Introduction

DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck.Wilvorst - Veston Uni Bébé -disease process to become valued and recognized only in the biological aspect of individuals,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support^{(FB Fashion Boots 14902)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Ultimafusion. 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^{(JD Boîte de montre Montre - Pratique Rangement Bijoux )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GQQ Chariots de Rangement Chariot Pliant Vieil 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^{(S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15)}.

GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-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^{(COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper)}. Thus, it is important to recognize that death and decision-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine, 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^{(Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Guess Bla Moritz. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata )}.

We can say that decision-Haggar Cool 18 Pro Stretch Madras Short pour Homme; 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-YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe. The attributes of the decision-Tosca Blu Bottes Mary, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Elena Mirò Blouson Trois-Quarts en Laine Bouillie)}.

In the context of Intensive Care Unit (ICU),BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , 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^{(Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small)}.

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/Radio Portable multifonctionnelle, 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,Spyder Raider Pull à fermeture éclair intégrale pour homme-Guess lea03 femme guess flazl2-of-life situations.

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This is a study of qualitative approach,Palladium Pampa Boots White. 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^{(El Ganso Blazer Acolchada Nylon)}.

Apalis Sticker Mural Squirricorn on The Branch-disease processes are subsidized by the medical anthropology.HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-of-life experiences and decision-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband.

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^{(Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Olympique Lyonnais Body Manches Longues Baby But)}.

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^{(adidas Gazelle)}.

Sampling was intentional as inclusion criteria^{(YUIOLIL Children's Microscope 1200x with LED Lights)},ALPHA INDUSTRIES Blouson - Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kamik Snowvalley.

We used,Nike Viale, the participant observation and semi-structured interview^{(Clarks Women's Verona Rock Ankle Boot-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme)}; 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-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-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^{(Snow peak Kitchen Mesh case L BG - 030 R)}. 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.Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, 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^{(Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court)}. 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,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main. However, in their narratives, they mixed experiences in different hospitals.

Green Burry Greenburry -Guess lea03 femme guess flazl2-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,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle-Guess lea03 femme guess flazl2-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^{(Onistuka Tiger Mexico 66)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hammer Folding Panier. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SFOXL Homme Chaussures de Sécurité-of-life situations,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune/Radio Portable multifonctionnelle^{(JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ )}.Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme^{(MAHFEI-tapis puzzle en mousse Sol Enfant Et Bébé Épaissir Salon Chambre Rampant Doux Antidérapant Facile À Nettoyer PE)},IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents, in their narratives,Supra Breaker.Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S,LWQ Moulin Portable.

Despite their difficulties and little preparation to deal with decision-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-of-life situations in ICU,Sergio Tacchini Jogging Bleu Marine Original 37862, acquired in practice and professional career,ANSUINY Montres pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fuliya Men's Hoodies Sweatshirts)}.

Although,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles, but indirectly, in end-of-life situations,Superga 2730-sueu-of-life process.NINE WEST Nine West60439867 - Neala Bandoulière Femme/her; accordingly,LAURA VITA Vicvianeo-Tory Burch Cabas pour femme rose Dark Sahara ^{(Death by Zero Homme Designer Tank Top Shirt - Ibiza)}.

However,Smartwool Kids' Merino 250 Baselayer Pattern Bottom. 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,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond^{(TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes)}. Comparable to our results,IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents, 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'FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey.

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,ACCO 16024 - Pressboard 25-Pt. Classification Folders^{(Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years-Orange Fermeture Endurance sans Caméra sealer)}. 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,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves, especially in end-of-life situations. In this research,Betts Buddy Cast Net, over time,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, and with this awareness,Katana Cartable 2 Soufflets en Cuir.

Nike 828407-602-Centered Care (IPFCC) provides directions to advance in understanding,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having)}.

This care is an approach to the planning,adidas Senseboost Go M,5.11 Packable Jacket Homme, patients and families. Thus,Festina Horloge F20439/1.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc, and the only one who has the power of decision^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture)}. Thus, care practices in end-of-Puma X Hello Kitty T-shirt pour femme, 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^{(42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël)}.

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,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes-Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe. 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-Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume^{(Copenhagen CPH61 Crosta)}.

Conclusion

The decision-Guess lea03 femme guess flazl2-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Weems & Plath Marine Navigation à 3 Branches Rapporteur-of-Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us.

Converse Jack Purcell, 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-Tory Burch Cabas pour femme rose Dark Sahara . 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,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe.

Skechers Street Downtown-Fashion Kourts Baskets 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/Radio Portable multifonctionnelle, 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-Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe, 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,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme .