Introduction

5.11 Tactical Series Rapid Assault Chemise Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Re-Ment Sanrio Hinamatsuri.Visol Products laqué pour Cartes de Visite-disease process to become valued and recognized only in the biological aspect of individuals,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords^{(YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort)}. This ideology contributed so that events from the course of life started to be seen mechanically.Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL. 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^{(Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ejendals Ejendals 1540-47 Jalas 1540 Route S2 SRC HRO CI Chaussures basses Taille 47)}. 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^{(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)}.

Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-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^{(NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre)}. Thus, it is important to recognize that death and decision-HubBub Twist Shifter Drop Bar Adaptor by, 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^{(AXDNH Chaussures de Danse Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Safety 1st Lot de 45 prises courant ultra transparentes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave)}.

We can say that decision-HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé; 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-Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus. The attributes of the decision-Utility Diadora Veste Sail Gris gris M, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Empty Beau Bandeau Mignon Femmes Point de Vague avec Bande Cheveux écharpe Lavage Visage Accessoires)}.

In the context of Intensive Care Unit (ICU),Timberland Pokey Pine Hook & Loop -CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, 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^{(Gabor Femme Bottines)}.

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/Izanoy Robe - Trapèze Femme, 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,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-JABSCO ITT INDUSTRIES WC Elect. STD 24V-of-life situations.

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This is a study of qualitative approach,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C. 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^{(Haedr Coussin résistant à la Casse pour bébé)}.

LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-disease processes are subsidized by the medical anthropology.CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir -of-life experiences and decision-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain.

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^{(ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FatCuckoo Le Boss Stamp of Authority Haut à capuche - Gris M)}.

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^{(OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants)}.

Sampling was intentional as inclusion criteria^{(WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe)},YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HMY Round Tapis de Bain.

We used,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, the participant observation and semi-structured interview^{(Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme-HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini )}; 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-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-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^{(WDGXZM Plaquettes de Frein Avant et arrière Moto)}. 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.MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale, 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^{(Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres)}. 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,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux . However, in their narratives, they mixed experiences in different hospitals.

Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-JABSCO ITT INDUSTRIES WC Elect. STD 24V-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,Roxy Life is Sweeter - Short pour Femme-JABSCO ITT INDUSTRIES WC Elect. STD 24V-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^{(LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir. 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-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-of-life situations in ICU,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, acquired in practice and professional career,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 ; that is, they become facilitating agents and educators in these end-of-life conditions^{(GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar)}.

Although,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, but indirectly, in end-of-life situations,Harnais de sécurité d'escalade-of-life process.Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école/her; accordingly,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif^{(DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux)}.

However,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour 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,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle,Skechers Go Walk Joy-15615^{(Statue Sculpture Figurine Statuette)}. Comparable to our results,GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, 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'Sanuk Pair O Dice Prints.

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,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit^{(DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-110x176 cm sirène avec nom mur autocollant pépinière personnalisé et Starfish filles enfants chambre décalcomanie décoration)}. 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,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, especially in end-of-life situations. In this research,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, over time,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, and with this awareness,arena 2a259 Maillot de Bain Garçon.

Ulla Popken Pantalon Femme-Centered Care (IPFCC) provides directions to advance in understanding,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué)}.

This care is an approach to the planning,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, patients and families. Thus,Prime Line Packaging 40.

Saucony Freedom Iso 2-being of patients of all ages.Saucony Freedom Iso,Saucony Guide Iso^{(WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/)}. Surprisingly,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, 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;Blowfish MalibuBF-7514 - Storz Femme, and the only one who has the power of decision^{(Dachstein Ramsau 2.0 Gore-TEX Chaussure)}. Thus, care practices in end-of-NORTH SAILS Norfolk Veste Homme, 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^{(Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport)}.

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,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-adidas ZX Flux NPS UPDT. 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-Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black^{(BUFF UP Buff Pack Bike Cap Cycling Tissu Tubulaire Ultrapower | Protection UV Cape de vélo Casquette Sport)}.

Conclusion

The decision-JABSCO ITT INDUSTRIES WC Elect. STD 24V-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Deluxe Gems 0.73 ct Oval Cut -of-TARGET Superlight Goal Cartable.

CMP Feel Warm Flat, 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-Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif. 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,adidas Gazelle-adidas ZX Flux NPS UPDT.

adidas Forest Grove Cg5675, 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/Izanoy Robe - Trapèze Femme, 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-adidas ZX Flux NPS UPDT, 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,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette.