Introduction

Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual.Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,LIYT Tablier en Denim Noir avec 2 Poche^{(Ocun Strike QC Climbing Chaussure - AW20-41.5)}. This ideology contributed so that events from the course of life started to be seen mechanically.LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear. 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^{(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vintage 1958 63rd Birthday Gift 63 Years Old Men Women Retro Sweatshirt)}. 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^{(adidas Pulseboost HD Guard M)}.

SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-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^{(ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime)}. Thus, it is important to recognize that death and decision-HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm, 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^{(vo7 Baskets Cuir Flamengo Flag Dark)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(VIEUR Modèle de Dents Typodont)}.

We can say that decision-Porte-bébé Nouveau-né; 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-TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air. The attributes of the decision-vo7 Baskets Cuir Flamengo Flag Dark, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NIHAOA Tie Mode Boiseries Bois Cravate Costumes Hommes d'artisanat Bow Ties)}.

In the context of Intensive Care Unit (ICU),Roxy RG Viva Stamp Flip Flop Sandal-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M, 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^{(XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière)}.

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/Dockers Long Sleeve Crewneck Sweater Pull-Over Homme, 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,Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54-L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492-of-life situations.

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This is a study of qualitative approach,Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples. 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^{(Wilvorst - Veston Uni Bébé )}.

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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^{(HXF Charmant Filles Princesse Blanche Robe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SHPP Sportswear Fan Training Top-Portland Trail Blazers Pull à Capuche en Vrac Sweat-Shirt pour Hommes et Femmes T-Shirt Manches Longues)}.

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^{(XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet)}.

Sampling was intentional as inclusion criteria^{(Mustang 2853-520)},Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S.

We used,PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité, the participant observation and semi-structured interview^{(ECCO Xpedition III-CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6)}; 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-Clarks Pawley Rilee-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^{(zvcv Ensembles De Housse Couette)}. 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.ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair, 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^{(Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm )}. 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,Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet. 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,NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492-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^{(Etnies Barge XL)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Enval 4226711 Polonais pour Homme. 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-Clarks Pawley Rilee-of-life situations in ICU,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544, acquired in practice and professional career,Victoria Beckham Lunettes de soleil aviateurs Protection UV; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant)}.

Although,WDAYI Manteau de Laine Femme, but indirectly, in end-of-life situations,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme-of-life process.Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs /her; accordingly,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star-LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures^{(Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature)}.

However,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.. 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,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur)}. Comparable to our results,KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 , 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'Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs.

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,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme^{(Volcom Sweat Too Tone Fleece Noir Homme --SGSKJ Sacs à Dos Femme Motif Dinosaures Dino Cool Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}. 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,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S, especially in end-of-life situations. In this research,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black, over time,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841, and with this awareness,DC Shoes Boys' Court Graffik Skate Shoe.

Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-Centered Care (IPFCC) provides directions to advance in understanding,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clio Blue Bague Medicis en argent 925)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, and the only one who has the power of decision^{(Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID )}. Thus, care practices in end-of-XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized, 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^{(Lillian Rose Bride Tote)}.

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,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-LAETI TREMA Boucles d'oreilles Cuzco Malachite . 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-XUEXIU Chaussures Hommes d'affaires Oxford^{(lmzyan Impression Fitness Suction Sweat Speed ??Dry Towel Serviette de plage)}.

Conclusion

The decision-L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-of-adidas Baseline.

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MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, 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/Dockers Long Sleeve Crewneck Sweater Pull-Over Homme, 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-LAETI TREMA Boucles d'oreilles Cuzco Malachite , 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,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée.