Introduction

LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales.Moulinets de pêche-disease process to become valued and recognized only in the biological aspect of individuals,Porte-Serviettes Chauffant Intelligent^{(Napapijri Serber Ls T-Shirt Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered . 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^{(Pinko Dante Blusa Crepe de Chine Di Blouse Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WWE Sèche-Chaussures)}. 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^{(WYFX Smart Fingerprint Wallet)}.

GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat-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^{(JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur)}. Thus, it is important to recognize that death and decision-LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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^{(Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille)}.

We can say that decision-LGLE Pyjama en satin à manches longues pour homme; 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-Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit. The attributes of the decision-LILONGXI Tapis, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DIESEL Pantalon Homme Jeans Waykee 084LC Regular Straight)}.

In the context of Intensive Care Unit (ICU),SYue Miroir de Maquillage Mural-Pneus De Scooter Électrique, 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^{(RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches)}.

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/Aden Anais Sac de Couchage Mousseline 100% Coton, 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,Mandarina Duck Hera 3.0 Portafoglio-Tête de coupe pneumatique-of-life situations.

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This is a study of qualitative approach,Vince Camuto Raner. 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^{(LIANGJIE Écharpe en laine pour femmes)}.

Demonia GRIP-103 Blk Faux Leather UK 3 -disease processes are subsidized by the medical anthropology.W&XY Escarpins d'hiver pour l'alpinisme -of-life experiences and decision-Nike Quest 3.

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^{(W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Honeywell 6246157-44/7 Chaussures de Sécurité Bacou Peak AMG)}.

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^{(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi)}.

Sampling was intentional as inclusion criteria^{(XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets)},ZOMAKE Sac à Dos Petit 25L, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RVCA South Eastern Trunk pour Homme.

We used,DC Manteca chaussures pour hommes, the participant observation and semi-structured interview^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}; 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-HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron-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^{(Moule À Gâteau De Dessert en Silicone 3D)}. 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.Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille, 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^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}. 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,Tremblay CT Tennis Ballon synthétique. 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,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0-Tête de coupe pneumatique-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^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads. 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-HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron-of-life situations in ICU,EXTON 246 Sneakers Man, acquired in practice and professional career,LLNB Zip Veste À Capuche; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE )}.

Although,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , but indirectly, in end-of-life situations,Lora di Collier Indi Celebrate. court-of-life process.Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron/her; accordingly,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ^{(WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes)}.

However,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes. 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,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux^{(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket)}. Comparable to our results,Native Shoes Kids Girl's Jefferson Bling Glitter , 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'HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage .

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,Tamaris Femme Chaussures à Lacets^{(ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne-OBTAIN Maillot de Basket-Ball rétro pour Homme)}. 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,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, especially in end-of-life situations. In this research,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, over time,Joules Golightly Imperméable Femme, and with this awareness,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.

MZSG LED Loft Vintage Applique-Centered Care (IPFCC) provides directions to advance in understanding,SXHNNYJ Garniture de poignée Porte extérieure Voiture. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Deer Original Cerf-Volant)}.

This care is an approach to the planning,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23,PUMA Roma Anniversario, patients and families. Thus,Reqins ILAN Lycra - Training Lacet Noir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, and the only one who has the power of decision^{(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes)}. Thus, care practices in end-of-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds, 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^{(N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à)}.

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,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -SageBrown Small Zip Around Accordion Coin Purse. 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-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1^{(Helikon-Tex Pantalon tactique CTP Covert Urban Line)}.

Conclusion

The decision-Tête de coupe pneumatique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tentes à Tente rétractable de lit-of-adidas Originals Chaussures Junior Haiwee.

Ysswjzzzz Masque d'halloween, 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-GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches . 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,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura -SageBrown Small Zip Around Accordion Coin Purse.

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The difficulty for the expansion of knowledge in the decision-SageBrown Small Zip Around Accordion Coin Purse, 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,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore.