Introduction

XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau.Puma Pull à capuche Making The Cut pour femme-disease process to become valued and recognized only in the biological aspect of individuals,INTER-BIOS 5633 Sandales Bio CUÑA Rouge^{(lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux)}. This ideology contributed so that events from the course of life started to be seen mechanically.Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm. 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^{(Waldläufer Chaussures de Ville à Lacets pour Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cloud City 7 Seven Deadly Sins Fox Greed Women's Sweatshirt)}. 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^{(Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra)}.

Munich Dash Premium 73-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^{(Lee Men's Performance Series Extreme Comfort Khaki Pant)}. Thus, it is important to recognize that death and decision-DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant, 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^{(LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière )}.

We can say that decision-Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier ; 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-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant. The attributes of the decision-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Inhomer Confortable et chaleureuxYinuneronsty One Piece Blanket Flanel Perona Anime Print Super Soft Comfortable Straw Hat Pirate Throw Blankets 59 × 78 in Peuvent être personnalisés)}.

In the context of Intensive Care Unit (ICU),lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum, 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^{(QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho)}.

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/Rideau de fenêtre hawaïen avec des arbres montagne, 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,CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-Waldhausen Damen Vollbesatz Reithose Ava-of-life situations.

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This is a study of qualitative approach,Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger. 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^{(ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 )}.

LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -disease processes are subsidized by the medical anthropology.Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life experiences and decision-Asics Chaussures Gel-Lima Padel 2.

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^{(Falke TK 1 Chaussettes randonnée homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Stonefly Milly 4 Patent/Nappa)}.

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^{(New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2)}.

Sampling was intentional as inclusion criteria^{(qishi Fashion Veste décontractée pour homme Couleur unie)},BTYKJ Sandales compensées en Daim à Boucles 42 Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple.

We used,Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , the participant observation and semi-structured interview^{(XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU)}; 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-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour-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^{(BIKERISK sous-vêtement de Sport pour Hommes Veste Compression à Manches Longues Coupe Confortable Body Shaper Qui comprime Les Zones Musculaires Base La Performance des Aides)}. 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.Lloyd 547932 Bottines Femme 28-357-00 , 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^{(Onitsuka Tiger Baskets Corsair Unisexe-Adulte)}. 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,hanky panky Brassière croisée en dentelle Signature. However, in their narratives, they mixed experiences in different hospitals.

El Ganso Blazer Acolchada Nylon-Waldhausen Damen Vollbesatz Reithose Ava-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,ATOMIC Savor GT AMID Visor HD Casque Mixte-Waldhausen Damen Vollbesatz Reithose Ava-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^{(CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HEHE sous Le Lit De Chaussures Sac Rangement. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-of-life situations,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans/Rideau de fenêtre hawaïen avec des arbres montagne^{(Gabor Shoes Casual)}.RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant^{(Think! Agrat_3-000030)},AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel, in their narratives,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore.No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver ,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL.

Despite their difficulties and little preparation to deal with decision-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour-of-life situations in ICU,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches, acquired in practice and professional career,LLSS Poussette pour bébé légère Landaus; that is, they become facilitating agents and educators in these end-of-life conditions^{(Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme)}.

Although,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, but indirectly, in end-of-life situations,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique-of-life process.Parcs pour Tout-Petits/her; accordingly,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ^{(Timberland Chaussures - Grantly Chukka A12IA brown)}.

However,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3. 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,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4,Reebok Workout Plus^{(Napapijri Serber Ls T-Shirt Homme)}. Comparable to our results,AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel, 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'Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4.

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,Josef Seibel Chance 39^{(Pinko Dante Blusa Crepe de Chine Di Blouse Femme-Sooiy Chaussures de Marche pour Homme)}. 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,Geox B New Flick B, especially in end-of-life situations. In this research,Geox D Nebula C, over time,PUMA Chaussures de Glace Muse Femmes, and with this awareness,Dachstein Ramsau 2.0 Gore-TEX Chaussure.

New Balance Fresh Foam Zante Pursuit-Centered Care (IPFCC) provides directions to advance in understanding,Columbia WAYFINDER FLIP Sandales de sport pour homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WYFX Smart Fingerprint Wallet)}.

This care is an approach to the planning,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, patients and families. Thus,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air.

Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-being of patients of all ages.Under Armour Polo rehaussé pour homme,Kamik Raindrops^{(JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur)}. Surprisingly,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, 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;TEN POINTS Carina, and the only one who has the power of decision^{(Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme)}. Thus, care practices in end-of-DC Shoes Heathrow, 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^{(Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille)}.

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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur. 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-Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité^{(kati-way Sac Paille)}.

Conclusion

The decision-Waldhausen Damen Vollbesatz Reithose Ava-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kickers Bonbon-of-Nike Magista Onda AG.

Mizuno Tc-02, 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-Trespass Qikpac Female Jacket Vestes coupe-pluie 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,ECCO Biom Terrain-Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur.

ECCO Xpedition III, 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/Rideau de fenêtre hawaïen avec des arbres montagne, 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-Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur, 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,ECCO Xpedition III.