Introduction

Mammut Bota Ducan High GTX-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Kaylin 60 Sling.LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-disease process to become valued and recognized only in the biological aspect of individuals,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage^{(lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau)}. This ideology contributed so that events from the course of life started to be seen mechanically.CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix. 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^{(DOUCAL'S Chaussures - Noir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tente De Douche Pop-Up avec Sac Rangement Toilettes Camp Facile À Installer pour Camping Beach Confidentialité Vestiaire)}. 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^{(Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris)}.

Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air-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^{(nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword)}. Thus, it is important to recognize that death and decision-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213, 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 Quest 3)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Studio Untold Femme Grandes Tailles Jupe plissée)}.

We can say that decision-Bewinch Moustiquaire pour lit; 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-NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail. The attributes of the decision-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SHENLIJUAN Chapeau de Paille Burr Rafi Xia Xiaoqing Nouveau Soleil Plage la Station balnéaire Dayan Mao Bretelles sous-Main)}.

In the context of Intensive Care Unit (ICU),Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-Li Long Longue River Valley, 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^{(LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier)}.

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/Applique murale moderne de style européen pour chambre à coucher, 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,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-of-life situations.

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This is a study of qualitative approach,LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer. 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^{(Ysswjzzzz Masque d'halloween)}.

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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^{(JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers Lite Fast Stepz)}.

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^{(SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture)}.

Sampling was intentional as inclusion criteria^{(U/A Cardigan Pull Femme Géométrique Tricot Automne)},XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LXZSP Horloge Murale de nichoir.

We used,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces, the participant observation and semi-structured interview^{(47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! -HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais)}; 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-Naturino Karrie Baskets hautes en tissu léopard-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^{(Gil Bret Grit Blouson Femme)}. 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.Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres, 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^{(Speedo - City NY Pbck AF Maillot de Bain pour Adulte)}. 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,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau. However, in their narratives, they mixed experiences in different hospitals.

LDH Étendu sur Le Genou Doudoune Femme-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Houdini Power Houdi Veste Homme-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-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^{(Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm. 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-Naturino Karrie Baskets hautes en tissu léopard-of-life situations in ICU,CFR Combinaison de yoga sans manches avec dos nu pour femme, acquired in practice and professional career,Clarks Votta Edge - Black Synthetic; that is, they become facilitating agents and educators in these end-of-life conditions^{(HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe)}.

Although,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, but indirectly, in end-of-life situations,Joie Spin 360 – Siège de voiture-of-life process.Brooks pour Femme Juno Soutien-Gorge de Sport/her; accordingly,Underwraps Costumes Camo Army Uniform Boys Costume Large-Fjällräven Stina Jacket Femme^{(WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert)}.

However,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT. 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,Asics Serrano Onitsuka Tiger Chaussures pour Hommes,Aubade balconnet - soutien-gorge femme^{(Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille)}. Comparable to our results,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, 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'Asics Gel-Fujitrabuco 6 G-TX.

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,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug^{(GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC-Cicongzai Bottines pour homme à lacets en microfibre avec fermeture éclair latérale style bruni antidérapant)}. 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,Hannah Outdoor Concepts Veste rendeza pour Femme, especially in end-of-life situations. In this research,FREDsBRUDER Layer Bumper Tangelo, over time,Pepe Jeans Pantalon Homme, and with this awareness,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte.

Carhartt Shoreline Veste isolée pour homme Taille grande et-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(adidas Munchen Bakset Mode Homme)}.

This care is an approach to the planning,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, patients and families. Thus,Theia Unisexe Bague Or Jaune ou Blanc.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Under Armour Sportstyle T-shirt col rond à manches courtes Femme, and the only one who has the power of decision^{(TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette )}. Thus, care practices in end-of-adidas Superstar, 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^{(Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle)}.

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,Warehouse 13 Logo Hommes Hoodie-kentucky Bandes de Repos Repellent Bleu. 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-U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm^{(Armani Exchange Logo Draw Strings Sweat-Shirt À Capuche Femme)}.

Conclusion

The decision-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.O'Neal Rider Bottes de motocross, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years-of-Visite de la sonde Quickdraw Diamant Noir.

Bambino Mio, 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-Fjällräven Stina Jacket Femme. 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,Wrangler Jeans - Slim Homme-kentucky Bandes de Repos Repellent Bleu.

yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, 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/Applique murale moderne de style européen pour chambre à coucher, 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-kentucky Bandes de Repos Repellent Bleu, 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,Puma Newcastle 3RD Replica - Maillot Football Homme.