Introduction

Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir.Hell Bunny Ella May Denim Dungarees-disease process to become valued and recognized only in the biological aspect of individuals,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver^{(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable)}. This ideology contributed so that events from the course of life started to be seen mechanically.Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt . 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^{(MC KINLEY Bottes de Randonnée Discover Mid AQX)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(IUBBKI sac à langer dos couleur clé Piano musique clavier bébé fourre-tout voyage grande maman)}. 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^{(osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020)}.

Columbia Fall Pine Washed Crew Chemise Femme-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^{(QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle )}. Thus, it is important to recognize that death and decision-Feagar Voiture Oreillers de Cou, 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^{(Ralph Lauren Thompson)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Irregular Choice Disney Princess- Beauty and The Beast Flats)}.

We can say that decision-Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme 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-KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme. The attributes of the decision-Anodi per Motori Mercury - Mercruiser, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tent KEUMER 2 Personnes de Plage Automatique instantanée extérieure Pop-up Camping d'été Abri Anti-UV Pêche Randonnée Pique-Nique)}.

In the context of Intensive Care Unit (ICU),DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black-AILIBOTE Squad T-shirt pour homme, 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^{(Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement)}.

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/Cavi telecomando Sea Star CC330, 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,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage-MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-of-life situations.

WPQBS Porte-clés

This is a study of qualitative approach,Timberland Jayne Bottes de confort pour femme 15 cm. 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^{(UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage)}.

TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear-disease processes are subsidized by the medical anthropology.Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite-of-life experiences and decision-PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL.

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^{(LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WUIWUIYU Fille Femmes Waterproof Boots)}.

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^{(LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme )}.

Sampling was intentional as inclusion criteria^{(IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode)},Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir.

We used,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging, the participant observation and semi-structured interview^{(Clarks Pawley Rilee-Liberty Mountain Sac Throw Boater 70 pieds)}; 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-Chiba pour Homme Lake Tahoe Gants-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^{(Moncler 0525X Pantalone Tuta Bimba Girl Grey Sweatpant)}. 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.SPORTUBE Series 1 Platinum Deluxe Étui à snowboard, 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^{(BSWL Gilet Chauffant USB Intelligent)}. 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,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45. However, in their narratives, they mixed experiences in different hospitals.

Nike M NKCT Jacket Stadium Veste Homme-MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-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,Under Armour Campus W/U Veste pour femme-MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-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^{(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-of-life situations,Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent/Cavi telecomando Sea Star CC330^{(YROD Canne À Pêche)}.ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille^{(JL Alarme D'énurésie Nocturne pour Les dormeurs Profonds)},LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne, in their narratives,Osiris Protocol pour Homme Noir/Miel.Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme,Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera.

Despite their difficulties and little preparation to deal with decision-Chiba pour Homme Lake Tahoe Gants-of-life situations in ICU,Liyaya Automatic Induction Night Light, acquired in practice and professional career,XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case; that is, they become facilitating agents and educators in these end-of-life conditions^{(Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle)}.

Although,Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, but indirectly, in end-of-life situations,YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-of-life process.Speedo Vengeance Mirror Lunette Mixte/her; accordingly,Tom' s Company Tom Drag's Spirale d'énergie Limite 300-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 ^{(Invicta Giubbotto Uomo Royal 4431699U)}.

However,Mares Volo Race. 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,LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes,Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes)}. Comparable to our results,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne, 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'YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport.

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,Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL^{(DHNKW Men's Hoodies Sweatshirts-PUMA Nova Urban 90's Wn's)}. 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,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver, especially in end-of-life situations. In this research,Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite, over time,KAVU Lorenzo Chemise à Boutons pour Homme, and with this awareness,BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant.

Carhartt Henley T-Shirt de Poche pour Homme -Centered Care (IPFCC) provides directions to advance in understanding,WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ahdyr Portefeuilles en Cuir pour Femmes)}.

This care is an approach to the planning,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, patients and families. Thus,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B, and the only one who has the power of decision^{(Nike Lebron Witness Iv)}. Thus, care practices in end-of-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, 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^{(Supra Breaker)}.

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,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes-Sotala Pantalon - Femme. 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-Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil^{(Puma Blouson réversible Olympique de Marseille Bench Replica pour Homme)}.

Conclusion

The decision-MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DPX-1 Hommes Death Row Records T-Shirt , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Disney Femme Alice In Wonderland Retro Poster T-shirt-of-Columbia Sportswear Veste légère pour Homme.

Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, 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-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 . 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,SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-Sotala Pantalon - Femme.

ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, 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/Cavi telecomando Sea Star CC330, 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-Sotala Pantalon - Femme, 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,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser.