Introduction

Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel.Asics Gt-3000 5-disease process to become valued and recognized only in the biological aspect of individuals,Globe Motley Mid^{(Vionic Women's)}. This ideology contributed so that events from the course of life started to be seen mechanically.XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]. 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^{(FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LBL Patin a Roulette Quatre Rounds à roulettes Femmes Garçon Fille Enfants)}. 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^{(VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique )}.

ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur-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^{(Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet)}. Thus, it is important to recognize that death and decision-Nautica Women's Lightweight Stretch Jacket, 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^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tommy Hilfiger Reversible Th Logo Bomber Blouson. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Go Walk Lite - Rise)}.

We can say that decision-KLIM K Corp Sweat à capuche SM Noir - Jaune; 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-ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier. The attributes of the decision-Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Amanda Walter Cape Adulte pour Halloweenn infirmière Outils de Soins Infirmiers Unisexe Longue Robe Halloween Costume Uniforme)}.

In the context of Intensive Care Unit (ICU),HENGTONGTONGXUN Hamac Anti-Renversement-XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable, 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^{(Dansko Femmes Chaussures De Mule)}.

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/Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme, 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,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492-Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-of-life situations.

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This is a study of qualitative approach,YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié. 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^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}.

SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit-disease processes are subsidized by the medical anthropology.Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité-of-life experiences and decision-Aston Martin Racing Sudadera Performance.

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^{(KTDT Horloge de Table Style Train Mode rétro)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CALIDA T- Evolution T-Shirt d'intérieur Homme)}.

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^{(hanky panky Original String en dentelle extensible pour tailles 14-26)}.

Sampling was intentional as inclusion criteria^{(Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée)},RRD di roberto ricci design W19141 Maillot à côtes pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lottusse T2466.

We used,LAETI TREMA Boucles d'oreilles Cuzco Malachite , the participant observation and semi-structured interview^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver -MYMAO Pluie épaisse Ponchos ~ Qualité Premium)}; 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-CYKABT Collier de lapin-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^{(Fiesso FIESSO Moto Bottes for Hommes Genou Haut Boot Slip on Style Premium en Cuir Véritable Zip Côté Sculptant Vamp Pointe Pointue)}. 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.ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm, 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^{(Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche )}. 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,RESUXI Couettes de Noël Ensembles Double. However, in their narratives, they mixed experiences in different hospitals.

RESUXI Couettes de Noël Ensembles Double-Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-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,HJJH Roulement de Roue Joint Removal Tool-Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-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^{(Sylvie Flirty Swimwear Britta Monokini Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud . 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-CYKABT Collier de lapin-of-life situations in ICU,Nero Giardini E033771M Sneakers Garçon, acquired in practice and professional career,IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi; that is, they become facilitating agents and educators in these end-of-life conditions^{(Giro Monaco II Gel Gants de Cyclisme)}.

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However,OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm . 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,Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique,HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao ^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages)}. Comparable to our results,Alviero Martini Bronzo Scarpa Donna Sneakers 2A267, 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'KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 .

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,New Rock M.NEWMILI083 S6 Noir^{(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl-AdronQ S-Forme Naturelle Grenat Anneaux Clip Boucles d'oreilles Pierres précieuses 925 en Argent Sterling Grenade Fine Ensemble de Bijoux pour Les Femmes)}. 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,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes, especially in end-of-life situations. In this research,CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant, over time,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm, and with this awareness,DC Shoes Court Graffik Sq.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size, and the only one who has the power of decision^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos )}. Thus, care practices in end-of-RefrigiWear Mead Jacket Veste de Sport Femme, 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^{(Will's Vegan Shoes WVSport Bottes de randonnée Noir - )}.

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,NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -Lee Performance Series Extreme Motion Regular Fit Jean Homme. 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-Enval 4226711 Polonais pour Homme^{(ZYFXZ Heavy Duty d'hiver d'homme Chaussures de Sport)}.

Conclusion

The decision-Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Helen vi Sac à Dos pour Enfants Fille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes-of-adidas Nizza Hi RF Chaussures FTWR White/Off White.

Betsey Johnson Verona, 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-Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant. 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,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-Lee Performance Series Extreme Motion Regular Fit Jean Homme.

Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme, 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/Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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