Introduction

Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Munich Dash Premium 73.DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant-disease process to become valued and recognized only in the biological aspect of individuals,Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée^{(4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu )}. This ideology contributed so that events from the course of life started to be seen mechanically.Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier . 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^{(HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Wulf wulfsport Enfant Camouflage Race Combinaison de Motocross LT PW Karting New)}. 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^{(Nike 917809 414)}.

FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant-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^{(Lloow Chaise de Douche)}. Thus, it is important to recognize that death and decision-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table , 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^{(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White)}.

We can say that decision-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum; 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-Rideau de fenêtre hawaïen avec des arbres montagne. The attributes of the decision-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(EASTPAK Padded Pak'r Sac à dos)}.

In the context of Intensive Care Unit (ICU),Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire , 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^{(Bisgaard Dora)}.

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/Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche 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,Asics Chaussures Gel-Lima Padel 2-love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc-of-life situations.

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This is a study of qualitative approach,BTYKJ Sandales compensées en Daim à Boucles 42 Noir. 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^{(Asics Men's GT-2000 8)}.

Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple-disease processes are subsidized by the medical anthropology.Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -of-life experiences and decision-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour.

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^{(Columbia Granite Mountain Veste polaire pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Asics Chaussures Femme Gt-2000 8)}.

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^{(Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.)}.

Sampling was intentional as inclusion criteria^{(L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 )},Lloyd 547932 Bottines Femme 28-357-00 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.hanky panky Brassière croisée en dentelle Signature.

We used,El Ganso Blazer Acolchada Nylon, the participant observation and semi-structured interview^{(BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau-Superga Baskets 2730 Cotu 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-WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-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^{(Mephisto Sandale de Mesdames Hélène sandalbuck)}. 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.CMP, 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^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre)}. 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,Cole Haan HaanAir Bandon MOC - Ballerines Air Femme. 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,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant-love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc-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^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore. There is difficult to identify this moment and take the change in behavior before the patient and their families.

No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver -of-life situations,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL/Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme^{(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer)}.Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches^{(Wine Sayings TShirts)},IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, in their narratives,LLSS Poussette pour bébé légère Landaus.NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique.

Despite their difficulties and little preparation to deal with decision-WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-of-life situations in ICU,Parcs pour Tout-Petits, acquired in practice and professional career,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris; that is, they become facilitating agents and educators in these end-of-life conditions^{(MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique)}.

Although,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme , but indirectly, in end-of-life situations,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3-of-life process.Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4/her; accordingly,Reebok Workout Plus-Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4^{(PUMA TSUGI Disc)}.

However,Josef Seibel Chance 39. 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,Geox B New Flick B,Geox D Nebula C^{(OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L)}. Comparable to our results,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, 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'PUMA Chaussures de Glace Muse 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,Dachstein Ramsau 2.0 Gore-TEX Chaussure^{(Salming Chaussures Femme Hawk 2-Voiles d'ombrage EspeSar Tela Impermeabilizante Un Prueba De Agua Al Aire Libre Toldo Imperméable Ultra Ligero La Lona Del Rollsnownow)}. 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,New Balance Fresh Foam Zante Pursuit, especially in end-of-life situations. In this research,Columbia WAYFINDER FLIP Sandales de sport pour homme, over time,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, and with this awareness,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques.

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This care is an approach to the planning,Under Armour Polo rehaussé pour homme,Kamik Raindrops, patients and families. Thus,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, and the only one who has the power of decision^{(Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman)}. Thus, care practices in end-of-Kickers Bonbon, 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^{(Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger )}.

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,Nike Magista Onda AG-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher. 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-Mizuno Tc-02^{(Vans Classic Heather T-Shirt Homme)}.

Conclusion

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adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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-Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4. 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,adidas Ultraboost 19-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher.

adidas Originals Women's Falcon Trail Running Shoe, 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/Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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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