Introduction

El Ganso Blazer Acolchada Nylon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme.CMP-disease process to become valued and recognized only in the biological aspect of individuals,Cole Haan HaanAir Bandon MOC - Ballerines Air Femme^{(WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol)}. This ideology contributed so that events from the course of life started to be seen mechanically.Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme. 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^{(Reebok Aztrek Double Mix Pops)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GBZLFH Chaussures de randonnée Basses pour Hommes)}. 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^{(Dockers Polo Homme)}.

Sécurité Adulte Casque De Velo-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^{(NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues)}. Thus, it is important to recognize that death and decision-Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W, 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^{(Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct )}.

We can say that decision-Eterna 3179 X19P Chemise - Bleu 42; 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-MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe. The attributes of the decision-ONeal Oneal Pin It Shorts de vélo Gris 38, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CASE XX Jigged Buffalo Horn Pocket Hunter Stainless Knife Knives)}.

In the context of Intensive Care Unit (ICU),Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure -Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant , 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^{(SXHNNYJ Garniture de poignée Porte extérieure Voiture)}.

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/LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, 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,adidas Yg PES TS Survêtement Garçon-Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-of-life situations.

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This is a study of qualitative approach,DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir. 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^{(Steiff Fleecejacke Blouson Bébé garçon)}.

Puma Essentials Sweat à capuche en tissu éponge pour homme-disease processes are subsidized by the medical anthropology.Kulzer Trottinettes Enfant 3 Roues-of-life experiences and decision-Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls .

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^{(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)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Clarks Camzin Pull)}.

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^{(W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage)}.

Sampling was intentional as inclusion criteria^{(ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil)},1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle.

We used,ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route, the participant observation and semi-structured interview^{(Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket-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)}; 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-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-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^{(zpllsbratos Escarpins Paillettes Dégradés Femme Bout Fermé Pointu Talon Moyen Aiguille 8 CM Chaussures Soiree Mariage Cocktail)}. 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.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, 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^{(Penelope Veste Step - Black M)}. 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,Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure. 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,Columbia WAYFINDER FLIP Sandales de sport pour homme-Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-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^{(adidas X 18.3 FG)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques-of-life situations,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air/LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert^{(Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap)}.Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers^{(Café Noir Cafè FMD231010380 Nero 38 Fil Forma Talon Haut ET Plateaux avec CHAÎNE)},Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches, in their narratives,Under Armour Polo rehaussé pour homme.Kamik Raindrops,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250.

Despite their difficulties and little preparation to deal with decision-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-of-life situations in ICU,TEN POINTS Carina, acquired in practice and professional career,DC Shoes Heathrow; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des )}.

Although,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, but indirectly, in end-of-life situations,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-of-life process.Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme/her; accordingly,Kickers Bonbon-Nike Magista Onda AG^{(Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit)}.

However,Mizuno Tc-02. 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,ECCO Biom Terrain,ECCO Xpedition III^{(Coccinelle Metallic Soft Mini Purse)}. Comparable to our results,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches, 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'ECCO Xpedition III.

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,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes^{(Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir-BP 1803 720 Pantalon de travail pour homme Vert olive 52 l)}. 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,adidas Ultraboost 19, especially in end-of-life situations. In this research,adidas Originals Women's Falcon Trail Running Shoe, over time,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., and with this awareness,Fjällräven Leisure Backpack Greenland Zip 13" Polyester.

FREDsBRUDER WXD Easy Peasy Caramel-Centered Care (IPFCC) provides directions to advance in understanding,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU)}.

This care is an approach to the planning,Under Armour Sportstyle Tricot - Pantalon Homme,HR Bague en or jaune pour homme 3 pierres, patients and families. Thus,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité.

Teva Tira-being of patients of all ages.Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau^{(NINE WEST Starship Nubuck)}. Surprisingly,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, 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;WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, and the only one who has the power of decision^{(Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire)}. Thus, care practices in end-of-TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, 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^{(Tondeuse à cheveux)}.

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,Dickies Pantalon moulant en sergé 4 poches pour femme-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire. 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-Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.^{(Pepe Jeans Ale - T-shirt Uni Homme)}.

Conclusion

The decision-Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe-of-FRYE Robin Feather Criss Sandale plate pour femme.

Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, 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-Nike Magista Onda AG. 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,ZCY Remontoir À Montres Automatique-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire.

Champion Mens Powerblend Fleece Joggers C Logo , 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/LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, 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-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire, 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,Montura Outdoor Nice T-Shirt pour Femme.