Introduction

ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts.Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-disease process to become valued and recognized only in the biological aspect of individuals,Nike Mercurial Victory V IC^{(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman. 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^{(AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(veilleuse coranique multicouleurs)}. 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 Gel-Noosa Tri 11 Women's Chaussure De Course à Pied)}.

casco Reithelm VG1 Spirit - 3 Crystal-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^{(SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}. Thus, it is important to recognize that death and decision-PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, 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^{(Timberland Pokey Pine Hook & Loop )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel)}.

We can say that decision-JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau; 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-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne. The attributes of the decision-FACAI Étagère De Cuisine Rangement, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Timberland Bonnet pour homme Rib Shallow)}.

In the context of Intensive Care Unit (ICU),Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-NYDJ Barbara Bootcut Jeans Femme, 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^{(Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement)}.

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/Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], 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,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir-of-life situations.

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This is a study of qualitative approach,aipipl Boîte aux Lettres Murale. 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^{(Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050)}.

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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^{(Golden Head Colorado Porte-Cartes de Visite)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DHNKW Men's Swim Trunks Board Shorts Beach Pants Surfing Boardshorts)}.

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^{(WANGXIAO Veste en Duvet Hommes)}.

Sampling was intentional as inclusion criteria^{(ACCO 16024 - Pressboard 25-Pt. Classification Folders)},Dr. Martens Men's Maleke Ankle Bootie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BYASW Chaussures de Randonnée Homme.

We used,Nike 917809 414, the participant observation and semi-structured interview^{(Chantelle Hedona Soutien-gorge à bretelles-Mark Stars Colorful Eagle Mens Sleeveless Tee Sports 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-Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid-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^{(Ballyzess Chaussures Pour Piscine Et Plage Homme Sandales D'Extérieur D'Été De Décontractées Hommes En Cuir Wading Respirantes Résistantes À L'Usure-)}. 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.Sanuk Kids Unisex Lil Puffer Fashion Boot, 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^{(SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View)}. 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,SPYDER Project Veste pour femme. 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,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir-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^{(Qiterr Remontoir de Montre)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Irregular Choice Schatzi. 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-Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid-of-life situations in ICU,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent, acquired in practice and professional career,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover; that is, they become facilitating agents and educators in these end-of-life conditions^{(Npeiyi Seau pour urine féminine)}.

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However,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes. 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,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata ^{(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air)}. Comparable to our results,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active , 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'Falke TK 1 Chaussettes randonnée homme.

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,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison^{(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes-Naturana - Maillot de Bain Une pièce Ampliforme à Armatures 73245 Femme)}. 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,RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau , especially in end-of-life situations. In this research,Traducteur Instantané, over time,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, and with this awareness,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie.

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This care is an approach to the planning,Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match,Dolce & Gabbana Denim Jeans, patients and families. Thus,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LXDDP Chaise Bureau Fashion Mesh, and the only one who has the power of decision^{(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile)}. Thus, care practices in end-of-AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, 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^{(Jubilee HP100MS Lot de 100 Colliers Serrage)}.

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,Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US-Zero Tolerance Rexford Elmax Couteau à Lame Fixe. 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-Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau^{(DAOU Raincover Cartable à Dos Scolaire roulettes Fille Garcon Primaire Secondaire Sac Enfant en Nylon Etanche 33 * 24 48cm)}.

Conclusion

The decision-Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-of-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry.

HuangYongHongPODFPO Trousse de Maquillage, 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-HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène . 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,Kru Maillots de Basket-Ball pour Hommes et Femmes-Zero Tolerance Rexford Elmax Couteau à Lame Fixe.

KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage , 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/Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], 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-Zero Tolerance Rexford Elmax Couteau à Lame Fixe, 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,VIEUR Modèle de Dents Typodont.