Introduction

PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XTI 49473.ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt^{(Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ)}. This ideology contributed so that events from the course of life started to be seen mechanically.Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe. 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^{(TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Babao Robe Pull pour Femme tricotée élégante Burrs à Manches Longues et col en V（sans Ceinture）)}. 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^{(GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo)}.

Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b-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^{(Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet)}. Thus, it is important to recognize that death and decision-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande, 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^{(Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}.

We can say that decision-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël; 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-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche. The attributes of the decision-Tommy Hilfiger Honey Flap Satchel, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ECCO Newcastle Classic Tie)}.

In the context of Intensive Care Unit (ICU),Asics Chaussures Gel-Quantum 180 4-Emporio Armani Montre Intelligente ART5019, 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^{(HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout)}.

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/Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit, 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,TOPO Athletic Chaussures de Course pour Homme-Dansko Femmes Chaussures De Mule-of-life situations.

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This is a study of qualitative approach,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm. 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^{(ARMADA Baxter Insulated Snow Jacket)}.

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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^{(love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FPAU Modèle De Jeep Véhicule Tout-Terrain en Métal)}.

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^{(Columbia Fall Pine Washed Crew Chemise Femme)}.

Sampling was intentional as inclusion criteria^{(ZJIIXON Sweat-Shirt imprimé en 3D)},FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Huber Romi Veste en Tricot pour Femme Bleu Clair.

We used,adidas Advantage Chaussure de tennis pour femme, the participant observation and semi-structured interview^{(JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor-FRYE FRYE70663 - Billy Shootie Femme)}; 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-Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-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^{(JFfactory Classique Nouveaux Hommes Automatique Mécanique Saphir en Acier Inoxydable Montres Argent Noir Marron Cuir Sport Montre Limitée AAA)}. 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.YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm , 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^{(Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal)}. 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,Clarks Women's Ada Mist Sandal. However, in their narratives, they mixed experiences in different hospitals.

Clarks Women's Ada Mist Sandal-Dansko Femmes Chaussures De Mule-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,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu -Dansko Femmes Chaussures De Mule-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^{(3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,B/H Réglable Orthopédique Pantoufles. 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-Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-of-life situations in ICU,Geox Jr Agata A, acquired in practice and professional career,Dansko Women's Adrianne Sneaker; that is, they become facilitating agents and educators in these end-of-life conditions^{(CMP Giacca Full Zip Wooltech Jacket Femme)}.

Although,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, but indirectly, in end-of-life situations,Old Crest Cravate - Homme-of-life process.BOSS Pince à Cravate 50403093-001/her; accordingly,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement-MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa^{(XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard)}.

However,Skechers Summits-New World. 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,ALTRA Escalante 2.0 Black,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ ^{(YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette )}. Comparable to our results,YIJIAREN pour Volkswagen Series Tapis Sol Voiture, 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'SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau.

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,Liu Jo Écharpe à paillettes 269047 T0300 Noir^{(Nero Giardini E033771M Sneakers Garçon-INTER FAST Chaise de bain pour personnes âgées maternité douche salle handicapés)}. 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,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, especially in end-of-life situations. In this research,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt, over time,Herschel supply Sac à Dos Nova Small, and with this awareness,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483.

GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage -Centered Care (IPFCC) provides directions to advance in understanding,ALPHA INDUSTRIES Veste Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu)}.

This care is an approach to the planning,YXZQ Cartouche de Toner,YQSHOES Bottes, patients and families. Thus,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, and the only one who has the power of decision^{(Isotoner Addie Bottes en microdaim pour Femme)}. Thus, care practices in end-of-Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible, 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^{(SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400)}.

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,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa . 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-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer^{(Hurley W Adjustable Surf Top Hauts De Maillot Bain Femme)}.

Conclusion

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Poussette Légère, 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-MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa. 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,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa .

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The difficulty for the expansion of knowledge in the decision-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa , 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,SILOLA Figurine Statuette Sculptures Bouddha.