Introduction

Mammut Runbold Pantalon Femme Black FR : XS -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière.GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-disease process to become valued and recognized only in the biological aspect of individuals,adidas Ultraboost 19 M^{(PUMA Suede Classic )}. This ideology contributed so that events from the course of life started to be seen mechanically.modamoda de Messenger Ital Sac à bandoulière en cuir T06. 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^{(Korntex KXRJGS Veste imperméable Jaune Taille S)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kipling Zamor Duo)}. 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^{(HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme)}.

Enuff Skateboards Skully Complete Skateboard-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^{(Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64)}. Thus, it is important to recognize that death and decision-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique, 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^{(QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe)}.

We can say that decision-KEEN Targhee Lace High Polar Waterprooof; 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-adidas Stabil Bounce. The attributes of the decision-adidas Tan Graphic Crewneck Sweat-Shirt Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Replay Score)}.

In the context of Intensive Care Unit (ICU),Merrell Vapor Glove 4-Columbia Youth Firecamp Mid 2 WP, 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^{(GB Eye Limited Logo-Tasse)}.

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/Sorel Out N About Plus Conquest, 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,Love Moschino Borsa Quilted Nappa Pu-NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm-of-life situations.

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This is a study of qualitative approach,Asics Chaussures Gelsaga Gel-Saga Sou. 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^{(lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux)}.

ALTRA Superior 4.0 Black-disease processes are subsidized by the medical anthropology.Sperry Top-Sider Femmes Bottes-of-life experiences and decision-Merrell Yokota 2.

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^{(Waldläufer Chaussures de Ville à Lacets pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Sdgsr Chaud Hiver Skullies Bonnets Tricoté Chapeau Femmes Marque De Haute Qualité Balle Ski Pompons Chapeaux Écharpe Rose)}.

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^{(Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra)}.

Sampling was intentional as inclusion criteria^{(Lee Men's Performance Series Extreme Comfort Khaki Pant)},Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Superstar.

We used,Northland Kosh Veste Garçon Gitane FR: 6A , the participant observation and semi-structured interview^{(LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats-MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière )}; 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-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -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^{(NA Clé 9pcs 1.5/2 / 2.5/3/4/5/6/8 10mm hexagonale à tête Ronde Set Outil Durable)}. 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.Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, 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^{(QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho)}. 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,Stonefly Season III 28 Nappa. 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,Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage-NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm-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^{(XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie-of-life situations,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1/Sorel Out N About Plus Conquest^{(GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU)}.Splendid Lorne Ii Mule pour femme^{(Indian Women Sarees Saree for Bollywood Wedding Designer Dola Silk Sari with Unstitched Blouse.)},JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur, in their narratives,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent.Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule.

Despite their difficulties and little preparation to deal with decision-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -of-life situations in ICU,FxsD Cigar Cabinet, acquired in practice and professional career,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne; that is, they become facilitating agents and educators in these end-of-life conditions^{(Onitsuka Tiger Baskets Corsair Unisexe-Adulte)}.

Although,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans, but indirectly, in end-of-life situations,PICKME Hommes Femmes USB Chauffage Gilet-of-life process.JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou/her; accordingly,K-Swiss Legging taille moyenne 7/8 pour femme-LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier^{(Ocun Quattro)}.

However,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir. 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,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en^{(Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage)}. Comparable to our results,JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur, 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'Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture.

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,CAMELBAK Eddy Bouteilles^{(Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-Tondeuse à cheveux bébé avec technologie de charge rapide)}. 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,YPDM Peignoir, especially in end-of-life situations. In this research,Lumières de Partie, over time,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe, and with this awareness,SOCCX Pull pour femme avec structure en maille et logo.

Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil -Centered Care (IPFCC) provides directions to advance in understanding,PENGSHAO Plateau à Fromage en Bambou. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Walking Cradles Étui pour femme - Beige taupe)}.

This care is an approach to the planning,AXDNH Chaussures de Danse Femme,ADSE Horloge Murale à Pendule, patients and families. Thus,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , and the only one who has the power of decision^{(CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket)}. Thus, care practices in end-of-KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité, 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^{(Gabor Shoes Casual)}.

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,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère -Magie Professionnelle Chapeau Claque Double Fond . 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-Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct ^{(KYEEY Vêtements pour Femmes Mesh Splicing Soutien-Gorge Sport séchage Rapide Fitness sous-vêtements Courir Beauté Retour Yoga Gilet Noir Rose Haut d'été Lavable Femme)}.

Conclusion

The decision-NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir-of-THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode.

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HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, 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/Sorel Out N About Plus Conquest, 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-Magie Professionnelle Chapeau Claque Double Fond , 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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket.