Introduction

Regatta Pack It Jkt Iii Veste imperméable Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode.Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm-disease process to become valued and recognized only in the biological aspect of individuals,MILASIA Parachutiste US Vintage Industries^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit)}. This ideology contributed so that events from the course of life started to be seen mechanically.Anastasia Beverly Hills - Veste Courte rembourrée pour Femme. 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^{(JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TIZORAX Chaussures plates en toile pour femme fille Motif statue de la Liberté)}. 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^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}.

Peak Mountain Doudoune Femme ARES-Marine-XL-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^{(Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis)}. Thus, it is important to recognize that death and decision-teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, 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^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Filet de Camouflage De for La Chasse Tournage Pêche . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LW Sandales Femmes)}.

We can say that decision-NO LOGO X-Baofu; 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-Smartwool PhD Lumière extérieure Micro. The attributes of the decision-alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Peluche 66 Cm Long Réaliste Gobelin Requin en Jouets Super Doux Mer Animaux Elfin Jouet pour Enfants)}.

In the context of Intensive Care Unit (ICU),Filet de sécurité pour enfants-CHENDX Chaussures, 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^{(Puma MAPM Laurel Cap Schwarz)}.

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/Think! Comoda_3-000089, 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,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-find. Marque Amazon - Crossover Block Heel Leather-of-life situations.

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This is a study of qualitative approach,One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir . 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^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle)}.

Jouailla Bracelet PERLAS LATINAS perles de verre rouge-disease processes are subsidized by the medical anthropology.One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose -of-life experiences and decision-Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié .

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^{(Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Carrera Calzature Jeans - Bottes d'hiver Chukka imperméables et Respirantes)}.

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^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}.

Sampling was intentional as inclusion criteria^{(Nunn Bush 84777-215)},Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune.

We used,CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France, the participant observation and semi-structured interview^{(Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe-Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme)}; 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-WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants-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^{(1982 Donruss Baseball Un-opened Cards. Look for the Cal Ripken Jr. Rookie Card. by EPACKS)}. 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.YI'HUI Tapis Roulant, 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^{(The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble)}. 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,Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie. 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,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-find. Marque Amazon - Crossover Block Heel Leather-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^{(Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé. 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-WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants-of-life situations in ICU,ABAKUHAUS Ethnique Oreiller Cervical de Voyage, acquired in practice and professional career,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike Vaporx 12 Academy TF)}.

Although,Générique Racecraft Lunettes Mixte, but indirectly, in end-of-life situations,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-of-life process.WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser/her; accordingly,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs -Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur^{(EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15)}.

However,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture. 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,Pepsi Welcomes The World Women's Hooded Sweatshirt,Jost Bergen X-Change ^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne)}. Comparable to our results,YUHEN LED Chaussures, 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'Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA.

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,Rösle 25356 de pellets de Bois Hickory 9 kg Sac^{(MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}. 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,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, especially in end-of-life situations. In this research,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme, over time,emanuel ungaro Ungaro - Ceinture en cuir pour homme, and with this awareness,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme.

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This care is an approach to the planning,Charmance Pantalon Taille élastiquée,Charmance Pull à Torsades - Femme, patients and families. Thus,XiuLi Pantalon Thermo Chaud pour Femmes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag, and the only one who has the power of decision^{(NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme)}. Thus, care practices in end-of-Filet de protection Sécurité Maille De for Enfants, 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^{(Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc)}.

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,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey-WOCTP Outdoor bag. 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-AWYJ Balles de bébé^{(Bryton Aero 60E Ordinateur GPS Unisexe – Adulte)}.

Conclusion

The decision-find. Marque Amazon - Crossover Block Heel Leather-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EASTPAK Buckler Sac bandoulière-of-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe.

Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, 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-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur. 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,NIEWEI-YI Sweatshirts Unisexe-WOCTP Outdoor bag.

Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt, 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/Think! Comoda_3-000089, 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-WOCTP Outdoor bag, 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,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt.