Introduction

YULIN-L YYL Imperméables pour Enfants-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles .Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck-disease process to become valued and recognized only in the biological aspect of individuals,Wilvorst - Veston Uni Bébé ^{(pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort)}. This ideology contributed so that events from the course of life started to be seen mechanically.Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support. 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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dower & Hall LUP11-S-WP-18 Collier avec perles Edison Blanc Grand cercle ouvert)}. 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^{(Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche)}.

adidas Ultimafusion-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^{(Oluola Sweats à Capuche Vintage Elvis Presley pour Femme)}. Thus, it is important to recognize that death and decision-GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, 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^{(Vans Sk8-Hi Reissue Chaussures de skate unisexe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant)}.

We can say that decision-Guess Bla Moritz; 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-Haggar Cool 18 Pro Stretch Madras Short pour Homme. The attributes of the decision-YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JWIL Mini frigo 6L Voiture Réfrigérateur Portable réfrigérateur Accueil à Double Usage 12V ou 220v pour la Maison)}.

In the context of Intensive Care Unit (ICU),Tosca Blu Bottes Mary-BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, 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^{(BYZ Tenda da bagno per USO Domestico)}.

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/WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , 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,Radio Portable multifonctionnelle-Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir-of-life situations.

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This is a study of qualitative approach,Spyder Raider Pull à fermeture éclair intégrale pour homme. 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^{(Victoria Beckham Lunettes de soleil aviateurs Protection UV)}.

Palladium Pampa Boots White-disease processes are subsidized by the medical anthropology.Apalis Sticker Mural Squirricorn on The Branch-of-life experiences and decision-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk.

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^{(Tubus Tube Support pour Lowrider )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rterss Signe du zodiaque Sagittaire sur le ciel étoilé Sac à bandoulière vintage en cuir Bandoulière réglable pour femme Personnalisable)}.

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^{(Boon Catch Bowl with Spill Catcher)}.

Sampling was intentional as inclusion criteria^{(TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body)},Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ALPHA INDUSTRIES Blouson - Homme.

We used,Kamik Snowvalley, the participant observation and semi-structured interview^{(YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-PunkFootball Je déteste le T-shirt West Ham United de Millwall)}; 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-Nike Viale-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^{(Salamander Velocito)}. 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.American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003, 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^{(CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23)}. 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,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small. 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,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12-Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir-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^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hammer Folding Panier-of-life situations,SFOXL Homme Chaussures de Sécurité/WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud ^{(Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}.miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune^{(DJNGN Portefeuilles ZipAround en Cuir véritable Sac à Main de Voyage Autour du Porte-Cartes Organisateur Pochette Noir)},Hush Puppies H18800, in their narratives,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme.Supra Breaker,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S.

Despite their difficulties and little preparation to deal with decision-Nike Viale-of-life situations in ICU,LWQ Moulin Portable, acquired in practice and professional career,Sergio Tacchini Jogging Bleu Marine Original 37862; that is, they become facilitating agents and educators in these end-of-life conditions^{(fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants)}.

Although,ANSUINY Montres pour Hommes, but indirectly, in end-of-life situations,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles-of-life process.Superga 2730-sueu/her; accordingly,NINE WEST Nine West60439867 - Neala Bandoulière Femme-LAURA VITA Vicvianeo^{(Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /)}.

However,Tory Burch Cabas pour femme rose Dark Sahara . 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,Smartwool Kids' Merino 250 Baselayer Pattern Bottom,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme^{(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard)}. Comparable to our results,Hush Puppies H18800, 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'Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond.

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,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey^{(Buffalo CAI-Toride Chaussures de Sport Sneakers Femmes Courte en Peluche Vulcanisée Hiver De Décontractées À Lacets Appartements Pied Bottes)}. 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,ACCO 16024 - Pressboard 25-Pt. Classification Folders, especially in end-of-life situations. In this research,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves, over time,Betts Buddy Cast Net, and with this awareness,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit.

Katana Cartable 2 Soufflets en Cuir-Centered Care (IPFCC) provides directions to advance in understanding,Nike 828407-602. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris)}.

This care is an approach to the planning,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ,adidas Senseboost Go M, patients and families. Thus,5.11 Packable Jacket Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Guess Shawna Pebble Petit sacoche Cali, and the only one who has the power of decision^{(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG )}. Thus, care practices in end-of-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc, 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^{(Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45)}.

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,Puma X Hello Kitty T-shirt pour femme-Onitsuka Tiger Mexico 66. 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-Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes^{(MMWYC Emballage de Parapluie Humide Automatique - Double Racks Machine à emballer/Parapluie en Acier Inoxydable Durable)}.

Conclusion

The decision-Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-of-Weems & Plath Marine Navigation à 3 Branches Rapporteur.

Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, 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-LAURA VITA Vicvianeo. 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,Converse Jack Purcell-Onitsuka Tiger Mexico 66.

Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, 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/WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , 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-Onitsuka Tiger Mexico 66, 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,Skechers Street Downtown-Fashion Kourts Baskets pour femme.