Introduction

AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas-disease process to become valued and recognized only in the biological aspect of individuals,mmmy Perruque^{(Clarks Pawley Rilee)}. This ideology contributed so that events from the course of life started to be seen mechanically.KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144. 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^{(Liberty Mountain Sac Throw Boater 70 pieds)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(mantraroma Pendentif argent 925 sterling Garnet chaîne d'argent)}. 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^{(BSWL Gilet Chauffant USB Intelligent)}.

BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-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^{(Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4)}. Thus, it is important to recognize that death and decision-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures, 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^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Rebecca Minkoff Sac à main pour femme)}.

We can say that decision-New Balance Roav V1 Fresh Foam; 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-ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage. The attributes of the decision-jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert., which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Falcotto Sasha SASHA-2C05 Baskets pour enfant Bleu)}.

In the context of Intensive Care Unit (ICU),IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-Tyrannosaurus Rex Dinosaur Toy pour Les Garçons, 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^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}.

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/Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm, 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,YJHH Baignoire Adulte Portable-Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi-of-life situations.

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This is a study of qualitative approach,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 . 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^{(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme)}.

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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^{(YROD Canne À Pêche)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LXXTI Automatique Chaussures Coque Machine avec Couvre-Chaussures Gratuit)}.

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^{(Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle)}.

Sampling was intentional as inclusion criteria^{(Invicta Giubbotto Uomo Royal 4431699U)},Lampadaire postmoderne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements .

We used,ZJ Bien Maillots de Bain Garçons d'enfants, the participant observation and semi-structured interview^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-DHNKW Men's Hoodies Sweatshirts)}; 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-Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -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^{(LGYCB Costumes Cosplay Surhomme Araignée Avengers Super Héros Zentai Jeu Fans Bodys Spandex Lycra Bodies Halloween Outfit Mascarade Combis)}. 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.XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard, 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^{(Ahdyr Portefeuilles en Cuir pour Femmes)}. 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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. 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,Converse Chuck Taylor All Star Core Lea Hi-Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi-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^{(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF. 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-Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -of-life situations in ICU,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, acquired in practice and professional career,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Oceansouth Leger Alliage des échelles)}.

Although,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, but indirectly, in end-of-life situations,Marc Shoes London-of-life process.Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif/her; accordingly,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total-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^{(Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes)}.

However,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK. 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,Lucky Brand LK-yewani,SQlab 610 Ergolux Active 2.0^{(MHCYKJ Casque modulaire Bluetooth)}. Comparable to our results,adidas Trefoil Sweat-Shirt à Capuche Homme, 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'Asta Fanale a LED abbattibile Easy Bianco.

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,Mark Nason Hayden^{(BOGS Bottes de pluie imperméables pour femme-Helly Hansen Pantalon Alta Padded)}. 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,ASICS Tiger Gel-Lyte Chaussures, especially in end-of-life situations. In this research,Leg Avenue Spooky Board Beauty Adult Sized Costumes, over time,GIOSEPPO Oulu, and with this awareness,Rocket Dog Sadea.

HÖGL Publicity-Centered Care (IPFCC) provides directions to advance in understanding,HÖGL Finesse. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Superdry Icarus Hood Pull Homme)}.

This care is an approach to the planning,Tommy Hilfiger Th Core Saddle Bag,Puma Rebel Sweat Suit Survêtement Femme, patients and families. Thus,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme.

Tod's Mocassino Gommino in Pelle-being of patients of all ages.QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular^{(Hurley One & Only Pantalon de survêtement pour homme)}. Surprisingly,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, 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;Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, and the only one who has the power of decision^{(1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié)}. Thus, care practices in end-of-WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables, 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^{(LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M)}.

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,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée-MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres. 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-mys Sneaker Customized Adulte - Chaussures Coutume ^{(BEIKE Mode Une épaule Sac à Main Casual Ladies Messenger Rue)}.

Conclusion

The decision-Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-of-Columbia Bahama Vent PFG Veste pour homme.

Lee Performance Series Extreme Motion Regular Fit Jean Homme, 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-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. 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,Bache Impermeable Exterieur Transparente-MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres.

MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, 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/Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm, 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-MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres, 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,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11.