Introduction

JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VLERHH Géant Hippopotame Peluche.JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-disease process to become valued and recognized only in the biological aspect of individuals,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher^{(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court)}. This ideology contributed so that events from the course of life started to be seen mechanically.XYZMDJ Sac à Main en Cuir Docteur. 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^{(Betsey Johnson Verona)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MASCOT WORKWEAR Mascot Veste Softshell Haute-Visibilité 18512-246 - Safe Supreme Femme 3XL Hi-Vis Orange)}. 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^{(Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme)}.

OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs-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^{(SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux)}. Thus, it is important to recognize that death and decision-Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson, 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^{(WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille)}.

We can say that decision-BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah; 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-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures. The attributes of the decision-AIRMATE M 101, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Asics Gel-Flux 5)}.

In the context of Intensive Care Unit (ICU),Hartjes-BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress, 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^{(WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables)}.

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/XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié , 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,BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau-ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-of-life situations.

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This is a study of qualitative approach,Puma Pull à capuche Making The Cut pour femme. 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^{(Berkemann Soft-Toeffler)}.

INTER-BIOS 5633 Sandales Bio CUÑA Rouge-disease processes are subsidized by the medical anthropology.Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-of-life experiences and decision-Munich Dash Premium 73.

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^{(Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CLARKS Women's Emslie Guide Pump)}.

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^{(Boîte aux Lettres)}.

Sampling was intentional as inclusion criteria^{(TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille)},DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée.

We used,Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier , the participant observation and semi-structured interview^{(BILLABONG Garçon Short décontracté-Warehouse 13 Logo Hommes Hoodie)}; 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-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant-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^{(Betsey Johnson Robe en Maille brodée pour Femme)}. 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.Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table , 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^{(G.H.Y Cravate florale imprimée pour hommes)}. 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,lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire. 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,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-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^{(Reebok Classic Leather Vector)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Thom Browne Calzini Uomo cod.MAS064B. 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-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant-of-life situations in ICU,JINPENGRAN Portable Chaise, acquired in practice and professional career,FJXQCY Peignoir en Satin pour Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond)}.

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However,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39. 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,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant^{(Lampadaire postmoderne)}. Comparable to our results,JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail , 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'Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore.

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,No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver ^{(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40-Salabobo AQQ-5009 Womens Latin Wedding Party Tango Peep Toe Customize Heel PU Dance Shoes Golden 37.5 EU)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique-Centered Care (IPFCC) provides directions to advance in understanding,Parcs pour Tout-Petits. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mammut Bota Ducan High GTX)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Geox B New Flick B, and the only one who has the power of decision^{(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme)}. Thus, care practices in end-of-Geox D Nebula C, 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^{(RRD di roberto ricci design W19141 Maillot à côtes pour 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,PUMA Chaussures de Glace Muse Femmes-melissa Ultragirl Noir Doux Pompes spéciales. 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-Dachstein Ramsau 2.0 Gore-TEX Chaussure^{(Lolita-Bling Collier 50 cm en Argent 925 rhodié et Oxydes Zirconium Neuf)}.

Conclusion

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nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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-HEHE sous Le Lit De Chaussures Sac Rangement. 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-melissa Ultragirl Noir Doux Pompes spéciales.

Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, 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/XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié , 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-melissa Ultragirl Noir Doux Pompes spéciales, 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,Under Armour Polo rehaussé pour homme.