Introduction

Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro.Hexagona Sacoche en cuir de vachette RÉPUBLIQUE-disease process to become valued and recognized only in the biological aspect of individuals,X-Bionic O100093 - Cuissards de vélo Femme^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.YUHT Album Photo Hybride interstitiel. 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^{(Volcom Sweat Too Tone Fleece Noir Homme -)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Balinh2 Dimitri Vegas Like Mike Shirt for Femme/Women's Manches Courtes/T Short Sleeve Fashion Casual Tee CCVA9)}. 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^{(Clio Blue Bague Medicis en argent 925)}.

YULIN-L YYL Imperméables pour Enfants-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^{(Dahlgren Theodor Multipass Light Chaussettes)}. Thus, it is important to recognize that death and decision-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , 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^{(Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lillian Rose Bride Tote)}.

We can say that decision-Wilvorst - Veston Uni Bébé ; 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-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support. The attributes of the decision-adidas Ultimafusion, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Saucony Jazz Original - Sneakers Basses- Femme)}.

In the context of Intensive Care Unit (ICU),GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine, 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^{(XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier)}.

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/Guess Bla Moritz, 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,Haggar Cool 18 Pro Stretch Madras Short pour Homme-Carhartt Gilliam Vest Gilet Homme-of-life situations.

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This is a study of qualitative approach,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe. 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^{(Docooler Sourcingbay Portable Réchaud de Camping)}.

Tosca Blu Bottes Mary-disease processes are subsidized by the medical anthropology.BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute-of-life experiences and decision-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud .

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^{(wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Liebeskind Berlin WN RLock2 RLGigiPF9 Portefeuille Vert foncé)}.

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^{(Gabor Bottes Chelsea pour femme Semelle amovible)}.

Sampling was intentional as inclusion criteria^{(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)},Radio Portable multifonctionnelle, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Spyder Raider Pull à fermeture éclair intégrale pour homme.

We used,Palladium Pampa Boots White, the participant observation and semi-structured interview^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats-WWTTE Sequin V-Cou Robe Banquet annuel de soirée)}; 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-Apalis Sticker Mural Squirricorn on The Branch-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^{(QINGQING One Piece Lampe LED Anime Nuit Light Action Figure Jouets Décoration Éclairage Jaune)}. 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.HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, 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^{(N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D)}. 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,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband. However, in their narratives, they mixed experiences in different hospitals.

ALPHA INDUSTRIES Blouson - Homme-Carhartt Gilliam Vest Gilet Homme-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,YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-Carhartt Gilliam Vest Gilet 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^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Divers NOW chaussures de sécurité eN 20345 s1P hRO. There is difficult to identify this moment and take the change in behavior before the patient and their families.

TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu-of-life situations,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable /Guess Bla Moritz^{(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design )}.Flyye épaule Étui System Panel MOLLE Ranger Vert^{(HAOGUO Porte-bébé Four Seasons Respirant multifonctionnelles Maternelle épaule Taille Tabouret Sac Holder)},Craghoppers Cr165 Sport Homme, in their narratives,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12.Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle,Hammer Folding Panier.

Despite their difficulties and little preparation to deal with decision-Apalis Sticker Mural Squirricorn on The Branch-of-life situations in ICU,SFOXL Homme Chaussures de Sécurité, acquired in practice and professional career,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune; that is, they become facilitating agents and educators in these end-of-life conditions^{(Deeluxe Robe Ample léopard Amanda Femme)}.

Although,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, but indirectly, in end-of-life situations,Supra Breaker-of-life process.Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S/her; accordingly,LWQ Moulin Portable-Sergio Tacchini Jogging Bleu Marine Original 37862^{(Balance de pesée)}.

However,ANSUINY Montres pour Hommes. 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,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles,Superga 2730-sueu^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe)}. Comparable to our results,Craghoppers Cr165 Sport Homme, 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'NINE WEST Nine West60439867 - Neala Bandoulière Femme.

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,LAURA VITA Vicvianeo^{(NOSSON Château De Résine Simulation pour Décorations D'Aquarium-Kipling Erica Solid Crossbody Bag)}. 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,Tory Burch Cabas pour femme rose Dark Sahara , especially in end-of-life situations. In this research,Smartwool Kids' Merino 250 Baselayer Pattern Bottom, over time,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, and with this awareness,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond.

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This care is an approach to the planning,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves,Betts Buddy Cast Net, patients and families. Thus,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;5.11 Packable Jacket Homme, and the only one who has the power of decision^{(Applique murale moderne de style européen pour chambre à coucher)}. Thus, care practices in end-of-Festina Horloge F20439/1, 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^{(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage)}.

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,Lego Wear Lwjoshua Blouson Bébé garçon-Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large. 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-BOSS Cocola Blouse Femme^{(NYDZDM Baby Box Rotaie pour enfants)}.

Conclusion

The decision-Carhartt Gilliam Vest Gilet Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jubilee HP100MS Lot de 100 Colliers Serrage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Guess Shawna Pebble Petit sacoche Cali-of-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc.

Puma X Hello Kitty T-shirt pour femme, 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-Sergio Tacchini Jogging Bleu Marine Original 37862. 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,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes-Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large.

Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, 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/Guess Bla Moritz, 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-Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large, 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,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport.