Introduction

LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte.MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1-disease process to become valued and recognized only in the biological aspect of individuals,glstkrrn E90 Sweatshirt^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois)}. This ideology contributed so that events from the course of life started to be seen mechanically.Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps . 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^{(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Liuxiaomiao Boutons de Manchette Tuxedo Shirt Carré Cuivre Style Opale De for Hommes Femmes pour Mariage)}. 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^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}.

Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41-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^{(Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette)}. Thus, it is important to recognize that death and decision-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED , 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^{(JEWEL BEADS Gemstone Beads Opal - Boulder Beads)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini)}.

We can say that decision-XTI 49473; 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-ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes. The attributes of the decision-Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Think! Comoda_3-000089)}.

In the context of Intensive Care Unit (ICU),Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe-Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, 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^{(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique)}.

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/VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande, 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,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-Rieker 30921-of-life situations.

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This is a study of qualitative approach,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël. 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^{(Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour)}.

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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^{(Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DYJD Casquettes De Baseball Clignotantes Fibre Optique Tissu Chapeau Lumineux LED Hat Flash Light RVB 7 Couleurs Un pour Toutes Sortes La Fête Et Vacances)}.

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^{(1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte)}.

Sampling was intentional as inclusion criteria^{(ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair)},Emporio Armani Montre Intelligente ART5019, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit.

We used,TOPO Athletic Chaussures de Course pour Homme, the participant observation and semi-structured interview^{(CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed)}; 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-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-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^{(YQSHOES Bottes Mode Pour Femmes)}. 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.Roamers Bottines Chelsea - Homme , 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^{(Canne Pliante bâton de Marche pour Les béquilles âgées)}. 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,smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair. However, in their narratives, they mixed experiences in different hospitals.

Musto Veste légère Crew - Homme-Rieker 30921-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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -Rieker 30921-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^{(Kala-isbijoux Pendentif )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu-of-life situations,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor/VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande^{(DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette)}.ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver ^{(Armoire De Désinfection UV Multifonctionnelle)},AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison, in their narratives,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures.AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu .

Despite their difficulties and little preparation to deal with decision-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-of-life situations in ICU,B/H Réglable Orthopédique Pantoufles, acquired in practice and professional career,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Merrell Femmes Chaussures De Sport A La Mode)}.

Although,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage, but indirectly, in end-of-life situations,Quickfill-of-life process.Clarks Atticus Lace/her; accordingly,adidas Condivo 18 Veste-Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire^{(Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL)}.

However,Geox Jr Agata A. 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,Dansko Women's Adrianne Sneaker,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01^{(Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05)}. Comparable to our results,AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison, 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'Old Crest Cravate - Homme.

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,BOSS Pince à Cravate 50403093-001^{(HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College -Antica Toscana Portefeuille pour Homme en Cuir Véritable Italien avec 9 Fentes Les Cartes de crédit et 2 Poches Billets Miel)}. 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,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, especially in end-of-life situations. In this research,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa, over time,Skechers Summits-New World, and with this awareness,ALTRA Escalante 2.0 Black.

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This care is an approach to the planning,Liu Jo Écharpe à paillettes 269047 T0300 Noir,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, patients and families. Thus,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YXZQ Cartouche de Toner, and the only one who has the power of decision^{(JOMA SPORT CANCHA LNFS Fluor Indoor)}. Thus, care practices in end-of-YQSHOES Bottes, 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^{(DKNY Women's Classic Lace Long Line Demi)}.

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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-Dansko Femmes Chaussures De Mule. 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-WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral^{(PUMA Ferrari Drift Cat 5 Ultra Sneaker Unisexe)}.

Conclusion

The decision-Rieker 30921-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clergerie Berlin 3, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-of-Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7.

YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, 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-Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire. 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,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible-Dansko Femmes Chaussures De Mule.

LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires, 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/VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande, 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-Dansko Femmes Chaussures De Mule, 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,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer.