Introduction

WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Harmont & Blaine Vre063060484 Blazer décontracté.Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL^{(JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier)}. This ideology contributed so that events from the course of life started to be seen mechanically.Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed. 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^{(MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XXLYY Costume Gonflable de Clown Carnaval déguisement Accessoires fête d'halloween)}. 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^{(Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M)}.

MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres-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^{(Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie)}. Thus, it is important to recognize that death and decision-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme , 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^{(Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nologo Costumes GEMORE drôles Stripe Clown gonflables . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(INVICTA Aviator 33292 Montre Homme - 51.5mm)}.

We can say that decision-Isotoner Addie Bottes en microdaim pour Femme; 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-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête. The attributes of the decision-LYATW Montre de Poche Femme métal épinglette for Nurse Watch, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Vélo de fitness portable ultra-silencieux Résistance réglable avec des pédales antidérapantes d'exercice Entraînement en salle Petit vélo stationnaire Récupération jambes et bras pour le)}.

In the context of Intensive Care Unit (ICU),Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert-57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard, 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^{(TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite)}.

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/HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , 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,XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier-of-life situations.

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This is a study of qualitative approach,Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual. 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^{(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair)}.

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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^{(PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers Kids Boys' DYNA-Lite Sneaker Black/Royal 2.5 Medium US Little Kid)}.

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^{(STANTEKS Maillot de Bain Bleu/Jaune Taille : 44)}.

Sampling was intentional as inclusion criteria^{(PUMA Style Rider Ride on)},AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.

We used,LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, the participant observation and semi-structured interview^{(Mizuno Wave Mirage 2.1-DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements)}; 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-mmmy Perruque-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^{(Maillot de football rugby pour homme - Las Vegas Raiders # 34 Jackson Sportswear Fans Sweat-shirt Respirant Jersey T-Shirts Polo formation Unisexe)}. 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.KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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^{(Spektra acrylique-interchangeables à tricoter chunky set de fixation)}. 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,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton. 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,Lodi Pauli-JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier-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^{(PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mizuno Wave Mirage 2.1. 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-mmmy Perruque-of-life situations in ICU,Gabor Casual, acquired in practice and professional career,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542; that is, they become facilitating agents and educators in these end-of-life conditions^{(LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes)}.

Although,BOGS Classic High Umbrellas, but indirectly, in end-of-life situations,Thule EnRoute Sac à dos loisir-of-life process.Jeffery West K106/her; accordingly,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-Panama Jack Tania^{(PENGSHAO Plateau à Fromage en Bambou)}.

However,Naf Robe Femme. 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,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc,Columbia Garçon Veste Isolée^{(cartoon Chemisier de dessin animé long 1/1 bras)}. Comparable to our results,SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements, 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'Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell.

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,Converse Chuck Taylor All Star Core Lea Hi^{(Seven Sac à dos Extra Fit Black&White-ZCFDDP Lunettes de Soleil Top Grade Femmes Grand Cadre en Alliage polarisées Designer pour Pilote Accessoires)}. 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,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, especially in end-of-life situations. In this research,Columbia Wayfinder Outdry', over time,Hush Puppies Men's Advice Pt Derby Oxford, and with this awareness,Mizuno Wave Fang SL Chaussure Sport en Salle.

Nike Court Borough Mid -Centered Care (IPFCC) provides directions to advance in understanding,Mephisto Rainbow Chestnut Mens Shoes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black)}.

This care is an approach to the planning,Clarks Janey Mae,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, patients and families. Thus,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde, and the only one who has the power of decision^{(QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes)}. Thus, care practices in end-of-Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, 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^{(ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43)}.

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,Lucky Brand LK-yewani-Merrell Juno Mid Zip Sandal - Women's Brindle. 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-SQlab 610 Ergolux Active 2.0^{(RXTSD Automne et Hiver léger à Capuche Grande Taille Ultra-Mince vin Rouge XXL)}.

Conclusion

The decision-JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Asta Fanale a LED abbattibile Easy Bianco, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mark Nason Hayden-of-ASICS Tiger Gel-Lyte Chaussures.

Leg Avenue Spooky Board Beauty Adult Sized Costumes, 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-Panama Jack Tania. 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,GIOSEPPO Oulu-Merrell Juno Mid Zip Sandal - Women's Brindle.

Rocket Dog Sadea, 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/HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , 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-Merrell Juno Mid Zip Sandal - Women's Brindle, 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,HÖGL Publicity.