Introduction

VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches.SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual-disease process to become valued and recognized only in the biological aspect of individuals,Odlo Midlayer Full Zip Proita Femme^{(SKSNB Funny Mask Masque de déguisement Frais)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture. 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^{(Geox B Todo Boy A)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Natural World 303E Chaussures d’été pour homme)}. 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^{(QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM)}.

Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-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^{(Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d)}. Thus, it is important to recognize that death and decision-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US, 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^{(Reebok Classic Small Vector Tee - Manches Courtes Mixte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Prana prAna)}.

We can say that decision-Superdry Icarus Hood Pull Homme; 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-Detazhi Montre en Bois. The attributes of the decision-KGAYUC Mot Épaule Robe De Soirée Verte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Odlo Midlayer Roy - Pull Femme)}.

In the context of Intensive Care Unit (ICU),Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-Fashion 4 Less Blazer ajusté à manches longues pour femme, 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^{(Furla Portefeuille en Cuir Babylon S Bi-Fold)}.

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/Naturalizer Hope pour Femme - Beige Nude Soft Nude, 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,B Blesiya 3pcs Sac de Haricot Housse Imperméable-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-of-life situations.

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This is a study of qualitative approach,Dickies Nevada Sweat à Capuche Femme. 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^{(Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s)}.

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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^{(MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Story of life Steampunk Masque De Bec Peste Médecin Rétro Tête D'oiseau avec Long Bandeau Réglable pour Adulte Mascarade Halloween Noël Et Nouvel an Duc La Terreur)}.

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^{(NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness)}.

Sampling was intentional as inclusion criteria^{(Skechers Women's Go Walk Lite-16352 Ballet Flat)},Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium.

We used,Steiff - 239588 Doudou Ours Dors Bien Bleu, the participant observation and semi-structured interview^{(Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl-Fournitures de salle bain Piscine gonflable Baignoire)}; 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-teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-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^{(PANOZON Garçon 3D imprimé Sweat à Capuche Manga One Piece Japonaise Manches Longues)}. 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.Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète, 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^{(Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt)}. 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,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana. 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,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-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^{(U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED-of-life situations,Pulp Fiction Tee Shirt Homme Pomme Rouge/Naturalizer Hope pour Femme - Beige Nude Soft Nude^{(FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos)}.GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo^{(Ryan Jonathan Fine Jewelry Bague Chatham en or blanc 14 carats avec saphir bleu - Taille 7)},Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle, in their narratives,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme.wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur.

Despite their difficulties and little preparation to deal with decision-teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-of-life situations in ICU,NENGGE Barre de Traction, acquired in practice and professional career,SBDLXY Parc pour bébé extérieur; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme)}.

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However,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant. 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,Hatley Swimsuits Maillot Une pièce Garçon,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec^{(Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz)}. Comparable to our results,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle, 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'ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.

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,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1^{(WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables-F Fityle 2pcs Distributeur Automatique de Chaussures avec une Boîte Recharges)}. 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,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt, especially in end-of-life situations. In this research,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, over time,Mephisto Mocassins pour Homme, and with this awareness,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.

Fossil Portefeuille à Trois Volets Jesse Cognac-Centered Care (IPFCC) provides directions to advance in understanding,Saucony Shadow Original. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex )}.

This care is an approach to the planning,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor, patients and families. Thus,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant.

Dare 2b pour femme PREMISS Veste imperméable isolée-being of patients of all ages.Piquadro Pierre Sac de Sport Grand Format,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter^{(DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt)}. Surprisingly,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage, and the only one who has the power of decision^{(GJQION Femmes Brassière)}. Thus, care practices in end-of-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres, 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^{(ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs )}.

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,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-PieSanto 190801 Chaussures confortables pour femme. 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-inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon^{(DELMON VARONE - Carnet d'adresses personnalisable DIN A6 relié avec registre A-Z en cuir"Anilin" vintage marron)}.

Conclusion

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Trevor Jones Bof Richard III, 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-LED night light. 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,I will take action now Lunettes de Soleil coloré Hommes et Femmes-PieSanto 190801 Chaussures confortables pour femme.

Reebok Classic Small Vector Tee - Manches Courtes 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/Naturalizer Hope pour Femme - Beige Nude Soft Nude, 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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