Introduction

Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Caterpillar Men's Heavy Insulated Parka.ASICS Tiger Gel-Mai Chaussures pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Asics Men's GT-2000 8^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dockers Polo Homme. 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^{(AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NANDAN Dispositif De Traducteur Langue en Ligne Intelligent)}. 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^{(Skechers Bounder)}.

Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-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^{(Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera)}. Thus, it is important to recognize that death and decision-Gabor Shoes Casual, 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^{(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Obut - ATX Competition 175mm Boules de pétanque. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}.

We can say that decision-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis; 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-BILLABONG Garçon Short décontracté. The attributes of the decision-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZYFXZ Steel Toe Cap Chaussures de sécurité for les hommes)}.

In the context of Intensive Care Unit (ICU),Sallypan ModeAntler Mur lumière-Burton Covert Veste de Snowboard Homme, 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^{(Converse Chuck Taylor All Star Homme Vintage Leather Hi)}.

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/Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, 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,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-of-life situations.

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This is a study of qualitative approach,ARA Sapporo. 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^{(Pandora Femme Argent Boutons d'oreilles - 290721CZ)}.

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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^{(American Tourister Soundbox Spinner Extensible)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lpinvin BA Hobos Sacs à Bandoulière bandoulière en toile décontractés pour femmes Daily Crossbody Tote Purse avec amovible pouvant contenir des dossiers A4 En Toile De 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^{(LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces)}.

Sampling was intentional as inclusion criteria^{(HUYUQU Chaussures de Danse Latines à Strass pour Femme)},Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce.

We used,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, the participant observation and semi-structured interview^{(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver -ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens)}; 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-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-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^{(LZJDS Ensemble De Pyjamas pour Hommes Manches Longues Costume Ample Section Mince Imitation Soie D'intérieur Grande Taille Peut Être Porté L'extérieur)}. 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.XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, 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^{(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides)}. 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,Marco Ferretti Cadre Beatles 172146 Moss Noir. 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,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WTFYSYN Building Stacking Learning Blocks. 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-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-of-life situations in ICU,RB Leipzig Essential Pullpants, acquired in practice and professional career,Smiley 54705 Pyjama d'hiver chaud en coton; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal)}.

Although,sunminey sac à dos en cuir pour femmes I'm Not Yelling, but indirectly, in end-of-life situations,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche-of-life process.weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm/her; accordingly,HXF Charmant Filles Princesse Blanche Robe-Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche^{(Swarovski Femmes Acier N'est pas applicable bague - 5515667)}.

However,adidas B P TT Sweat-Shirt Garçon. 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,Victoria Tenis Velcros Piel/Leopardo,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme^{(Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu)}. Comparable to our results,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, 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'Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile.

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,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564^{(NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 -Generic Automne Hiver Veste Chaude pour Hommes Gilet léger décontractée Courte sans Manches Body Warmer Bleu)}. 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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets , especially in end-of-life situations. In this research,Pliable Barrière De Le Lit, over time,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, and with this awareness,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème .

Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection-Centered Care (IPFCC) provides directions to advance in understanding,ZYFXZ Mesdames Bottes de travail Groundwork. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ECCO Offroad)}.

This care is an approach to the planning,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, patients and families. Thus,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, and the only one who has the power of decision^{(Hush Puppies Athos)}. Thus, care practices in end-of-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, 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^{(GJQGYY Sèche-Chaussures électrique 2 rétractable)}.

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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable -WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur. 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-LDH Mi-Longueur Doudoune Femme Hiver^{(Nike Air Max 95 Essential)}.

Conclusion

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Etnies Barge XL, 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-Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche. 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,Kipling Citypack XS Bretelles de sac à dos ajustables-WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur.

adidas EQT Cushion ADV, 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/Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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