Introduction

HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband.ALPHA INDUSTRIES Blouson - Homme-disease process to become valued and recognized only in the biological aspect of individuals,Kamik Snowvalley^{(Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza)}. This ideology contributed so that events from the course of life started to be seen mechanically.Nike Viale. 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^{(Thom Browne Calzini Uomo cod.MAS064B)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SAXTZDS Couverture de Volant Voiture en Daim Noir Cousu à la Main)}. 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^{(BMNN Queue De Sirène Et Nageoire)}.

American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-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^{(TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus)}. Thus, it is important to recognize that death and decision-Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, 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^{(SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YAOHEL Vêtement de Protection Solaire extérieur)}.

We can say that decision-Green Burry Greenburry ; 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-Under Armour Men's UA Yard Low St Sneaker. The attributes of the decision-New Balance H754 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZLJKK Vestes d'hiver Femmes Costume Combinaison De Ski Et Pantalons Ensemble en Plein Air Coupe-Vent Therma Snowboardl)}.

In the context of Intensive Care Unit (ICU),WOOLRICH Laureldale Pull à col roulé pour femme-German Wear Chaussures de Ville à Lacets pour Homme Noir, 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^{(totes Parapluie cannes Fille)}.

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/NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames, 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,PUMA Suede Classic -Hexagona Sacoche en cuir de vachette RÉPUBLIQUE-of-life situations.

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This is a study of qualitative approach,Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille . 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^{(Kawasaki Sports Polo)}.

Fabulicious Flair-disease processes are subsidized by the medical anthropology.Bosch TDA703021A Fer à Repasser 3000 W-of-life experiences and decision-American Tourister Soundbox Spinner Extensible.

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^{(LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Dope Couture Worldwide Tour Coaches Jacket White)}.

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^{(Glqwe Sac à Dos étanche pour Ordinateur Portable)}.

Sampling was intentional as inclusion criteria^{(ADHW Chaise Longue d'extérieur)},Strellson Premium Express-w Blouson Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.El Naturalista Borago.

We used,Bisgaard Dora, the participant observation and semi-structured interview^{(Bambino Mio-SBDLXY Parc pour bébé extérieur)}; 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-Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche -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^{(Patagonia W's Wavefarer Boardshorts-5 in. Short Femme)}. 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.Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants, 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^{(WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies)}. 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,PALLADIUM-EU Pampa Sport Cuff Wpn. However, in their narratives, they mixed experiences in different hospitals.

Trippen Road Brown-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE-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,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE-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^{(POC Essential Road Wind)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ACCO 16024 - Pressboard 25-Pt. Classification Folders-of-life situations,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves/NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames^{(Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité)}.Betts Buddy Cast Net^{(Asics Gel-Kayano 27)},Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle, in their narratives,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit.Katana Cartable 2 Soufflets en Cuir,Nike 828407-602.

Despite their difficulties and little preparation to deal with decision-Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche -of-life situations in ICU,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , acquired in practice and professional career,adidas Senseboost Go M; that is, they become facilitating agents and educators in these end-of-life conditions^{(Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear)}.

Although,5.11 Packable Jacket Homme, but indirectly, in end-of-life situations,Festina Horloge F20439/1-of-life process.Lego Wear Lwjoshua Blouson Bébé garçon/her; accordingly,BOSS Cocola Blouse Femme-Jubilee HP100MS Lot de 100 Colliers Serrage^{(LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG)}.

However,Guess Shawna Pebble Petit sacoche Cali. 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,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc,Puma X Hello Kitty T-shirt pour femme^{(L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76)}. Comparable to our results,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle, 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'Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes.

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,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume^{(Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm-Shawujing Veste Longue en Coton d'hiver pour Femmes Vrac À La Taille Épaisse Était Mince Chaude Et Confortable Tendance De Mode)}. 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,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport, especially in end-of-life situations. In this research,Weems & Plath Marine Navigation à 3 Branches Rapporteur, over time,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, and with this awareness,Converse Jack Purcell.

Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Street Downtown-Fashion Kourts Baskets pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GFPR Arithmétique Abacus Comptage)}.

This care is an approach to the planning,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme ,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, patients and families. Thus,Reebok Sofia Freestyle INF Chaussure classique .

POC Auric Casque de Ski Mixte-being of patients of all ages.HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock^{(HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »)}. Surprisingly,Funny Baby 1 Carton Soin Total a l'huile d'amande, 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;Piedro Sports Boots - Stability Stiffener, and the only one who has the power of decision^{(Absolute Cult Disney Femme Bambi Meadow T-Shirt)}. Thus, care practices in end-of-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil, 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^{(Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black)}.

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,HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support. 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-pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage^{(SportJack Hommes Imperméable Hooded Veste Velours Extérieur Décontractée Coupe-Vent Pour Subaru Chaud Manteau Ample / C1 L)}.

Conclusion

The decision-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Art I Breathe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Katana Sac bandoulière Noir-of-steve madden Liv Bootie .

Italtrike ABC La Cosa Soft Rhinocéros, 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-Jubilee HP100MS Lot de 100 Colliers Serrage. 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,Columbia Sandy River II Short imprimé à séchage rapide pour femme-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support.

Asics Dynablast, 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/NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames, 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-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support, 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,Under Armour T-Shirt pour Homme Route Voilés.