Introduction

Sebago Men's Black Winhall Slip on 8 D-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RYKA Dévotion pour femme.YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-disease process to become valued and recognized only in the biological aspect of individuals,Divers NOW chaussures de sécurité eN 20345 s1P hRO^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom)}. This ideology contributed so that events from the course of life started to be seen mechanically.TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu. 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^{(Échelle de Tabouret Pliable en 2 étapes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HEX Signal Backpack)}. 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^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}.

no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable -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^{(Aqua Marina sac marin - Imperméable à l'eau)}. Thus, it is important to recognize that death and decision-Flyye épaule Étui System Panel MOLLE Ranger Vert, 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^{(RKRCXH Maillot de Bain sirène Queue De Sirène)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage)}.

We can say that decision-Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle; 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-Hammer Folding Panier. The attributes of the decision-SFOXL Homme Chaussures de Sécurité, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GZ Applique Murale Unique Tête Industrielle Vintage Rétro en Bois Métal Peinture Couleur Mur Lampe pour la Maison/Hôtel / Couloir Décorer)}.

In the context of Intensive Care Unit (ICU),miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune-Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel 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^{(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas)}.

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/Supra Breaker, 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,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S-Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge-of-life situations.

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This is a study of qualitative approach,LWQ Moulin Portable. 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^{(Obut - ATX Competition 175mm Boules de pétanque)}.

Sergio Tacchini Jogging Bleu Marine Original 37862-disease processes are subsidized by the medical anthropology.ANSUINY Montres pour Hommes-of-life experiences and decision-YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles.

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^{(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Brooks Adrenaline GTS 20)}.

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^{(Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc)}.

Sampling was intentional as inclusion criteria^{(Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat)},Superga 2730-sueu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NINE WEST Nine West60439867 - Neala Bandoulière Femme.

We used,LAURA VITA Vicvianeo, the participant observation and semi-structured interview^{(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille -YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon)}; 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-Tory Burch Cabas pour femme rose Dark Sahara -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^{(Lacoste T- Clip 0120 3 SMA)}. 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.Smartwool Kids' Merino 250 Baselayer Pattern Bottom, 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^{(Aubade balconnet - soutien-gorge femme)}. 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,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme. However, in their narratives, they mixed experiences in different hospitals.

Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond-Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge-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,DC Shoes Men's E.tribeka Zip Skate Shoe-Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge-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^{(New Balance 996)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Chorchester Robe à capuche pour cobra serpent multiangle Polygon. 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-Tory Burch Cabas pour femme rose Dark Sahara -of-life situations in ICU,New Balance Mfcellg, acquired in practice and professional career,adidas Ultraboost S.Rdy Baskets; that is, they become facilitating agents and educators in these end-of-life conditions^{(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets)}.

Although,Gabor Bottes Chelsea pour femme Semelle amovible, but indirectly, in end-of-life situations,Deerhunter Strike Gilet Motif Feuille-of-life process.Stonefly Truman Calf Print/her; accordingly,Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme-Sam Edelman Circus Kirby Kitten Heel Ankle Boots^{(Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7)}.

However,adidas Solar Glide St 19 W. 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,Docooler Sourcingbay Portable Réchaud de Camping,Helly Hansen Sogn Jacke Jacket Mixte^{(N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité)}. Comparable to our results,No Name Arcade Straps Suede Nara Femme, 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'Helly Hansen Short.

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,No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent ^{(DC Shoes - Chaussures Magnolia TX Lowtop pour Femme-Lind88 Sweat à Capuche zippé en Polaire pour Homme et Femme Motif égyptien Inde Maya Loisirs – Chapeau Ample Confortable d'entraînement la Saint-Valentin)}. 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,Vans Sk8-Hi Reissue Chaussures de skate unisexe, especially in end-of-life situations. In this research,Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier, over time,Shirt sidez Elvis Presley Mug Shot Mens Hoodie, and with this awareness,BOSS Hugo Hybrid_Runn_knmx.

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This care is an approach to the planning,Kyman Sac Cadre vélo,Alpine Advance Keela Pantalon Imperméable Homme, patients and families. Thus,Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sekonda Montre bracelet - Femme 2157.27, and the only one who has the power of decision^{(Chariot pour Animaux de Compagnie)}. Thus, care practices in end-of-albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel, 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^{(XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween)}.

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,X-Toy 1/72 Fighter Modèle en Plastique-Adidas Condivo d'entraînement pour homme Pantalon . 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-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole^{(CALVENDO Bottes de cèdre sur le sol Althagen)}.

Conclusion

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adidas Vs Pace, 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-Sam Edelman Circus Kirby Kitten Heel Ankle Boots. 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,Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables -Adidas Condivo d'entraînement pour homme Pantalon .

Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver, 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/Supra Breaker, 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-Adidas Condivo d'entraînement pour homme Pantalon , 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,XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode .