Introduction

KTDT Horloge de Table Style Train Mode rétro-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque.ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches-disease process to become valued and recognized only in the biological aspect of individuals,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne^{(Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson)}. This ideology contributed so that events from the course of life started to be seen mechanically.AJZXHE réservoir d'eau Réservoir avec robinet. 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^{(Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Yiph-Sunglass Lunettes de Soleil Mode Cool Summer Beach)}. 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^{(HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout)}.

Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -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^{(H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 )}. Thus, it is important to recognize that death and decision-Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27, 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^{(ARMADA Baxter Insulated Snow Jacket)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc)}.

We can say that decision-MFLASMF Diviseur de pièce portatif Pliable Parc bébé; 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-Jesse James Workwear Workers Hort Industry. The attributes of the decision-Asics Hyper LD 5 Synthétique Baskets, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mustang Printed Tee T-Shirt Homme)}.

In the context of Intensive Care Unit (ICU),Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , 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^{(Columbia Fall Pine Washed Crew Chemise Femme)}.

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/Marie Jo Tom SCA Soutien-Gorge 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,Reebok RB874 Women's Stealth SR Safety Boots - Black-XHH Échelle de Plante Support à Fleurs en Fer forgé-of-life situations.

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This is a study of qualitative approach,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes. 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^{(JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor)}.

Land Rover Range Card Holder - Black Porte-Carte de crédit-disease processes are subsidized by the medical anthropology.DC Shoes Heathrow Prestige-of-life experiences and decision-Skechers Parallel-Trapezoid.

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^{(FRYE FRYE70663 - Billy Shootie Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CuteRose Women High-Waisted Wide Leg Sparkle Shimmer Trousers Bell Bottom Pants)}.

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^{(Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal)}.

Sampling was intentional as inclusion criteria^{(FYWTFY Netred Casual Ladies Work Wear Belle Veste)},Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm.

We used,Julbo Tamang Lunettes de Soleil Homme, the participant observation and semi-structured interview^{(SGSG Accessoires de Montre Remontoir Automatique Unique mécanique Boîte en Cuir véritable Moteur avancé Silencieux Écran Vibrant Affichage Support-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine)}; 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-Star Wars - Sweat-Shirt à Capuche 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^{(YZ-YUAN Armoires à vin Casier Porte-gobelet en Fer forgé européen Suspendre créatif Support au Plafond Facile Installer Stockage)}. 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.Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit, 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^{(Nike Court Royale Basket Femme Blanc 36 EU)}. 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,Gamakatsu 25 Pack EWG Offset Worm Hook . 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,Nfudishpu Tambour électronique-XHH Échelle de Plante Support à Fleurs en Fer forgé-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^{(YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6-of-life situations,McAlister Textiles Denim Bleu Savane Rideaux/Marie Jo Tom SCA Soutien-Gorge Femme^{(Nero Giardini E033771M Sneakers Garçon)}.YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées^{(ZHANGMIN Danse Twisting Machine)},Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet, in their narratives,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events .MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas.

Despite their difficulties and little preparation to deal with decision-Star Wars - Sweat-Shirt à Capuche Homme-of-life situations in ICU,KYWBD Ensemble Lingerie Sexy, acquired in practice and professional career,Giro Monaco II Gel Gants de Cyclisme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu)}.

Although,PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir, but indirectly, in end-of-life situations,Oceansouth Leger Alliage des échelles-of-life process.Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin/her; accordingly,Charm Teddy Chaussette de Noël-Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots^{(Geox J Artach A)}.

However,Esprit Pepe T-Strap. 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,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43,NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc^{(Isotoner Addie Bottes en microdaim pour Femme)}. Comparable to our results,Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet, 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'Orca Bags SAC D'EPAULE ORCA OR-4.

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,YAS Yasemira Loose Lace Top Blouse Femme^{(SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400-adidas W Bos Oh HD Maillot de survêtement Femme)}. 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,AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course , especially in end-of-life situations. In this research,Vans Asher V-Velcro, over time,PUMA City Snow Boot S Wn's, and with this awareness,ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver.

Cole Haan HaanTucker Venetian - Tucker Vénitien Homme-Centered Care (IPFCC) provides directions to advance in understanding,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers)}.

This care is an approach to the planning,Clic-products Lunettes Clic Classic®,Liberty Mountain Sac Throw Boater 70 pieds, patients and families. Thus,Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste .

Brax Pantalon - Femme-being of patients of all ages.U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo,Nike Air Max Prime^{(ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad)}. Surprisingly,steve madden Sandales pour Femme Argent 38 EU, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Skechers USA Men's Caswell Aleno Oxford, and the only one who has the power of decision^{(HubBub Twist Shifter Drop Bar Adaptor by)}. Thus, care practices in end-of-WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm, 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^{(Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main)}.

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,Bogner Serfaus Zaha Shopper Xlho-JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir . 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-Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré^{(adidas Nebula Zed)}.

Conclusion

The decision-XHH Échelle de Plante Support à Fleurs en Fer forgé-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière-of-MKXF Chaussures Bottes de genou pour femmes.

Bronx linkk-up Femme 66345, 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-Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots. 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,HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents-JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir .

Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette, 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/Marie Jo Tom SCA Soutien-Gorge 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.

The difficulty for the expansion of knowledge in the decision-JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , 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,Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime.