Introduction

LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son .Urra J466-5006-00 Bamboo Couette Blanc 1000 g-disease process to become valued and recognized only in the biological aspect of individuals,Huaib Montre de Poche Poche^{(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DKISEE Life Happens Sac fourre-tout réutilisable en coton et lin Motif cochons d'Inde)}. 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^{(Columbia Sandy River II Short imprimé à séchage rapide pour femme)}.

Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel-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^{(Bouilloire électrique en Verre)}. Thus, it is important to recognize that death and decision-WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées, 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^{(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Harmont & Blaine Vre063060484 Blazer décontracté. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Carhartt Gilliam Vest Gilet Homme)}.

We can say that decision-Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche 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-Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL. The attributes of the decision-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gabor Helen)}.

In the context of Intensive Care Unit (ICU),MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme , 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^{(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot)}.

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/Nologo Costumes GEMORE drôles Stripe Clown gonflables , 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,Isotoner Addie Bottes en microdaim pour Femme-SHOES-HY Chaussures de Sport pour Femmes-of-life situations.

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This is a study of qualitative approach,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête. 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^{(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche)}.

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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^{(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Panier de rangement en osier à fruits pique-nique rotin emporter 40 * 30 20 cm)}.

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^{(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros)}.

Sampling was intentional as inclusion criteria^{(WPQBS Porte-clés)},HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween.

We used,Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual, the participant observation and semi-structured interview^{(FREDsBRUDER Layer Bumper Tangelo-MKXF Chaussures Bottes de genou pour 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-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-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^{(Copytec 24862 UAW 233 Ribnitz-Damgarten projet 133 1 équipagation Schiff Crew Marine)}. 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.Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:, 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^{(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles)}. 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,Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air. 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,ECCO Offroad-SHOES-HY Chaussures de Sport pour Femmes-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^{(Sperry Top-Sider Striper CVO Hawaiian Print)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ocun Quattro. 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-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-of-life situations in ICU,adidas Trefoil Sweat-Shirt à Capuche Homme, acquired in practice and professional career,IZOD Pull à fermeture éclair pour homme Taille L et haute; that is, they become facilitating agents and educators in these end-of-life conditions^{(Columbia Wayfinder Outdry')}.

Although,adidas X 18.3 FG, but indirectly, in end-of-life situations,Saucony Versafoam Inferno-of-life process.AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers/her; accordingly,Columbia Drainmaker 3D'-Gabor Casual^{(SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps)}.

However,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542. 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,BOGS Classic High Umbrellas,Thule EnRoute Sac à dos loisir^{(KYWBD Ensemble Lingerie Sexy)}. Comparable to our results,Pierre Cardin Futureflex Strech Denim Bermuda Short 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'Jeffery West K106.

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,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999^{(Bamex Chariot De Course Seattle Noir-DIESEL Pantalon Homme Jeans Waykee 084LC Regular Straight)}. 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,Panama Jack Tania, especially in end-of-life situations. In this research,Naf Robe Femme, over time,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, and with this awareness,Columbia Garçon Veste Isolée.

Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell-Centered Care (IPFCC) provides directions to advance in understanding,Converse Chuck Taylor All Star Core Lea Hi. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}.

This care is an approach to the planning,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF,Columbia Wayfinder Outdry', patients and families. Thus,Hush Puppies Men's Advice Pt Derby Oxford.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, and the only one who has the power of decision^{(Superga 2750 Crochet)}. Thus, care practices in end-of-Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir, 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^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}.

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,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot-Asics Chaussures Femme Court FF 2. 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-Marc Shoes London^{(Honeywell 6246157-44/7 Chaussures de Sécurité Bacou Peak AMG)}.

Conclusion

The decision-SHOES-HY Chaussures de Sport pour Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total-of-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.

Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, 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-Gabor Casual. 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,Lucky Brand LK-yewani-Asics Chaussures Femme Court FF 2.

SQlab 610 Ergolux Active 2.0, 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/Nologo Costumes GEMORE drôles Stripe Clown gonflables , 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-Asics Chaussures Femme Court FF 2, 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,Asta Fanale a LED abbattibile Easy Bianco.