Introduction

Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Ultimafusion.GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-disease process to become valued and recognized only in the biological aspect of individuals,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine^{(LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire)}. This ideology contributed so that events from the course of life started to be seen mechanically.Guess Bla Moritz. 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^{(TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Set Winter taufanzug resi survêtement Veste dhiver Pantalon Chemise baptême Baby)}. 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^{(Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage)}.

Haggar Cool 18 Pro Stretch Madras Short pour Homme-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^{(BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM)}. Thus, it is important to recognize that death and decision-YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe, 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^{(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tosca Blu Bottes Mary. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque)}.

We can say that decision-BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute; 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-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud . The attributes of the decision-Radio Portable multifonctionnelle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Plafonnier LED Dimmable Lampe de Plafond Avec Télécommande Plafond Lumières de Chambre 51 W Multi-Anneau Forme Éclairage plafond Salon Couloir Balcon Cuisine Ø60cm)}.

In the context of Intensive Care Unit (ICU),Spyder Raider Pull à fermeture éclair intégrale pour homme-Palladium Pampa Boots White, 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^{(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode)}.

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/Apalis Sticker Mural Squirricorn on The Branch, 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,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-Pandora Femme Argent Boutons d'oreilles - 290721CZ-of-life situations.

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This is a study of qualitative approach,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband. 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^{(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton)}.

ALPHA INDUSTRIES Blouson - Homme-disease processes are subsidized by the medical anthropology.Kamik Snowvalley-of-life experiences and decision-Nike Viale.

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^{(BOSS Pince à Cravate 50403093-001)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cloud City 7 Seven Deadly Sins Fox Greed Women's Sweatshirt)}.

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^{(Clic-products Lunettes Clic Classic®)}.

Sampling was intentional as inclusion criteria^{(LILONGXI Tapis)},American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small.

We used,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main, the participant observation and semi-structured interview^{(Sanuk Women's Yoga Sling 2 Flip Flop -Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté)}; 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-Green Burry Greenburry -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^{(Inhomer Confortable et chaleureuxYinuneronsty One Piece Blanket Flanel Perona Anime Print Super Soft Comfortable Straw Hat Pirate Throw Blankets 59 × 78 in Peuvent être personnalisés)}. 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.Under Armour Men's UA Yard Low St Sneaker, 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^{(LXZSP Horloge Murale de nichoir)}. 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,New Balance H754 . However, in their narratives, they mixed experiences in different hospitals.

WOOLRICH Laureldale Pull à col roulé pour femme-Pandora Femme Argent Boutons d'oreilles - 290721CZ-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,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune-Pandora Femme Argent Boutons d'oreilles - 290721CZ-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^{(Fila Womens Fanny Pack)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Supra Breaker-of-life situations,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S/Apalis Sticker Mural Squirricorn on The Branch^{(The North Face Veste Chimborazo réversible pour garçon)}.LWQ Moulin Portable^{(BIKERISK sous-vêtement de Sport pour Hommes Veste Compression à Manches Longues Coupe Confortable Body Shaper Qui comprime Les Zones Musculaires Base La Performance des Aides)},Thrasher Skate And Destroy' Pullover Hood. Black., in their narratives,Sergio Tacchini Jogging Bleu Marine Original 37862.ANSUINY Montres pour Hommes,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles.

Despite their difficulties and little preparation to deal with decision-Green Burry Greenburry -of-life situations in ICU,Superga 2730-sueu, acquired in practice and professional career,NINE WEST Nine West60439867 - Neala Bandoulière Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs )}.

Although,LAURA VITA Vicvianeo, but indirectly, in end-of-life situations,Tory Burch Cabas pour femme rose Dark Sahara -of-life process.Smartwool Kids' Merino 250 Baselayer Pattern Bottom/her; accordingly,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme-Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond^{(LLNB Zip Veste À Capuche)}.

However,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey. 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,ACCO 16024 - Pressboard 25-Pt. Classification Folders,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves^{(Wyre Valley Bottes en Caoutchouc Homme)}. Comparable to our results,Thrasher Skate And Destroy' Pullover Hood. Black., 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'Betts Buddy Cast Net.

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,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit^{(Teva Tira-MEN.CLOTHING-LEE Été Pur Coton Hommes Chemise hawaïenne lâche imprimé à Manches Courtes Grande Taille Hawaii Fleur Plage Chemises Florales-M)}. 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,Katana Cartable 2 Soufflets en Cuir, especially in end-of-life situations. In this research,Nike 828407-602, over time,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , and with this awareness,adidas Senseboost Go M.

5.11 Packable Jacket Homme-Centered Care (IPFCC) provides directions to advance in understanding,Festina Horloge F20439/1. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sotala Jupe - Portefeuille Femme)}.

This care is an approach to the planning,Lego Wear Lwjoshua Blouson Bébé garçon,BOSS Cocola Blouse Femme, patients and families. Thus,Jubilee HP100MS Lot de 100 Colliers Serrage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, and the only one who has the power of decision^{(Trespass Virtual Veste Femme)}. Thus, care practices in end-of-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport, 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^{(Vince Camuto Femmes Sandales À Talon)}.

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,Weems & Plath Marine Navigation à 3 Branches Rapporteur-Pierre Cardin Lyon Long Life Chino Pantalon Homme. 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-Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us^{(Think! Agrat_3-000030)}.

Conclusion

The decision-Pandora Femme Argent Boutons d'oreilles - 290721CZ-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Converse Jack Purcell, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-of-Skechers Street Downtown-Fashion Kourts Baskets pour femme.

Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , 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-Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond. 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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-Pierre Cardin Lyon Long Life Chino Pantalon Homme.

Reebok Sofia Freestyle INF Chaussure classique , 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/Apalis Sticker Mural Squirricorn on The Branch, 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-Pierre Cardin Lyon Long Life Chino Pantalon Homme, 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,POC Auric Casque de Ski Mixte.