Introduction

Wilvorst - Veston Uni Bébé -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support.adidas Ultimafusion-disease process to become valued and recognized only in the biological aspect of individuals,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres^{(Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce)}. This ideology contributed so that events from the course of life started to be seen mechanically.good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine. 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^{(Skechers Madison Ave - City Soul)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Southwire Co 63946828 14/3wg NMB Wire)}. 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^{(Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir )}.

Guess Bla Moritz-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^{(MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière)}. Thus, it is important to recognize that death and decision-Haggar Cool 18 Pro Stretch Madras Short 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^{(BYASW Chaussures de Randonnée Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）)}.

We can say that decision-Tosca Blu Bottes Mary; 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-BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute. The attributes of the decision-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HAIGAFEW Motif De Grenouille Sword Art Online Shoes Unisexe Low-Top Canvas Lace Up Black Sneaker Trainers for Men and Women Couple)}.

In the context of Intensive Care Unit (ICU),Radio Portable multifonctionnelle-Spyder Raider Pull à fermeture éclair intégrale pour homme, 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^{(Alviero Martini Bronzo Scarpa Donna Sneakers 2A267)}.

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/Palladium Pampa Boots 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,Apalis Sticker Mural Squirricorn on The Branch-HKM 9109 Bottes d'équitation Gijón-of-life situations.

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This is a study of qualitative approach,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk. 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^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme)}.

Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-disease processes are subsidized by the medical anthropology.ALPHA INDUSTRIES Blouson - Homme-of-life experiences and decision-Kamik Snowvalley.

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^{(Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(8 PM D8PM91G11 Jupes au Genou Femme)}.

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^{(Nike Court Borough Mid )}.

Sampling was intentional as inclusion criteria^{(O'NEILL Femme Blouse)},Nike Viale, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003.

We used,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, the participant observation and semi-structured interview^{(Caterpillar Men's Heavy Insulated Parka-Guess Bla Moritz)}; 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-Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-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^{(Fun Costumes Women's Push It Pop Star Small)}. 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.Green Burry Greenburry , 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^{(DC Shoes Men's E.tribeka Zip Skate Shoe)}. 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,Under Armour Men's UA Yard Low St Sneaker. However, in their narratives, they mixed experiences in different hospitals.

New Balance H754 -HKM 9109 Bottes d'équitation Gijón-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,SFOXL Homme Chaussures de Sécurité-HKM 9109 Bottes d'équitation Gijón-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^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune. 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-Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-of-life situations in ICU,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles, acquired in practice and professional career,Superga 2730-sueu; that is, they become facilitating agents and educators in these end-of-life conditions^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}.

Although,NINE WEST Nine West60439867 - Neala Bandoulière Femme, but indirectly, in end-of-life situations,LAURA VITA Vicvianeo-of-life process.Tory Burch Cabas pour femme rose Dark Sahara /her; accordingly,Smartwool Kids' Merino 250 Baselayer Pattern Bottom-YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme^{(Sanuk Yoga Bliss)}.

However,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond. 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,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey,ACCO 16024 - Pressboard 25-Pt. Classification Folders^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}. Comparable to our results,Speedo - City NY Pbck AF Maillot de Bain pour Adulte, 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'NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves.

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,Betts Buddy Cast Net^{(AUTIANYU Inuyasha Sac fourre-tout en toile pour femme-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. 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,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, especially in end-of-life situations. In this research,Katana Cartable 2 Soufflets en Cuir, over time,Nike 828407-602, and with this awareness,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver .

adidas Senseboost Go M-Centered Care (IPFCC) provides directions to advance in understanding,5.11 Packable Jacket Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50')}.

This care is an approach to the planning,Festina Horloge F20439/1,Lego Wear Lwjoshua Blouson Bébé garçon, patients and families. Thus,BOSS Cocola Blouse Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, and the only one who has the power of decision^{(LDH Mi-Longueur Doudoune Femme Hiver)}. Thus, care practices in end-of-Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, 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^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}.

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,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT. 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-Weems & Plath Marine Navigation à 3 Branches Rapporteur^{(Joules Wellibob)}.

Conclusion

The decision-HKM 9109 Bottes d'équitation Gijón-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Converse Jack Purcell-of-Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6.

Skechers Street Downtown-Fashion Kourts Baskets pour femme, 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-YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme. 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,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme -WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT.

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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/Palladium Pampa Boots 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.

The difficulty for the expansion of knowledge in the decision-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT, 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,Reebok Sofia Freestyle INF Chaussure classique .