Introduction

Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r.Superdry Icarus Hood Pull Homme-disease process to become valued and recognized only in the biological aspect of individuals,Detazhi Montre en Bois^{(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air)}. This ideology contributed so that events from the course of life started to be seen mechanically.KGAYUC Mot Épaule Robe De Soirée Verte. 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^{(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KAC KAD Paire de Boucles D 'oreilles Pour Dames à la Mode Femmes D'oreille en Argent Femmes. Acier Inoxydable/Hypoallergénique/Paillettes D'argent/Diamant/Pe)}. 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^{(Modèle d'avion en métal moulé sous pression 16 cm Boeing B777)}.

Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-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^{(Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne)}. Thus, it is important to recognize that death and decision-Fashion 4 Less Blazer ajusté à manches longues pour 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^{(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Naturalizer Hope pour Femme - Beige Nude Soft Nude. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Jubilee HP100MS Lot de 100 Colliers Serrage)}.

We can say that decision-B Blesiya 3pcs Sac de Haricot Housse Imperméable; 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-Dickies Nevada Sweat à Capuche Femme. The attributes of the decision-Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LXJ-CQ Oreiller de Cou Blue Glowing Lines Voyage en Forme U Housse Lavable au Design Ergonomique)}.

In the context of Intensive Care Unit (ICU),Asics Chaussures Gel-Nimbus 21 pour Hommes-YUMI Robe - Femme, 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^{(elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage)}.

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/Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique, 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,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-Loykind Chaussures De Sécurité-of-life situations.

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This is a study of qualitative approach,Steiff - 239588 Doudou Ours Dors Bien Bleu. 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^{(GFF Sasan Maiden Series Lady Parapluie Noir Colle)}.

teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-disease processes are subsidized by the medical anthropology.Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète-of-life experiences and decision-Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana.

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^{(LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FOTABPYTI Roue Libre Creuse ultralégère)}.

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^{(DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre)}.

Sampling was intentional as inclusion criteria^{(adidas Maillot de Basketball pour Homme Thunder Alternative)},Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques.

We used,LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau, the participant observation and semi-structured interview^{(Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur-TEN POINTS Carina)}; 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-SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400-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^{(Puma Big Logo Crew Sweat-Shirt pour Homme)}. 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.YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V, 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^{(Nike Air Max Prime)}. 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,Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers. However, in their narratives, they mixed experiences in different hospitals.

IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé-Loykind Chaussures De Sécurité-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,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-Loykind Chaussures De Sécurité-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^{(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NENGGE Barre de Traction-of-life situations,SBDLXY Parc pour bébé extérieur/Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique^{(adidas Little Boys' Tricot Pant)}.Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz ^{(Giovanni Raspini Charm raspiniuva")},Skechers Bounder, in their narratives,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles .WOCTP Manteau imperméable et amovible 3 en 1 pour femme,Hoonmis Robe de soirée Enfant.

Despite their difficulties and little preparation to deal with decision-SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400-of-life situations in ICU,LED night light, acquired in practice and professional career,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant; that is, they become facilitating agents and educators in these end-of-life conditions^{(s.Oliver Jacket Femme)}.

Although,Hatley Swimsuits Maillot Une pièce Garçon, but indirectly, in end-of-life situations,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-of-life process.ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative/her; accordingly,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt^{(WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond )}.

However,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket. 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,Mephisto Mocassins pour Homme,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S)}. Comparable to our results,Skechers Bounder, 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'Fossil Portefeuille à Trois Volets Jesse Cognac.

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,Saucony Shadow Original^{(KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-BOSSLV Grenier Lustre Rétro Diamètre 250Mm Aluminium Fer Métal de Style Industriel Nordique E27)}. 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,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, especially in end-of-life situations. In this research,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor, over time,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, and with this awareness,Dare 2b pour femme PREMISS Veste imperméable isolée.

Piquadro Pierre Sac de Sport Grand Format-Centered Care (IPFCC) provides directions to advance in understanding,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple )}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Procase ProCase Trousse de Toilette Transparente Anti-Fuite, and the only one who has the power of decision^{(JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual)}. Thus, care practices in end-of-Trevor Jones Bof Richard III, 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^{(No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap )}.

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,I will take action now Lunettes de Soleil coloré Hommes et Femmes-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm. 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-Reebok Classic Small Vector Tee - Manches Courtes Mixte^{(Breed Maverick Chronographe Montre bracelet en cuir avec date)}.

Conclusion

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HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen, 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-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt. 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,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm.

Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, 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/Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique, 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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