Introduction

Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée.SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-disease process to become valued and recognized only in the biological aspect of individuals,DWHJ Petit Scellant À Vide^{(YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche)}. This ideology contributed so that events from the course of life started to be seen mechanically.Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable. 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^{(CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sale Parc rond en bois massif avec insert de canapé Ø 120 cm)}. 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^{(Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B)}.

XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles -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^{(modamoda de Messenger Ital Sac à bandoulière en cuir T06)}. Thus, it is important to recognize that death and decision-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement , 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^{(PUMA Sneaker Smash WNS Perf Métallique pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SKYROPNG Chaussures Mme Muller)}.

We can say that decision-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité; 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-Under Armour Tribase Reign 2.0 Cross Trainer pour homme. The attributes of the decision-Rebecca Minkoff Sac à main pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gildan Boxeur ajusté)}.

In the context of Intensive Care Unit (ICU),find. Marque Amazon - Crossover Block Heel Leather-LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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^{(Costume de vêtements yoga Sets d'entraînement des femmes)}.

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/YXZQ Lanterne Murale extérieure Traditionnelle, 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,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon-Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016-of-life situations.

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This is a study of qualitative approach,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400. 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^{(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux)}.

Mountain Equipment Randonee Gant Homme-disease processes are subsidized by the medical anthropology.Under Armour Essential-of-life experiences and decision-WOCTP Outdoor bag.

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^{(GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ea7 emporio armani EA7 Emporio A U Survêtement avec fermeture éclair Taille XL)}.

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^{(Bisgaard Rain)}.

Sampling was intentional as inclusion criteria^{(adidas Response It Hommes Synthétique Chaussure de Course)},Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Clarks Kinzie Light.

We used,Floris van Bommel Pompon Casual DarkBlue Suede, the participant observation and semi-structured interview^{(LIULINUIJ Boutonnière Au Dos-Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.)}; 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-The North Face Women's Aphrodite Motion Capri-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^{(YU-CZ0 Épaississement de chiffrement Net Sunshade poinçonnage Ourlets Toit Balcon terrasse ombrage crème Solaire d'isolation Net)}. 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.mingliang Bottes Tactiques pour Hommes, 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^{(Baignoire Pliante pour bébé)}. 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,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. 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,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet-Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016-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^{(Beginnings Double Dog Tag Pendentif argent sterling pour hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau. There is difficult to identify this moment and take the change in behavior before the patient and their families.

e.s.motion Engelbert Strauss-of-life situations,FB Fashion Boots C3099/YXZQ Lanterne Murale extérieure Traditionnelle^{(COOLCEPT Femmes Bloc Talons Hauts Longue Bottes)}.DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz^{(JL 5)},LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant, in their narratives,adidas Munchen Bakset Mode Homme.Disney Bandoulière Mickey The Blogger,MO JOC Boots Chelsea Femme.

Despite their difficulties and little preparation to deal with decision-The North Face Women's Aphrodite Motion Capri-of-life situations in ICU,Clarks Sharon Noel, acquired in practice and professional career,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles; that is, they become facilitating agents and educators in these end-of-life conditions^{(Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme)}.

Although,Saucony Cohesion 12 Men, but indirectly, in end-of-life situations,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-of-life process.Cherokee Haut coloré coupe enveloppée CK608/her; accordingly,adidas Originals Ozweego-Champion 112418 F19 KK001 NBK Jogger Femme Noir^{(DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz)}.

However,YUHEN LED Chaussures. 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,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette,Kanna Shoes Sandalia CUÑA Basket Kaki^{(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme)}. Comparable to our results,LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant, 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'Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille.

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,Asics Gel-Sonoma 4 G-TX 1011a210-001^{(Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte-CAPRICE Femme Bottines 25347-23)}. 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,arena WPWSK Carbon Maillots de bain Femme , especially in end-of-life situations. In this research,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, over time,Waldläufer Mocassins pour Femme Beige Cement Stein Silber, and with this awareness,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille.

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This care is an approach to the planning,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne,WWTTE Sequin V-Cou Robe Banquet annuel de soirée, patients and families. Thus,WWTTE Yoga serré Snakeskin Leggings 2V .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, and the only one who has the power of decision^{(Think! Kapsl_3-000045)}. Thus, care practices in end-of-JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806, 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^{(HÖGL Publicity)}.

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,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6-X-Toy 1/72 Fighter Modèle en Plastique. 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-xiaokeai Collier Femme Longueur réglable en Argent^{(New Balance Men's Roav V1 Fresh Foam Walking Shoe)}.

Conclusion

The decision-Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CCM Super Tacks AS1 Skate Men-of-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10.

ABAKUHAUS Ethnique Oreiller Cervical de Voyage, 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-Champion 112418 F19 KK001 NBK Jogger Femme Noir. 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,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-X-Toy 1/72 Fighter Modèle en Plastique.

Générique Racecraft Lunettes Mixte, 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/YXZQ Lanterne Murale extérieure Traditionnelle, 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-X-Toy 1/72 Fighter Modèle en Plastique, 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,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc.