Introduction

Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Papillio Daytona.Etnies Fader 2-disease process to become valued and recognized only in the biological aspect of individuals,Etnies Fader 2^{(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mammut Ultimate Veste V So – . 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^{(XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XIAOKUKU Off-Road télécommande de Voiture)}. 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^{(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche)}.

MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-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^{(Ensemble de vadrouille et Seau)}. Thus, it is important to recognize that death and decision-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, 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^{(SOLE South Chaussures Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,New Balance Wj91524 Pull à Capuche Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique)}.

We can say that decision-Close Parent Caboo Porte-bébé Coton bleu clair; 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-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable. The attributes of the decision-LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WYBD.Y Vélo Enfant Solide garçons Filles vélo de Style Libre 14 16 18 Pouces)}.

In the context of Intensive Care Unit (ICU),POSEIDON Bobbin KNOTTER Gold Black-Multifanshop Rétro sac à bandoulière modern love wiebke noir, 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^{(Geox J Flexyper D)}.

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/Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, 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,Geox B Todo Boy A-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces-of-life situations.

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This is a study of qualitative approach,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets. 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^{(teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt)}.

BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement-disease processes are subsidized by the medical anthropology.Haedr Coussin résistant à la Casse pour bébé-of-life experiences and decision-camel active Ethnic 12.

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^{(LGLE Pyjama en satin à manches longues pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Seven. Seven)}.

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^{(LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh)}.

Sampling was intentional as inclusion criteria^{(RCBS Neck Die Set)},PICTO Montre à Quartz Unisexe, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MARCO TOZZI 23712 Femme Chaussures Noir.

We used,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, the participant observation and semi-structured interview^{(Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc)}; 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-Jané Isize Siège Auto Gris 75 à 150 cm-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^{(Lacoste Casquette Homme)}. 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.Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, 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^{(WYZDQ Mens Bottes De Neige)}. 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,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. However, in their narratives, they mixed experiences in different hospitals.

Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces-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,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces-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^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Femmes Chaussures Athlétiques. 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-Jané Isize Siège Auto Gris 75 à 150 cm-of-life situations in ICU,Clarks Women's Juliet Rose Loafer, acquired in practice and professional career,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dansko Femmes Chaussures De Mule)}.

Although,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage, but indirectly, in end-of-life situations,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-of-life process.adidas Forest Grove/her; accordingly,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche-PUMA Alee Gore-Tex Mens Performance Bottes de Voile^{(pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage)}.

However,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en. 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,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}. Comparable to our results,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres, 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'VearFit Cuir véritable.

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,Dickies Henley Chemise à manches longues 3 boutons pour femme^{(KTDT Horloge de Table Style Train Mode rétro-Persona by Marina Rinaldi ARCA Maglia da Donna Bianco seta)}. 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,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux , especially in end-of-life situations. In this research,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman, over time,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31, and with this awareness,ZWF Boots Bottes De Cow-Boy Homme.

Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair-Centered Care (IPFCC) provides directions to advance in understanding,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(hanky panky Original String en dentelle extensible pour tailles 14-26)}.

This care is an approach to the planning,adidas Phosphere,Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small, patients and families. Thus,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver, and the only one who has the power of decision^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver )}. Thus, care practices in end-of-WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude , 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^{(MYMAO Pluie épaisse Ponchos ~ Qualité Premium)}.

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,Lee Petit Pantalon cargo pour femme-N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité. 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-Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible^{(Modèle de Blocs Construction Bricolage Aviation Avions l'aéroport International modèle d'avion en Brique Jouets éducatifs pour Enfants)}.

Conclusion

The decision-QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-of-Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue.

MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine, 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-PUMA Alee Gore-Tex Mens Performance Bottes de Voile. 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,Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur-N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité.

ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, 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/Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, 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-N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, 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,HJTLK Chariot de magasinage léger 39L.