Introduction

Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël.YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-disease process to become valued and recognized only in the biological aspect of individuals,Tommy Hilfiger Honey Flap Satchel^{(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51)}. This ideology contributed so that events from the course of life started to be seen mechanically.Asics Chaussures Gel-Quantum 180 4. 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^{(adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DYH&CTS Doudounes Dames De Mode Manteau Veste d'hiver Femmes Zipper Ouatinée Femme Parka Rembourré Grand Taille 3XL)}. 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^{(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet)}.

Emporio Armani Montre Intelligente ART5019-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^{(XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super)}. Thus, it is important to recognize that death and decision-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, 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^{(Gorteks Soutien-Gorge Bustier Dos Glamour Charlize)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TOPO Athletic Chaussures de Course pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FEZD Jersey Pistons 0# Drummond Jersey)}.

We can say that decision-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm; 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-Roamers Bottines Chelsea - Homme . The attributes of the decision-smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Capital Time AT983 Montre automatique pour homme)}.

In the context of Intensive Care Unit (ICU),Musto Veste légère Crew - Homme-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, 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^{(Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713])}.

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/Huber Romi Veste en Tricot pour Femme Bleu Clair, 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,adidas Advantage Chaussure de tennis pour femme-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -of-life situations.

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This is a study of qualitative approach,Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée. 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^{(SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini)}.

YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -disease processes are subsidized by the medical anthropology.Clarks Women's Ada Mist Sandal-of-life experiences and decision-Clarks Women's Ada Mist Sandal.

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^{(Merrell Tremblant Ezra Lace Polar Waterproof)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Geox D Warley A)}.

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^{(QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé)}.

Sampling was intentional as inclusion criteria^{(Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor)},Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Walking Cradles Étui pour femme - Beige taupe.

We used,Aqua Marina sac marin - Imperméable à l'eau, the participant observation and semi-structured interview^{(Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-Li Long Longue River Valley)}; 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-WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/-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^{(Appliques Conduit Élégant Minimaliste Applique Résine Décoration en Fer Forgé Ombre Convient pour Manger Couloir Aisle Salon Nuit)}. 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.AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere, 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^{(Shirt sidez Elvis Presley Mug Shot Mens Hoodie)}. 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,ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle. 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,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -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^{(Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Geox Jr Agata A. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dansko Women's Adrianne Sneaker-of-life situations,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01/Huber Romi Veste en Tricot pour Femme Bleu Clair^{(Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant)}.Old Crest Cravate - Homme^{(TOUS Dorp)},Tuyau d'eau télescopique Magique, in their narratives,BOSS Pince à Cravate 50403093-001.nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa.

Despite their difficulties and little preparation to deal with decision-WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/-of-life situations in ICU,Skechers Summits-New World, acquired in practice and professional career,ALTRA Escalante 2.0 Black; that is, they become facilitating agents and educators in these end-of-life conditions^{(Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique)}.

Although,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , but indirectly, in end-of-life situations,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau-of-life process.Liu Jo Écharpe à paillettes 269047 T0300 Noir/her; accordingly,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt^{(Saucony Guide Iso)}.

However,Herschel supply Sac à Dos Nova Small. 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,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage ^{(Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail)}. Comparable to our results,Tuyau d'eau télescopique Magique, 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'ALPHA INDUSTRIES Veste 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,YXZQ Cartouche de Toner^{(Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage-Under Armour - Sac de sport 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,YQSHOES Bottes, especially in end-of-life situations. In this research,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, over time,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral, and with this awareness,Clergerie Berlin 3.

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This care is an approach to the planning,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes,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, patients and families. Thus,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Poussette Légère, and the only one who has the power of decision^{(Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999)}. Thus, care practices in end-of-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux, 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^{(Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris)}.

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,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël. 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-SILOLA Figurine Statuette Sculptures Bouddha^{(HMNS Bottes Hautes pour Hommes de Cow-Boy Bottines en Cuir véritable Bout Pointu Martin)}.

Conclusion

The decision-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Figurine Statuette Sculptures Bouddha, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts-of-LWQ Accueil Utilisez Électriques Ciseaux.

Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres , 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-Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt. 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,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante -LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël.

Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe, 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/Huber Romi Veste en Tricot pour Femme Bleu Clair, 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-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël, 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,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine.