Introduction

Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed.MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres-disease process to become valued and recognized only in the biological aspect of individuals,LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme ^{(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage )}. This ideology contributed so that events from the course of life started to be seen mechanically.Nologo Costumes GEMORE drôles Stripe Clown gonflables . 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^{(Roamers Chaussures de Ville en Cuir - Homme )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AueDsa Bague Acier Homme Inoxydable Noir Argent Tête de Tigre)}. 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^{(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination)}.

Isotoner Addie Bottes en microdaim pour Femme-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^{(KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge)}. Thus, it is important to recognize that death and decision-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête, 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^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LYATW Montre de Poche Femme métal épinglette for Nurse Watch. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WTFYSYN Building Stacking Learning Blocks)}.

We can say that decision-Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert; 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-57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard. The attributes of the decision-HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HKT by Hackett Hkt GMD Jrsy TRM Crew Pull Homme)}.

In the context of Intensive Care Unit (ICU),XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual, 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^{(BTYKJ Sandales compensées en Daim à Boucles 42 Noir)}.

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/AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une, 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,Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:-JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival -of-life situations.

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This is a study of qualitative approach,Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air. 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^{(Love Moschino BORSA QUILTED NAPPA PU)}.

AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-disease processes are subsidized by the medical anthropology.YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life experiences and decision-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas.

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^{(Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(anne cole Women's Frank Mid Rise Scoop Bikini Swim Bottom)}.

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^{(IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe)}.

Sampling was intentional as inclusion criteria^{(Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir)},mmmy Perruque, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144.

We used,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton, the participant observation and semi-structured interview^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}; 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-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures-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^{(CONTESSA Rail Picatinny allongée pour Dispositif de Vision Nocturne Browning X-Bolt Extra Short)}. 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.IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme, 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^{(find. Marque Amazon - Crossover Block Heel Leather)}. 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,New Balance Roav V1 Fresh Foam. 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,IZOD Pull à fermeture éclair pour homme Taille L et haute-JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival -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^{(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas X 18.3 FG. 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-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures-of-life situations in ICU,Thule EnRoute Sac à dos loisir, acquired in practice and professional career,Jeffery West K106; that is, they become facilitating agents and educators in these end-of-life conditions^{(AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon)}.

Although,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999, but indirectly, in end-of-life situations,Panama Jack Tania-of-life process.Naf Robe Femme/her; accordingly,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc-Columbia Garçon Veste Isolée^{(nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air)}.

However,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell. 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,Converse Chuck Taylor All Star Core Lea Hi,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF^{(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51)}. Comparable to our results,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）, 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'Columbia Wayfinder Outdry'.

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,Hush Puppies Men's Advice Pt Derby Oxford^{(adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes-LLLQQQ Applique Européenne Simple Extérieur Étanche en Aluminium Cour Salon Corridor Allée Escaliers Lumières Décoratives)}. 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,Mizuno Wave Fang SL Chaussure Sport en Salle, especially in end-of-life situations. In this research,Nike Court Borough Mid , over time,Mephisto Rainbow Chestnut Mens Shoes, and with this awareness,Clarks Janey Mae.

Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087-Centered Care (IPFCC) provides directions to advance in understanding,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet)}.

This care is an approach to the planning,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot,Marc Shoes London, patients and families. Thus,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SQlab 610 Ergolux Active 2.0, and the only one who has the power of decision^{(Gorteks Soutien-Gorge Bustier Dos Glamour Charlize)}. Thus, care practices in end-of-Asta Fanale a LED abbattibile Easy Bianco, 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^{(FEZD Jersey Pistons 0# Drummond Jersey)}.

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,Mark Nason Hayden-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers. 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-ASICS Tiger Gel-Lyte Chaussures^{(adidas Originals Adidas Continental 80 White Crystal)}.

Conclusion

The decision-JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Leg Avenue Spooky Board Beauty Adult Sized Costumes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GIOSEPPO Oulu-of-Rocket Dog Sadea.

HÖGL Publicity, 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-Columbia Garçon Veste Isolée. 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,HÖGL Finesse-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers.

Tommy Hilfiger Th Core Saddle Bag, 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/AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une, 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-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers, 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,Puma Rebel Sweat Suit Survêtement Femme.