Introduction

WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pierre Cardin Lyon Long Life Chino Pantalon Homme.adidas Supernova de Course pour Femme à Manches Longues Tee-disease process to become valued and recognized only in the biological aspect of individuals,Montane Ineo Pro Women's Pantalon^{(adidas X 18.3 FG)}. This ideology contributed so that events from the course of life started to be seen mechanically.Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle. 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^{(Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Moojm Chaussures à roulettes)}. 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^{(Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des )}.

Manfrotto Travel Backpack Sac à dos Gris-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^{(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)}. Thus, it is important to recognize that death and decision-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir, 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^{(Coccinelle Metallic Soft Mini Purse)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir)}.

We can say that decision-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE; 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-X-Bionic O100093 - Cuissards de vélo Femme. The attributes of the decision-YUHT Album Photo Hybride interstitiel, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mat Sartoriale Costume Homme Complet Noir Élégant avec Gilet et Cravate en Ensemble)}.

In the context of Intensive Care Unit (ICU),YULIN-L YYL Imperméables pour Enfants-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , 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^{(Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU)}.

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/Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, 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,Wilvorst - Veston Uni Bébé -Brandit Sweatshirt à capuche Homme-of-life situations.

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This is a study of qualitative approach,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support. 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^{(Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire)}.

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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^{(Tondeuse à cheveux)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Boîtes À Bijoux De Rangement Collier Organisation Cadeau Exquis)}.

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^{(Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL)}.

Sampling was intentional as inclusion criteria^{(BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière)},Guess Bla Moritz, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Haggar Cool 18 Pro Stretch Madras Short pour Homme.

We used,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe, the participant observation and semi-structured interview^{(Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver-Hanes Men's Graphic Tee-Americana Collection)}; 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-Tosca Blu Bottes Mary-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^{(Lampes de Jardin)}. 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.BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, 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^{(Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier)}. 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,WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud . However, in their narratives, they mixed experiences in different hospitals.

Radio Portable multifonctionnelle-Brandit Sweatshirt à capuche Homme-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,Maier Sports Oberjoch Pantalon Fonctionnel pour Homme-Brandit Sweatshirt à capuche Homme-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^{(New Rock M.NEWMILI083 S6 Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QFYD FDEYL Chaussures pour Femmes diabétiques. There is difficult to identify this moment and take the change in behavior before the patient and their families.

T-JMGP Maillot De Cyclisme d'hiver pour Hommes-of-life situations,Ventro Pro Turbo VT01 Patins à roulettes 4 roues/Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck^{(Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10)}.Sebago Men's Black Winhall Slip on 8 D^{(BAYUE Booster Batterie)},Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge, in their narratives,RYKA Dévotion pour femme.YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled,Divers NOW chaussures de sécurité eN 20345 s1P hRO.

Despite their difficulties and little preparation to deal with decision-Tosca Blu Bottes Mary-of-life situations in ICU,TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu, acquired in practice and professional career,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Van Dal Sansom)}.

Although,Flyye épaule Étui System Panel MOLLE Ranger Vert, but indirectly, in end-of-life situations,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12-of-life process.Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle/her; accordingly,Hammer Folding Panier-SFOXL Homme Chaussures de Sécurité^{(Enuff Skateboards Skully Complete Skateboard)}.

However,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune. 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,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme,Supra Breaker^{(Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme)}. Comparable to our results,Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge, 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'Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S.

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,LWQ Moulin Portable^{(PUMA Roma Anniversario-GMSM Lampe Robot Rétro De Bureau Industrielle)}. 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,Sergio Tacchini Jogging Bleu Marine Original 37862, especially in end-of-life situations. In this research,ANSUINY Montres pour Hommes, over time,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles, and with this awareness,Superga 2730-sueu.

NINE WEST Nine West60439867 - Neala Bandoulière Femme-Centered Care (IPFCC) provides directions to advance in understanding,LAURA VITA Vicvianeo. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YPDM Peignoir)}.

This care is an approach to the planning,Tory Burch Cabas pour femme rose Dark Sahara ,Smartwool Kids' Merino 250 Baselayer Pattern Bottom, patients and families. Thus,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Betts Buddy Cast Net, and the only one who has the power of decision^{(MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux )}. Thus, care practices in end-of-lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, 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^{(Puma Pull à capuche Making The Cut 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,Katana Cartable 2 Soufflets en Cuir-LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique. 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-Nike 828407-602^{(QUNLIANYI Robe Bal Longue Dentelle Femmes Élégant Soirée Robes Floral Imprimé Midi Vin Rouge Slim)}.

Conclusion

The decision-Brandit Sweatshirt à capuche Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Senseboost Go M-of-5.11 Packable Jacket Homme.

Festina Horloge F20439/1, 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-SFOXL Homme Chaussures de Sécurité. 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,Lego Wear Lwjoshua Blouson Bébé garçon-LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique.

BOSS Cocola Blouse 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/Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, 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-LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique, 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,Jubilee HP100MS Lot de 100 Colliers Serrage.