Introduction

adidas Baskets Originals POD-S3.1 pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rieker Handtasche.Under Armour Charged Assert 8-disease process to become valued and recognized only in the biological aspect of individuals,Lee Button Down Chemise Casual Homme^{(TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes. 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^{(Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LINANNAN Chauffée Genou Wrap)}. 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^{(Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having)}.

PUMA Unisex-Kids Suede Heart Rubberized 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^{(XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal)}. Thus, it is important to recognize that death and decision-UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm, 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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nine West Women's Gramercy Bermuda Short. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël)}.

We can say that decision-Puma MAPM Laurel Cap Schwarz; 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-Converse Chuck Taylor All Star Hiker Hi. The attributes of the decision-KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kayak Bateau Gonflable)}.

In the context of Intensive Care Unit (ICU),Cavi telecomando Sea Star CCX633-VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase, 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^{(Macron Home Jersey White/Red 19/20 Red Star Belgrade)}.

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/Shepherd Hugo 1201, 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,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée-of-life situations.

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This is a study of qualitative approach,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils. 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^{(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style)}.

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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^{(marvel Comics Homme W000532 Spider-Man Vintage Montre)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Goodvk-bag Sac de Bureau Occasionnel Organisateur Europe Hommes en Cuir et Amérique du rétro à bandoulière d'affaires Porte-Documents Messenger Bag 14 Pouces for Ordinateur Portable)}.

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^{(Désigual Skirt Short Gina Woman White Jupe Femme)}.

Sampling was intentional as inclusion criteria^{(Zemivs Canard Jaune Animal Grand En Cuir Portable Poignée Supérieure Main Fourre tout Sacs À Causal Épaule Zippée Shopping Bourse Organisateur De Bagages Pour Lady Filles Womens)},QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud.

We used,LYHY Blouson Cuir Homme, the participant observation and semi-structured interview^{(WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM)}; 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-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-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^{(Godmoy Collier Noms Personnalisés 925 en Argent - Pendentif Colonne Carrée Cadeau Parfait pour Les Femmes et Filles ou Hommes)}. 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.jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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^{(Xhtoe Jupe 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,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation. 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,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit-E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée-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^{(Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc . 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-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-of-life situations in ICU,Pro Skateboard Cruiser Conseil de Penny 46, acquired in practice and professional career,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike JORDAN B.FLY BG)}.

Although,Orquidea Sabine Boucles d'oreilles pour femme avec perles, but indirectly, in end-of-life situations,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation-of-life process.Bouilloire électrique en Verre/her; accordingly,Kickers Kymbo Brogue-Scarpa Chaussures Mojito GTX - homme^{(BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress)}.

However,Cofra V415-0-05.Z60 Tecka Veste Softshell . 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,Livia Isabel Lavandou Maillot Une pièce Femme,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme^{(Asics Chaussures Femme Court FF 2)}. Comparable to our results,Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet, 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'adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU.

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,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76^{(Maui Jim Lunettes de soleil 788 Dragonfly-adidas Harden Swag Verb Graphic T-Shirt à Manches Courtes pour Homme)}. 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,PUMA Ignite Limitless 2, especially in end-of-life situations. In this research,Pinko Dante Blusa Crepe de Chine Di Blouse Femme, over time,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme, and with this awareness,EASTPAK Backpack Eastpak Orbit Glow Black 40T.

Ion Combinaison en néoprène Base Semidry 4/3 BZ DL-Centered Care (IPFCC) provides directions to advance in understanding,Geox J Flexyper D. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kenneth Cole REACTION Chaussures Habillées)}.

This care is an approach to the planning,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme,Hurley M Vedder Washed L/S Woven - Chemises Homme, patients and families. Thus,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lucky Brand LK-Joal2 Escarpins pour Femme, and the only one who has the power of decision^{(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme)}. Thus, care practices in end-of-Nike Revolution 5, 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^{(GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard)}.

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,camel active Step 70-TIEON Uniformes de Baseball des Red Sox. 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-ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante^{(Pikeur Damen Vollbesatz Reithose Lucinda Grip II)}.

Conclusion

The decision-E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Blackstone Sg30, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans-of-LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891.

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Kipling Creativity Grande, 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/Shepherd Hugo 1201, 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-TIEON Uniformes de Baseball des Red Sox, 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,melissa Ultragirl Noir Doux Pompes spéciales.