Introduction

AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation.JOOP! Jeans Tondo Sousa Sac porté épaule jaune-disease process to become valued and recognized only in the biological aspect of individuals,DBWIN Parc de Jeu pour Enfants^{(Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales)}. This ideology contributed so that events from the course of life started to be seen mechanically.The North Face Veste Chimborazo réversible pour garçon. 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^{(CMP Manteau Feel Warm Flat)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Replay Karyna Jean Slim Femme)}. 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^{(Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000)}.

Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique-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^{(Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps )}. Thus, it is important to recognize that death and decision-YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, 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^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,New Era Americana T-Shirt ~ York Yankees. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Échelle de Tabouret Pliable en 2 étapes)}.

We can say that decision-In:sole Insole Sandales Talon Haut; 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-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2. The attributes of the decision-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XHCHE Sandales De La Plate-Forme Plage)}.

In the context of Intensive Care Unit (ICU),Essuyez Chaud-ADHW Chaise Longue d'extérieur, 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^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}.

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/WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, 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,Vienty Sandales à talon Ani Lacets Cuir-Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne-of-life situations.

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This is a study of qualitative approach,adidas Originals Chaussures Junior Haiwee. 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^{(RKRCXH Maillot de Bain sirène Queue De Sirène)}.

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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^{(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MPOQZI Housse de Volant Voiture en Cuir Noir Bricolage)}.

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^{(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas)}.

Sampling was intentional as inclusion criteria^{(Matelas d'air de Voiture Gonflable prolongé siège arrière)},Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides.

We used,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, the participant observation and semi-structured interview^{(Obut - ATX Competition 175mm Boules de pétanque-Miyoopark L004 Chaussures de danse latine à bout ouvert pour 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-YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches-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^{(KIND NY Gilet Chauffant Homme Chauffé Électrique Température Constante Intelligente Lavable Col Haut Veste Plus Chaude Vêtements de Ski Hiver)}. 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.Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, 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^{(Converse All Star Oxford Chaussures en toile pour homme - Noir 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,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm. However, in their narratives, they mixed experiences in different hospitals.

YCCC Doudoune Garcon 12 Ans Hiver-Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne-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,KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean-Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne-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^{(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir. 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-YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches-of-life situations in ICU,Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme, acquired in practice and professional career,OMER - Combinaison MIX3D Veste; that is, they become facilitating agents and educators in these end-of-life conditions^{(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau)}.

Although,DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun, but indirectly, in end-of-life situations,Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05-of-life process.Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm/her; accordingly,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit -Crocs Crocband Clog Kids^{(No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver )}.

However,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand. 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,Machine de Jeu vidéo Arcade 2350 Jeux Classiques,bibi lou Sandalo in Lurex E Pelle Laminata Oro^{(New Balance 996)}. Comparable to our results,Florsheim Men's Midtown Bike Toe Oxford, 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'LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e.

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,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert^{(BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-Merrell Jungle MOC)}. 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,Vado Jungen Stiefel Rot , especially in end-of-life situations. In this research,Swarovski Femmes Acier N'est pas applicable bague - 5515667, over time,Vionic Women's, and with this awareness,MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates.

Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main-Centered Care (IPFCC) provides directions to advance in understanding,CAO-BATHTUB FoldingTub Portable Adulte De Ménage. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière , and the only one who has the power of decision^{(N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité)}. Thus, care practices in end-of-Happiness Leggings Serpent, 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^{(DC Shoes - Chaussures Magnolia TX Lowtop pour Femme)}.

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,Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre. 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-Rossignol Pantalon de Ski Homme^{(Gordon & Bros. Levet 6045 Chaussures basses à lacets pour homme)}.

Conclusion

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Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable, 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-Crocs Crocband Clog Kids. 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,Pleaser Flamingo 1050FS Bottines à talons hauts-YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre.

ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour 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/WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, 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-YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre, 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,Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL.