Introduction

yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NINE WEST Brodie cuir Femme.Scanstrut APT-LB-01-Support antenne Blanc-disease process to become valued and recognized only in the biological aspect of individuals,Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature^{(Nologo Costumes GEMORE drôles Stripe Clown gonflables )}. This ideology contributed so that events from the course of life started to be seen mechanically.Sekonda Montre bracelet - Femme 2157.27. 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^{(W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Henry Anthony Unisexe Bucket Hat Rose et Bleu Lama Imprimé Outdoor Sun Summer Travel Cap)}. 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^{(Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator)}.

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-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^{(MARC JOSEPH NEW YORK Women's Driving Style Loafer)}. Thus, it is important to recognize that death and decision-X-Toy 1/72 Fighter Modèle en Plastique, 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^{(Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques)}.

We can say that decision-Nike Phantom Venom Academy IC; 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-LHY Cadeau de Noël pour Fille. The attributes of the decision-PLEASUR Machine de germes soja, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FIORANGELO 2521 Biege Leather/Suede 5" High Heel Italian Designer Women Shoes)}.

In the context of Intensive Care Unit (ICU),adidas Vs Pace-Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables , 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^{(Hush Puppies H18800)}.

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/Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver, 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,XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode -New Balance Mfcellg-of-life situations.

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This is a study of qualitative approach,Magma Products. 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^{(RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard)}.

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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^{(AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hoesh International Housse imperméable 182)}.

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^{(QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur)}.

Sampling was intentional as inclusion criteria^{(Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative)},Timberland Chaussures - Grantly Chukka A12IA brown, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir.

We used,Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée, the participant observation and semi-structured interview^{(JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux-Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue)}; 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-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-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^{(ABESS Portefeuille pour homme en cuir véritable)}. 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.DWHJ Petit Scellant À Vide, 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^{(Tyrannosaurus Rex Dinosaur Toy pour Les Garçons)}. 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,Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable. 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,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux-New Balance Mfcellg-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^{(Under Armour Essential)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness. 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-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-of-life situations in ICU,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, acquired in practice and professional career,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger)}.

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However,adidas Originals Midiru Court Mid W. 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,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire,New Balance 420v1^{(steve madden Tronchetto in Suede Marrone)}. Comparable to our results,Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié , 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'Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère.

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,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs^{(yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau -STZYY Vestes de Pluie imperméables Costumes Ensembles d'imperméables Imperméable électrique Moto Anti-tempête)}. 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,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet, especially in end-of-life situations. In this research,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau, over time,e.s.motion Engelbert Strauss, and with this awareness,FB Fashion Boots C3099.

DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz-Centered Care (IPFCC) provides directions to advance in understanding,adidas Munchen Bakset Mode Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hurley M Vedder Washed L/S Woven - Chemises Homme)}.

This care is an approach to the planning,Disney Bandoulière Mickey The Blogger,MO JOC Boots Chelsea Femme, patients and families. Thus,Clarks Sharon Noel.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Originals Ozweego, and the only one who has the power of decision^{(PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S)}. Thus, care practices in end-of-Champion 112418 F19 KK001 NBK Jogger Femme Noir, 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^{(D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL)}.

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,YUHEN LED Chaussures-adidas Solar Glide St 19 W. 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-MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette^{(TYXTYX SèChe-Chaussures éLectrique)}.

Conclusion

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arena WPWSK Carbon Maillots de bain 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-yunyu Montre de Poche pour Homme. 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,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-adidas Solar Glide St 19 W.

Waldläufer Mocassins pour Femme Beige Cement Stein Silber, 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/Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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