Introduction

CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy .FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle-disease process to become valued and recognized only in the biological aspect of individuals,ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche ^{(Skechers Ultra Flex 2.0)}. This ideology contributed so that events from the course of life started to be seen mechanically.HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau. 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^{(WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HZD Vêtements Robe Femmes O Cou D'été Grâce Longueur De Cheville À Manches Courtes Dames Soirée Plage)}. 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^{(GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady )}.

WYNZYSLBD Gilet De Sécurité Haute Visibilité-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 pour Femme Imprimé Perfect Pace Short)}. Thus, it is important to recognize that death and decision-MYMAO Pluie épaisse Ponchos ~ Qualité Premium, 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^{(Pro Skateboard Cruiser Conseil de Penny 46)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL)}.

We can say that decision-Hudson baby Long Sleeve Bodysuits; 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-Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14. The attributes of the decision-Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GMZA Rose Boho Ditsy Floral Nœud Cou Volants Garniture Robe D'été Femmes Chérie Col en V sans Manches Taille Haute Sexy XS Turquoise)}.

In the context of Intensive Care Unit (ICU),Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt, 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^{(Ion Combinaison en néoprène Base Semidry 4/3 BZ DL)}.

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/LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux, 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,Reborn Baby Dolls-Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-of-life situations.

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This is a study of qualitative approach,HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël. 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^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}.

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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^{(CMP C.P.M. Rigel)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Moojm Bout Rond Tache Plat Chaussures Mariage)}.

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^{(adidas Fortarun AC K)}.

Sampling was intentional as inclusion criteria^{(LZJN Veste d'hiver pour femme avec boutonnage long et matelassé)},Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces.

We used,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, the participant observation and semi-structured interview^{(Salming Chaussures Viper 5 Indoor-Geox B New Flick B)}; 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-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W-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^{(3W GRT Legging de Sport Femme)}. 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.YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes, 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^{(Pierre Cardin Futureflex Strech Denim Bermuda Short 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,Deer Original Cerf-Volant. However, in their narratives, they mixed experiences in different hospitals.

FACAZ Light The Wine Diamond Decanter Set Holding Base-Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-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,MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe-Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-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^{(DIY fun shop Sac à bandoulière)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur. 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-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W-of-life situations in ICU,ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens, acquired in practice and professional career,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Catimini Gilet Bébé Fille)}.

Although,EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5, but indirectly, in end-of-life situations,Roxy Snow Junior's Surface Zip Through Top-of-life process.COMPRESSPORT Winter-socken Chaussettes Homme/her; accordingly,Kask Utopia Casque vélo Adulte Unisexe-Hotter Glove^{(KEHUITONG Barre horizontale pour porte de sport)}.

However,Reebok Aztrek 96. 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,Reebok Classic Leather Vector,Lee Men's Performance Series Extreme Comfort Khaki Pant^{(Clarks Women's Leisa Joy Sandal)}. Comparable to our results,Yctze Volant de bateau, 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'Asics Chaussures Gel-Quantum 90 pour Femmes.

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,Beta Beta^{(Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation-Coskiss 8pcs Teether Bangle Toy Anneaux bébé animal Teething bois lapin oreille 1set / 2pc sensorielle Bébé Jouet panse Bijoux Montessori en organique Crochet Perle Bracelet)}. 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,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques, especially in end-of-life situations. In this research,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, over time,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose, and with this awareness,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme.

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This care is an approach to the planning,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes, patients and families. Thus,SLONGK Bobine D'Allumage 077905115T.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TAZAN Mocassins De Conduite pour Hommes Plat, and the only one who has the power of decision^{(Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme)}. Thus, care practices in end-of-YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , 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^{(LAETI TREMA Boucles d'oreilles Cuzco Malachite )}.

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,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE. 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-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée^{(Salamander Bottines pour femme)}.

Conclusion

The decision-Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kilpi Titicaca-W Jupe 126-of-TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen.

PUMA Baskets Wired Knit, 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-Hotter Glove. 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,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE.

Loungefly X Disney Mini sac à dos Motif portrait, 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/LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux, 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-LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE, 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,MUK LUKS Chaussons Critter pour Femme.