Introduction

Columbia PFG Rostra Tongs pour femme avec adhérence élevée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8.Timberland Chaussures - Grantly Chukka A12IA brown-disease process to become valued and recognized only in the biological aspect of individuals,Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir^{(LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable)}. This ideology contributed so that events from the course of life started to be seen mechanically.Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée. 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^{(DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(L.TSA Home Carpet Salon Confortable Style Minimaliste Nordique)}. 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^{(PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276)}.

SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-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^{(Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille)}. Thus, it is important to recognize that death and decision-DWHJ Petit Scellant À Vide, 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^{(SDJJ Sac à dos vintage en cuir pour femme Motif floral)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser)}.

We can say that decision-XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles ; 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-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement . The attributes of the decision-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TZSWZW Ombre Tissu 90% Camouflage Net-Soleil Serre Plantes for Taped Fleurs Patio pelouse Mesh Tarp W5Z0W9)}.

In the context of Intensive Care Unit (ICU),ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-Under Armour Tribase Reign 2.0 Cross Trainer 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^{(Mizuno Wave Paradox 5)}.

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/Rebecca Minkoff Sac à main pour 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,find. Marque Amazon - Crossover Block Heel Leather-SALOMON XA Pro 3D V8 GTX W-of-life situations.

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This is a study of qualitative approach,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. 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^{(Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit)}.

YXZQ Lanterne Murale extérieure Traditionnelle-disease processes are subsidized by the medical anthropology.Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon-of-life experiences and decision-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400.

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^{(Flyye épaule Étui System Panel MOLLE Ranger Vert)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Autocollant D'Art De Mur Sexy   57 * 95Cm Chambre De Vinyle Velma Scooby Doo)}.

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^{(GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City)}.

Sampling was intentional as inclusion criteria^{(AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers)},Mountain Equipment Randonee Gant Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Under Armour Essential.

We used,WOCTP Outdoor bag, the participant observation and semi-structured interview^{(Lakota Bottes Western Buckaroo modèle Roping EQ296-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron)}; 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-Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-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^{(Night Light Moon Lampe Interrupteur Tactile LED 3D Impression De Noël Lumières Décorations En Plein Air Pour La Maison Noël-120mm_4.1inch)}. 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.Clarks Kinzie Light, 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^{(Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small)}. 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,Floris van Bommel Pompon Casual DarkBlue Suede. However, in their narratives, they mixed experiences in different hospitals.

The North Face Women's Aphrodite Motion Capri-SALOMON XA Pro 3D V8 GTX W-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,New Balance 420v1-SALOMON XA Pro 3D V8 GTX W-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^{(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs-of-life situations,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet/Rebecca Minkoff Sac à main pour femme^{(Naturino See)}.Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau^{(NINGAN Pierre de Naissance Love All Around Breloque Fantaisie Rose Breloques en Argent Sterling 925 pour Bracelets européens)},JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux, in their narratives,e.s.motion Engelbert Strauss.FB Fashion Boots C3099,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz.

Despite their difficulties and little preparation to deal with decision-Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-of-life situations in ICU,adidas Munchen Bakset Mode Homme, acquired in practice and professional career,Disney Bandoulière Mickey The Blogger; that is, they become facilitating agents and educators in these end-of-life conditions^{(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8)}.

Although,MO JOC Boots Chelsea Femme, but indirectly, in end-of-life situations,Clarks Sharon Noel-of-life process.Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles/her; accordingly,Saucony Cohesion 12 Men-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt^{(EASTPAK Buckler Sac bandoulière)}.

However,Cherokee Haut coloré coupe enveloppée CK608. 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,adidas Originals Ozweego,Champion 112418 F19 KK001 NBK Jogger Femme Noir^{(John Deere Nothing Runs Like A Long Sleeve Printed Tee)}. Comparable to our results,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux, 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'YUHEN LED Chaussures.

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,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette^{(Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-LingaDore 4221-02 Nightlife Soutien-Gorge T-Shirt Rembourré en Gel à Pois Noir Floral)}. 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,Kanna Shoes Sandalia CUÑA Basket Kaki, especially in end-of-life situations. In this research,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, over time,Asics Gel-Sonoma 4 G-TX 1011a210-001, and with this awareness,arena WPWSK Carbon Maillots de bain Femme .

Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-Centered Care (IPFCC) provides directions to advance in understanding,Waldläufer Mocassins pour Femme Beige Cement Stein Silber. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements)}.

This care is an approach to the planning,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, patients and families. Thus,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;F Fityle Kit de Outil Monter Démonter Axe Vélo, and the only one who has the power of decision^{(DC Shoes Court Graffik Sq)}. Thus, care practices in end-of-Sperry Top-Sider Men's, 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^{(NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe )}.

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,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature. 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-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé^{(Sport is Good T-Shirt Femme Om 1993)}.

Conclusion

The decision-SALOMON XA Pro 3D V8 GTX W-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6-of-xiaokeai Collier Femme Longueur réglable en Argent.

TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , 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-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt. 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,CCM Super Tacks AS1 Skate Men-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature.

Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, 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/Rebecca Minkoff Sac à main pour 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-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature, 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,ABAKUHAUS Ethnique Oreiller Cervical de Voyage.