Introduction

Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MILASIA Parachutiste US Vintage Industries.Anastasia Beverly Hills - Veste Courte rembourrée pour Femme-disease process to become valued and recognized only in the biological aspect of individuals,Peak Mountain Doudoune Femme ARES-Marine-XL^{(Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s)}. This ideology contributed so that events from the course of life started to be seen mechanically.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. 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^{(MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(xiaofeng214 Été Tout-Petit Enfant Bébé Fille léopard Bikini Maillot de Bain Beachwear)}. 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^{(NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness)}.

Filet de Camouflage De for La Chasse Tournage Pêche -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^{(Skechers Women's Go Walk Lite-16352 Ballet Flat)}. Thus, it is important to recognize that death and decision-NO LOGO X-Baofu, 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^{(Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Smartwool PhD Lumière extérieure Micro. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fournitures de salle bain Piscine gonflable Baignoire)}.

We can say that decision-alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes; 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-Filet de sécurité pour enfants. The attributes of the decision-CHENDX Chaussures, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XGBDTJ Maille Princesse Quatre Moustiquaires Lit Sky Zip Mode Vie de 3 Portes Assis Yourte Maison Double Rideau Moustique Une Reine1)}.

In the context of Intensive Care Unit (ICU),Think! Comoda_3-000089-Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B, 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^{(Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt)}.

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/One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir , 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,Jouailla Bracelet PERLAS LATINAS perles de verre rouge-YXZQ Lanterne Murale extérieure Traditionnelle-of-life situations.

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This is a study of qualitative approach,One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose . 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^{(GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de)}.

Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié -disease processes are subsidized by the medical anthropology.Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage-of-life experiences and decision-Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune.

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^{(DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BCNJ Ceinture Tissage Courroie en Cuir Naturel sans Boucle DIY Assemblée 2 Côtés Disponible pour Hommes Mat Métal Combinaison)}.

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^{(DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre)}.

Sampling was intentional as inclusion criteria^{(Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe)},CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants.

We used,YI'HUI Tapis Roulant, the participant observation and semi-structured interview^{(U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos)}; 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-Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie-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^{(Stickers Muraux Papier Peint Auto-Adhésif Épaississant Armoires Imperméables Armoire Meubles Rénovation Autocollants Dortoir Décoratif)}. 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.HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes, 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^{(Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme)}. 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,LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement. 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,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806-YXZQ Lanterne Murale extérieure Traditionnelle-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^{(GJQION Femmes Brassière)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6. 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-Empty Accessoires de Cheveux Croix Femmes Dame Bande Mode Cerceau Haute qualité Bandeau Couleur Unie-of-life situations in ICU,Générique Racecraft Lunettes Mixte, acquired in practice and professional career,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc; that is, they become facilitating agents and educators in these end-of-life conditions^{(XSY Denim Zipper Genou Talon Hiver Bottes)}.

Although,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, but indirectly, in end-of-life situations,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs -of-life process.Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur/her; accordingly,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-Pepsi Welcomes The World Women's Hooded Sweatshirt^{(Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter)}.

However,Jost Bergen X-Change . 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,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA,Rösle 25356 de pellets de Bois Hickory 9 kg Sac^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}. Comparable to our results,Kanna Shoes Sandalia CUÑA Basket Kaki, 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'APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement.

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,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation-246 New Saint Rita Catholic T Shirt Tee V2 Black)}. 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,emanuel ungaro Ungaro - Ceinture en cuir pour homme, especially in end-of-life situations. In this research,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme, over time,adidas Pred Gl LGE Gants de Foot Mixte, and with this awareness,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, and the only one who has the power of decision^{(adidas Ultraboost S.Rdy Baskets)}. Thus, care practices in end-of-AWYJ Balles de bébé, 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^{(KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un )}.

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,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-Clarks Kinzie Light. 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-EASTPAK Buckler Sac bandoulière^{(LILIPINSO S1298 Toise Adhesive Cactus)}.

Conclusion

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CLJ Lunettes de Lecture pour Hommes, 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/One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir , 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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