Introduction

Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lowa Renegade GTX Mid.Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ^{(adidas Dragon OG)}. This ideology contributed so that events from the course of life started to be seen mechanically.Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues. 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^{(Lottusse T2466)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D)}. 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^{(jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}.

Zwei Olli O12 Black-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^{(Asics Women's Low Cut Performance Short - Coupe Basse pour Femme)}. Thus, it is important to recognize that death and decision-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, 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^{(WEHQ Barre de Son sans Fil)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween)}.

We can say that decision-LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable; 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-Ahdyr Portefeuilles en Cuir pour Femmes. The attributes of the decision-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RENJUN Skateboard Adulte Sports de plein air Jouets Quatre Roues Roulant Hommes Et Femmes Double Rocker Skateboards)}.

In the context of Intensive Care Unit (ICU),Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 -Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte 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^{(Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne)}.

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/Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, 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,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-GJQION Femmes Brassière-of-life situations.

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This is a study of qualitative approach,L.TSA Lámpara colgante de vidrio minimalista moderno. 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^{(Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif)}.

ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-disease processes are subsidized by the medical anthropology.Smilice Bottes d'hiver pour Femme-of-life experiences and decision-LetsBuyGold Bague Artisanale .

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^{(YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Roxy Bayshore - Chaussures Femme EU 37 Marron)}.

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^{(LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho)}.

Sampling was intentional as inclusion criteria^{(Skechers Solar Fuse)},LetsBuyGold Bague Artisanale , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme.

We used,adidas Real Away Chaussettes Homme, the participant observation and semi-structured interview^{(QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable)}; 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-BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan-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^{(Drecage Chaussures de sécurité - Avec embout en acier Respirantes Légères Pour homme et femme protection trekking l'extérieur)}. 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.Gabor Shoes Basic, 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^{(Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison)}. 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,Soireelady Escarpins Femme. 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,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-GJQION Femmes Brassière-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^{(Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lakota Bottes Western Buckaroo modèle Roping EQ296. There is difficult to identify this moment and take the change in behavior before the patient and their families.

New Balance 996-of-life situations,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat/Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage^{(Tosca Blu Bottes Mary)}.Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU^{(Mustang 1306-301-241)},teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt, in their narratives,J´hayber - Zapatillas Avt. Olimpo Serraje marrón.Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière.

Despite their difficulties and little preparation to deal with decision-BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan-of-life situations in ICU,NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, acquired in practice and professional career,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde)}.

Although,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, but indirectly, in end-of-life situations,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-of-life process.HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine/her; accordingly,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym -Crocs Sanrah Hammered Metallic Sandal Women^{(DazzlingRock Collection 0)}.

However,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau . 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,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain ,Loykind Chaussures De Sécurité^{(Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza)}. Comparable to our results,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt, 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'PieSanto 190801 Chaussures confortables pour femme.

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,Box J-Boîte de Montre Coffret en Bois^{(Thom Browne Calzini Uomo cod.MAS064B-adidas Afterburner 6 Grail Chaussures de baseball à crampons 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,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, especially in end-of-life situations. In this research,LDDNZH Pantoufles en Coton pour Femmes Slippers, over time,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc, and with this awareness,Columbia Pike Lake Jacket Veste Garçon.

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This care is an approach to the planning,EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles,7lljjq7 T Rex Fruit Hat-Dinosaurs, patients and families. Thus,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches, and the only one who has the power of decision^{(SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper)}. Thus, care practices in end-of-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, 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^{(YAOHEL Vêtement de Protection Solaire extérieur)}.

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,Odlo Midlayer Full Zip Proita Femme-Polaroid Pld 6071/s/x. 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-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir cashmere 4 U Poncho asymétrique Bicolore col Bateau 100% Pur Cachemire pour Femme)}.

Conclusion

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Superdry Icarus Hood Pull Homme, 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-Crocs Sanrah Hammered Metallic Sandal Women. 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,Detazhi Montre en Bois-Polaroid Pld 6071/s/x.

KGAYUC Mot Épaule Robe De Soirée Verte, 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/Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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