Introduction

lquide Album Photo Bricolage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dickies Performance Chino Pantalon plat pour homme.NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour-disease process to become valued and recognized only in the biological aspect of individuals,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme^{(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche)}. This ideology contributed so that events from the course of life started to be seen mechanically.JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40. 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^{(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JZHJJ Bracelet de Couple Classique Simple et élégant 4)}. 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^{(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros)}.

Fila Baskets 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^{(WPQBS Porte-clés)}. Thus, it is important to recognize that death and decision-Skechers Summits-Forton 52813/BBK Chaussures basses 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^{(FREDsBRUDER Layer Bumper Tangelo)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sanita Saskia Sport Flex Sandale. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MKXF Chaussures Bottes de genou pour femmes)}.

We can say that decision-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon; 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-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila. The attributes of the decision-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Street One Blouson Femme)}.

In the context of Intensive Care Unit (ICU),Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, 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^{(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles)}.

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/Crime London KOMRAD White, 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 Baskets Corsair Unisexe-Adulte-Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-of-life situations.

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This is a study of qualitative approach,Pandora Femme Vermeil Charms et perles - 788692C01. 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^{(CRMY Bottes rétro Classiques pour Femmes Dames)}.

MASCOT WORKWEAR Mascot Polo De Travail Crossover-disease processes are subsidized by the medical anthropology.Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python-of-life experiences and decision-DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8.

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^{(arena 2a259 Maillot de Bain Garçon)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cloud City 7 Camp Currie Starship Troopers Kid's Hooded Sweatshirt)}.

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^{(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune)}.

Sampling was intentional as inclusion criteria^{(Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain)},DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes .

We used,SKTWOE Bottes De Cheville Femmes, the participant observation and semi-structured interview^{(Sperry Top-Sider Striper CVO Hawaiian Print-Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme)}; 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-LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau-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^{(Café Noir Cafè GLC542532360 MULTIBEIGE 36 Chaussure Gilda avec Talon en Daim Bicolore)}. 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.VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant , 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^{(Columbia Wayfinder Outdry')}. 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,LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill. 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,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison-Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-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^{(Superga 2750 Crochet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S. 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-LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau-of-life situations in ICU,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon, acquired in practice and professional career,SHOPAMZ Chaussure de Securité Homme Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(mys Original alte Personalizzate)}.

Although,YUIOLIL Children's Microscope 1200x with LED Lights, but indirectly, in end-of-life situations,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur-of-life process.WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond /her; accordingly,Legero Campania-Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises^{(YUHEN Oreiller de Voyage)}.

However,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied. 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,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt^{(Lacoste Polo Homme)}. Comparable to our results,ADSE Horloge Murale à Pendule, 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'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.

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,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation^{(Clarks Sharon Dolly-Chambre pour Enfants Moquette Crawling Mat)}. 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,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur, especially in end-of-life situations. In this research,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass, over time,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, and with this awareness,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-Centered Care (IPFCC) provides directions to advance in understanding,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

This care is an approach to the planning,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant ,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel, patients and families. Thus,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Puma Men's Fenty Sweatsuit Pullover, and the only one who has the power of decision^{(Ducati Femmes Polo D-Attitude Gris - M)}. Thus, care practices in end-of-WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le, 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^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}.

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,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short-Chie Mihara Queran. 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-MELLUSO Sandales pour Femme^{(LHY Mid Top Camo Randonnée Bottes d'homme)}.

Conclusion

The decision-Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Originals Nite Jogger-of-Joules Roll Up Welly.

Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning, 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-Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises. 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,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG-Chie Mihara Queran.

Circus By Sam Edelman Goodwin Bottes de Combat 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/Crime London KOMRAD White, 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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