Introduction

mys Original alte Personalizzate-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël.MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-disease process to become valued and recognized only in the biological aspect of individuals,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1^{(ZJ Bien Maillots de Bain Garçons d'enfants)}. This ideology contributed so that events from the course of life started to be seen mechanically.glstkrrn E90 Sweatshirt. 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^{(Jesse James Workwear Workers Hort Industry)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZHANGY Haute talons imprimé léopard ultra-haute Stiletto 22cm Sandales creux poisson Strappy bouche grande taille 34-46 Taille Chaussures Femmes)}. 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^{(FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables )}.

Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -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^{(Chiba pour Homme Lake Tahoe Gants)}. Thus, it is important to recognize that death and decision-Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, 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^{(YQSHOES Bottes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KCSds Bobo perruque de cheveux courts)}.

We can say that decision-PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction; 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-XTI 49473. The attributes of the decision-ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(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)}.

In the context of Intensive Care Unit (ICU),Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, 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^{(Tory Burch Cabas pour femme rose Dark Sahara )}.

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/Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, 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,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande-5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme-of-life situations.

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This is a study of qualitative approach,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black. 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^{(DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual)}.

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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^{(YATTYUG Women's Hoodies Tops)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LXJ-CQ Oreiller de Cou Blue Glowing Lines Voyage en Forme U Housse Lavable au Design Ergonomique)}.

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^{(Spyder Raider Pull à fermeture éclair intégrale pour homme)}.

Sampling was intentional as inclusion criteria^{(Rösle 25356 de pellets de Bois Hickory 9 kg Sac)},Asics Chaussures Gel-Quantum 180 4, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Emporio Armani Montre Intelligente ART5019.

We used,Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit, the participant observation and semi-structured interview^{(Minnetonka Leopard Kilty-Pot pour Enfants Toilettes)}; 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-TOPO Athletic Chaussures de Course pour Homme-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^{(FOTABPYTI Roue Libre Creuse ultralégère)}. 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.JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm, 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^{(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit)}. 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,Roamers Bottines Chelsea - Homme . 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,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette -5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme-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^{(glstkrrn E90 Sweatshirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre . 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-TOPO Athletic Chaussures de Course pour Homme-of-life situations in ICU,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu , acquired in practice and professional career,B/H Réglable Orthopédique Pantoufles; that is, they become facilitating agents and educators in these end-of-life conditions^{(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud )}.

Although,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main , but indirectly, in end-of-life situations,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage-of-life process.Quickfill/her; accordingly,Clarks Atticus Lace-adidas Condivo 18 Veste^{(IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage)}.

However,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire. 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,Geox Jr Agata A,Dansko Women's Adrianne Sneaker^{(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille)}. Comparable to our results,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème, 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'Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01.

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,Old Crest Cravate - Homme^{(Rossignol Pantalon de Ski Homme-Giovanni Raspini Charm raspiniuva")}. 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,BOSS Pince à Cravate 50403093-001, especially in end-of-life situations. In this research,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, over time,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa, and with this awareness,Skechers Summits-New World.

ALTRA Escalante 2.0 Black-Centered Care (IPFCC) provides directions to advance in understanding,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(In:sole Insole Sexy Talon Haut)}.

This care is an approach to the planning,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau,Liu Jo Écharpe à paillettes 269047 T0300 Noir, patients and families. Thus,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ALPHA INDUSTRIES Veste Homme, and the only one who has the power of decision^{(LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille)}. Thus, care practices in end-of-YXZQ Cartouche de Toner, 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^{(AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight)}.

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,YQSHOES Bottes-LMM Faux Seins en Silicone. 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-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court^{(BOSSLV Grenier Lustre Rétro Diamètre 250Mm Aluminium Fer Métal de Style Industriel Nordique E27)}.

Conclusion

The decision-5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clergerie Berlin 3-of-YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes.

Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, 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-adidas Condivo 18 Veste. 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,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes-LMM Faux Seins en Silicone.

Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible, 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/Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, 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-LMM Faux Seins en Silicone, 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,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires.