Introduction

Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LXZSP Brûleur d'encens de contrôle la température synchronisation.ZHMIAO Maillot de Football américain pour Homme 4# Carr-disease process to become valued and recognized only in the biological aspect of individuals,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats^{(TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces)}. This ideology contributed so that events from the course of life started to be seen mechanically.TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation. 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^{(WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YAzNdom Boîte De Montre Rangement Bijoux Multi-fonction Et Boutons Manchette For Une Utilisation Domestique En Magasin Pour Le Stock)}. 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^{(Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM)}.

JOOP! Jeans Tondo Sousa Sac porté épaule jaune-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^{(AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover)}. Thus, it is important to recognize that death and decision-DBWIN Parc de Jeu pour Enfants, 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^{(melissa Ultragirl Noir Doux Pompes spéciales)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,The North Face Veste Chimborazo réversible pour garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Brax Pantalon - Femme)}.

We can say that decision-Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique; 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-YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra. The attributes of the decision-New Era Americana T-Shirt ~ York Yankees, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MMADD Kobe n ° 24)}.

In the context of Intensive Care Unit (ICU),In:sole Insole Sandales Talon Haut-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2, 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^{(NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock)}.

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/weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, 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,Essuyez Chaud-kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL-of-life situations.

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This is a study of qualitative approach,ADHW Chaise Longue d'extérieur. 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^{(Plafonnier carré simple à LED)}.

WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap-disease processes are subsidized by the medical anthropology.Vienty Sandales à talon Ani Lacets Cuir-of-life experiences and decision-adidas Originals Chaussures Junior Haiwee.

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^{(WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lazer Magneto M2 Glasses One size Matt Black / Flash Yellow)}.

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^{(Lee Petit Pantalon cargo pour femme)}.

Sampling was intentional as inclusion criteria^{(B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm)},AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fournitures de salle bain Piscine gonflable Baignoire.

We used,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , the participant observation and semi-structured interview^{(adidas Originals Nite Jogger-CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite)}; 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-Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes-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^{(Uno de 50 Alineados Bracelet PUL1862MTL0000M)}. 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.QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, 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^{(XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël)}. 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,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen. 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,K-Swiss Aeronaut-kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL-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^{(ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Women's Leisa Joy Sandal. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir-of-life situations,KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean/weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire^{(Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning)}.DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir^{(Superga Baskets 2730 Cotu Sneaker Femme)},Hanes T-Shirt ¡§¡è Manches Longues Tagless , in their narratives,Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050.DYYTR Grande capacité,Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000.

Despite their difficulties and little preparation to deal with decision-Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes-of-life situations in ICU,WXX Chaise berçante bébé, acquired in practice and professional career,MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker; that is, they become facilitating agents and educators in these end-of-life conditions^{(W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air )}.

Although,CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit, but indirectly, in end-of-life situations,Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme-of-life process.OMER - Combinaison MIX3D Veste/her; accordingly,DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun-Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05^{(Clarks Women's Ayla Low Ballet Flat)}.

However,Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm. 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,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit ,Crocs Crocband Clog Kids^{(DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes)}. Comparable to our results,Hanes T-Shirt ¡§¡è Manches Longues Tagless , 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'LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand.

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,Machine de Jeu vidéo Arcade 2350 Jeux Classiques^{(Lee Performance Series Extreme Motion Regular Fit Jean Homme-Puma Veste de survêtement MCFC Ftblculture 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,bibi lou Sandalo in Lurex E Pelle Laminata Oro, especially in end-of-life situations. In this research,LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e, over time,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert, and with this awareness,Vado Jungen Stiefel Rot .

Swarovski Femmes Acier N'est pas applicable bague - 5515667-Centered Care (IPFCC) provides directions to advance in understanding,Vionic Women's. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes)}.

This care is an approach to the planning,MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates,Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main, patients and families. Thus,CAO-BATHTUB FoldingTub Portable Adulte De Ménage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à, and the only one who has the power of decision^{(teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt)}. Thus, care practices in end-of-Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale, 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^{(Lumière de nuit capteur intelligent corps humain)}.

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,Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet-Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres. 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-MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière ^{(Silfer Shoes Sabots en cuir véritable de nappa Orange)}.

Conclusion

The decision-kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Happiness Leggings Serpent, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-of-Rossignol Pantalon de Ski Homme.

Mammut Eigerjoch Light, 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-Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05. 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,mys Scarpe PersonalizzateOriginal -Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres.

TTmom Femme Portefeuille, 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/weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, 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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