Introduction

Lowa Renegade GTX Mid-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt.CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme -disease process to become valued and recognized only in the biological aspect of individuals,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues^{(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver)}. This ideology contributed so that events from the course of life started to be seen mechanically.Zwei Olli O12 Black. 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^{(Naturino See)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dr. Scholl's - Semelles de massage en gel BASIC)}. 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^{(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8)}.

Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur-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^{(EASTPAK Buckler Sac bandoulière)}. Thus, it is important to recognize that death and decision-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, 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^{(John Deere Nothing Runs Like A Long Sleeve Printed Tee)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(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)}.

We can say that decision-Ahdyr Portefeuilles en Cuir pour Femmes; 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-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20. The attributes of the decision-Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Reebok Classic Slide)}.

In the context of Intensive Care Unit (ICU),Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit-Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, 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^{(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements)}.

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/Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, 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,L.TSA Lámpara colgante de vidrio minimalista moderno-Free People Women's Forever Cashmere V-Neck Pullover Sweater -of-life situations.

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This is a study of qualitative approach,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme. 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^{(DC Shoes Court Graffik Sq)}.

Smilice Bottes d'hiver pour Femme-disease processes are subsidized by the medical anthropology.LetsBuyGold Bague Artisanale -of-life experiences and decision-LetsBuyGold Bague Artisanale .

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^{(NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WEIYYY Ceintures en Cuir à la Mode Strass pour Femmes Ceinture Boucle ardillon de Femme Qualité Sangle deuxième Couche Largeur 3)}.

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^{(BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long )}.

Sampling was intentional as inclusion criteria^{(Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme)},Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Real Away Chaussettes Homme.

We used,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, the participant observation and semi-structured interview^{(CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes)}; 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-Gabor Shoes Basic-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^{(Amazonas Porte-Bébé Ventral Carry Star)}. 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.Soireelady Escarpins 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^{(IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins)}. 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,Ocun Strike QC Climbing Chaussure - AW20-41.5. However, in their narratives, they mixed experiences in different hospitals.

Irregular Choice Nick of Time-Free People Women's Forever Cashmere V-Neck Pullover Sweater -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,Lakota Bottes Western Buckaroo modèle Roping EQ296-Free People Women's Forever Cashmere V-Neck Pullover Sweater -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^{(AIRMATE M 101)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Balance 996. 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-Gabor Shoes Basic-of-life situations in ICU,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, acquired in practice and professional career,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche)}.

Although,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat, but indirectly, in end-of-life situations,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-of-life process.Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym /her; accordingly,Crocs Sanrah Hammered Metallic Sandal Women-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ^{(Puma Men's Fenty Sweatsuit Pullover)}.

However,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain . 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,Loykind Chaussures De Sécurité,PieSanto 190801 Chaussures confortables pour femme^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots)}. Comparable to our results,K-Swiss Men's Donovan Sneaker, 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'Box J-Boîte de Montre Coffret en Bois.

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,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture^{(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid-find. 123957)}. 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,LDDNZH Pantoufles en Coton pour Femmes Slippers, especially in end-of-life situations. In this research,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc, over time,Columbia Pike Lake Jacket Veste Garçon, and with this awareness,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm.

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This care is an approach to the planning,7lljjq7 T Rex Fruit Hat-Dinosaurs,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, patients and families. Thus,Misu Chaussures de Danse pour Homme Noir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, and the only one who has the power of decision^{(ECCO Skyler)}. Thus, care practices in end-of-Odlo Midlayer Full Zip Proita 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^{(Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm)}.

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,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture-Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse. 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-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage^{(SIRRI Costume Formel D'été en Lin et Tencel pour Homme)}.

Conclusion

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Detazhi Montre en Bois, 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-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau . 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,KGAYUC Mot Épaule Robe De Soirée Verte-Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse.

Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, 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/Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, 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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