Introduction

Orca Bags SAC D'EPAULE ORCA OR-4-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YAS Yasemira Loose Lace Top Blouse Femme.AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course -disease process to become valued and recognized only in the biological aspect of individuals,Vans Asher V-Velcro^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre)}. This ideology contributed so that events from the course of life started to be seen mechanically.PUMA City Snow Boot S Wn's. 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^{(Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Puma Evotouch Pro Special Edition Firm Ground Cleats [Green])}. 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^{(XiuLi Pantalon Thermo Chaud pour Femmes)}.

ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver-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^{(LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674)}. Thus, it is important to recognize that death and decision-Cole Haan HaanTucker Venetian - Tucker Vénitien 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^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues)}.

We can say that decision-Clic-products Lunettes Clic Classic®; 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-Liberty Mountain Sac Throw Boater 70 pieds. The attributes of the decision-Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Durango Philly Femmes Cuir Santiags)}.

In the context of Intensive Care Unit (ICU),Brax Pantalon - Femme-U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo, 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^{(LY88 Ouvre-Bouteille électrique)}.

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/Nike Air Max Prime, 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,steve madden Sandales pour Femme Argent 38 EU-Limit Sport MA192 Aldara Moyen Âge Multicolore-of-life situations.

ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode

This is a study of qualitative approach,Skechers USA Men's Caswell Aleno Oxford. 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^{(FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S)}.

WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm-disease processes are subsidized by the medical anthropology.Bogner Serfaus Zaha Shopper Xlho-of-life experiences and decision-Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré.

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^{(The Bridge Lambertesca Sac porté épaule Noir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(IUBBKI Winona Ryder Étrange et inhabituel)}.

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^{(Cerdá Ligera Lady Bug)}.

Sampling was intentional as inclusion criteria^{(YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain)},TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière.

We used,MKXF Chaussures Bottes de genou pour femmes, the participant observation and semi-structured interview^{(ZJ Bien Maillots de Bain Garçons d'enfants-Jesse James Workwear Workers Hort Industry)}; 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-Bronx linkk-up Femme 66345-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^{(GUOOK Brosse à Chaussures 3 CôTéS Premium Cleaner Clean White Shoes Sneaker Kit Multifonction Nettoyage Outil Salle Bains MéNager)}. 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.HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents, 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^{(FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables )}. 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,Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette. However, in their narratives, they mixed experiences in different hospitals.

Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime-Limit Sport MA192 Aldara Moyen Âge Multicolore-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,FACAI Étagère De Cuisine Rangement-Limit Sport MA192 Aldara Moyen Âge Multicolore-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^{(DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NYDJ Barbara Bootcut Jeans Femme-of-life situations,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]/Nike Air Max Prime^{(YATTYUG Women's Hoodies Tops)}.WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant ^{(JIN Sécurité Durable Net Décoration Enfant Safety Net)},CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples, in their narratives,aipipl Boîte aux Lettres Murale.SDJJ Sac à dos vintage en cuir pour femme Motif floral,HÖGL Highlander.

Despite their difficulties and little preparation to deal with decision-Bronx linkk-up Femme 66345-of-life situations in ICU,HÖGL Cosmos, acquired in practice and professional career,Dr. Martens Men's Maleke Ankle Bootie; that is, they become facilitating agents and educators in these end-of-life conditions^{(Spyder Raider Pull à fermeture éclair intégrale pour homme)}.

Although,BYASW Chaussures de Randonnée Homme, but indirectly, in end-of-life situations,Nike 917809 414-of-life process.Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid/her; accordingly,Sanuk Kids Unisex Lil Puffer Fashion Boot-SPYDER Project Veste pour femme^{(Rösle 25356 de pellets de Bois Hickory 9 kg Sac)}.

However,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver. 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,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!,Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple^{(Minnetonka Leopard Kilty)}. Comparable to our results,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples, 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'DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens.

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,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV ^{(Pot pour Enfants Toilettes-TruClothing.com Blazer Homme Veste Smoking ou Gilet Bordeaux pour Mariage fêtes soirées - Smoking-Bordeaux 48UK/58EU)}. 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,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm, especially in end-of-life situations. In this research,Hush Puppies Men's Shepsky PT Oxford, over time,Sylvie Flirty Swimwear Britta Monokini Femme, and with this awareness,Vince Camuto Leera.

Nike Team Club 19 Crew Sweat-Shirt Homme-Centered Care (IPFCC) provides directions to advance in understanding,Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit)}.

This care is an approach to the planning,ECCO Skyler,STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:, patients and families. Thus,Crocs Kadee Flip-Flop Women.

Natori Women's Power Yogi Contour Convertible Sport Bra-being of patients of all ages.WCY Chaussures automatiques Machine de Nettoyage,Seven Sac à dos Extra Fit Black&White^{(adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe)}. Surprisingly,Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière , and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme, and the only one who has the power of decision^{(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot)}. Thus, care practices in end-of-JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, 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^{(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme)}.

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,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées. 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-Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme^{(Armani Exchange Naplak)}.

Conclusion

The decision-Limit Sport MA192 Aldara Moyen Âge Multicolore-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Head 2020 Ti.S6 Raquette de Tennis à Cordes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 -of-Maui Jim Haleakala Noir Mat HCL Bronze Polar.

LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by, 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-SPYDER Project Veste pour femme. 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,Roamers Chaussures de Ville en Cuir - Homme -YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées.

Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween, 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/Nike Air Max Prime, 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-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées, 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,YUHT LED Strip Lights.