Introduction

Gamakatsu 25 Pack EWG Offset Worm Hook -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 .glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre-disease process to become valued and recognized only in the biological aspect of individuals,Odlo Energy Pantalon pour Femme x^{(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot)}. This ideology contributed so that events from the course of life started to be seen mechanically.Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi. 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^{(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JINGXINSTORE Chaussures de mariée à bout ouvert avec talon en dentelle blanche satiné 10 cm)}. 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^{(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune)}.

Kala-isbijoux Pendentif -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^{(RASHLD pour des Hommes ÉLéGant Tongs)}. Thus, it is important to recognize that death and decision-SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle, 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^{(glstkrrn E90 Sweatshirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys)}.

We can say that decision-emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau; 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-LED Projecteur étoile. The attributes of the decision-DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Asics Gel-Venture 7 Chaussures de course à pied pour femme)}.

In the context of Intensive Care Unit (ICU),Scholl Dr. Scholl'sStrive-M - Strive Homme-LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674, 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^{(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud )}.

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/ZSHWP Sexy, 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,Crickit DEGNA Limited Edition Sac bandoulière pour femme-Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-of-life situations.

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This is a study of qualitative approach,XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV . 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^{(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille)}.

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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^{(Rossignol Pantalon de Ski Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HBJP Skateboard à Quatre Roues débutants Adultes garçons et Filles Route Brousse Rue Professionnel Scooter Double Dossier Planche roulettes)}.

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^{(In:sole Insole Sexy Talon Haut)}.

Sampling was intentional as inclusion criteria^{(Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater)},MFH 'Tente, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHRRI Sac À Dos Imperméable Extérieur.

We used,Picard Senses Sac fourre-tout brun, the participant observation and semi-structured interview^{(LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille-AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight)}; 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-WGE Mailles de 5 / 10cm-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^{(Green Forest Nature Literie Set Housse de couette Taie d'oreiller Single Queen King | 3 PCS avec fermeture à glissière)}. 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.TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette , 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^{(GALLDEALS Queue de Sirène pour Nager Monopalme Filles)}. 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,Casio – W96H-1BV Montre de sport numérique pour homme . 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,Cole Haan HaanTucker Venetian - Tucker Vénitien Homme-Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-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^{(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle . 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-WGE Mailles de 5 / 10cm-of-life situations in ICU,steve madden Sandales pour Femme Argent 38 EU, acquired in practice and professional career,Skechers USA Men's Caswell Aleno Oxford; that is, they become facilitating agents and educators in these end-of-life conditions^{(SALOMON Shoes Ultra/Pro Hawaiian)}.

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However,MKXF Chaussures Bottes de genou pour femmes. 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,Bronx linkk-up Femme 66345,HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents^{(Pepe Jeans Pantalon Homme)}. Comparable to our results,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, 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'Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette.

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,Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime^{(Jeffery West K106-Bracelet de Montre Confortable)}. 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,FRYE Melissa Deco Chelsea, especially in end-of-life situations. In this research,GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm, over time,Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires, and with this awareness,Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie, and the only one who has the power of decision^{(Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures)}. Thus, care practices in end-of-Spank Sike Race 2.0 Potence VTT/E-Bike Mixte, 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^{(Showers Pass Short de ski léger respirant à séchage rapide pour homme)}.

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,QULONG Vélo pour Enfants Antichoc 14-Asics Hyper LD 5 Synthétique Baskets. 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-Bamex Chariot De Course Seattle Noir^{(PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie)}.

Conclusion

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Désigual Skirt Short Gina Woman White Jupe Femme, 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-BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière. 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,Rockport Men's Eberdon Black 11 W -Asics Hyper LD 5 Synthétique Baskets.

hanky panky Lingerie 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/ZSHWP Sexy, 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-Asics Hyper LD 5 Synthétique Baskets, 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,Wembley X-Line Lederhalfter Finesse II.