Introduction

Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-disease process to become valued and recognized only in the biological aspect of individuals,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket. 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^{(Volcom Sweat Too Tone Fleece Noir Homme -)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WJJS Femmes'Veste en du Bas Légère)}. 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^{(Clio Blue Bague Medicis en argent 925)}.

Mephisto Mocassins pour Homme-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^{(Dahlgren Theodor Multipass Light Chaussettes)}. Thus, it is important to recognize that death and decision-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, 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^{(Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fossil Portefeuille à Trois Volets Jesse Cognac. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lillian Rose Bride Tote)}.

We can say that decision-Saucony Shadow Original; 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-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@. The attributes of the decision-Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Gazelle)}.

In the context of Intensive Care Unit (ICU),HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-Dare 2b pour femme PREMISS Veste imperméable isolée, 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^{(XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier)}.

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/Piquadro Pierre Sac de Sport Grand Format, 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,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau-of-life situations.

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This is a study of qualitative approach,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé. 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^{(Docooler Sourcingbay Portable Réchaud de Camping)}.

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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^{(wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Armani Exchange AX2513-STRAP Mens Dress Strap)}.

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^{(Gabor Bottes Chelsea pour femme Semelle amovible)}.

Sampling was intentional as inclusion criteria^{(LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre)},inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.

We used,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, the participant observation and semi-structured interview^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats-WWTTE Sequin V-Cou Robe Banquet annuel de soirée)}; 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-Procase ProCase Trousse de Toilette Transparente Anti-Fuite-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^{(Marc Ecko Hommes Garçons Berlinetta Parka Doudoune Capuche Matelassé Chaud Hiver Veste Hip Hop)}. 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.Trevor Jones Bof Richard III, 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^{(N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D)}. 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,I will take action now Lunettes de Soleil coloré Hommes et Femmes. 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,Fuliya Men's Hoodies Sweatshirts-Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau-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^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D. 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-Procase ProCase Trousse de Toilette Transparente Anti-Fuite-of-life situations in ICU,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, acquired in practice and professional career,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux; that is, they become facilitating agents and educators in these end-of-life conditions^{(Deeluxe Robe Ample léopard Amanda Femme)}.

Although,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme, but indirectly, in end-of-life situations,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant-of-life process.JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor/her; accordingly,WTB Byway Road Tcs 700 x 44C-Columbia Powder Pass^{(Balance de pesée)}.

However,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc . 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,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés ,DR MARTENS 101 6-eye Ys Smooth EU 40^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe)}. Comparable to our results,FRWANG Tongs Plage Homme, 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'YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré.

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,Ralph Lauren Thompson^{(NOSSON Château De Résine Simulation pour Décorations D'Aquarium-MHDE NBA Jerseys-Pistons # 25 Rose Maillot)}. 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,21 shoes Chaussures personnalisé cloutée Customized Original , especially in end-of-life situations. In this research,Maillots de Basket-Ball pour Hommes et Femmes, over time,DGHJK Haut-Parleur Bluetooth Gramophone, and with this awareness,Kjore Project Clous Limites iClutch Monnaies.

THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème-Centered Care (IPFCC) provides directions to advance in understanding,LA SPORTIVA Akasha Chaussures de Trail - Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TYX Bottines À Bout Pointu, and the only one who has the power of decision^{(Applique murale moderne de style européen pour chambre à coucher)}. Thus, care practices in end-of-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339, 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^{(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage)}.

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,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles-Pulp Fiction Tee Shirt Homme Pomme Rouge. 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-SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts^{(Unique Pearls Onix Pierre Chaîne up246b k1045)}.

Conclusion

The decision-Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-of-Topashe Femme Halloween Renaissance Medievale Costume.

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Grunland CI0938 ALDE Ciabatta Donna S. Love 36, 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/Piquadro Pierre Sac de Sport Grand Format, 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-Pulp Fiction Tee Shirt Homme Pomme Rouge, 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,adidas Pulseboost HD Guard M.