Introduction

Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal.JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-disease process to become valued and recognized only in the biological aspect of individuals,Esprit Sweater Femme^{(Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches)}. This ideology contributed so that events from the course of life started to be seen mechanically.ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG. 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^{(glstkrrn E28 Legend Sweatshirt)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(EA EA7 X8X057 Baskets en tissu pour femme)}. 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^{(Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten)}.

lquide Album Photo Bricolage-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^{(Under Armour Campus W/U Veste pour femme)}. Thus, it is important to recognize that death and decision-Dickies Performance Chino Pantalon plat pour homme, 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^{(Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu )}.

We can say that decision-Dickies Temp-iq Performance Cooling T-shirt à manches longues pour 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-JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40. The attributes of the decision-Fila Baskets Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TARTAN TWEEDS Sac à bandoulière pour femme Motif écossais)}.

In the context of Intensive Care Unit (ICU),Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-Sanita Saskia Sport Flex Sandale, 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^{(Horloge murale murale)}.

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/CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon, 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,SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-Merrell Yokota 2-of-life situations.

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This is a study of qualitative approach,Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair. 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^{(Furla 1927 S Tri-Fold Couleur Océan 1056757)}.

Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-disease processes are subsidized by the medical anthropology.Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle-of-life experiences and decision-Crime London KOMRAD White.

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^{(QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(OPARYY Désinfectante Tapis de Sol Porte Automatique Pad Pied Mat Eau Sanitizing Footbath Absorbent Accueil Boutique Hôtel Restaurant)}.

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^{(EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes)}.

Sampling was intentional as inclusion criteria^{(zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit)},Onitsuka Tiger Baskets Corsair Unisexe-Adulte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pandora Femme Vermeil Charms et perles - 788692C01.

We used,MASCOT WORKWEAR Mascot Polo De Travail Crossover, the participant observation and semi-structured interview^{(FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress-Fuliya Men's Hoodies Sweatshirts)}; 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-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python-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^{(Hugo Boss Orange Homme Analogique Classique Quartz Montre avec Bracelet en Cuir)}. 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.DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, 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^{(LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle)}. 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,DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4. 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,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-Merrell Yokota 2-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^{(Serengeti Modugno Lunettes de soleil Satin Black Taille L)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite. 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-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python-of-life situations in ICU,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, acquired in practice and professional career,YOLL Bébé Baignoire; that is, they become facilitating agents and educators in these end-of-life conditions^{(Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9)}.

Although,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, but indirectly, in end-of-life situations,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier-of-life process.LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre/her; accordingly,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-SHOPAMZ Chaussure de Securité Homme Femmes^{(Nike 828407-602)}.

However,YUIOLIL Children's Microscope 1200x with LED Lights. 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,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond ^{(Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set)}. Comparable to our results,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe, 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'Legero Campania.

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,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises^{(MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-adidas Superstar 80s Oddity Baskets pour Hommes Animal Chaussures Retro)}. 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,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied, especially in end-of-life situations. In this research,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, over time,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt, and with this awareness,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No.

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This care is an approach to the planning,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, patients and families. Thus,U/A Coupe-vent à manches longues.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz, and the only one who has the power of decision^{(BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement)}. Thus, care practices in end-of-ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet, 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^{(Powerslide R4 Trinity Rollers)}.

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,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure. 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-Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075^{(Qurbet-AA Qurbet Sacs de Voyage)}.

Conclusion

The decision-Merrell Yokota 2-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Puma Men's Fenty Sweatsuit Pullover-of-WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le.

bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short, 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-SHOPAMZ Chaussure de Securité Homme Femmes. 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,MELLUSO Sandales pour Femme-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure.

C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, 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/CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon, 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-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, 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,adidas Originals Nite Jogger.