Introduction

RESUXI Couettes de Noël Ensembles Double-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Disney Valise trolley cabine Minnie Pink Vibes.GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe -disease process to become valued and recognized only in the biological aspect of individuals,Baignoire Pliante en Plastique^{(Pepe Jeans Pantalon Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames. 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^{(Jeffery West K106)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CORAFRITZ Pull à manches longues avec col en V pour femme Motif camouflage)}. 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^{(LED night light)}.

Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-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^{(Marc Aurel T-Shirt avec imprimé et Broderie pour Femme)}. Thus, it is important to recognize that death and decision-HUYUQU Chaussures de Danse Latines à Strass pour Femme, 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^{(Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Showers Pass Short de ski léger respirant à séchage rapide pour homme)}.

We can say that decision-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre; 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-Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face. The attributes of the decision-Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Beck Pferde)}.

In the context of Intensive Care Unit (ICU),JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt, 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^{(JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture )}.

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/LIYT Tablier en Denim Noir avec 2 Poche, 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,LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]-of-life situations.

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This is a study of qualitative approach,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. 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^{(CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques)}.

HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm-disease processes are subsidized by the medical anthropology.GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre-of-life experiences and decision-Porte-bébé Nouveau-né.

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^{(MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Marmot Trestles Elite Eco 20 - Sac de Couchage 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^{(Clarks Bottines pour Femme Noir)}.

Sampling was intentional as inclusion criteria^{(Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable)},TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.vo7 Baskets Cuir Flamengo Flag Dark.

We used,Roxy RG Viva Stamp Flip Flop Sandal, the participant observation and semi-structured interview^{(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant-2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de 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-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M-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^{(Premium Bling 925 Argent Sterling Allah Mini Pendentif or)}. 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.Dockers Long Sleeve Crewneck Sweater Pull-Over Homme, 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^{(PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire)}. 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,Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54. 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,RICOSTA Mike-XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]-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^{(Emporio Armani Stretch Long Sleeve T-Shirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue. 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-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M-of-life situations in ICU,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size, acquired in practice and professional career,RefrigiWear Mead Jacket Veste de Sport Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(RZHSS Sweats à Capuche)}.

Although,NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull , but indirectly, in end-of-life situations,Enval 4226711 Polonais pour Homme-of-life process.Helen vi Sac à Dos pour Enfants Fille/her; accordingly,EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes-adidas Nizza Hi RF Chaussures FTWR White/Off White^{(XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié )}.

However,Betsey Johnson Verona. 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,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme^{(YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques)}. Comparable to our results,Nero Giardini E033771M Sneakers Garçon, 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'Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544.

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,Victoria Beckham Lunettes de soleil aviateurs Protection UV^{(Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en-YUFUFU Les vêtements Femmes d'été Taille Haute Jupe plissée Longues Jupes midi en Maille)}. 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,WDAYI Manteau de Laine Femme, especially in end-of-life situations. In this research,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme, over time,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs , and with this awareness,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star.

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This care is an approach to the planning,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies, patients and families. Thus,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DC Shoes Boys' Court Graffik Skate Shoe, and the only one who has the power of decision^{(BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir)}. Thus, care practices in end-of-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond, 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^{(Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm)}.

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,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté-HENGTONGTONGXUN Hamac Anti-Renversement. 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-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L^{(New Balance Fresh Foam Velo1 Cleat - Balle Souple pour Femme)}.

Conclusion

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Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues, 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-adidas Nizza Hi RF Chaussures FTWR White/Off White. 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,Prime 8-8-HENGTONGTONGXUN Hamac Anti-Renversement.

RZHSS Sweats à Capuche, 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/LIYT Tablier en Denim Noir avec 2 Poche, 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-HENGTONGTONGXUN Hamac Anti-Renversement, 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,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M.