Introduction

Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44.Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-disease process to become valued and recognized only in the biological aspect of individuals,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown^{(XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j)}. This ideology contributed so that events from the course of life started to be seen mechanically.Firefox - Skywalker FFS220-101 Homme Argent. 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^{(Casque Activ 2 – Casque de vélo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Bane Véritable affligée de Cuir Shearling Manteau - 5848)}. 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^{(WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum)}.

Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-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^{(OOPP Jouets pour Le Bain de pêche magnétiques en Bois)}. Thus, it is important to recognize that death and decision-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter, 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^{(KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P)}.

We can say that decision-CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set; 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-Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER. The attributes of the decision-Uvex Sécurité pour 2 s dimensions : 45 et nubuck, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PUMA Ekstra)}.

In the context of Intensive Care Unit (ICU),8" Share Bear Care Bears Plush Bean Bag-5.11 Tactical Series Rapid Assault Chemise Homme, 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^{(Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm)}.

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/Re-Ment Sanrio Hinamatsuri, 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,Visol Products laqué pour Cartes de Visite-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU-of-life situations.

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This is a study of qualitative approach,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords. 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^{(WEHQ Café de Presse française)}.

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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^{(1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Cloudfoam Advantage)}.

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^{(Maui Jim Lunettes de soleil 798 Onshore)}.

Sampling was intentional as inclusion criteria^{(NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme)},Safety 1st Lot de 45 prises courant ultra transparentes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé.

We used,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus, the participant observation and semi-structured interview^{(Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT)}; 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-Utility Diadora Veste Sail Gris gris M-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^{(mantraroma Pendentif argent 925 sterling oeil de tigre chaîne d'argent)}. 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.Timberland Pokey Pine Hook & Loop , 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^{(WTFYSYN Chaussures diabétiques à Pantoufle Extra Large)}. 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,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. 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,Maui Jim Lunettes de soleil 543 Shallows-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU-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^{(WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis. 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-Utility Diadora Veste Sail Gris gris M-of-life situations in ICU,TOOSD Pantalon De Jogging pour Jambe Conique Hommes, acquired in practice and professional career,Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ana Silver Co. Garnet)}.

Although,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , but indirectly, in end-of-life situations,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-of-life process.Roxy Life is Sweeter - Short pour Femme/her; accordingly,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements^{(WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L)}.

However,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes . 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,GJQGYY Sèche-Chaussures électrique 2 rétractable,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme^{(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple )}. Comparable to our results,FANZIFAN Manteau de la Femme, 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'JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre.

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,XIUYU Tente de Camping^{(Mephisto Rainbow Chestnut Mens Shoes-BOBD-DW Cardigan pour Homme De Assortie Et Rembourré Mens Zipper Hoodie Outwear Tops Pull Blouse Manteaux Veste en Polaire My Hero Academia)}. 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,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, especially in end-of-life situations. In this research,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , over time,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, and with this awareness,Harnais de sécurité d'escalade.

Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école-Centered Care (IPFCC) provides directions to advance in understanding,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose )}.

This care is an approach to the planning,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, patients and families. Thus,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle.

Skechers Go Walk Joy-15615-being of patients of all ages.Sanuk Pair O Dice Prints,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit^{(FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe)}. Surprisingly,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, 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;LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, and the only one who has the power of decision^{(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir)}. Thus, care practices in end-of-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, 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^{(YAOLAN 5D Diamant Peinture kit Complet)}.

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,arena 2a259 Maillot de Bain Garçon-Fly London Salv. 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-Ulla Popken Pantalon Femme^{(DTNSYRF Joker épaississement des Cheveux épais)}.

Conclusion

The decision-Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-of-yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up.

Prime Line Packaging 40, 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-DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements. 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,Saucony Freedom Iso 2-Fly London Salv.

Saucony Freedom Iso, 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/Re-Ment Sanrio Hinamatsuri, 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-Fly London Salv, 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,Saucony Guide Iso.