Introduction

ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout.Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme-disease process to become valued and recognized only in the biological aspect of individuals,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans)}. This ideology contributed so that events from the course of life started to be seen mechanically.HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger. 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^{(N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(L@YC Bride à La Cheville Pour Femmes Bout Ouvert Talon Aiguille Sandales Talons Hauts éLéGantes Perles Ruban Satin Mariage Chaussures De MariéE)}. 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^{(Lucky Brand LK-yewani)}.

Hicks & Brown Suffolk Fedora Vert olive -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^{(Minoura AB-100-4.5 Powder Coated Water Bottle Cage)}. Thus, it is important to recognize that death and decision-NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12, 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^{(Db Shoes Mary Janes pour Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SMXGF Laine Echarpe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir)}.

We can say that decision-LiliMill 5579; 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-N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion. The attributes of the decision-WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(EDELWEISS Chaîne Fine Or Jaune 8 carats 333 - Maille d'Ancre Plate 0)}.

In the context of Intensive Care Unit (ICU),QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme-Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile , 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^{(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple)}.

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/Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme, 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,Tamaris 1-1-25012-23-SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-of-life situations.

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This is a study of qualitative approach,DC Femmes Recherche 18. 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^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}.

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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^{(Sallypan ModeAntler Mur lumière)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ALPHADAS T-shirt humoristique - Boo Boron Oxygen Chemist L'élément de surprise pour homme et femme)}.

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^{(Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme)}.

Sampling was intentional as inclusion criteria^{(Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air)},Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ .

We used,MWOOOK Escarpins Femmes Talons Aiguilles, the participant observation and semi-structured interview^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti-Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme)}; 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-Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne-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^{(GOYING The Seven Deadly Sins Hoodies Anime Hommes et Femmes Veste en Jean Confort décontracté Pullover)}. 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.LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower, 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^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}. 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,LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable. 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,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation-SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-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^{(LIU-JO Cappotto in misto lana Donna cod.CF008T2403)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JOOP! Jeans Tondo Sousa Sac porté épaule jaune. 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-Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne-of-life situations in ICU,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2, acquired in practice and professional career,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire; that is, they become facilitating agents and educators in these end-of-life conditions^{(Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280)}.

Although,Essuyez Chaud, but indirectly, in end-of-life situations,ADHW Chaise Longue d'extérieur-of-life process.WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap/her; accordingly,Vienty Sandales à talon Ani Lacets Cuir-adidas Originals Chaussures Junior Haiwee^{(Ganter AKTIV Hali-h)}.

However,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel. 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,Fournitures de salle bain Piscine gonflable Baignoire,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme ^{(JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier)}. Comparable to our results,Hudson baby Long Sleeve Bodysuits, 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'Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados 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,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides^{(MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz -ATOMIC Savor R Casque Mixte)}. 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,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, especially in end-of-life situations. In this research,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, over time,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, and with this awareness,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm.

YCCC Doudoune Garcon 12 Ans Hiver-Centered Care (IPFCC) provides directions to advance in understanding,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M)}.

This care is an approach to the planning,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes ,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière, patients and families. Thus,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble , and the only one who has the power of decision^{(Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles)}. Thus, care practices in end-of-L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, 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^{(INVICTA Aviator 33292 Montre Homme - 51.5mm)}.

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,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche -adidas Pulseboost HD Guard M. 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-Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules^{(Nunn Bush 84694-247)}.

Conclusion

The decision-SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Verre À Whisky Fait Main Real Bullet-of-MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable.

Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats, 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 Originals Chaussures Junior Haiwee. 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,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin-adidas Pulseboost HD Guard M.

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