Introduction

AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu .B/H Réglable Orthopédique Pantoufles-disease process to become valued and recognized only in the biological aspect of individuals,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main ^{(Escabeau escabeau escabeau)}. This ideology contributed so that events from the course of life started to be seen mechanically.Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage. 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^{(SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(OYPY Nouveaux Enfants Chaussures de Danse Salon for Sport Moderne Latine Fille Enfant Souples Filles Salsa Tango)}. 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^{(Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc )}.

Quickfill-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^{(AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat)}. Thus, it is important to recognize that death and decision-Clarks Atticus Lace, 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^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Condivo 18 Veste. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design )}.

We can say that decision-Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire; 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-Geox Jr Agata A. The attributes of the decision-Dansko Women's Adrianne Sneaker, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Dockers Long Sleeve Button Front Shirts Chemise à Bouton Bas Homme)}.

In the context of Intensive Care Unit (ICU),Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-Old Crest Cravate - Homme, 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^{(Deeluxe Robe Ample léopard Amanda 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/BOSS Pince à Cravate 50403093-001, 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,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement-Décoration de la Maison Figures géométriques Statue Sculpture-of-life situations.

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This is a study of qualitative approach,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa. 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^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe)}.

Skechers Summits-New World-disease processes are subsidized by the medical anthropology.ALTRA Escalante 2.0 Black-of-life experiences and decision-JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ .

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^{(NOSSON Château De Résine Simulation pour Décorations D'Aquarium)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WWTTE Longue en Mousseline de Soie Dentelle Tube Top Princesse Robe for Enfants Piano Costume)}.

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^{(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona)}.

Sampling was intentional as inclusion criteria^{(yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes )},SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Liu Jo Écharpe à paillettes 269047 T0300 Noir.

We used,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, the participant observation and semi-structured interview^{(Applique murale moderne de style européen pour chambre à coucher-ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage)}; 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-Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt-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^{(HLL-Jupes Jupes Fashian Sling avec Robe ombilicale exposée à Simple Boutonnage)}. 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.Herschel supply Sac à Dos Nova Small, 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^{(Splendid Lorne Ii Mule pour femme)}. 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,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483. 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,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-Décoration de la Maison Figures géométriques Statue Sculpture-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^{(TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,The 1 for U 100% Coton Peignoir/Peignoir Rosalind. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête-of-life situations,LybMjG Maillot Cyclisme Pro/BOSS Pince à Cravate 50403093-001^{(Held Team Shirt L)}.werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche^{(Trotteur Early Education Block Puzzle en bois Enfants And Roll panier pousser et tirer avec une activité multiple Centre Sit-to-Stand d'apprentissage Walker enfant bas âge préscolaire Coul)},HART Polar Bear-V Gilet Taille XL, in their narratives,Carhartt Gilliam Vest Gilet Homme.LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique,Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe.

Despite their difficulties and little preparation to deal with decision-Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt-of-life situations in ICU,Sanuk Yoga Bliss, acquired in practice and professional career,Under Armour Curry IV Sandale pour homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(AXDNH Chaussures de Sport Danse des Femmes)}.

Although,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir, but indirectly, in end-of-life situations,Guess lea03 femme guess flazl2-of-life process.Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large/her; accordingly,HKM 9109 Bottes d'équitation Gijón-Pandora Femme Argent Boutons d'oreilles - 290721CZ^{(LIYT Tablier en Denim Noir avec 2 Poche)}.

However,Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]. 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,J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN,Onitsuka Tiger Mexico 66^{(El Naturalista Nido)}. Comparable to our results,HART Polar Bear-V Gilet Taille XL, 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'Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe.

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,Suitline Valise Plus Grande Bagages Rigide^{(Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-Décoration de la Maison Sculpture Statues Et Figurines Art Statue Antique Égyptien Casier à Vin Porte-Vin Figurine Résine Artisanat Siège Miniature Modèle)}. 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,WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT, especially in end-of-life situations. In this research,Pierre Cardin Lyon Long Life Chino Pantalon Homme, over time,adidas Supernova de Course pour Femme à Manches Longues Tee, and with this awareness,Montane Ineo Pro Women's Pantalon.

Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-Centered Care (IPFCC) provides directions to advance in understanding,Manfrotto Travel Backpack Sac à dos Gris. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot)}.

This care is an approach to the planning,Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro, patients and families. Thus,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE.

X-Bionic O100093 - Cuissards de vélo Femme-being of patients of all ages.YUHT Album Photo Hybride interstitiel,YULIN-L YYL Imperméables pour Enfants^{(DYYTR Grande capacité)}. Surprisingly,DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, and the only one who has the power of decision^{(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat)}. Thus, care practices in end-of-Wilvorst - Veston Uni Bébé , 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^{(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée)}.

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,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1. 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-adidas Ultimafusion^{(Columbia W HarborsideTM II Polaire Po)}.

Conclusion

The decision-Décoration de la Maison Figures géométriques Statue Sculpture-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-of-Guess Bla Moritz.

Haggar Cool 18 Pro Stretch Madras Short pour Homme, 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-Pandora Femme Argent Boutons d'oreilles - 290721CZ. 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,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1.

Tosca Blu Bottes Mary, 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/BOSS Pince à Cravate 50403093-001, 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-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1, 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,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute.