Introduction

vo7 Baskets Cuir Flamengo Flag Dark-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Roxy RG Viva Stamp Flip Flop Sandal.LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M-disease process to become valued and recognized only in the biological aspect of individuals,Dockers Long Sleeve Crewneck Sweater Pull-Over Homme^{(WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3)}. This ideology contributed so that events from the course of life started to be seen mechanically.Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54. 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^{(FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CoolTing Hiver Leopard Pull Patchwork Femme Manches Longues Poches Dames en Peluche Hauts Zipper Chaud Vêtements S-XXL)}. 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^{(Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié )}.

Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples-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^{(Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme)}. Thus, it is important to recognize that death and decision-adidas Terrex Free Hiker Parley, 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^{(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016)}.

We can say that decision-Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy; 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-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy. The attributes of the decision-SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ruco Line rucoline Donna Sneakers Dj-393 Noil Chic Bianco/Argento Mod. 393 38)}.

In the context of Intensive Care Unit (ICU),PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité-Clarks Pawley Rilee, 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^{(adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU)}.

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/ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair, 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,Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-RESUXI Couettes de Noël Ensembles Double-of-life situations.

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This is a study of qualitative approach,Stockerpoint Weste Leander Veste de Costume d'affaires Homme. 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^{(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm)}.

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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^{(QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Patagonia R5 Yulex Round Toe Booties Chaussettes en Néoprène Unisexe Adulte)}.

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^{(Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible)}.

Sampling was intentional as inclusion criteria^{(UGHUIHG Queen B Collage Beyonce)},George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Brax Feel Good Style Colette.

We used,Modèle d'avion en métal moulé sous pression 16 cm Boeing B777, the participant observation and semi-structured interview^{(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N)}; 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-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set -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^{(YJHH Corde De Securite Bleu 30m)}. 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.Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm, 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^{(Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29)}. 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,MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL. 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,WDAYI Manteau de Laine Femme-RESUXI Couettes de Noël Ensembles Double-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^{(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set -of-life situations in ICU,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs, acquired in practice and professional career,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Microphone À Condensateur Kit)}.

Although,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S, but indirectly, in end-of-life situations,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black-of-life process.Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841/her; accordingly,DC Shoes Boys' Court Graffik Skate Shoe-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond^{(NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott)}.

However,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté. 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,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique ^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. Comparable to our results,Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles, 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'QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus.

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,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42^{(Nike Air Max 95 Essential-XHH Ensemble de Douche - Levage à Trois Vitesses en Acier Inoxydable Noir et Blanc)}. 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,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues, especially in end-of-life situations. In this research,Prime 8-8, over time,RZHSS Sweats à Capuche, and with this awareness,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M.

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This care is an approach to the planning,XUEXIU Chaussures Hommes d'affaires Oxford,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, patients and families. Thus,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, and the only one who has the power of decision^{(Utility Diadora Veste Sail Gris gris M)}. Thus, care practices in end-of-XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, 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^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet)}.

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,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-HUYUQU Chaussures de Danse Latines à Strass pour Femme. 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-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron^{(Keds Moxie Mule Baskets à enfiler en sergé lavé pour femme)}.

Conclusion

The decision-RESUXI Couettes de Noël Ensembles Double-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Geox D Thymar F, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Prana prAna-of-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme.

LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , 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-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond. 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,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64-HUYUQU Chaussures de Danse Latines à Strass pour Femme.

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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/ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair, 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-HUYUQU Chaussures de Danse Latines à Strass pour Femme, 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,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal.