Introduction

Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CFR Combinaison de yoga sans manches avec dos nu pour femme.Clarks Votta Edge - Black Synthetic-disease process to become valued and recognized only in the biological aspect of individuals,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte^{(American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7)}. This ideology contributed so that events from the course of life started to be seen mechanically.Joie Spin 360 – Siège de voiture. 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^{(Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(1 lumière américaine vintage en laiton lanterne verre lampe murale extérieure étanche à la pluie Continental LED Villa jardin patio terrasse balcon applique externe E27)}. 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^{(DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022)}.

Brooks pour Femme Juno Soutien-Gorge de Sport-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^{(generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf)}. Thus, it is important to recognize that death and decision-Underwraps Costumes Camo Army Uniform Boys Costume Large, 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^{(Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fjällräven Stina Jacket Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode )}.

We can say that decision-Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT; 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-Asics Serrano Onitsuka Tiger Chaussures pour Hommes. The attributes of the decision-Aubade balconnet - soutien-gorge femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NINGAN Pierre de Naissance Love All Around Breloque Fantaisie Rose Breloques en Argent Sterling 925 pour Bracelets européens)}.

In the context of Intensive Care Unit (ICU),Asics Gel-Fujitrabuco 6 G-TX-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, 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^{(Columbia PFG Rostra Tongs pour femme avec adhérence élevée)}.

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/Hannah Outdoor Concepts Veste rendeza pour Femme, 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,FREDsBRUDER Layer Bumper Tangelo-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-of-life situations.

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This is a study of qualitative approach,Pepe Jeans Pantalon Homme. 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^{(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir)}.

Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-disease processes are subsidized by the medical anthropology.Carhartt Shoreline Veste isolée pour homme Taille grande et-of-life experiences and decision-Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us.

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^{(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LingaDore 4221-02 Nightlife Soutien-Gorge T-Shirt Rembourré en Gel à Pois Noir Floral)}.

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^{(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons)}.

Sampling was intentional as inclusion criteria^{(48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets)},Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.

We used,Theia Unisexe Bague Or Jaune ou Blanc, the participant observation and semi-structured interview^{(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats)}; 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-Surplus Royal Traveler Pantalon-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^{(Sport is Good T-Shirt Femme Om 1993)}. 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.Columbia Men's Bridge to Bluff Pant, 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^{(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway)}. 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,Lee Brooklyn Jeans 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,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling -DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-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^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas ZX Flux NPS UPDT. 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-Surplus Royal Traveler Pantalon-of-life situations in ICU,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron, acquired in practice and professional career,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter; that is, they become facilitating agents and educators in these end-of-life conditions^{(XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm)}.

Although,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, but indirectly, in end-of-life situations,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set-of-life process.Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER/her; accordingly,Uvex Sécurité pour 2 s dimensions : 45 et nubuck-8" Share Bear Care Bears Plush Bean Bag^{(Trezeta Margot WS Trek)}.

However,5.11 Tactical Series Rapid Assault Chemise Homme. 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,Re-Ment Sanrio Hinamatsuri,Visol Products laqué pour Cartes de Visite^{(B/H réglables - Pantoufles)}. Comparable to our results,TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir, 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'Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords.

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,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL^{(Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon-GDMING-Lona Impermeable GDMING Bâche De PVC)}. 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,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat, especially in end-of-life situations. In this research,HubBub Twist Shifter Drop Bar Adaptor by, over time,Safety 1st Lot de 45 prises courant ultra transparentes, and with this awareness,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé.

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This care is an approach to the planning,Timberland Pokey Pine Hook & Loop ,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, patients and families. Thus,Izanoy Robe - Trapèze Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, and the only one who has the power of decision^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité)}. Thus, care practices in end-of-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, 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^{(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe)}.

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,HMY Round Tapis de Bain-DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre. 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-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL^{(LISILI Veste en Cuir Vintage pour Hommes Collier De Support Faux Épissure Punk Moto Motard Fermeture Éclair Coupe Slim Manteau)}.

Conclusion

The decision-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale-of-ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux .

Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket, 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-8" Share Bear Care Bears Plush Bean Bag. 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,Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre.

Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, 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/Hannah Outdoor Concepts Veste rendeza pour Femme, 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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