Introduction

XTI 49473-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes.Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-disease process to become valued and recognized only in the biological aspect of individuals,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe^{(Star Wars - Sweat-Shirt à Capuche Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b. 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^{(Etnies Barge XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alfred & Compagnie Barrière adaptable 70cm blanche)}. 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^{(TARGET Superlight Goal Cartable)}.

VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande-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^{(XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs )}. Thus, it is important to recognize that death and decision-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black, 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^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats)}.

We can say that decision-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche; 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-Tommy Hilfiger Honey Flap Satchel. The attributes of the decision-Asics Chaussures Gel-Quantum 180 4, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(hjkg Casquette Bombardier，Unisexe Chapeau D'Hiver Rouge Épaissir En Peluche Chaud Visage Bouche Couverture Protège-Cou Aviateur Trappeur Chasse Plein Air Réglable Respirant Coupe-Vent Cycl)}.

In the context of Intensive Care Unit (ICU),Emporio Armani Montre Intelligente ART5019-Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit, 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^{(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt)}.

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/TOPO Athletic Chaussures de Course pour Homme, 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,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-of-life situations.

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This is a study of qualitative approach,Roamers Bottines Chelsea - 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^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}.

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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^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YBWEN Rack Ball Sports de Ballon Trémie Stockage et matériel Roulant métallique Panier for Un accès Facile Boules médecine)}.

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^{(Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black)}.

Sampling was intentional as inclusion criteria^{(HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux )},Huber Romi Veste en Tricot pour Femme Bleu Clair, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Advantage Chaussure de tennis pour femme.

We used,Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée, the participant observation and semi-structured interview^{(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure)}; 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-YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -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^{(Giovanni Doudoune en Cuir avec Capuche Fourrure pour Femme Niny Noir)}. 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.Clarks Women's Ada Mist Sandal, 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^{(Shires Sweet Itch Combo Fly Rug)}. 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,Clarks Women's Ada Mist Sandal. 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,B/H Réglable Orthopédique Pantoufles-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-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^{(adidas Pred Gl LGE Gants de Foot Mixte)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main . 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-YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -of-life situations in ICU,Dansko Women's Adrianne Sneaker, acquired in practice and professional career,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01; that is, they become facilitating agents and educators in these end-of-life conditions^{(STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:)}.

Although,Old Crest Cravate - Homme, but indirectly, in end-of-life situations,BOSS Pince à Cravate 50403093-001-of-life process.nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement/her; accordingly,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa-Skechers Summits-New World^{(HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU)}.

However,ALTRA Escalante 2.0 Black. 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,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ ,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau^{(JINGJIE Ski Veste Pantalon Set)}. Comparable to our results,Escabeau escabeau escabeau, 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'Liu Jo Écharpe à paillettes 269047 T0300 Noir.

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,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets^{(Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile -HENGX Fille Robe/Fête Cérémonie Ball Robes/Col Rond sans Manches/Fleurs Broderie 3D/Paillettes/Robe Longue Queue/Robe Princesse Noble)}. 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,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt, especially in end-of-life situations. In this research,Herschel supply Sac à Dos Nova Small, over time,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483, and with this awareness,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage .

ALPHA INDUSTRIES Veste Homme-Centered Care (IPFCC) provides directions to advance in understanding,YXZQ Cartouche de Toner. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SLONGK Bobine D'Allumage 077905115T)}.

This care is an approach to the planning,YQSHOES Bottes,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, patients and families. Thus,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible, and the only one who has the power of decision^{(Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0)}. Thus, care practices in end-of-LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires, 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^{(New Balance Mfcellg)}.

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,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer-BSWL Gilet Chauffant USB Intelligent. 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-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween^{(DELSEY PARIS Quarterback Sac à Dos Loisir)}.

Conclusion

The decision-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal-of-Poussette Légère.

XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux, 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-Skechers Summits-New World. 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,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-BSWL Gilet Chauffant USB Intelligent.

SILOLA Figurine Statuette Sculptures Bouddha, 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/TOPO Athletic Chaussures de Course pour Homme, 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-BSWL Gilet Chauffant USB Intelligent, 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,Figurine Statuette Sculptures Bouddha.