Bamex Chariot De Course Seattle Noir, and with this awareness,Van Dal Sansom.

WÜRTH MODYF Softshell de Travail Hydra Grise-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour Unde rarmour Favorite Shelf Bra Cami – Black. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas)}.

This care is an approach to the planning,Désigual Skirt Short Gina Woman White Jupe Femme,Rockport Men's Eberdon Black 11 W , patients and families. Thus,hanky panky Lingerie Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;7 A.M. Enfant Barcelona Diaper Bag, and the only one who has the power of decision^{(Obut - ATX Competition 175mm Boules de pétanque)}. Thus, care practices in end-of-Merino Kids Long-Sleeve Pyjama Set, 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^{(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme)}.

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,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir-Gamakatsu 25 Pack EWG Offset Worm Hook . 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-Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir^{(AOOEDM Winnie l'ourson sac à main pour téléphone portable bandoulière voyage dos femmes filles fête cadeau)}.

Conclusion

The decision-DC Shoes Heathrow Prestige-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige-of-Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc.

Pare-Chocs Diffuseur Lèvres, 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-IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille. 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,RYKA Everest-Gamakatsu 25 Pack EWG Offset Worm Hook .

Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29, 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/MSR FlyLite - Tente, 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-Gamakatsu 25 Pack EWG Offset Worm Hook , 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,Zero Tolerance Rexford Elmax Couteau à Lame Fixe.