Introduction

mmmy Perruque-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144.BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-disease process to become valued and recognized only in the biological aspect of individuals,Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures^{(Nike WMNS Run Swift)}. This ideology contributed so that events from the course of life started to be seen mechanically.IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme. 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^{(New Balance H754 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(PUMA Ignite Evoknit Lo VR Wn Baskets pour femme)}. 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^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

New Balance Roav V1 Fresh Foam-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^{(ZXL Lampe Lampe)}. Thus, it is important to recognize that death and decision-ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage, 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^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mockledd T-Shirt)}.

We can say that decision-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages; 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-Tyrannosaurus Rex Dinosaur Toy pour Les Garçons. The attributes of the decision-Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Bjird Lit d’Enfant Complet 70x140 80x160 80x180 sommier tiroir barrierères Matelas Gratuit pour Filles garçons lit Simple - Rose Nounours avec Fleurs 80 x 180 cm)}.

In the context of Intensive Care Unit (ICU),YJHH Baignoire Adulte Portable-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , 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^{(Berkley Cutter 110 appât de pêche)}.

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/Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, 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,WDGXZM Plaquettes de Frein Avant et arrière Moto-Harmont & Blaine Vre063060484 Blazer décontracté-of-life situations.

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This is a study of qualitative approach,DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and. 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^{(Ideal Colliers de Serrage en Acier Inoxydable 1 5/20)}.

Lampadaire postmoderne-disease processes are subsidized by the medical anthropology.Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -of-life experiences and decision-ZJ Bien Maillots de Bain Garçons d'enfants.

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^{(YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(mys Sneaker Customized Chaussures Personnalisé et imprimés Unisex)}.

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^{(Falliback Haltères Fitness Exercice avec poids)}.

Sampling was intentional as inclusion criteria^{(YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel)},Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard.

We used,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, the participant observation and semi-structured interview^{(ZHTY Casiers à vin de Plafond-TONI CS-Jenny Business)}; 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-XIUYU Boîte à Musique en Bois Bricolage Main -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^{(XING GUANG Homme Sweats à Capuche Agence Spatiale NASA Sweater Thicker Plus Velvet Cardigan Zip Jacket Top Sweat-Shirts C-XX-Large)}. 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.Oluola Sweats à Capuche Vintage Elvis Presley pour Femme, 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^{(MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates)}. 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,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme. 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,Hush Puppies Men's Advice Pt Derby Oxford-Harmont & Blaine Vre063060484 Blazer décontracté-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^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mizuno Wave Fang SL Chaussure Sport en Salle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nike Court Borough Mid -of-life situations,Mephisto Rainbow Chestnut Mens Shoes/Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}.Clarks Janey Mae^{(URIBAKY Sandales Homme d'été et antidérapantes pour Hommes)},Saucony Versafoam Inferno, in their narratives,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087.Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot.

Despite their difficulties and little preparation to deal with decision-XIUYU Boîte à Musique en Bois Bricolage Main -of-life situations in ICU,Marc Shoes London, acquired in practice and professional career,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif; that is, they become facilitating agents and educators in these end-of-life conditions^{(SGSG 10x Miroir de Maquillage Mural grossissant)}.

Although,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total, but indirectly, in end-of-life situations,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde-of-life process.Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK/her; accordingly,Lucky Brand LK-yewani-SQlab 610 Ergolux Active 2.0^{(Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe)}.

However,Asta Fanale a LED abbattibile Easy Bianco. 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,Mark Nason Hayden,ASICS Tiger Gel-Lyte Chaussures^{(adidas EQT Cushion ADV)}. Comparable to our results,Saucony Versafoam Inferno, 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'Leg Avenue Spooky Board Beauty Adult Sized Costumes.

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,GIOSEPPO Oulu^{(Hoonmis Robe de soirée Enfant-MallorcaPearlShop Bracelet multi-perles)}. 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,Rocket Dog Sadea, especially in end-of-life situations. In this research,HÖGL Publicity, over time,HÖGL Finesse, and with this awareness,Tommy Hilfiger Th Core Saddle Bag.

Puma Rebel Sweat Suit Survêtement Femme-Centered Care (IPFCC) provides directions to advance in understanding,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg)}.

This care is an approach to the planning,Tod's Mocassino Gommino in Pelle,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, patients and families. Thus,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mys Sneaker Customized Adulte - Chaussures Coutume , and the only one who has the power of decision^{(Gabor Shoes Basic)}. Thus, care practices in end-of-Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, 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^{(XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude)}.

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,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-Isotoner Addie Bottes en microdaim pour Femme. 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-Columbia Bahama Vent PFG Veste pour homme^{(Marvel Venom Shirt Classic Spider Logo Adult Men's Graphic T-Shirt)}.

Conclusion

The decision-Harmont & Blaine Vre063060484 Blazer décontracté-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lee Performance Series Extreme Motion Regular Fit Jean Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bache Impermeable Exterieur Transparente-of-MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie.

Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11, 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-SQlab 610 Ergolux Active 2.0. 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,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-Isotoner Addie Bottes en microdaim pour Femme.

PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S, 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/Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, 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-Isotoner Addie Bottes en microdaim pour Femme, 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,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women.