Introduction

Timberland Chaussures - Grantly Chukka A12IA brown-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir.Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée-disease process to become valued and recognized only in the biological aspect of individuals,SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL^{(Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.DWHJ Petit Scellant À Vide. 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^{(SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XF Sac à Dos de randonnée 55L Grande capacité extérieure Alpinisme imperméable Camping Randonnée Rucksack Voyage Sport Poids léger)}. 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^{(Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi)}.

Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable-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^{(yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up)}. Thus, it is important to recognize that death and decision-XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles , 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^{(CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N)}.

We can say that decision-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme; 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-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité. The attributes of the decision-Under Armour Tribase Reign 2.0 Cross Trainer pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Garden Sunblock Shade Cloth 95% UV Resistant Sun Sail Canopy Awning Shelter Netting Mesh Tarp for Greenhouse Outdoor Plants)}.

In the context of Intensive Care Unit (ICU),Rebecca Minkoff Sac à main pour femme-find. Marque Amazon - Crossover Block Heel Leather, 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^{(RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League)}.

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/LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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,YXZQ Lanterne Murale extérieure Traditionnelle-Alpine Advance Keela Pantalon Imperméable Homme-of-life situations.

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This is a study of qualitative approach,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon. 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^{(Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213)}.

Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-disease processes are subsidized by the medical anthropology.Mountain Equipment Randonee Gant Homme-of-life experiences and decision-Under Armour Essential.

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^{(Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne)}.

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^{(Hurley Staple Crew SS Tricot Homme)}.

Sampling was intentional as inclusion criteria^{(Amanda Walter Cape à Capuche)},WOCTP Outdoor bag, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste.

We used,Clarks Kinzie Light, the participant observation and semi-structured interview^{(WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol-Reebok Aztrek Double Mix Pops)}; 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-Floris van Bommel Pompon Casual DarkBlue Suede-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^{(Certified Freak Unicorns Made Me Do It Bomber Vest Girls Noir)}. 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.The North Face Women's Aphrodite Motion Capri, 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^{(Dockers Polo Homme)}. 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,mingliang Bottes Tactiques pour Hommes. 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,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs-Alpine Advance Keela Pantalon Imperméable Homme-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^{(Steiff Fleecejacke Blouson Bébé garçon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau-of-life situations,e.s.motion Engelbert Strauss/LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport^{(BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan)}.FB Fashion Boots C3099^{(Kipling MIRI Sac Bandoulière)},HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear, in their narratives,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz.adidas Munchen Bakset Mode Homme,Disney Bandoulière Mickey The Blogger.

Despite their difficulties and little preparation to deal with decision-Floris van Bommel Pompon Casual DarkBlue Suede-of-life situations in ICU,MO JOC Boots Chelsea Femme, acquired in practice and professional career,Clarks Sharon Noel; that is, they become facilitating agents and educators in these end-of-life conditions^{(W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage)}.

Although,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, but indirectly, in end-of-life situations,Saucony Cohesion 12 Men-of-life process.Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt/her; accordingly,Cherokee Haut coloré coupe enveloppée CK608-adidas Originals Ozweego^{(ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil)}.

However,Champion 112418 F19 KK001 NBK Jogger Femme Noir. 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,YUHEN LED Chaussures,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette^{(Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket)}. Comparable to our results,HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear, 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'Kanna Shoes Sandalia CUÑA Basket Kaki.

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,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-WJSDOWOWEN Sweat à capuche pour homme Blanc)}. 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,Asics Gel-Sonoma 4 G-TX 1011a210-001, especially in end-of-life situations. In this research,arena WPWSK Carbon Maillots de bain Femme , over time,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, and with this awareness,Waldläufer Mocassins pour Femme Beige Cement Stein Silber.

Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-Centered Care (IPFCC) provides directions to advance in understanding,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Penelope Veste Step - Black M)}.

This care is an approach to the planning,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, patients and families. Thus,WWTTE Sequin V-Cou Robe Banquet annuel de soirée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée, and the only one who has the power of decision^{(Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro)}. Thus, care practices in end-of-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, 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^{(ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42)}.

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,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806-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. 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-Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6^{(RENJIANFENG Femmes Pulls À Col Roulé Épaule Manches Longues Dropped avec Poche Poitrine Confortable Jumper Casual Slim Tricoté Pull Tops)}.

Conclusion

The decision-Alpine Advance Keela Pantalon Imperméable Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.xiaokeai Collier Femme Longueur réglable en Argent, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps -of-CCM Super Tacks AS1 Skate Men.

Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, 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-adidas Originals Ozweego. 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,ABAKUHAUS Ethnique Oreiller Cervical de Voyage-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.

BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, 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/LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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-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, 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,Générique Racecraft Lunettes Mixte.