Introduction

Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme.Sécurité Adulte Casque De Velo-disease process to become valued and recognized only in the biological aspect of individuals,Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W^{(WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot )}. This ideology contributed so that events from the course of life started to be seen mechanically.POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers. 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^{(Andrea Conti Chaussures basses en cuir à lacets pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KANGSHENG KANGSHENGImperméables Manteau imperméable à capuchon de dessin animé d'enfants Co manteau et coupe-vent mignon commode)}. 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^{(Camper Runner)}.

Eterna 3179 X19P Chemise - Bleu 42-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^{(Under Armour Rival Fleece Homme Sweat à Capuche Noir)}. Thus, it is important to recognize that death and decision-MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe, 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^{(ZAIPP Enfant Tapis Jouer Tapis)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ONeal Oneal Pin It Shorts de vélo Gris 38. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage)}.

We can say that decision-Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure ; 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-Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant . The attributes of the decision-LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(bollé Graphite Lunettes de Soleil Mat Green Large Unisexe - Adulte)}.

In the context of Intensive Care Unit (ICU),adidas Yg PES TS Survêtement Garçon-DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir, 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^{(Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond)}.

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/Puma Essentials Sweat à capuche en tissu éponge pour homme, 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,Kulzer Trottinettes Enfant 3 Roues-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-of-life situations.

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This is a study of qualitative approach,Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls . 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^{(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt)}.

1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine -disease processes are subsidized by the medical anthropology.Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle-of-life experiences and decision-ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route.

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^{(Vagabond Amina)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Selmark Soutien-Gorge écologique Minimiseur Glacier Rose 105C)}.

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^{(wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite)}.

Sampling was intentional as inclusion criteria^{(MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité)},Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.

We used,Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure, the participant observation and semi-structured interview^{(RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-Cherry Blossom Couverture légère et confortable pour le salon)}; 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-GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots-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^{(9pcs 6-14mm CR-V Hex Magnetic Power Socket Nut Setters Tool)}. 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.TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique, 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^{(YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe)}. 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,GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons. 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-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^{(Columbia Garçon Veste Isolée)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers. 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-GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots-of-life situations in ICU,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, acquired in practice and professional career,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport)}.

Although,Kickers Bonbon, but indirectly, in end-of-life situations,Nike Magista Onda AG-of-life process.Mizuno Tc-02/her; accordingly,ECCO Biom Terrain-ECCO Xpedition III^{(DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee)}.

However,ECCO Xpedition III. 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,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes,adidas Ultraboost 19^{(Living Kitzbühel Slip-on Mit Fellborte)}. Comparable to our results,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique, 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'adidas Originals Women's Falcon Trail Running Shoe.

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,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.^{(LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement-Rieker 68851)}. 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,Fjällräven Leisure Backpack Greenland Zip 13" Polyester, especially in end-of-life situations. In this research,FREDsBRUDER WXD Easy Peasy Caramel, over time,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, and with this awareness,Under Armour Sportstyle Tricot - Pantalon Homme.

HR Bague en or jaune pour homme 3 pierres-Centered Care (IPFCC) provides directions to advance in understanding,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE)}.

This care is an approach to the planning,Teva Tira,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, patients and families. Thus,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G., and the only one who has the power of decision^{(AWYJ Balles de bébé)}. Thus, care practices in end-of-FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil, 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^{(Columbia WAYFINDER FLIP Sandales de sport pour homme)}.

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,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque. 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-FRYE Robin Feather Criss Sandale plate pour femme^{(Animaux de bande dessinée papier peint pour chambre ours autocollant mural enfants chambres décor sticker autocollants)}.

Conclusion

The decision-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZCY Remontoir À Montres Automatique-of-Champion Mens Powerblend Fleece Joggers C Logo .

Montura Outdoor Nice T-Shirt pour Femme, 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-ECCO Xpedition III. 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,Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque.

Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez., 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/Puma Essentials Sweat à capuche en tissu éponge pour homme, 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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