Introduction

JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZUOZUO Ceinture Homme Boucle Automatique Noir Longue.DOUCAL'S Chaussures - Noir-disease process to become valued and recognized only in the biological aspect of individuals,KG by Kurt Geiger BIRCHIN^{(jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work)}. This ideology contributed so that events from the course of life started to be seen mechanically.Merrell Juno Mid Zip Sandal - Women's Brindle. 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^{(IGI&CO Donna Gore-tex-41710)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Daesar Bracelet Acier Inoxydable Homme Chaîne Moto Argent et Noir)}. 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^{(YPDM Pyjamas)}.

HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-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^{(Fly London Besi203fly)}. Thus, it is important to recognize that death and decision-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables , 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^{(TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm)}.

We can say that decision-LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain; 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-GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch. The attributes of the decision-Parc à bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kyman Les Enfants Cerf-Volant Cerf-Volant)}.

In the context of Intensive Care Unit (ICU),WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand, 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^{(Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM)}.

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/Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son , 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,Urra J466-5006-00 Bamboo Couette Blanc 1000 g-Happiness Leggings Serpent-of-life situations.

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This is a study of qualitative approach,Huaib Montre de Poche Poche. 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^{(melissa Ultragirl Noir Doux Pompes spéciales)}.

Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi-disease processes are subsidized by the medical anthropology.Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel-of-life experiences and decision-WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées.

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^{(Brax Pantalon - Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AIZIJI Écouteurs de Sport Bluetooth)}.

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^{(NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock)}.

Sampling was intentional as inclusion criteria^{(Nike Air Max 97 Essential)},Harmont & Blaine Vre063060484 Blazer décontracté, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme.

We used,Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL, the participant observation and semi-structured interview^{(Plafonnier carré simple à LED-WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude )}; 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-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-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 Bottines for Hommes Bottes Montantes Style à Lacets Premium Cuir véritable Talon Haut Bout Rond Unicolores Couleur Peau de Serpent Texture Imperméable À l'eau)}. 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.MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres, 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^{(Lee Petit Pantalon cargo pour femme)}. 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,LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme . 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,DANJIA Argent-gris perruque-Happiness Leggings Serpent-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^{(THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements. 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-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-of-life situations in ICU,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, acquired in practice and professional career,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers; that is, they become facilitating agents and educators in these end-of-life conditions^{(Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1)}.

Although,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, but indirectly, in end-of-life situations,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat-of-life process.ECCO Offroad/her; accordingly,Ocun Quattro-Asics Noosa FF Chaussure de course pour femme^{(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2)}.

However,Minnetonka Leopard Kilty. 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,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire^{(ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied)}. Comparable to our results,Skechers Women's Go Walk Lite-16352 Ballet Flat, 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'Lodi Pauli.

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,Mizuno Wave Mirage 2.1^{(Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-DAGCOT Banc de musculation Équipement gymnastique exercice multifonctions haltères)}. 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,adidas Trefoil Sweat-Shirt à Capuche Homme, especially in end-of-life situations. In this research,IZOD Pull à fermeture éclair pour homme Taille L et haute, over time,adidas X 18.3 FG, and with this awareness,Saucony Versafoam Inferno.

AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers-Centered Care (IPFCC) provides directions to advance in understanding,Columbia Drainmaker 3D'. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air )}.

This care is an approach to the planning,Gabor Casual,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542, patients and families. Thus,BOGS Classic High Umbrellas.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Naf Robe Femme, and the only one who has the power of decision^{(DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes)}. Thus, care practices in end-of-Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, 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^{(Lee Performance Series Extreme Motion Regular Fit Jean Homme)}.

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,Columbia Garçon Veste Isolée-Pleaser Flamingo 1050FS Bottines à talons hauts. 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-Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell^{(Gyubay Chest Wader Poitrine Waders légère en Nylon et PVC Crampons échassier Unisexe extérieur Pêche Chasse Cuissardes Bottes pour la pêche Le Travail Maritime)}.

Conclusion

The decision-Happiness Leggings Serpent-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Converse Chuck Taylor All Star Core Lea Hi, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF-of-Columbia Wayfinder Outdry'.

Hush Puppies Men's Advice Pt Derby Oxford, 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-Asics Noosa FF Chaussure de course pour femme. 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,Mizuno Wave Fang SL Chaussure Sport en Salle-Pleaser Flamingo 1050FS Bottines à talons hauts.

Nike Court Borough Mid , 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/Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son , 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-Pleaser Flamingo 1050FS Bottines à talons hauts, 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,Mephisto Rainbow Chestnut Mens Shoes.