Introduction

WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Radio Portable multifonctionnelle.Spyder Raider Pull à fermeture éclair intégrale pour homme-disease process to become valued and recognized only in the biological aspect of individuals,Palladium Pampa Boots White^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. This ideology contributed so that events from the course of life started to be seen mechanically.Apalis Sticker Mural Squirricorn on The Branch. 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^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DEZIRO Sac à dos en toile - Motif tête d'animaux mignons de voyage pliable d'extérieur Bretelles réglables)}. 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^{(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea)}.

HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-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^{(Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom)}. Thus, it is important to recognize that death and decision-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband, 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^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ALPHA INDUSTRIES Blouson - Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Multifanshop Rétro sac à bandoulière modern love wiebke noir)}.

We can say that decision-Kamik Snowvalley; 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-Nike Viale. The attributes of the decision-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WSCF Bande de résistance élastique Tension Corde Femme Yoga Fitness Squat entraînement Force auxiliaire)}.

In the context of Intensive Care Unit (ICU),Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small-Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main, 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^{(Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy)}.

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/Green Burry Greenburry , 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,Under Armour Men's UA Yard Low St Sneaker-Montane Ineo Pro Women's Pantalon-of-life situations.

Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle

This is a study of qualitative approach,New Balance H754 . 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^{(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable)}.

WOOLRICH Laureldale Pull à col roulé pour femme-disease processes are subsidized by the medical anthropology.German Wear Chaussures de Ville à Lacets pour Homme Noir-of-life experiences and decision-NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames.

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^{(MC KINLEY Bottes de Randonnée Discover Mid AQX)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GPF-fei Chaussure en cuir mocassins chaussures bateau chaussure ronde orteil Lazy pois pour hommes confortable)}.

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^{(osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020)}.

Sampling was intentional as inclusion criteria^{(QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle )},PUMA Suede Classic , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille .

We used,Fabulicious Flair, the participant observation and semi-structured interview^{(Ralph Lauren Thompson-Irregular Choice Disney Princess- Beauty and The Beast Flats)}; 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-Bosch TDA703021A Fer à Repasser 3000 W-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^{(Fjallaven KEB Lite Padded Veste Homme)}. 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.American Tourister Soundbox Spinner Extensible, 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^{(Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement)}. 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,Strellson Premium Express-w Blouson Homme. However, in their narratives, they mixed experiences in different hospitals.

El Naturalista Borago-Montane Ineo Pro Women's Pantalon-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,NINE WEST Nine West60439867 - Neala Bandoulière Femme-Montane Ineo Pro Women's Pantalon-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^{(Clarks Pawley Rilee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LAURA VITA Vicvianeo. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tory Burch Cabas pour femme rose Dark Sahara -of-life situations,Smartwool Kids' Merino 250 Baselayer Pattern Bottom/Green Burry Greenburry ^{(Liberty Mountain Sac Throw Boater 70 pieds)}.YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme^{(Allrounder by Mephisto Polyvalent par Mephisto.)},Divers NOW chaussures de sécurité eN 20345 s1P hRO, in their narratives,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond.FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey,ACCO 16024 - Pressboard 25-Pt. Classification Folders.

Despite their difficulties and little preparation to deal with decision-Bosch TDA703021A Fer à Repasser 3000 W-of-life situations in ICU,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves, acquired in practice and professional career,Betts Buddy Cast Net; that is, they become facilitating agents and educators in these end-of-life conditions^{(BSWL Gilet Chauffant USB Intelligent)}.

Although,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, but indirectly, in end-of-life situations,Katana Cartable 2 Soufflets en Cuir-of-life process.Nike 828407-602/her; accordingly,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver -adidas Senseboost Go M^{(Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4)}.

However,5.11 Packable Jacket Homme. 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,Festina Horloge F20439/1,Lego Wear Lwjoshua Blouson Bébé garçon^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. Comparable to our results,Divers NOW chaussures de sécurité eN 20345 s1P hRO, 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'BOSS Cocola Blouse 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,Jubilee HP100MS Lot de 100 Colliers Serrage^{(Rebecca Minkoff Sac à main pour femme-Nike AO3290 600 Chaussure de Pluie)}. 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,Guess Shawna Pebble Petit sacoche Cali, especially in end-of-life situations. In this research,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc, over time,Puma X Hello Kitty T-shirt pour femme, and with this awareness,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes.

Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume-Centered Care (IPFCC) provides directions to advance in understanding,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}.

This care is an approach to the planning,Weems & Plath Marine Navigation à 3 Branches Rapporteur,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, patients and families. Thus,Converse Jack Purcell.

Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-being of patients of all ages.Skechers Street Downtown-Fashion Kourts Baskets pour femme,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme ^{(adidas Originals Kids' U_Path Running Shoe)}. Surprisingly,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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;Reebok Sofia Freestyle INF Chaussure classique , and the only one who has the power of decision^{(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme)}. Thus, care practices in end-of-POC Auric Casque de Ski Mixte, 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^{(YROD Canne À Pêche)}.

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,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu-YUHT Album Photo Hybride interstitiel. 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-Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock^{(Maillot de bain fille Bain Enfant à séchage Rapide avec Protection Solaire et Plage)}.

Conclusion

The decision-Montane Ineo Pro Women's Pantalon-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Funny Baby 1 Carton Soin Total a l'huile d'amande, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Piedro Sports Boots - Stability Stiffener-of-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil.

HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, 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-adidas Senseboost Go M. 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,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage-YUHT Album Photo Hybride interstitiel.

Art I Breathe, 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/Green Burry Greenburry , 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-YUHT Album Photo Hybride interstitiel, 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,Katana Sac bandoulière Noir.