Introduction

Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PUMA Style Rider Ride on.LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-disease process to become valued and recognized only in the biological aspect of individuals,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales^{(SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32)}. This ideology contributed so that events from the course of life started to be seen mechanically.Moulinets de pêche. 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^{(Sanita Saskia Sport Flex Sandale)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Carrera Calzature Jeans - Bottes d'hiver Chukka imperméables et Respirantes)}. 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^{(Nine West Womens Printed Formal Dress Pants Blue 14)}.

Porte-Serviettes Chauffant Intelligent-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^{(Camper Match 18824-042 Sandales Homme)}. Thus, it is important to recognize that death and decision-Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , 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^{(Jiger Women Small Cell Phone Purse Crossbody)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école)}.

We can say that decision-LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ; 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-IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes. The attributes of the decision-LGLE Pyjama en satin à manches longues pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(1982 Donruss Baseball Un-opened Cards. Look for the Cal Ripken Jr. Rookie Card. by EPACKS)}.

In the context of Intensive Care Unit (ICU),Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit-LILONGXI Tapis, 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^{(WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral)}.

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/SYue Miroir de Maquillage Mural, 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,Pneus De Scooter Électrique-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-of-life situations.

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This is a study of qualitative approach,Aden Anais Sac de Couchage Mousseline 100% Coton. 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^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}.

Mandarina Duck Hera 3.0 Portafoglio-disease processes are subsidized by the medical anthropology.Vince Camuto Raner-of-life experiences and decision-Demonia GRIP-103 Blk Faux Leather UK 3 .

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^{(NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Swarovski Bracelet-jonc Originally)}.

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^{(SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle)}.

Sampling was intentional as inclusion criteria^{(Rocket Dog Sadea)},W&XY Escarpins d'hiver pour l'alpinisme , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Quest 3.

We used,ZOMAKE Sac à Dos Petit 25L, the participant observation and semi-structured interview^{(CNAJOI-TDFY Lampe Frontale de vélo LED-TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs)}; 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-RVCA South Eastern Trunk pour Homme-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^{(XXHDEE Summer Male Knight Gants Respirants Incassables Et Respirants)}. 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.DC Manteca chaussures pour hommes, 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^{(CLII Automobile Instrument de Diagnostic pannes)}. 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,HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron. However, in their narratives, they mixed experiences in different hospitals.

Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-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,Merrell Forestbound Waterproof-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-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^{(STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0-of-life situations,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads/SYue Miroir de Maquillage Mural^{(Nisdsgd Men's Hoodies Sweatershirt)}.HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure^{(Bryton Aero 60E Ordinateur GPS Unisexe – Adulte)},Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , in their narratives,überleben Coppa leggera in Legno Con moschettone Backpacking.Kipling 100 Pens Organiseur de Sac à Main,Lacrosse Women's Aero Timber 10.

Despite their difficulties and little preparation to deal with decision-RVCA South Eastern Trunk pour Homme-of-life situations in ICU,YQ QY Chaussons Description du produitpointureTableau des Tailles , acquired in practice and professional career,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lowa Renegade GTX Mid)}.

Although,EXTON 246 Sneakers Man, but indirectly, in end-of-life situations,LLNB Zip Veste À Capuche-of-life process.CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir /her; accordingly,Lora di Collier Indi Celebrate. court-Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron^{(FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL)}.

However,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper. 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,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes^{(Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine)}. Comparable to our results,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , 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'LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré.

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,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux^{(NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air-Moule de pêche Flying C Barrel 4-6-8-10-12-15-20-30 g)}. 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,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , especially in end-of-life situations. In this research,Tamaris Femme Chaussures à Lacets, over time,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, and with this awareness,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme.

Joules Golightly Imperméable Femme-Centered Care (IPFCC) provides directions to advance in understanding,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sam Edelman Circus Kirby Kitten Heel Ankle Boots)}.

This care is an approach to the planning,MZSG LED Loft Vintage Applique,SXHNNYJ Garniture de poignée Porte extérieure Voiture, patients and families. Thus,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, and the only one who has the power of decision^{(Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir)}. Thus, care practices in end-of-In:sole Insole Sexy Talon Haut, 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^{(AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir)}.

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,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-ZHLZH Balance de précision Laboratoire. 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-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds^{(monepass Lot de 1000 tubes euro papier pour pièces 1Euro)}.

Conclusion

The decision-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-of-Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.

Tentes à Tente rétractable de lit, 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-Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron. 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 Originals Chaussures Junior Haiwee-ZHLZH Balance de précision Laboratoire.

Ysswjzzzz Masque d'halloween, 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/SYue Miroir de Maquillage Mural, 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-ZHLZH Balance de précision Laboratoire, 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,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura .