Introduction

1200Mbps USB WiFi Adapter-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA.DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-disease process to become valued and recognized only in the biological aspect of individuals,ZHLZH Balance de précision Laboratoire^{(WEHQ Café de Presse française)}. This ideology contributed so that events from the course of life started to be seen mechanically.Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39. 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^{(1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vimukun Bébé Bodys Lot de 3 Barboteuse Garçons Fille Combinaison Pyjama Coton Hiver Manches Longues Grenouillères Vêtements l'éléphant Bleu 12-18 Mois)}. 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^{(Maui Jim Lunettes de soleil 798 Onshore)}.

SageBrown Small Zip Around Accordion Coin Purse-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^{(NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme)}. Thus, it is important to recognize that death and decision-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg, 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^{(Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT)}.

We can say that decision-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46; 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-adidas Terrex Eastrail. The attributes of the decision-Clarks Sandales Step Cali Sand pour Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lower East T-shirt en V Homme)}.

In the context of Intensive Care Unit (ICU),BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air, 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^{(WTFYSYN Chaussures diabétiques à Pantoufle Extra Large)}.

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/DZWYM Chaussure De Securité Homme Légères, 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,adidas JB A AAC Ft Pt Pantalon Fille-WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44-of-life situations.

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This is a study of qualitative approach,Hoonmis Robe de soirée Enfant. 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^{(JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's)}.

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-disease processes are subsidized by the medical anthropology.Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -of-life experiences and decision-PUMA Style Rider Ride on.

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^{(Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PTNR01A998WXY ESB certification Online Certification Video Learning Made Easy de)}.

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^{(Mam'zelle Chaussures NAELI)}.

Sampling was intentional as inclusion criteria^{(A.OAQRFA Sac à main pour femme)},LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales.

We used,Moulinets de pêche, the participant observation and semi-structured interview^{(WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44-Cult Sabbayh 3136 Low Leather #black CLE104310)}; 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-Porte-Serviettes Chauffant Intelligent-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^{(DazzlingRock Collection 0)}. 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.Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , 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^{(Ana Silver Co. Garnet)}. 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,GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat. 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,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44-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^{(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison. 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-Porte-Serviettes Chauffant Intelligent-of-life situations in ICU,Skechers Go Walk Lite - Rise, acquired in practice and professional career,adidas Dragon OG; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Femmes Chaussures Athlétiques)}.

Although,PUMA Sneaker Smash WNS Perf Métallique pour femme, but indirectly, in end-of-life situations,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris-of-life process.MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E/her; accordingly,puseky Barboteuse - 0 à 24 mois Pour bébé -Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100^{(Dr. Martens Men's Maleke Ankle Bootie)}.

However,DKNY Homme DMMDO4HT Manteaux en Laine. 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,Fergalicious Jolene,Merrell Forestbound Waterproof^{(AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight)}. Comparable to our results,LW Sandales Femmes, 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'Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon.

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,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0^{(Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19-8 PM Veste PERSEO Femme Noir)}. 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,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, especially in end-of-life situations. In this research,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, over time,überleben Coppa leggera in Legno Con moschettone Backpacking, and with this awareness,Kipling 100 Pens Organiseur de Sac à Main.

Lacrosse Women's Aero Timber 10-Centered Care (IPFCC) provides directions to advance in understanding,YQ QY Chaussons Description du produitpointureTableau des Tailles . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby)}.

This care is an approach to the planning,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet,EXTON 246 Sneakers Man, patients and families. Thus,LLNB Zip Veste À Capuche.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , and the only one who has the power of decision^{(1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN)}. Thus, care practices in end-of-Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, 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^{(DGHJK Haut-Parleur Bluetooth Gramophone)}.

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,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest. 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-JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux^{(Geekcook Filet Protection Solaire)}.

Conclusion

The decision-WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tamaris Femme Chaussures à Lacets-of-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre.

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HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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/DZWYM Chaussure De Securité Homme Légères, 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-chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, 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,MZSG LED Loft Vintage Applique.