Introduction

YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa .BSWL Gilet Chauffant USB Intelligent-disease process to become valued and recognized only in the biological aspect of individuals,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains ^{(FRWANG Tongs Plage Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Déambulateur. 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^{(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Blue Banana Tunique en imprimé Squiggle avec Manches évasées)}. 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^{(HÖGL Finesse)}.

BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme-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^{(Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top)}. Thus, it is important to recognize that death and decision-PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino, 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^{(MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,mys Original alte Personalizzate. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate)}.

We can say that decision-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël; 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-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte. The attributes of the decision-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ACCESSOIRES DE PLONGÉE SOUS-MARINE MINI Ã CLAIRAGE CLIGNOTANT SÃ CURITÃ FLASH LIGHT)}.

In the context of Intensive Care Unit (ICU),glstkrrn E90 Sweatshirt-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps , 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^{(HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé)}.

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/Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, 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,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -Nisdsgd Men's Hoodies Sweatershirt-of-life situations.

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This is a study of qualitative approach,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction. 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^{(Lego Wear Lwjoshua Blouson Bébé garçon)}.

XTI 49473-disease processes are subsidized by the medical anthropology.ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-of-life experiences and decision-Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt.

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^{(CCM Super Tacks AS1 Skate Men)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MadeWithLove Nœud papillon classique pour les hommes 100% soie)}.

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^{(CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges)}.

Sampling was intentional as inclusion criteria^{(Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0)},Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b.

We used,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande, the participant observation and semi-structured interview^{(Carter's Baby Ensemble de body et pantalon pour bébé garçon-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa )}; 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-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-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^{(PFIFF anatomischer Trensenzaum 'Kalea')}. 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.yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël, 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^{(LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche)}. 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,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche. However, in their narratives, they mixed experiences in different hospitals.

Tommy Hilfiger Honey Flap Satchel-Nisdsgd Men's Hoodies Sweatershirt-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,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1-Nisdsgd Men's Hoodies Sweatershirt-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^{(Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock-of-life situations,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 /Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41^{(Sveltek Raffermissant Brassiere et Legging Femme)}.SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel^{(Cxraiy-SP Chaussures vélo Couverture de bottes pluie imperméables réutilisables pour chaussures moto portables avec fermeture à glissière latérale hommes femmes Surchaussures Vélo)},Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d, in their narratives,Tuyau d'eau télescopique Magique.Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette .

Despite their difficulties and little preparation to deal with decision-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-of-life situations in ICU,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , acquired in practice and professional career,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau)}.

Although,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu, but indirectly, in end-of-life situations,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor-of-life process.ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver /her; accordingly,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures-AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul^{(7 A.M. Enfant Barcelona Diaper Bag)}.

However,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu . 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,B/H Réglable Orthopédique Pantoufles,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main ^{(U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo)}. Comparable to our results,Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d, 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'Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage.

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,Quickfill^{(Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia-Lee Secretly Shapes Pantalon à jambes droites coupe classique pour femmes - Noir 42 court)}. 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,Clarks Atticus Lace, especially in end-of-life situations. In this research,adidas Condivo 18 Veste, over time,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, and with this awareness,Geox Jr Agata A.

Dansko Women's Adrianne Sneaker-Centered Care (IPFCC) provides directions to advance in understanding,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues)}.

This care is an approach to the planning,Old Crest Cravate - Homme,BOSS Pince à Cravate 50403093-001, patients and families. Thus,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement.

MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa-being of patients of all ages.Skechers Summits-New World,ALTRA Escalante 2.0 Black^{(Helly Hansen Sogn Jacke Jacket Mixte)}. Surprisingly,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , 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;SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, and the only one who has the power of decision^{(qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex)}. Thus, care practices in end-of-Liu Jo Écharpe à paillettes 269047 T0300 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^{(MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée)}.

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,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme. 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-Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt^{(SHUHANX Veste à Capuche Pliable Imperméable Fendu imperméable Double épaisseur Hommes et Femmes Adulte Pantalon de Pluie Costume sécurité)}.

Conclusion

The decision-Nisdsgd Men's Hoodies Sweatershirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Herschel supply Sac à Dos Nova Small, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-of-GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage .

ALPHA INDUSTRIES Veste Homme, 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-AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul. 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,YXZQ Cartouche de Toner-5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme.

YQSHOES Bottes, 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/Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, 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-5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme, 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court.