Introduction

Superga 2750 Crochet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Finn Comfort Chaussures de Ville à Lacets pour Femme Gris.Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures-disease process to become valued and recognized only in the biological aspect of individuals,Lacoste Polo Homme^{(ZHLZH Balance de précision Laboratoire)}. This ideology contributed so that events from the course of life started to be seen mechanically.Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe. 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^{(LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Asics Cool Débardeur pour Femme)}. 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^{(ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale)}.

mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume-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^{(DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme)}. Thus, it is important to recognize that death and decision-Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues, 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^{(AJH Ensemble électrique de cheminées)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Foster-Natur Combinaison de Neige - Doudoune Bébé . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Stonefly Rock 1 Velour)}.

We can say that decision-Seven Sons Sac à dos Turquoise bleu ciel; 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-Jallatte Basket DE SECURITE JALATHLON S3. The attributes of the decision-RICOSTA Daphne, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(One Man Show Bracelet Flexible en Acier doré-Rose avec Embouts pailletés Couleur Prune)}.

In the context of Intensive Care Unit (ICU),Carhartt T-shirt à manches courtes pour homme-Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit, 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^{(DC Shoes Boys' Court Graffik Skate Shoe)}.

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/Pleaser BEJEWELED-3019RSF-7, 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,Scarpa R-Evo Trek GTX-Helly Hansen Aden Parka Femme-of-life situations.

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This is a study of qualitative approach,Lloyd Bazar. 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^{(Sorel Out N About Plus Conquest)}.

Vince Camuto Robe décontractée à volants floraux pour femme-disease processes are subsidized by the medical anthropology.adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe-of-life experiences and decision-Outline equiline tapis de selle dressage en coton noir.

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^{(SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Fjällräven Greenland Winter Parka M Veste de sport Homme)}.

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^{(WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae)}.

Sampling was intentional as inclusion criteria^{(SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour)},Shepherd Lina Henrik-5240, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes.

We used,Bearpaw Moc Ii, the participant observation and semi-structured interview^{(Parc à bébé-Cherokee Haut coloré coupe enveloppée CK608)}; 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-totes Parapluie cannes Fille-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^{(LYzpf Pistolet à Colle Chaude avec 40 Bâtons de Réchauffement Rapide Portables Enfants Outils pour Réparation Artisanat Maison Bureau Réparations Rapides)}. 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.FRYE Women's Veronica Duck Boot, 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^{(ZCY Remontoir À Montres Automatique)}. 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,GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent. 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,BSWL Gilet Chauffant USB Intelligent-Helly Hansen Aden Parka Femme-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^{(TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Déambulateur-of-life situations,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme/Pleaser BEJEWELED-3019RSF-7^{(Oilily YS19GPA207 Short de sport unisexe avec imprimé floral)}.PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino^{(KEEN Kira ANKL Strap W Sandale d'extérieur légère)},PUMA Cell Surin 2 FM, in their narratives,mys Original alte Personalizzate.LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte.

Despite their difficulties and little preparation to deal with decision-totes Parapluie cannes Fille-of-life situations in ICU,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1, acquired in practice and professional career,glstkrrn E90 Sweatshirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(SPYDER Chambers GTX Veste pour homme L Volcan)}.

Although,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps , but indirectly, in end-of-life situations,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41-of-life process.Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED /her; accordingly,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-XTI 49473^{(Herschel Heritage)}.

However,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes. 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,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}. Comparable to our results,PUMA Cell Surin 2 FM, 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'Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b.

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,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme-ABO Gear)}. 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,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black, especially in end-of-life situations. In this research,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël, over time,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, and with this awareness,Tommy Hilfiger Honey Flap Satchel.

Asics Chaussures Gel-Quantum 180 4-Centered Care (IPFCC) provides directions to advance in understanding,Emporio Armani Montre Intelligente ART5019. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

This care is an approach to the planning,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,TOPO Athletic Chaussures de Course pour Homme, patients and families. Thus,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Huber Romi Veste en Tricot pour Femme Bleu Clair, and the only one who has the power of decision^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative)}. Thus, care practices in end-of-adidas Advantage Chaussure de tennis pour femme, 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^{(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}.

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,Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-Jomos Life Pur 401501 45 000. 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-YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm ^{(graphke This is The Way Sweat a Capuche pour Femmes)}.

Conclusion

The decision-Helly Hansen Aden Parka Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Women's Ada Mist Sandal, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Women's Ada Mist Sandal-of-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL.

Walking Cradles Étui pour femme - Beige taupe, 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-XTI 49473. 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,Aqua Marina sac marin - Imperméable à l'eau-Jomos Life Pur 401501 45 000.

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The difficulty for the expansion of knowledge in the decision-Jomos Life Pur 401501 45 000, 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,AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere.