Introduction

New Balance 420v1-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère.Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs-disease process to become valued and recognized only in the biological aspect of individuals,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet^{(DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau. 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^{(adidas FCB H JSY L T-Shirt à Manches Longues Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JHGK Flops De Femmes Flip Slim Tous Les Jours)}. 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^{(ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm)}.

e.s.motion Engelbert Strauss-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^{(VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille)}. Thus, it is important to recognize that death and decision-FB Fashion Boots C3099, 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^{(Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LXDDP Écran Tactile Navigation Voiture Android 9.0 10)}.

We can say that decision-adidas Munchen Bakset Mode Homme; 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-Disney Bandoulière Mickey The Blogger. The attributes of the decision-MO JOC Boots Chelsea Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LKVNHP Nouveau Produit Lunettes de Soleil en Bois Femmes/Hommes Rondes Bambou Zèbre Cadre Livraison Gratuite)}.

In the context of Intensive Care Unit (ICU),Clarks Sharon Noel-Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, 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^{(luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag )}.

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/Saucony Cohesion 12 Men, 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,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux -of-life situations.

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This is a study of qualitative approach,Cherokee Haut coloré coupe enveloppée CK608. 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^{(Sperry Top-Sider Women's Seaport Boat Shoe)}.

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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^{(Asics Gel Solution Speed Clay)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Little Me Sleep N Play Sleeper Monobloc à Pied Grenouillère pour & No-Throw Tether)}.

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^{(Jallatte Basket DE SECURITE JALATHLON S3)}.

Sampling was intentional as inclusion criteria^{(WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage)},MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kanna Shoes Sandalia CUÑA Basket Kaki.

We used,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, the participant observation and semi-structured interview^{(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué)}; 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-Asics Gel-Sonoma 4 G-TX 1011a210-001-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^{(MERRYHE Hommes Chaussures en Cuir Véritable Bout Pointu Robe Formelle Vintage Grande Taille Derbies À Lacets De Travail)}. 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.arena WPWSK Carbon Maillots de bain Femme , 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^{(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D )}. 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,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental. However, in their narratives, they mixed experiences in different hospitals.

Waldläufer Mocassins pour Femme Beige Cement Stein Silber-YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux -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,Think! Kapsl_3-000045-YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux -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^{(Brass Monkeys Haut Thermique - Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche. 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-Asics Gel-Sonoma 4 G-TX 1011a210-001-of-life situations in ICU,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, acquired in practice and professional career,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47)}.

Although,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, but indirectly, in end-of-life situations,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -of-life process.CLII Automobile Instrument de Diagnostic pannes/her; accordingly,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print^{(Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne)}.

However,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon. 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,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier,Y-Volution Y-volution - draisienne yvelo air Bleu^{(Saucony Shadow Original)}. Comparable to our results,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, 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'Multiple colors New ballet LED table lamp 7 color touch 3d night light.

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,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D^{(7lljjq7 T Rex Fruit Hat-Dinosaurs-HLJ Cheval à bascule en bois Secouer bébé Enfants solide Musique Bébé Jouet Rocking Chair massif amovible)}. 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,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, especially in end-of-life situations. In this research,Matelas d'air de Voiture Gonflable prolongé siège arrière, over time,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S, and with this awareness,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière.

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This care is an approach to the planning,MNSSRN-MM Baskets En Maille D'automne,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, patients and families. Thus,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Générique Randonnée Essentielle équipage Moyen, and the only one who has the power of decision^{(WDAYI Manteau de Laine Femme)}. Thus, care practices in end-of-LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, 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^{(SUREH Nid de bébé Bassinet pour lit portable en coton biologique)}.

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,Clarks Men's Weaver Moccasin-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant. 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-ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange^{(Vélo Saddles Coussin Confortable VTT Selle Route vélo Respirant Creux Bike Saddle Covers)}.

Conclusion

The decision-YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Vince Camuto Femmes Sandales À Talon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Love Moschino BORSA QUILTED NAPPA PU-of-Craghoppers Pantalon Anti-Moustique Clair - Femme.

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Catimini Gilet Bébé Fille, 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/Saucony Cohesion 12 Men, 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-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant, 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,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir.