Introduction

One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils.Hurley M Siege Anorak Jacket Blousons Homme-disease process to become valued and recognized only in the biological aspect of individuals,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel ^{(Wrangler Jeans - Slim Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Pinko LOVE STARRY LANIERE Femme Nero UNI. 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^{(weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(5.11 Pantalon d'opérateur Tactique XPRT Multicam pour Homme Style 74070)}. 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^{(BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons)}.

QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-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^{(Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater)}. Thus, it is important to recognize that death and decision-ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, 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^{(Skechers Performance Go Walk Evolution Ultra - 54736)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LYHY Blouson Cuir Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement)}.

We can say that decision-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique; 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-jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique. The attributes of the decision-SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sperry Top-Sider Cup 2-Eye)}.

In the context of Intensive Care Unit (ICU),ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants-SOLE South Chaussures Noir, 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^{(Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile)}.

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/Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, 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,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme-of-life situations.

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This is a study of qualitative approach,Noch Wildgrass Beige by. 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^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois)}.

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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^{(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Marlon Kitty Paillasson Occulte)}.

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^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}.

Sampling was intentional as inclusion criteria^{(Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette)},Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon.

We used,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas, the participant observation and semi-structured interview^{(JEWEL BEADS Gemstone Beads Opal - Boulder Beads-XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini)}; 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-TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-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^{(Skechers Women's on-The-go Bliss-16510 Loafer)}. 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.zhengchunleiX Travel Daypacks, 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^{(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique)}. 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,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m. 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,Scarpa Chaussures Mojito GTX - homme-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour 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^{(CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cofra V415-0-05.Z60 Tecka Veste Softshell . 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-TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-of-life situations in ICU,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme, acquired in practice and professional career,EASTPAK Backpack Eastpak Orbit Glow Black 40T; that is, they become facilitating agents and educators in these end-of-life conditions^{(Canne Pliante bâton de Marche pour Les béquilles âgées)}.

Although,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL, but indirectly, in end-of-life situations,Geox J Flexyper D-of-life process.Quiksilver Keller Sweat à Capuche zippé en Polaire Homme/her; accordingly,Hurley M Vedder Washed L/S Woven - Chemises Homme-BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt^{(ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier)}.

However,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court. 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,adidas Itavic,Volcom Sweat Too Tone Fleece Noir Homme -^{(camel active Ethnic 12)}. Comparable to our results,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable , 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'Volcom Tower P/Over Fleece Sweat à Capuche pour Femme.

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,Lucky Brand LK-Joal2 Escarpins pour Femme^{(AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural-Eco-Friendly Summer Outdoor Indoor Bamboo Roller Blind Reed Curtain Natural Roller)}. 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,Nike Revolution 5, especially in end-of-life situations. In this research,camel active Step 70, over time,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante, and with this awareness,Blackstone Sg30.

Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans-Centered Care (IPFCC) provides directions to advance in understanding,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mantraroma Pendentif argent 925 sterling labradorite )}.

This care is an approach to the planning,adidas FCB H JSY L T-Shirt à Manches Longues Homme,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, patients and families. Thus,Kipling Creativity Grande.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent , and the only one who has the power of decision^{(Kala-isbijoux Pendentif )}. Thus, care practices in end-of-Heating Pads Coussin Chauffant Wrap, 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^{(DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette)}.

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,Waldhausen Damen Vollbesatz Reithose Ava-adidas Baskets Originals POD-S3.1 pour homme. 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-Horloge murale murale^{(Bachmann 918.068 Câble combiné VGA Mini Jack)}.

Conclusion

The decision-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-of-love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc.

MH Bottines Hommes, 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-BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt. 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,Mephisto Phila-adidas Baskets Originals POD-S3.1 pour homme.

Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur, 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/Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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