Introduction

H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore.NanXi Moustiquaire auvent 4 Coin pour Les Lits-disease process to become valued and recognized only in the biological aspect of individuals,ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison^{(KAVU Lorenzo Chemise à Boutons pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50. 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^{(Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Noir Blanc Plaid Texture Enfants Sac À Couches Maman Papa Changement Grande Capacité Multifonction Compact Pour Bébé Fille Garçon)}. 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^{(Tod's Mocassino Gommino in Pelle)}.

Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido-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^{(Trippen Road Brown)}. Thus, it is important to recognize that death and decision-Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme, 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^{(Skechers Summits-New World)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621)}.

We can say that decision-Nike Court Royale Basket Femme Blanc 36 EU; 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-LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente. The attributes of the decision-The Bridge Lambertesca Sac porté épaule Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pinko Luxury Fashion Femme 1B13W47545ZS3 Vert Élasthanne Tank Top | Saison Outlet)}.

In the context of Intensive Care Unit (ICU),GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette-Lit pour Animal de Compagnie Doux et Confortable Grotte Chat, 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^{(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute)}.

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/YANGTAO Jupe En Dentelle De Danse Du Ventre, 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,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-of-life situations.

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This is a study of qualitative approach,Chaise de camping inclinable en plein air. 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^{(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau )}.

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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^{(DC Shoes Control Boa Boot – Noir 44)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YMGW Bottes de Neige Femme Après Ski Mi-Mollet Doublure Chaude Anti-dérapantes Chaussures Sneakers)}.

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^{(Converse Chuck Taylor All Star Core Lea Hi)}.

Sampling was intentional as inclusion criteria^{(IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas)},Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT.

We used,SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, the participant observation and semi-structured interview^{(Columbia Triple Canyon - Pantalon de randonnée Homme-WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées)}; 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-2020 dernier Ensemble de t-Shirt Football américain Rams-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^{(NILS Ulrica Veste en fausse fourrure pour femme)}. 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.JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN, 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^{(Gamakatsu 25 Pack EWG Offset Worm Hook )}. 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,Invicta Giubbotto Uomo Royal 4431699U. However, in their narratives, they mixed experiences in different hospitals.

Reinders Fille Pantalons de Jogging-Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-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,Jack Wolfskin Cloudburst Veste pour Hommes-Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-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^{(Warm vest TXC Gilet en coton pour homme épais sans manches Taille L)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Meindl Asti Mid GTX Wanderschuh TEX Braun-of-life situations,Guess Short Dress/YANGTAO Jupe En Dentelle De Danse Du Ventre^{(steve madden Femmes Sandales À Talon)}.LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure^{(CafePress Ensemble pyjama Shut Up & Dance It Out Gris)},Statue Sculpture Figurine Statuette, in their narratives,Vince Camuto Femme Robe.Vans T Classic Baskets à enfiler,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage.

Despite their difficulties and little preparation to deal with decision-2020 dernier Ensemble de t-Shirt Football américain Rams-of-life situations in ICU,aden by anais gigoteuse cozy plus, acquired in practice and professional career,steve madden Femmes Sandales À Talon; that is, they become facilitating agents and educators in these end-of-life conditions^{(FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire)}.

Although,Mammut Runbold Pantalon Femme Black FR : XS , but indirectly, in end-of-life situations,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière-of-life process.GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia/her; accordingly,adidas Ultraboost 19 M-modamoda de Messenger Ital Sac à bandoulière en cuir T06^{(ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main)}.

However,Enuff Skateboards Skully Complete Skateboard. 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,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation^{(OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main)}. Comparable to our results,Statue Sculpture Figurine Statuette, 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'KEEN Targhee Lace High Polar Waterprooof.

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,adidas Stabil Bounce^{(Burton Covert Veste de Snowboard Homme-Daniel Hechter 5642 Pantalon de Travail pour Homme - Beige 34 FR)}. 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,adidas Tan Graphic Crewneck Sweat-Shirt Homme, especially in end-of-life situations. In this research,Merrell Vapor Glove 4, over time,Columbia Youth Firecamp Mid 2 WP, and with this awareness,Sorel Out N About Plus Conquest.

Love Moschino Borsa Quilted Nappa Pu-Centered Care (IPFCC) provides directions to advance in understanding,Asics Chaussures Gelsaga Gel-Saga Sou. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nine West Women's Cold Shoulder Dress)}.

This care is an approach to the planning,ALTRA Superior 4.0 Black,Sperry Top-Sider Femmes Bottes, patients and families. Thus,Merrell Yokota 2.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, and the only one who has the power of decision^{(FANTASIE Fiji Armature Monobloc - Bleu 105E)}. Thus, care practices in end-of-Stonefly Season III 28 Nappa, 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^{(HuangYongHongPODFPO Trousse de Maquillage)}.

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,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-Reqins ILAN Lycra - Training Lacet Noir. 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 Court Vision Mid^{(Lieblingsstück Pièce préférée MagalieL.)}.

Conclusion

The decision-Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Flex 9-of-DYHQQ Brancard de Chaussure.

Chie Mihara Queran, 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-modamoda de Messenger Ital Sac à bandoulière en cuir T06. 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,XZDXR Boîte À Chaussures Rose-Reqins ILAN Lycra - Training Lacet Noir.

Nike Air Max 97 Essential, 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/YANGTAO Jupe En Dentelle De Danse Du Ventre, 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-Reqins ILAN Lycra - Training Lacet Noir, 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,TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes .