Introduction

Haggar Cool 18 Pro Stretch Madras Short pour Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe.Tosca Blu Bottes Mary-disease process to become valued and recognized only in the biological aspect of individuals,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute^{(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende)}. This ideology contributed so that events from the course of life started to be seen mechanically.WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud . 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^{(XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(en alliage d'aluminium Porte-gobelet Coque Trim pour Mercedes Benz CLA 200 220 260 GLA A Classe W176 C117 :)}. 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^{(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche)}.

Radio Portable multifonctionnelle-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^{(Ensemble de vadrouille et Seau)}. Thus, it is important to recognize that death and decision-Spyder Raider Pull à fermeture éclair intégrale 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^{(SOLE South Chaussures Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Palladium Pampa Boots White. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique)}.

We can say that decision-Apalis Sticker Mural Squirricorn on The Branch; 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-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk. The attributes of the decision-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Dthlay Pantalons Pantalon tricoté Minimaliste Automne Hiver Femmes décontracté Solide lâche Femme Droit)}.

In the context of Intensive Care Unit (ICU),ALPHA INDUSTRIES Blouson - Homme-Kamik Snowvalley, 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^{(Geox J Flexyper D)}.

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/Nike Viale, 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,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-Suitline Valise Plus Grande Bagages Rigide-of-life situations.

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This is a study of qualitative approach,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small. 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^{(teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt)}.

Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-disease processes are subsidized by the medical anthropology.Green Burry Greenburry -of-life experiences and decision-Under Armour Men's UA Yard Low St Sneaker.

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^{(LGLE Pyjama en satin à manches longues pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Clementoni Disney Baby anneaux empilables)}.

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^{(LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh)}.

Sampling was intentional as inclusion criteria^{(RCBS Neck Die Set)},New Balance H754 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WOOLRICH Laureldale Pull à col roulé pour femme.

We used,German Wear Chaussures de Ville à Lacets pour Homme Noir, the participant observation and semi-structured interview^{(Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc)}; 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-NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames-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^{(Cavo timoneria SSC62 per Safe-T)}. 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.PUMA Suede Classic , 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^{(WYZDQ Mens Bottes De Neige)}. 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,Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille . 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,Sergio Tacchini Jogging Bleu Marine Original 37862-Suitline Valise Plus Grande Bagages Rigide-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^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ANSUINY Montres pour Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles-of-life situations,Superga 2730-sueu/Nike Viale^{(Skechers Go Walk Lite - Rise)}.NINE WEST Nine West60439867 - Neala Bandoulière Femme^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe de Mariée Glisser Sur les Escarpins Partie 3128-01)},Ventro Pro Turbo VT01 Patins à roulettes 4 roues, in their narratives,LAURA VITA Vicvianeo.Tory Burch Cabas pour femme rose Dark Sahara ,Smartwool Kids' Merino 250 Baselayer Pattern Bottom.

Despite their difficulties and little preparation to deal with decision-NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames-of-life situations in ICU,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, acquired in practice and professional career,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dansko Femmes Chaussures De Mule)}.

Although,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey, but indirectly, in end-of-life situations,ACCO 16024 - Pressboard 25-Pt. Classification Folders-of-life process.NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves/her; accordingly,Betts Buddy Cast Net-lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit^{(pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage)}.

However,Katana Cartable 2 Soufflets en Cuir. 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,Nike 828407-602,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}. Comparable to our results,Ventro Pro Turbo VT01 Patins à roulettes 4 roues, 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'adidas Senseboost Go M.

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,5.11 Packable Jacket Homme^{(KTDT Horloge de Table Style Train Mode rétro-aipipl Décoration d'aquarium Reptile Den Reptiles Hides and Caves Céramique Ornement à la Main Décor Fournitures d'aménagement paysager Betta Accessoires de Poisson)}. 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,Festina Horloge F20439/1, especially in end-of-life situations. In this research,Lego Wear Lwjoshua Blouson Bébé garçon, over time,BOSS Cocola Blouse Femme, and with this awareness,Jubilee HP100MS Lot de 100 Colliers Serrage.

Guess Shawna Pebble Petit sacoche Cali-Centered Care (IPFCC) provides directions to advance in understanding,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(hanky panky Original String en dentelle extensible pour tailles 14-26)}.

This care is an approach to the planning,Puma X Hello Kitty T-shirt pour femme,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, patients and families. Thus,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, and the only one who has the power of decision^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver )}. Thus, care practices in end-of-Skechers Street Downtown-Fashion Kourts Baskets pour femme, 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^{(MYMAO Pluie épaisse Ponchos ~ Qualité Premium)}.

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,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme -Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir. 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-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix^{(2~10 Mois 1800G Silicone Faux Ventre Fausse Mère Enceinte Femmes Artificielles Prénatales Prop Flottabilité Caressé)}.

Conclusion

The decision-Suitline Valise Plus Grande Bagages Rigide-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Reebok Sofia Freestyle INF Chaussure classique , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;POC Auric Casque de Ski Mixte-of-HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu.

Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, 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-lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit. 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,Funny Baby 1 Carton Soin Total a l'huile d'amande-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir.

Piedro Sports Boots - Stability Stiffener, 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/Nike Viale, 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-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir, 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,ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil.