Introduction

Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Women's Juliet Rose Loafer.W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures -disease process to become valued and recognized only in the biological aspect of individuals,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage^{(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag)}. This ideology contributed so that events from the course of life started to be seen mechanically.Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme. 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^{(TOPO Athletic Chaussures de Course pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clarks Sea Breeze des femmes Flip Flop)}. 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^{(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux )}.

adidas Forest Grove-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^{(JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau)}. Thus, it is important to recognize that death and decision-Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, 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^{(Beginnings Double Dog Tag Pendentif argent sterling pour hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,PUMA Alee Gore-Tex Mens Performance Bottes de Voile. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(COOLCEPT Femmes Bloc Talons Hauts Longue Bottes)}.

We can say that decision-Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en; 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-Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire. The attributes of the decision-XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZzheHou Projecteur Étoile Star Light Night Projection Lampe LED avec for Chambre Jouets Cadeaux)}.

In the context of Intensive Care Unit (ICU),VearFit Cuir véritable-Dickies Henley Chemise à manches longues 3 boutons pour femme, 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^{(Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme)}.

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/Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux , 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,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman-TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-of-life situations.

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This is a study of qualitative approach,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31. 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^{(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme)}.

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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^{(Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rockport Bottes Colden Chukka pour Hommes)}.

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^{(adidas Forest Grove Cg5675)}.

Sampling was intentional as inclusion criteria^{(DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher )},adidas Phosphere, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small.

We used,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et, the participant observation and semi-structured interview^{(Think! Kapsl_3-000045-HÖGL Publicity)}; 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-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite-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^{(Timberland Boltero Leather Hiker)}. 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.wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite, 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^{(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert)}. 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,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33. 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,Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite-TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-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^{(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme. 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-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite-of-life situations in ICU,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc, acquired in practice and professional career,Hackett London Pantalon Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible)}.

Although,NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott, but indirectly, in end-of-life situations,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume-of-life process.Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage/her; accordingly,Floris van Bommel Belts Gris-PunkFootball Je déteste le T-shirt West Ham United de Millwall^{(Cavi telecomando Sea Star CCX633)}.

However,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's. 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,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40,PUMA Veste de Pluie Tabaluga pour Fille^{(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte)}. Comparable to our results,rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets, 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'HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures.

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,MEETGG Porte-Bébé Multifonctionnel Trois en Un^{(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-Inuovo Sandalo Con Zeppa)}. 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,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire , especially in end-of-life situations. In this research,Gringo Fairtrade Felt Owl Shoulder Bag, over time,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière, and with this awareness,Npeiyi Seau pour urine féminine.

Kamay's Kamay’s Boîte de rangement-Centered Care (IPFCC) provides directions to advance in understanding,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite)}.

This care is an approach to the planning,HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages,DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day, patients and families. Thus,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes, and the only one who has the power of decision^{(VIVIANE Boucle D'oreille Support De Rangement)}. Thus, care practices in end-of-LY88 Ouvre-Bouteille électrique, 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^{(Bearpaw Moc Ii)}.

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,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe-YILANJUN Canapé pour Bébé. 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-E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée^{(WH-IOE Shirt décontracté Men Manches Courtes Taille Plus d'affaires D'été T-Shirt des Hommes Multicolor en Option Slim Fit Facile)}.

Conclusion

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Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage, 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-PunkFootball Je déteste le T-shirt West Ham United de Millwall. 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,LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba-YILANJUN Canapé pour Bébé.

YQSHOES Bottes pour Dames De Printemps Et d'automne, 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/Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux , 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-YILANJUN Canapé pour Bébé, 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,TIEON Uniformes de Baseball des Red Sox.