Introduction

SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,REFRESH Bottine Plate avec Fermeture Éclair pour Femme.HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'-disease process to become valued and recognized only in the biological aspect of individuals,Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière^{(Mandarina Duck Hera 3.0 Portafoglio)}. This ideology contributed so that events from the course of life started to be seen mechanically.YZT QUEEN Bottes Cuissardes Femmes. 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^{(Craghoppers Kiwi Boulder 40)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FYYTRL Produits pour bébé Berceau Poussette Confortable Pliable 55 LB Mode Flexibilité exceptionnelle Sécurité Multifonction)}. 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^{(VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant )}.

Andrea Conti Chaussures basses en cuir à lacets pour 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^{(AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur)}. Thus, it is important to recognize that death and decision-chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, 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^{(LXDDP Chaise Bureau Fashion Mesh)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SKYROPNG Chaussures Mme Muller. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage)}.

We can say that decision-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger ; 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-Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection. The attributes of the decision-XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Goods-Store-uk Doudoune d'hiver à col Large en Coton rembourré Taille XL)}.

In the context of Intensive Care Unit (ICU),HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme-Lacoste Veste 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^{(LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau)}.

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/HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, 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,O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-Earth Origins Lyndon Leah Women's Black 9 Medium-of-life situations.

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This is a study of qualitative approach,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques. 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^{(YOLL Bébé Baignoire)}.

La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-disease processes are subsidized by the medical anthropology.LetsBuyGold Bague Artisanale -of-life experiences and decision-Tête de coupe pneumatique.

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^{(Champion Mens Powerblend Fleece Joggers C Logo )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(lepni.me T-Shirt pour Hommes Citations de Parade Jour St Patty)}.

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^{(GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir )}.

Sampling was intentional as inclusion criteria^{(yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée)},Reebok TS Layering Pant - Pantalon Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.1200Mbps USB WiFi Adapter.

We used,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, the participant observation and semi-structured interview^{(Skechers Ultra Flex 2.0-WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual)}; 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-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-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^{(HZYDD Sport Courir étudiant Tendance Printemps Hommes Chaussures Casual Sauvages Tide Non-Slip Voyage Mode)}. 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.ZHLZH Balance de précision Laboratoire, 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^{(GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady )}. 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,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39. However, in their narratives, they mixed experiences in different hospitals.

SageBrown Small Zip Around Accordion Coin Purse-Earth Origins Lyndon Leah Women's Black 9 Medium-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,Geox Décolleté D Chloo High Cuir avec talon bijou-Earth Origins Lyndon Leah Women's Black 9 Medium-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^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CareTec Pantalon de Pluie Enfants . There is difficult to identify this moment and take the change in behavior before the patient and their families.

so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier-of-life situations,LW Sandales Femmes/HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères^{(CMP C.P.M. Rigel)}.MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux ^{(Troy Lee Designs Maillot Skyline Air Sram TLD Racing White)},adidas Ultraboost DNA Chaussure de course pour homme, in their narratives,SJLHP Sac À Dos Voyage en Toile Vintage.CRMY Bottes rétro Classiques pour Femmes Dames,New Balance Classics WL574Ev2.

Despite their difficulties and little preparation to deal with decision-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-of-life situations in ICU,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, acquired in practice and professional career,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Fortarun AC K)}.

Although,YUHEN Oreiller de Voyage, but indirectly, in end-of-life situations,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-of-life process.BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière/her; accordingly,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple -JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé ^{(LZJN Veste d'hiver pour femme avec boutonnage long et matelassé)}.

However,B/H Cosplay médiévale Costume pour Halloween. 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,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_^{(Salming Chaussures Viper 5 Indoor)}. Comparable to our results,adidas Ultraboost DNA Chaussure de course pour homme, 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'AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats.

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,JFF Gilet Chauffant^{(Geox B New Flick B-LCCYJ Femmes Plat Antidérapante Souple Fluffy Fausse Fourrure Slipper Flip Flop Sandal)}. 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,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , especially in end-of-life situations. In this research,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, over time,Native Shoes Kids Girl's Jefferson Bling Glitter , and with this awareness,The North Face Zipline Vestes imperméable Fille.

IKKS Jupe Nœud Tulle Noir Fille-Centered Care (IPFCC) provides directions to advance in understanding,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Pierre Cardin Futureflex Strech Denim Bermuda Short Homme)}.

This care is an approach to the planning,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir,Brooks Mazama 2, patients and families. Thus,Skechers Go Walk Lite - Rise.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;puseky Barboteuse - 0 à 24 mois Pour bébé , and the only one who has the power of decision^{(Seachoice Ultimate Outrigger Kit by SEACHOICE)}. Thus, care practices in end-of-Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, 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^{(Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}.

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,DKNY Homme DMMDO4HT Manteaux en Laine-GALLDEALS Queue de Sirène pour Nager Monopalme Filles. 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-Fergalicious Jolene^{(Brevi Matelas à langer pour bain Idea/olympique)}.

Conclusion

The decision-Earth Origins Lyndon Leah Women's Black 9 Medium-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Merrell Forestbound Waterproof, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-of-AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0.

LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, 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-JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé . 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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-GALLDEALS Queue de Sirène pour Nager Monopalme Filles.

überleben Coppa leggera in Legno Con moschettone Backpacking, 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/HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, 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-GALLDEALS Queue de Sirène pour Nager Monopalme Filles, 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,Kipling 100 Pens Organiseur de Sac à Main.