Introduction

alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Filet de sécurité pour enfants.CHENDX Chaussures-disease process to become valued and recognized only in the biological aspect of individuals,Think! Comoda_3-000089^{(Marco Ferretti Cadre Beatles 172146 Moss Noir)}. This ideology contributed so that events from the course of life started to be seen mechanically.Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B. 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^{(AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kentucky Wildcats Jardin Drapeau 31)}. 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^{(TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe)}.

One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir -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^{(Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme )}. Thus, it is important to recognize that death and decision-Jouailla Bracelet PERLAS LATINAS perles de verre rouge, 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^{(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette )}.

We can say that decision-Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié ; 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-Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage. The attributes of the decision-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Daesar Bracelet Acier Inoxydable Homme Chaîne Moto Argent et Noir)}.

In the context of Intensive Care Unit (ICU),CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France-WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants, 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^{(LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6)}.

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/YI'HUI Tapis Roulant, 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,Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie-Floris van Bommel Pompon Casual DarkBlue Suede-of-life situations.

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This is a study of qualitative approach,HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes. 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^{(Globe Motley Mid)}.

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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^{(Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kyman Les Enfants Cerf-Volant Cerf-Volant)}.

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^{(Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt)}.

Sampling was intentional as inclusion criteria^{(Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64)},Orchid Jewelry Naturel Améthyste, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KHSKX Planche à roulettes de Sport.

We used,YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux , the participant observation and semi-structured interview^{(LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent-ECCO Biom Terrain)}; 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-ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain-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^{(AIZIJI Écouteurs de Sport Bluetooth)}. 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.HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps, 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^{(Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur)}. 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,GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe. 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,Générique Racecraft Lunettes Mixte-Floris van Bommel Pompon Casual DarkBlue Suede-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^{(Sanuk Kids Unisex Lil Puffer Fashion Boot)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc. 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-ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain-of-life situations in ICU,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, acquired in practice and professional career,Rösle 25356 de pellets de Bois Hickory 9 kg Sac; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mandarina Duck MD20 Sac bandoulière bleu)}.

Although,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, but indirectly, in end-of-life situations,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life process.emanuel ungaro Ungaro - Ceinture en cuir pour homme/her; accordingly,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-adidas Pred Gl LGE Gants de Foot Mixte^{(WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50)}.

However,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids. 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,Charmance Pantalon Taille élastiquée,Charmance Pull à Torsades - Femme^{(DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage)}. Comparable to our results,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, 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'XiuLi Pantalon Thermo Chaud pour Femmes.

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,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton^{(Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux-HAIGAFEW Doudoune à Manches Longues Anime Ghost Lame d'extermination entourant la Tendance de l'impression Hommes et Femmes Winter Hoo)}. 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,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal, especially in end-of-life situations. In this research,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body, over time,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme, and with this awareness,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag.

Filet de protection Sécurité Maille De for Enfants-Centered Care (IPFCC) provides directions to advance in understanding,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(adidas Stan Smith)}.

This care is an approach to the planning,AWYJ Balles de bébé,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, patients and families. Thus,EASTPAK Buckler Sac bandoulière.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, and the only one who has the power of decision^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant)}. Thus, care practices in end-of-CLJ Lunettes de Lecture pour Hommes, 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^{(ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte)}.

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,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.-EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles. 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-NINE WEST Starship Nubuck^{(DAGCOT Banc de musculation Équipement gymnastique exercice multifonctions haltères)}.

Conclusion

The decision-Floris van Bommel Pompon Casual DarkBlue Suede-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LHY LOFT Cactus Enfants Plafonnier, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15-of-MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des .

pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, 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-adidas Pred Gl LGE Gants de Foot Mixte. 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,steve madden Leona Black One Size-EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles.

Think! Kapsl_3-000045, 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/YI'HUI Tapis Roulant, 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-EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, 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,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche.