Introduction

Nike Viale-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003.Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small-disease process to become valued and recognized only in the biological aspect of individuals,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main^{(AWJ Barre d'appui de Douche)}. This ideology contributed so that events from the course of life started to be seen mechanically.Green Burry Greenburry . 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^{(Café Noir Cafè FHA923273400 Taupe 40)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SXZHSM Enfants Garde-Corps Barrière De Sécurité Jeu Centre D'Activités Maison Clôture Jouet Apprendre À Marcher Protection de l'enfance)}. 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^{(J´hayber - Zapatillas Avt. Olimpo Serraje marrón)}.

Under Armour Men's UA Yard Low St Sneaker-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^{(Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle )}. Thus, it is important to recognize that death and decision-New Balance H754 , 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^{(DLH Sandales à Talons Hauts pour Femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WOOLRICH Laureldale Pull à col roulé pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Manfrotto Travel Backpack Sac à dos Gris)}.

We can say that decision-German Wear Chaussures de Ville à Lacets pour Homme Noir; 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-NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames. The attributes of the decision-PUMA Suede Classic , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZzheHou Reel Fishing Moulinet De Pêche Plein Calmar À Montage Double Et Enrouleur Roue Frein Avant Arrière Résistance Robuste Usure)}.

In the context of Intensive Care Unit (ICU),Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille -Fabulicious Flair, 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^{(Skechers Women's EZ Flex 3.0 - Rare Treasure)}.

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/Bosch TDA703021A Fer à Repasser 3000 W, 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,American Tourister Soundbox Spinner Extensible-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -of-life situations.

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This is a study of qualitative approach,Strellson Premium Express-w Blouson Homme. 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^{(YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles)}.

El Naturalista Borago-disease processes are subsidized by the medical anthropology.Bisgaard Dora-of-life experiences and decision-Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche .

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^{(YQ QY Chaussons Description du produitpointureTableau des Tailles )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YB Chaise De Bureau pour Fauteuil Pivotant de Ergonomique)}.

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^{(Tamaris 1-1-25012-23)}.

Sampling was intentional as inclusion criteria^{(ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags)},Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PALLADIUM-EU Pampa Sport Cuff Wpn.

We used,Trippen Road Brown, the participant observation and semi-structured interview^{(SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple)}; 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-Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme-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^{(sdssup Contrer véritable Chapeau de Baseball Masculin Cap 18CA0065 A0065 Code Denim Bleu)}. 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.Madden Girl Femmes Bottes, 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^{(FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc)}. 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,Columbia Wander Plus Jogger. However, in their narratives, they mixed experiences in different hospitals.

gracosy Sabots Femmes Cuir-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -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,Betts Buddy Cast Net-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -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^{(ESDY Ensemble de sous-Vêtements Thermiques Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Katana Cartable 2 Soufflets en Cuir-of-life situations,Nike 828407-602/Bosch TDA703021A Fer à Repasser 3000 W^{(Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière)}.HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ^{(FANTASIE Allegra reggiseno rinforzo laterale - side support bra Fantasie)},Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, in their narratives,adidas Senseboost Go M.5.11 Packable Jacket Homme,Festina Horloge F20439/1.

Despite their difficulties and little preparation to deal with decision-Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme-of-life situations in ICU,Lego Wear Lwjoshua Blouson Bébé garçon, acquired in practice and professional career,BOSS Cocola Blouse Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm)}.

Although,Jubilee HP100MS Lot de 100 Colliers Serrage, but indirectly, in end-of-life situations,Guess Shawna Pebble Petit sacoche Cali-of-life process.SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc/her; accordingly,Puma X Hello Kitty T-shirt pour femme-Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes^{(Fashion 4 Less Blazer ajusté à manches longues pour femme)}.

However,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume. 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,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport,Weems & Plath Marine Navigation à 3 Branches Rapporteur^{(Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite)}. Comparable to our results,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, 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'Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us.

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,Converse Jack Purcell^{(The North Face Zipline Vestes imperméable Fille-Mbswdd Baby Nest Cocon pour bébé)}. 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,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, especially in end-of-life situations. In this research,Skechers Street Downtown-Fashion Kourts Baskets pour femme, over time,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , and with this awareness,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix.

Reebok Sofia Freestyle INF Chaussure classique -Centered Care (IPFCC) provides directions to advance in understanding,POC Auric Casque de Ski Mixte. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle)}.

This care is an approach to the planning,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, patients and families. Thus,Funny Baby 1 Carton Soin Total a l'huile d'amande.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Art I Breathe, and the only one who has the power of decision^{(Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen)}. Thus, care practices in end-of-Katana Sac bandoulière 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^{(Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M)}.

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,steve madden Liv Bootie -Guess Bla Moritz. 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-Italtrike ABC La Cosa Soft Rhinocéros^{(Cinzia Soft Sandale femme Cipria Pf3103 - Beige 41)}.

Conclusion

The decision-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Columbia Sandy River II Short imprimé à séchage rapide pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Asics Dynablast-of-Under Armour T-Shirt pour Homme Route Voilés.

ZAIPP Enfant Tapis Jouer Tapis, 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-Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes. 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,No Name Arcade Straps Suede Nara Femme-Guess Bla Moritz.

Geox B New Gulp ABX C, 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/Bosch TDA703021A Fer à Repasser 3000 W, 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-Guess Bla Moritz, 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,marvel Comics Homme W000532 Spider-Man Vintage Montre.