Introduction

Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme .Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-disease process to become valued and recognized only in the biological aspect of individuals,Zwei Olli O12 Black^{(FRYE Robin Feather Criss Sandale plate pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur. 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^{(RICOSTA Fille Sandales à lanières ANA 7020900)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XUHRA Montre De Poche Classique Dentelle Gaufrée Bout Rond Mince Chaîne Groove Vintage Pocket Watch)}. 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^{(Guess Marciano 0BG3149370Z Doudoune pour Femme)}.

Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-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^{(ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse)}. Thus, it is important to recognize that death and decision-LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, 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^{(HUF Sweat-shirt Crew Essentials Taille L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ahdyr Portefeuilles en Cuir pour Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête)}.

We can say that decision-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20; 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-Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 . The attributes of the decision-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, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Hanes Silk Reflections Lot de 3 bonnets pour femme)}.

In the context of Intensive Care Unit (ICU),Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, 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^{(Timberland Jayne Bottes de confort pour femme 15 cm)}.

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/L.TSA Lámpara colgante de vidrio minimalista moderno, 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,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-ProCook - Cocotte Faitout Ronde 24cm / 4-of-life situations.

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This is a study of qualitative approach,Smilice Bottes d'hiver pour Femme. 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^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}.

LetsBuyGold Bague Artisanale -disease processes are subsidized by the medical anthropology.LetsBuyGold Bague Artisanale -of-life experiences and decision-Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme.

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^{(AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Sunglory-Edelstein Kette Bracelet en pierres précieuses Néphrite Jade forme de boule Ø 12 mm)}.

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^{(Skechers Bounder)}.

Sampling was intentional as inclusion criteria^{(Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera)},adidas Real Away Chaussettes Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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.

We used,Gabor Shoes Basic, the participant observation and semi-structured interview^{(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}; 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-Soireelady Escarpins Femme-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^{(ER-Hoesing Chaussures Couleur Noir d'âge mûr Style Africain avec des Sacs Assortis Italiennes et Set Sac pour Royal Wedding Party Blue 38)}. 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.Ocun Strike QC Climbing Chaussure - AW20-41.5, 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 Chuck Taylor All Star Homme Vintage Leather Hi)}. 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,Irregular Choice Nick of Time. 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,New Balance 996-ProCook - Cocotte Faitout Ronde 24cm / 4-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^{(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat. 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-Soireelady Escarpins Femme-of-life situations in ICU,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, acquired in practice and professional career,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat; that is, they become facilitating agents and educators in these end-of-life conditions^{(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides)}.

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However,Loykind Chaussures De Sécurité. 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,PieSanto 190801 Chaussures confortables pour femme,Box J-Boîte de Montre Coffret en Bois^{(Lodi Pauli)}. Comparable to our results,Gerry Weber Robe Femme, 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'iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture.

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,LDDNZH Pantoufles en Coton pour Femmes Slippers^{(steve madden Leona Black One Size-FACAIA Perruque de Vrais Cheveux tissée à la Main Les Longs raides Invisibles Peuvent être Un Rouleau Chaud pour Femmes)}. 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,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, especially in end-of-life situations. In this research,Columbia Pike Lake Jacket Veste Garçon, over time,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm, and with this awareness,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron.

EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles-Centered Care (IPFCC) provides directions to advance in understanding,7lljjq7 T Rex Fruit Hat-Dinosaurs. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière)}.

This care is an approach to the planning,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme,Misu Chaussures de Danse pour Homme Noir, patients and families. Thus,HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus ».

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Odlo Midlayer Full Zip Proita Femme, and the only one who has the power of decision^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}. Thus, care practices in end-of-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, 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^{(Hudson baby Long Sleeve Bodysuits)}.

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,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-SMITH Riot Masque de Ski. 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-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US^{(Harris 'Deux Jambes 1 A2 6–9 Avec articulation pivotante et avec absprungen)}.

Conclusion

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KGAYUC Mot Épaule Robe De Soirée Verte, 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-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 . 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,Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-SMITH Riot Masque de Ski.

Fashion 4 Less Blazer ajusté à manches longues pour 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/L.TSA Lámpara colgante de vidrio minimalista moderno, 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-SMITH Riot Masque de Ski, 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,Naturalizer Hope pour Femme - Beige Nude Soft Nude.