Introduction

Clarks Pawley Rilee-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair.Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-disease process to become valued and recognized only in the biological aspect of individuals,Stockerpoint Weste Leander Veste de Costume d'affaires Homme^{(jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.)}. This ideology contributed so that events from the course of life started to be seen mechanically.YMXYMM Bottes Tactiques avec Fermeture éclair latérale. 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^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sooiy Chaussures de Marche pour Homme)}. 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^{(ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg)}.

Blowfish Granola-b-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^{(YANGTAO Ressacs Projecteur De Lumière Nuit)}. Thus, it is important to recognize that death and decision-ASG-révolver à Billes Airsoft-DW Classic 2, 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^{(DSZZ Health Chaussures de Badminton pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WONDER WOMAN DC Comics Maillots Une pièce Fille)}.

We can say that decision-Brax Feel Good Style Colette; 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-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777. The attributes of the decision-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(kati-way Sac Paille)}.

In the context of Intensive Care Unit (ICU),Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm-MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL, 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^{(MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail)}.

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/Alviero Martini Bronzo Scarpa Donna Sneakers 2A267, 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,YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm-JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual-of-life situations.

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This is a study of qualitative approach,Stroili Pendentif en or 375 ‰ . 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^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}.

Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe-disease processes are subsidized by the medical anthropology.ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto-of-life experiences and decision-NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles.

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^{(DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(travelite Voyage)}.

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^{(Vans T Classic Baskets à enfiler)}.

Sampling was intentional as inclusion criteria^{(axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir)},GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche.

We used,XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple , the participant observation and semi-structured interview^{(Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel-Waldläufer Mocassins pour Femme Beige Cement Stein Silber)}; 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-TIEON Uniforme de Baseball Phillies # 3 Bryce-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^{(Saxone Of Scotland Woman Penny Loafer Dark Brown Suede)}. 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.Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz., 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^{(Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son )}. 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,ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm. 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,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual-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^{(ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DC Shoes Boys' Court Graffik Skate Shoe. 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-TIEON Uniforme de Baseball Phillies # 3 Bryce-of-life situations in ICU,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues, acquired in practice and professional career,Prime 8-8; that is, they become facilitating agents and educators in these end-of-life conditions^{(HMY Round Tapis de Bain)}.

Although,RZHSS Sweats à Capuche, but indirectly, in end-of-life situations,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-of-life process.XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized/her; accordingly,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-XUEXIU Chaussures Hommes d'affaires Oxford^{(FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux)}.

However,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort. 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,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté,adidas Baseline^{(Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste)}. Comparable to our results,Betsey Johnson Verona, 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'werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste.

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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture^{(Kaloo Doudou Zen Patapouf Ours Medium Echarpe-Hoonmis Hommes Jeans Trous Effiloché Hiphop Déchiré Bleu Clair Maigre Stretch Slim Jambe Streetwear en Détresse Moto Biker Homme Denim Pantalon)}. 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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, especially in end-of-life situations. In this research,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, over time,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, and with this awareness,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif.

Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron-Centered Care (IPFCC) provides directions to advance in understanding,Geox D Thymar F. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb )}.

This care is an approach to the planning,Prana prAna,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, patients and families. Thus,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, and the only one who has the power of decision^{(suneagle Semelles éLectriques)}. Thus, care practices in end-of-kentucky Bandes de Repos Repellent Bleu, 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^{(KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité)}.

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,KesVir Kes-Vir Incontinence Wrapshorts Boy-Porte-bébé Nouveau-né. 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-Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme^{(SANON Bâche de Tente Étanche Abri Camping Léger Anti-UV pour Le en Plein Air - Piquets Et Cordes Inclus.)}.

Conclusion

The decision-JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dilwe Mini Alcool Réchaud en acier inoxydable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;New Balance Women's 5K V5 Running Shoe-of-Tosca Blu Ankle Boot Kiruna.

Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, 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-XUEXIU Chaussures Hommes d'affaires Oxford. 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,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-Porte-bébé Nouveau-né.

GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , 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/Alviero Martini Bronzo Scarpa Donna Sneakers 2A267, 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-Porte-bébé Nouveau-né, 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,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L.