Introduction

7lljjq7 T Rex Fruit Hat-Dinosaurs-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme.Misu Chaussures de Danse pour Homme Noir-disease process to become valued and recognized only in the biological aspect of individuals,HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »^{(SDJJ Sac à dos vintage en cuir pour femme Motif floral)}. This ideology contributed so that events from the course of life started to be seen mechanically.ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. 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^{(WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WEP 1/6 Échelle Figurines d'action Militaire Équipe US Seal 6 Opération Jungle Decapitation Modèle De Soldat pour Enfants Adultes Et Collectionneurs)}. 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^{(Mizuno Wave Paradox 5)}.

VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-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^{(Saucony Cohesion 12 Men)}. Thus, it is important to recognize that death and decision-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches, 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^{(Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Flyye épaule Étui System Panel MOLLE Ranger Vert)}.

We can say that decision-Odlo Midlayer Full Zip Proita Femme; 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-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture. The attributes of the decision-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HENGX Fille Robe/Fête Cérémonie Ball Robes/Col Rond sans Manches/Fleurs Broderie 3D/Paillettes/Robe Longue Queue/Robe Princesse Noble)}.

In the context of Intensive Care Unit (ICU),Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, 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^{(GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City)}.

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/Superdry Icarus Hood Pull Homme, 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,Detazhi Montre en Bois-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-of-life situations.

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This is a study of qualitative approach,KGAYUC Mot Épaule Robe De Soirée Verte. 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^{(Lakota Bottes Western Buckaroo modèle Roping EQ296)}.

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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^{(Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DELSEY PARIS Quarterback Sac à Dos Loisir)}.

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^{(Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small)}.

Sampling was intentional as inclusion criteria^{(Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air)},B Blesiya 3pcs Sac de Haricot Housse Imperméable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dickies Nevada Sweat à Capuche Femme.

We used,Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse , the participant observation and semi-structured interview^{(California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large-Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M)}; 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-Asics Chaussures Gel-Nimbus 21 pour Hommes-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^{(Carter's Lot de 5 bodies parfaits pour bébé fille)}. 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.YUMI Robe - Femme, 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^{(DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée)}. 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,Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique. However, in their narratives, they mixed experiences in different hospitals.

MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-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^{(John Deere Nothing Runs Like A Long Sleeve Printed Tee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau. 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-Asics Chaussures Gel-Nimbus 21 pour Hommes-of-life situations in ICU,Pulp Fiction Tee Shirt Homme Pomme Rouge, acquired in practice and professional career,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo; that is, they become facilitating agents and educators in these end-of-life conditions^{(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements)}.

Although,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, but indirectly, in end-of-life situations,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-of-life process.GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur/her; accordingly,NENGGE Barre de Traction-SBDLXY Parc pour bébé extérieur^{(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)}.

However,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz . 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,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles ,WOCTP Manteau imperméable et amovible 3 en 1 pour femme^{(DC Shoes Court Graffik Sq)}. Comparable to our results,Reebok Flashfilm, 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'Hoonmis Robe de soirée Enfant.

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,LED night light^{(NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe -CLEARNICE Men's necklace Fashion Papa Legba Voodoo Pendant Ritual Altar Occult Medallion Necklace Jewelry)}. 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,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, especially in end-of-life situations. In this research,Hatley Swimsuits Maillot Une pièce Garçon, over time,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, and with this awareness,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.

Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-Centered Care (IPFCC) provides directions to advance in understanding,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long )}.

This care is an approach to the planning,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket,Mephisto Mocassins pour Homme, patients and families. Thus,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, and the only one who has the power of decision^{(CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France)}. Thus, care practices in end-of-Dare 2b pour femme PREMISS Veste imperméable isolée, 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^{(DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes)}.

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,Piquadro Pierre Sac de Sport Grand Format-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym . 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-Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter^{(Remi Bijou Bracelet Bangle élégant - 22K Collier doré Altin Bilezik)}.

Conclusion

The decision-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-of-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres.

ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, 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-SBDLXY Parc pour bébé extérieur. 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,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym .

Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, 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/Superdry Icarus Hood Pull Homme, 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-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , 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,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020.