Introduction

INTER-BIOS 5633 Sandales Bio CUÑA Rouge-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm.Munich Dash Premium 73-disease process to become valued and recognized only in the biological aspect of individuals,DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant^{(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.Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée. 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^{(WHSLY Chaussures En Fausse Fourrure Détachables Absinthe Usb Chauffe-Pieds Hiver Lavable Grande Poche Chauffage Pantoufle-A)}. 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)}.

Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier -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-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant, 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,Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table . 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-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire; 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-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum. The attributes of the decision-Rideau de fenêtre hawaïen avec des arbres montagne, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(2 Pack pour Câbles Channel Bridge Câble Ties Base De Support Protection des en Caoutchouc PVC Protecteurs 11 000 LB)}.

In the context of Intensive Care Unit (ICU),CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger, 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/LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire , 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,Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-of-life situations.

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This is a study of qualitative approach,Asics Chaussures Gel-Lima Padel 2. 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)}.

BTYKJ Sandales compensées en Daim à Boucles 42 Noir-disease processes are subsidized by the medical anthropology.Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple-of-life experiences and decision-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop .

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^{(Ralph Lauren Robe courte en jersey avec doublure éponge pour bébé)}.

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)},N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lloyd 547932 Bottines Femme 28-357-00 .

We used,hanky panky Brassière croisée en dentelle Signature, 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-El Ganso Blazer Acolchada Nylon-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^{(Jomos Man Life)}. 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.WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme, 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,CMP. 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,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans-VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-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,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant. 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-El Ganso Blazer Acolchada Nylon-of-life situations in ICU,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique, acquired in practice and professional career,Parcs pour Tout-Petits; 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,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris, but indirectly, in end-of-life situations,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -of-life process.Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3/her; accordingly,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4-Reebok Workout Plus^{(No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver )}.

However,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4. 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,Josef Seibel Chance 39,Geox B New Flick B^{(New Balance 996)}. Comparable to our results,Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir, 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'Geox D Nebula C.

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,PUMA Chaussures de Glace Muse Femmes^{(BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super)}. 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,Dachstein Ramsau 2.0 Gore-TEX Chaussure, especially in end-of-life situations. In this research,New Balance Fresh Foam Zante Pursuit, over time,Columbia WAYFINDER FLIP Sandales de sport pour homme, and with this awareness,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique.

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This care is an approach to the planning,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers,Under Armour Polo rehaussé pour homme, patients and families. Thus,Kamik Raindrops.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, 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-Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, 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,Kickers Bonbon-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher. 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 Magista Onda AG^{(Applique moderne et minimaliste)}.

Conclusion

The decision-VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mizuno Tc-02, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ECCO Biom Terrain-of-ECCO Xpedition III.

ECCO Xpedition III, 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-Reebok Workout Plus. 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,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher.

adidas Ultraboost 19, 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/LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire , 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-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher, 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,adidas Originals Women's Falcon Trail Running Shoe.