Introduction

Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HOIH Sac à dos pour ordinateur portable Pablo Cruise.Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza-disease process to become valued and recognized only in the biological aspect of individuals,Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle^{(mmmy Perruque)}. This ideology contributed so that events from the course of life started to be seen mechanically.DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux. 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^{(Esprit Sweater Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Polo Homme)}. 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^{(Asics Chaussures Gt-1000 7 )}.

Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme-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^{(Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver)}. Thus, it is important to recognize that death and decision-JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie, 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^{(Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hackett London Pantalon Homme)}.

We can say that decision-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 ; 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-Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport. The attributes of the decision-Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Le Clare Manu Cyborg – Tongs pour femme avec fleur et semelle intérieure en liège anatomique Finition paillettes)}.

In the context of Intensive Care Unit (ICU),Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles-CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités, 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^{(Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL)}.

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/Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court, 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,HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne -Fashion 4 Less Blazer ajusté à manches longues pour femme-of-life situations.

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This is a study of qualitative approach,LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent. 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^{(Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet)}.

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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^{(N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZMCOV Compatible avec Le Coussin De Siège Voiture d'hiver)}.

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^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme)}.

Sampling was intentional as inclusion criteria^{(SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- )},Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille.

We used,ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, the participant observation and semi-structured interview^{(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie-teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt)}; 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-DXG1 Cabas pour femme Couleur-2 M-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^{(El Ganso Gabardina Cuello Botón Chemise Casual 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.1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte, 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^{(Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme)}. 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,Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom. 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,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-Fashion 4 Less Blazer ajusté à manches longues pour femme-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^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres. 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-DXG1 Cabas pour femme Couleur-2 M-of-life situations in ICU,I will take action now Lunettes de Soleil coloré Hommes et Femmes, acquired in practice and professional career,Reebok Classic Small Vector Tee - Manches Courtes Mixte; that is, they become facilitating agents and educators in these end-of-life conditions^{(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1)}.

Although,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC, but indirectly, in end-of-life situations,Little Me Bébés Filles Foot-of-life process.My Tiny Treasures Box Company Boîte à Musique Motif Ballerine/her; accordingly,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword^{(Kipling Kassandra S)}.

However,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54. 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,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight^{(Asics Chaussures Gel-Lima Padel 2)}. Comparable to our results,Hatley Swimsuits Maillot Une pièce Garçon, 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'S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15.

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,Couverture pour bébé^{(CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore-Mieuid Homme Pantalon De des Sarouel s Chic Lin avec Cordon Serrage Poches Couleur Unie)}. 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,Camfosy Bottines Femme Cuir Talons, especially in end-of-life situations. In this research,Couverture pour bébé, over time,weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet, and with this awareness,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by, and the only one who has the power of decision^{(arena WPWSK Carbon Maillots de bain Femme )}. Thus, care practices in end-of-Brand88 Wolf Mask, 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^{(Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver)}.

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,NEWTON Distance 9 Chaussure De Course à Pied - AW20-Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique. 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-Jiger Women Small Cell Phone Purse Crossbody^{(Mieuid Homme Pantalons pour Automne s Pantalon Printemps Ethno Chic Élégant Casual Lâche en Lin avec Poches Latérales)}.

Conclusion

The decision-Fashion 4 Less Blazer ajusté à manches longues pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces-of-L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-.

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WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25, 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/Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court, 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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