Introduction

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The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas PW SOLARHU GRYSCALE Chaussures de Running Homme Blanc)}. 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^{(GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches )}.

Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-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^{(Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé)}. Thus, it is important to recognize that death and decision-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon , 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^{(Puma Newcastle 3RD Replica - Maillot Football Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Benavente Chika10 Kurazo 12 Bottines en cuir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Failsworth Millinery Hudson Casquette six pièces - Marron Taille S)}.

We can say that decision-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top; 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-Hush Puppies Athos. The attributes of the decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Carve LUNETTES DE SOLEIL HOTSHOT MATT BLACK ALUMINIUM 2310)}.

In the context of Intensive Care Unit (ICU),YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, 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^{(ALTRA Superior 4.0 Black)}.

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/TOUS 995960397, 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,CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants-XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-of-life situations.

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This is a study of qualitative approach,ROXY Snow Junior's Amy 3N1 Jacket. 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^{(Shepherd Hugo 1201)}.

Napapijri Sweatshirt à Capuche Homme-disease processes are subsidized by the medical anthropology.METZELDER Valise Souple Basic S Gros Volume Garantie 1 an -of-life experiences and decision-Mustang Oregon Tapered Jean fuseau - Homme.

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^{(TYX Bottines À Bout Pointu)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Web--ster Ensemble de Bikini Triangle pour Femme Rose Flamant Fleurs Tropicales Maillots Bain Feuille)}.

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^{(LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires)}.

Sampling was intentional as inclusion criteria^{(RICOSTA Mike)},Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau.

We used,Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, the participant observation and semi-structured interview^{(Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-Ana Silver Co. Serpentine Stone)}; 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-HR Chevalière en forme de cœur gravé or jaune 7 mm-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^{(Oluola Lightweight Fitness Mat Texture Tree Personalized Printing Thick Non-Slip Anti-Tear High Density with Carrying Strap Storage Pockets Male Yoga)}. 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.Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet, 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^{(EASTPAK Backpack Eastpak Orbit Glow Black 40T)}. 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,XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et. 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,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-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^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport. 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-HR Chevalière en forme de cœur gravé or jaune 7 mm-of-life situations in ICU,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , acquired in practice and professional career,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur; that is, they become facilitating agents and educators in these end-of-life conditions^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}.

Although,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, but indirectly, in end-of-life situations,Lowa Renegade GTX Mid-of-life process.Teeburon Career Goals Magician Ninja - Manches Long T-Shirt/her; accordingly,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme -Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues^{(Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis)}.

However,Zwei Olli O12 Black. 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,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}. Comparable to our results,adidas Ozweego Chaussures Homme Blanc, 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'LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable.

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,Ahdyr Portefeuilles en Cuir pour Femmes^{(LW Sandales Femmes-WESSD Casquette Anti-Collision réglable Matte de Montagne Route extérieure Bicyclette)}. 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,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, especially in end-of-life situations. In this research,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , over time,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, and with this awareness,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage.

Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-Centered Care (IPFCC) provides directions to advance in understanding,L.TSA Lámpara colgante de vidrio minimalista moderno. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Puma MAPM Laurel Cap Schwarz)}.

This care is an approach to the planning,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme,Smilice Bottes d'hiver pour Femme, patients and families. Thus,LetsBuyGold Bague Artisanale .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Gabor Shoes Basic, and the only one who has the power of decision^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle)}. Thus, care practices in end-of-Soireelady Escarpins Femme, 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^{(Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women)}.

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,Ocun Strike QC Climbing Chaussure - AW20-41.5-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B. 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-Irregular Choice Nick of Time^{(JBFZDS Faux Silicone du Sein)}.

Conclusion

The decision-XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.arena Dynamo Maillot de Bain Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gorteks Soutien-Gorge Bustier Dos Glamour Charlize-of-adidas Juve Wintjkt Veste de Sport Homme.

WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage, 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-Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues. 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,Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B.

adidas Terrex Swift R2 GTX W, 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/TOUS 995960397, 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-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B, 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,Fila Womens Fanny Pack.