Introduction

JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Esprit Sweater Femme.ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG-disease process to become valued and recognized only in the biological aspect of individuals,lquide Album Photo Bricolage^{(Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dickies Performance Chino Pantalon plat pour homme. 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^{(In:sole Insole Sandales Talon Haut)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XTLXA Femme Echarpes Femmes Confortables Grand Soft Feel Wraps Foulard Carré Chaud Couverture À Carreaux Écharpe Mode Lady Foulards Doux et Confortable)}. 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^{(zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338)}.

NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour-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^{(KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes)}. Thus, it is important to recognize that death and decision-Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme, 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^{(WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor)}.

We can say that decision-Fila Baskets Femme; 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-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme. The attributes of the decision-Sanita Saskia Sport Flex Sandale, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Vendax Une Battre Junkies Rapide Réparer V2 Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey)}.

In the context of Intensive Care Unit (ICU),CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila, 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^{(Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié )}.

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/Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair, 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,Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-adidas Superstar-of-life situations.

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This is a study of qualitative approach,Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle. 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^{(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual)}.

Crime London KOMRAD White-disease processes are subsidized by the medical anthropology.Onitsuka Tiger Baskets Corsair Unisexe-Adulte-of-life experiences and decision-Pandora Femme Vermeil Charms et perles - 788692C01.

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^{(Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Antiqua Number 3 50 x 50cm Chêne)}.

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 Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU)}.

Sampling was intentional as inclusion criteria^{(Nike Air Max Oketo)},MASCOT WORKWEAR Mascot Polo De Travail Crossover, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python.

We used,DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, the participant observation and semi-structured interview^{(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm-QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB )}; 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-DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4-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^{(Mathématiques Rideaux occultants pour porte de patio Motif géométrique)}. 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.Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes , 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^{(Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible)}. 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,SKTWOE Bottes De Cheville Femmes. 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,DLH Sandales à Talons Hauts pour Femmes-adidas Superstar-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^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-of-life situations,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison/Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair^{(TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan)}.vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S^{(CAPRICE 28251-24 Sandales à lanières pour femme)},Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil , in their narratives,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day.Modus Vivendi Chemise Jeans Manches Courtes Marine 12941,YOLL Bébé Baignoire.

Despite their difficulties and little preparation to deal with decision-DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4-of-life situations in ICU,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, acquired in practice and professional career,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier; that is, they become facilitating agents and educators in these end-of-life conditions^{(MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable)}.

Although,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre, but indirectly, in end-of-life situations,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-of-life process.SHOPAMZ Chaussure de Securité Homme Femmes/her; accordingly,YUIOLIL Children's Microscope 1200x with LED Lights-FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur^{(Visite de la sonde Quickdraw Diamant Noir)}.

However,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond . 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,Legero Campania,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises^{(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W )}. Comparable to our results,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil , 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'GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied.

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,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale^{(Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-Superga 2750-meshu)}. 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,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt, especially in end-of-life situations. In this research,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No, over time,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation, and with this awareness,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur.

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This care is an approach to the planning,U/A Coupe-vent à manches longues,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes, patients and families. Thus,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby , and the only one who has the power of decision^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. Thus, care practices in end-of-Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075, 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^{(Nike Air Max 95 Essential)}.

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,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse -Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto. 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-Puma Men's Fenty Sweatsuit Pullover^{(Infinity Leather Veste Homme en Cuir De Vachette Peacoat Noir Marine)}.

Conclusion

The decision-adidas Superstar-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short-of-MELLUSO Sandales pour Femme.

C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, 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-FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur. 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,adidas Originals Nite Jogger-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto.

Joules Roll Up Welly, 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/Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair, 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-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning.