Introduction

modamoda de Messenger Ital Sac à bandoulière en cuir T06-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Enuff Skateboards Skully Complete Skateboard.MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-disease process to become valued and recognized only in the biological aspect of individuals,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation^{(Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail)}. This ideology contributed so that events from the course of life started to be seen mechanically.KEEN Targhee Lace High Polar Waterprooof. 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^{(Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lolita-Bling Collier 50 cm en Argent 925 rhodié et Oxydes Zirconium Neuf)}. 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^{(Geox Décolleté D Chloo High Cuir avec talon bijou)}.

adidas Stabil Bounce-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^{(K-Swiss Ultra Express)}. Thus, it is important to recognize that death and decision-adidas Tan Graphic Crewneck Sweat-Shirt Homme, 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^{(Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Merrell Vapor Glove 4. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris)}.

We can say that decision-Columbia Youth Firecamp Mid 2 WP; 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-Sorel Out N About Plus Conquest. The attributes of the decision-Love Moschino Borsa Quilted Nappa Pu, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sijux Veste en Coton À Capuchon pour Hommes Puffer-Coat Fausse Fourrure Hiver Épaissir Au Chaud Coupe-Vent Parka Vestes Vêtements De Plein Air)}.

In the context of Intensive Care Unit (ICU),Asics Chaussures Gelsaga Gel-Saga Sou-ALTRA Superior 4.0 Black, 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^{(LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus)}.

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/Sperry Top-Sider Femmes Bottes, 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,Merrell Yokota 2-YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier-of-life situations.

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This is a study of qualitative approach,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. 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^{(4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu )}.

adidas Superstar-disease processes are subsidized by the medical anthropology.Northland Kosh Veste Garçon Gitane FR: 6A -of-life experiences and decision-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt .

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^{(HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BYWWANG Clignotant Coulissant LED Rétroviseur latéral à Aile Indicateur Dynamique Clignotant)}.

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^{(Nike 917809 414)}.

Sampling was intentional as inclusion criteria^{(Lloow Chaise de Douche)},Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Stonefly Season III 28 Nappa.

We used,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, the participant observation and semi-structured interview^{(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White)}; 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-Nike Court Vision Mid-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^{(YLXB Moderne créatif Crocodile Mur Lampe Salon Simple personnalité Fond Chambre hôtel Double tête Corne Applique Murale)}. 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.Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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^{(Bisgaard Dora)}. 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,Nike Flex 9. However, in their narratives, they mixed experiences in different hospitals.

DYHQQ Brancard de Chaussure-YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier-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,Splendid Lorne Ii Mule pour femme-YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier-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^{(BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent. 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-Nike Court Vision Mid-of-life situations in ICU,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou, acquired in practice and professional career,K-Swiss Legging taille moyenne 7/8 pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre)}.

Although,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier, but indirectly, in end-of-life situations,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir-of-life process.PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël/her; accordingly,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en-Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture^{(Clarks Sandales Step Cali Sand pour Femmes)}.

However,CAMELBAK Eddy Bouteilles. 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,YPDM Peignoir,Lumières de Partie^{(PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge)}. Comparable to our results,Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 , 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'FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe.

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,SOCCX Pull pour femme avec structure en maille et logo^{(Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -SUIWO Halter Corps Poitrine chaîne de Femmes Jambe Chaîne Backless Débardeur Bra Parti Collier Bijoux Multi-Couches Tassel vêtements)}. 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,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil , especially in end-of-life situations. In this research,PENGSHAO Plateau à Fromage en Bambou, over time,AXDNH Chaussures de Danse Femme, and with this awareness,ADSE Horloge Murale à Pendule.

Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-Centered Care (IPFCC) provides directions to advance in understanding,HAFLINGER Everest Cascade. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jourdan Bracelet Homme Nuku Bois)}.

This care is an approach to the planning,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , patients and families. Thus,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams.

HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien -being of patients of all ages.KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère ^{(NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves)}. Surprisingly,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , 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;Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre, and the only one who has the power of decision^{(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)}. Thus, care practices in end-of-Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir, 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^{(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer)}.

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,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-Jack Wolfskin Cloudburst Veste pour Hommes. 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-FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite^{(Popolini Vario Gigoteuse d'hiver pour bébé en peluche)}.

Conclusion

The decision-YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DLH Sandales à Talons Hauts pour Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur-of-Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket.

BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, 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-Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture. 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,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S-Jack Wolfskin Cloudburst Veste pour Hommes.

GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day, 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/Sperry Top-Sider Femmes Bottes, 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-Jack Wolfskin Cloudburst Veste pour Hommes, 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,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941.