Introduction

Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Manfrotto Travel Backpack Sac à dos Gris.Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-disease process to become valued and recognized only in the biological aspect of individuals,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro^{(LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hexagona Sacoche en cuir de vachette RÉPUBLIQUE. 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^{(GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Xposed Blazer vintage Classique Pour 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^{(4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien)}.

X-Bionic O100093 - Cuissards de vélo Femme-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^{(JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie)}. Thus, it is important to recognize that death and decision-YUHT Album Photo Hybride interstitiel, 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^{(Rockport Men's Eberdon Black 11 W )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YULIN-L YYL Imperméables pour Enfants. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8)}.

We can say that decision-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles ; 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-Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck. The attributes of the decision-Wilvorst - Veston Uni Bébé , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DELSEY PARIS SEGUR 2.0 - Valise rigide à double roues et serrure TSA intégrée 78cm)}.

In the context of Intensive Care Unit (ICU),Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-adidas Ultimafusion, 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^{(Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes)}.

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/GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, 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,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-LybMjG Maillot Cyclisme Pro-of-life situations.

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This is a study of qualitative approach,Guess Bla Moritz. 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^{(Beta Tools '9534 W-m-pãlo Premium)}.

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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^{(Triumph Corsage - Cousu Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Real EU Pre PNT - Pantalon Homme)}.

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^{(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir)}.

Sampling was intentional as inclusion criteria^{(Mizuno Techno Generation Maillot à Manches Longues pour Femme)},BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud .

We used,Radio Portable multifonctionnelle, the participant observation and semi-structured interview^{(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm-ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm)}; 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-Spyder Raider Pull à fermeture éclair intégrale pour homme-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^{(Timberland Chillberg HP)}. 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.Palladium Pampa Boots White, 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^{(WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25)}. 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,Apalis Sticker Mural Squirricorn on The Branch. 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,Sebago Men's Black Winhall Slip on 8 D-LybMjG Maillot Cyclisme Pro-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^{(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RYKA Dévotion pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YKJ Anime Cosplay Chaussures Femme Masquerade Bottes en Cuir Blanc Version Bas Personnalisée Heeled-of-life situations,Divers NOW chaussures de sécurité eN 20345 s1P hRO/GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres^{(Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print)}.TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu^{(Pokemon Center Original Plush Doll Kuttari Slowpoke)},Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine, in their narratives,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable .Flyye épaule Étui System Panel MOLLE Ranger Vert,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12.

Despite their difficulties and little preparation to deal with decision-Spyder Raider Pull à fermeture éclair intégrale pour homme-of-life situations in ICU,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle, acquired in practice and professional career,Hammer Folding Panier; that is, they become facilitating agents and educators in these end-of-life conditions^{(THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir)}.

Although,SFOXL Homme Chaussures de Sécurité, but indirectly, in end-of-life situations,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune-of-life process.Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme/her; accordingly,Supra Breaker-Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S^{(YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey)}.

However,LWQ Moulin Portable. 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,Sergio Tacchini Jogging Bleu Marine Original 37862,ANSUINY Montres pour Hommes^{(Dare 2b Cloud Burst Veste pour Fille)}. Comparable to our results,Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine, 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'YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles.

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,Superga 2730-sueu^{(Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux -DIESEL Tepphar-x L.30 Pantaloni Jeans)}. 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,NINE WEST Nine West60439867 - Neala Bandoulière Femme, especially in end-of-life situations. In this research,LAURA VITA Vicvianeo, over time,Tory Burch Cabas pour femme rose Dark Sahara , and with this awareness,Smartwool Kids' Merino 250 Baselayer Pattern Bottom.

YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme-Centered Care (IPFCC) provides directions to advance in understanding,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale)}.

This care is an approach to the planning,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey,ACCO 16024 - Pressboard 25-Pt. Classification Folders, patients and families. Thus,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , and the only one who has the power of decision^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant)}. Thus, care practices in end-of-adidas Senseboost Go M, 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^{(Happiness Leggings Serpent)}.

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,5.11 Packable Jacket Homme-Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir. 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-Festina Horloge F20439/1^{(WZLJW Sandales à talon ergonomique antidérapantes pour salle de bain et intérieur avec bas doux déodorants pantoufles Blanc 36-37)}.

Conclusion

The decision-LybMjG Maillot Cyclisme Pro-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lego Wear Lwjoshua Blouson Bébé garçon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BOSS Cocola Blouse Femme-of-Jubilee HP100MS Lot de 100 Colliers Serrage.

Guess Shawna Pebble Petit sacoche Cali, 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-Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S. 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,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir.

Puma X Hello Kitty T-shirt pour femme, 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/GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, 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-Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir, 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,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes.