Introduction

3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,L.BRUAT L. Bruat Montre de sport pour femme.Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -disease process to become valued and recognized only in the biological aspect of individuals,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur^{(Mizuno Wave Mirage 2.1)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag. 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^{(DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NA So Thorn Temple Thaïlande Tapis de yoga avec sac en maille respectueux l'environnement d'exercice antidérapant pour Pilates.)}. 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^{(Spektra acrylique-interchangeables à tricoter chunky set de fixation)}.

Lowa Renegade GTX Mid-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^{(KAPPA ORIGINALS Kappa Felpa 3031110 Bambino)}. Thus, it is important to recognize that death and decision-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, 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^{(NYLY Sac à Dos Harry P)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing )}.

We can say that decision-Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues; 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-Zwei Olli O12 Black. The attributes of the decision-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Asffdhley Cheval à Bascule Enfants Ride on Rocking Horse bébé Debout Ride-Cheval Jouet Jeux de rôles garçons ou Filles pour Les Tout-Petits et bébés)}.

In the context of Intensive Care Unit (ICU),Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, 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^{(HHORD Panier De Bicyclette Rétro Tissé D'imitation)}.

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/Ahdyr Portefeuilles en Cuir pour Femmes, 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,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20-YANGTAO Ressacs Projecteur De Lumière Nuit-of-life situations.

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This is a study of qualitative approach,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 . 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^{(PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L)}.

Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit-disease processes are subsidized by the medical anthropology.Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-of-life experiences and decision-Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.

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^{(Salamander Vasco)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Andres Machado Mules pour Femme l´été - AM5456 en Soft tressé de Plusieurs Couleurs très Confortables Bout Arrondi Grandes Pointures 42 à 45)}.

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^{(LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes)}.

Sampling was intentional as inclusion criteria^{(PENGSHAO Plateau à Fromage en Bambou)},L.TSA Lámpara colgante de vidrio minimalista moderno, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme.

We used,Smilice Bottes d'hiver pour Femme, the participant observation and semi-structured interview^{(cartoon Chemisier de dessin animé long 1/1 bras-Seven Sac à dos Extra Fit Black&White)}; 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-LetsBuyGold Bague Artisanale -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^{(Keds Chillax Baskets à enfiler pour femme)}. 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.LetsBuyGold Bague Artisanale , 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^{(DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black)}. 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,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme. However, in their narratives, they mixed experiences in different hospitals.

adidas Real Away Chaussettes Homme-YANGTAO Ressacs Projecteur De Lumière Nuit-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,Lloyd Marvin-YANGTAO Ressacs Projecteur De Lumière Nuit-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^{(weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zwei Elli EL12 Sac à bandoulière 32 cm. 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-LetsBuyGold Bague Artisanale -of-life situations in ICU,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, acquired in practice and professional career,J´hayber - Zapatillas Avt. Olimpo Serraje marrón; that is, they become facilitating agents and educators in these end-of-life conditions^{(LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba)}.

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However,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat. 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,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym ^{(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir)}. Comparable to our results,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond, 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'Crocs Sanrah Hammered Metallic Sandal Women.

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,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ^{(HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre-Legero Tanaro)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-Centered Care (IPFCC) provides directions to advance in understanding,LDDNZH Pantoufles en Coton pour Femmes Slippers. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Vinmin USB Rechargeable lumière de vélo Avant)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Misu Chaussures de Danse pour Homme Noir, and the only one who has the power of decision^{(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt)}. Thus, care practices in end-of-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus », 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^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène )}.

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,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So. 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-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine^{(Reebok Revenge Plus MU Chaussures White/Black)}.

Conclusion

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Dansko Women's Hilda Denim Mary Jane 5.5-6 M US, 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/Ahdyr Portefeuilles en Cuir pour Femmes, 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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