Introduction

Kamik Snowvalley-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nike Viale.American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-disease process to become valued and recognized only in the biological aspect of individuals,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small^{(Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc)}. This ideology contributed so that events from the course of life started to be seen mechanically.Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main. 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^{(Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LQBDJPYS Chariot de courses pliable Push-pull voiture grande capacité poids léger à roulettes pousse-chariot bleu sac bagages)}. 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^{(Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples)}.

Green Burry Greenburry -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^{(Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black)}. Thus, it is important to recognize that death and decision-Under Armour Men's UA Yard Low St Sneaker, 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^{(Roxy Snow Junior's Surface Zip Through Top)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,New Balance H754 . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes)}.

We can say that decision-WOOLRICH Laureldale Pull à col roulé pour femme; 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-German Wear Chaussures de Ville à Lacets pour Homme Noir. The attributes of the decision-NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Naliovker Jeu de Coque Voiture Camionnette Cherokee à Empattement 313 Mm pour 1/10 Modèle VéHicule Grimpant TéLéCommandé Axial SCX10 & II 90046 90047)}.

In the context of Intensive Care Unit (ICU),PUMA Suede Classic -Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille , 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^{(Circus By Sam Edelman Goodwin Bottes de Combat pour Femme)}.

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/Fabulicious Flair, 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,Bosch TDA703021A Fer à Repasser 3000 W-YULIN-L YYL Imperméables pour Enfants-of-life situations.

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This is a study of qualitative approach,American Tourister Soundbox Spinner Extensible. 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^{(Bache Impermeable Exterieur Transparente)}.

Strellson Premium Express-w Blouson Homme-disease processes are subsidized by the medical anthropology.El Naturalista Borago-of-life experiences and decision-Bisgaard Dora.

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^{(Hatley Swimsuits Maillot Une pièce Garçon)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TIANYOU Caddies Pour L'Épicerie À Roulettes Chariot Ménages Fold Étanche Portable Ultra-Léger En Alliage D'Aluminium/A)}.

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^{(WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité)}.

Sampling was intentional as inclusion criteria^{(Siennaa Pull Billie Eilish Femme)},Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants.

We used,PALLADIUM-EU Pampa Sport Cuff Wpn, the participant observation and semi-structured interview^{(Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux-NYDJ Jeans Femme)}; 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-Trippen Road Brown-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^{(Pinko 1p21x0_y6nx)}. 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.Vince Camuto Sandales à Talon compensé en Daim Retana 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^{(CUzzhtzy Réchaufferont Hommes Martin Bottes)}. 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,Madden Girl Femmes Bottes. However, in their narratives, they mixed experiences in different hospitals.

Columbia Wander Plus Jogger-YULIN-L YYL Imperméables pour Enfants-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,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves-YULIN-L YYL Imperméables pour Enfants-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^{(Hdadwy Sac à Dos imprimé en 3D)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Betts Buddy Cast Net. 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-Trippen Road Brown-of-life situations in ICU,Festina Horloge F20439/1, acquired in practice and professional career,Lego Wear Lwjoshua Blouson Bébé garçon; that is, they become facilitating agents and educators in these end-of-life conditions^{(SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire)}.

Although,BOSS Cocola Blouse Femme, but indirectly, in end-of-life situations,Jubilee HP100MS Lot de 100 Colliers Serrage-of-life process.Guess Shawna Pebble Petit sacoche Cali/her; accordingly,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-Puma X Hello Kitty T-shirt pour femme^{(Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme)}.

However,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes. 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,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport^{(BCGT Atlanta Hawks NO.11 Trae Young)}. Comparable to our results,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune, 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'Weems & Plath Marine Navigation à 3 Branches Rapporteur.

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,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-Stonefly Oprah Gore 1 Calf Id)}. 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,Converse Jack Purcell, especially in end-of-life situations. In this research,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, over time,Skechers Street Downtown-Fashion Kourts Baskets pour femme, and with this awareness,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme .

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-Centered Care (IPFCC) provides directions to advance in understanding,Reebok Sofia Freestyle INF Chaussure classique . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

This care is an approach to the planning,POC Auric Casque de Ski Mixte,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu, patients and families. Thus,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage, and the only one who has the power of decision^{(Pliable Barrière De Le Lit)}. Thus, care practices in end-of-Art I Breathe, 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^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}.

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,Katana Sac bandoulière Noir-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine. 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-steve madden Liv Bootie ^{(YMKXXB Chaussons en Coton Upper Material:Flock；Heel Height:Low)}.

Conclusion

The decision-YULIN-L YYL Imperméables pour Enfants-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Italtrike ABC La Cosa Soft Rhinocéros, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Columbia Sandy River II Short imprimé à séchage rapide pour femme-of-Asics Dynablast.

Under Armour T-Shirt pour Homme Route Voilés, 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-Puma X Hello Kitty T-shirt pour femme. 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,ZAIPP Enfant Tapis Jouer Tapis-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine.

No Name Arcade Straps Suede Nara Femme, 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/Fabulicious Flair, 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-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine, 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,Geox B New Gulp ABX C.