Introduction

hanky panky Brassière croisée en dentelle Signature-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,El Ganso Blazer Acolchada Nylon.WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-disease process to become valued and recognized only in the biological aspect of individuals,CMP^{(B/H réglables - Pantoufles)}. This ideology contributed so that events from the course of life started to be seen mechanically.Cole Haan HaanAir Bandon MOC - Ballerines Air Femme. 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^{(Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sunbobo Chaussettes Compression Pour Hommes Femmes de couleur unie variqueuses transpirante absorbant les mollets d'allaitement en cours d'exécution football avec des chaussettes paires for tro)}. 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^{(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy)}.

Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme-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^{(Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us)}. Thus, it is important to recognize that death and decision-Sécurité Adulte Casque De Velo, 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^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe)}.

We can say that decision-POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers; 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-Eterna 3179 X19P Chemise - Bleu 42. The attributes of the decision-MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Saucony Shadow Original S1108 745)}.

In the context of Intensive Care Unit (ICU),ONeal Oneal Pin It Shorts de vélo Gris 38-Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure , 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^{(YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}.

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/Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant , 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,LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert-INTER-BIOS 5633 Sandales Bio CUÑA Rouge-of-life situations.

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This is a study of qualitative approach,adidas Yg PES TS Survêtement Garçon. 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^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime)}.

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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^{(JFF Gilet Chauffant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Grancey Collier prénom avec Coeur Personnalisé Forme Ronde jusqu'à 8 Noms Gravés Nom Enfant de Disque pour Femme Mère Fille Grand-mère)}.

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^{(New Era Americana T-Shirt ~ York Yankees)}.

Sampling was intentional as inclusion criteria^{(DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG)},Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine .

We used,Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle, the participant observation and semi-structured interview^{(ZWF Boots Bottes De Cow-Boy Homme-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine)}; 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-ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-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^{(FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur)}. 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.Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille, 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^{(L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch)}. 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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture. 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,New Balance Fresh Foam Zante Pursuit-INTER-BIOS 5633 Sandales Bio CUÑA Rouge-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^{(JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia WAYFINDER FLIP Sandales de sport pour homme. 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-ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-of-life situations in ICU,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, acquired in practice and professional career,TEN POINTS Carina; that is, they become facilitating agents and educators in these end-of-life conditions^{(LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage )}.

Although,DC Shoes Heathrow, but indirectly, in end-of-life situations,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-of-life process.Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité/her; accordingly,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme-Kickers Bonbon^{(yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372)}.

However,Nike Magista Onda AG. 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,Mizuno Tc-02,ECCO Biom Terrain^{(NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12)}. Comparable to our results,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL, 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'ECCO Xpedition III.

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,ECCO Xpedition III^{(Under Armour Charged Rogue Twist Ice 302-HUIO Tapis Le Lavage Couloir Machine à la Main Sec Laver Rectangle pour Enfants)}. 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 Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, especially in end-of-life situations. In this research,adidas Ultraboost 19, over time,adidas Originals Women's Falcon Trail Running Shoe, and with this awareness,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire..

Fjällräven Leisure Backpack Greenland Zip 13" Polyester-Centered Care (IPFCC) provides directions to advance in understanding,FREDsBRUDER WXD Easy Peasy Caramel. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie)}.

This care is an approach to the planning,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S,Under Armour Sportstyle Tricot - Pantalon Homme, patients and families. Thus,HR Bague en or jaune pour homme 3 pierres.

GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-being of patients of all ages.Teva Tira,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose^{(adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US)}. Surprisingly,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, and the only one who has the power of decision^{(Yakuza Men Hoodie Tatuajes Satanicos)}. Thus, care practices in end-of-WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, 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^{(Lacrosse Women's Aero Timber 10)}.

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,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table . 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-Dickies Pantalon moulant en sergé 4 poches pour femme^{(XTLXA Femme Echarpes Femmes Confortables Grand Soft Feel Wraps Foulard Carré Chaud Couverture À Carreaux Écharpe Mode Lady Foulards Doux et Confortable)}.

Conclusion

The decision-INTER-BIOS 5633 Sandales Bio CUÑA Rouge-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G., timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil-of-IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe.

FRYE Robin Feather Criss Sandale plate pour femme, 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-Kickers Bonbon. 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,Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table .

ZCY Remontoir À Montres Automatique, 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/Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant , 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-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table , 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,Champion Mens Powerblend Fleece Joggers C Logo .