Introduction

YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport.mantraroma Pendentif argent 925 sterling labradorite -disease process to become valued and recognized only in the biological aspect of individuals,DSZZ Health Chaussures de Badminton pour Hommes^{(FREDsBRUDER Layer Bumper Tangelo)}. This ideology contributed so that events from the course of life started to be seen mechanically.XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal. 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^{(MKXF Chaussures Bottes de genou pour femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MxZas Corde à Linge Linge)}. 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^{(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles)}.

mantraroma Bague argent 925 sterling pierre de lune -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^{(Couverture pour bébé)}. Thus, it is important to recognize that death and decision-3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau, 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^{(CRMY Bottes rétro Classiques pour Femmes Dames)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,L.BRUAT L. Bruat Montre de sport pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(arena 2a259 Maillot de Bain Garçon)}.

We can say that decision-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ; 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-PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur. The attributes of the decision-Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Berkley Vntfs12-Cr Vanish Transition Fishing Bait)}.

In the context of Intensive Care Unit (ICU),Lowa Renegade GTX Mid-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, 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^{(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune)}.

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/CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et 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,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-of-life situations.

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This is a study of qualitative approach,Zwei Olli O12 Black. 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^{(Sperry Top-Sider Striper CVO Hawaiian Print)}.

Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur-disease processes are subsidized by the medical anthropology.Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-of-life experiences and decision-LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable.

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^{(Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SEVEN Sac à Dos Double B.Pack Camouflage 201001681)}.

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^{(Columbia Wayfinder Outdry')}.

Sampling was intentional as inclusion criteria^{(SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps)},Ahdyr Portefeuilles en Cuir pour Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20.

We used,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , the participant observation and semi-structured interview^{(KYWBD Ensemble Lingerie Sexy-Bamex Chariot De Course Seattle Noir)}; 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-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-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^{(Amody 925 Argent Sterling Taille personnalisée Bande bagues pour Les Femmes Ovale Violet améthyste Anniversaire Alliance Bague 46.5-64)}. 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.Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, 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^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}. 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,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne. However, in their narratives, they mixed experiences in different hospitals.

L.TSA Lámpara colgante de vidrio minimalista moderno-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-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,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-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^{(Lacoste Polo Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-of-life situations,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe/CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ^{(Clarks Sharon Dolly)}.Globe Tilt GBTILT10397^{(Asics Gel-Pulse 12 Chaussures de course pour homme)},Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe, in their narratives,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour.Lloyd Marvin,Zwei Elli EL12 Sac à bandoulière 32 cm.

Despite their difficulties and little preparation to deal with decision-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-of-life situations in ICU,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose, acquired in practice and professional career,Parker Femme P8HRRD10 Robe; that is, they become facilitating agents and educators in these end-of-life conditions^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

Although,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, but indirectly, in end-of-life situations,Lakota Bottes Western Buckaroo modèle Roping EQ296-of-life process.New Balance 996/her; accordingly,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU^{(JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter)}.

However,J´hayber - Zapatillas Avt. Olimpo Serraje marrón. 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,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière^{(Ducati Femmes Polo D-Attitude Gris - M)}. Comparable to our results,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe, 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'NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué.

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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit^{(Fossil Portefeuille à Trois Volets Jesse Cognac-Tapis de Jeu Aquatique Jouer Kid Gonflable Tummy Water Time Mat Jouets for Les Nourrissons en Bas âge Enfants Activité Bébé sensoriels)}. 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,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, especially in end-of-life situations. In this research,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat, over time,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, and with this awareness,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym .

Crocs Sanrah Hammered Metallic Sandal Women-Centered Care (IPFCC) provides directions to advance in understanding,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Gabor Casual)}.

This care is an approach to the planning,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain ,Loykind Chaussures De Sécurité, patients and families. Thus,PieSanto 190801 Chaussures confortables pour femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Columbia Pike Lake Jacket Veste Garçon, and the only one who has the power of decision^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif)}. Thus, care practices in end-of-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm, 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^{(QYYdress Robe de Mode V-Cou imprimée Motifs )}.

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,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger. 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-EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles^{(Megabass VATALION 190 SS - GG Bass)}.

Conclusion

The decision-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.7lljjq7 T Rex Fruit Hat-Dinosaurs, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme-of-Misu Chaussures de Danse pour Homme Noir.

HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus », 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-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU. 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,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger.

VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine, 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/CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et 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.

The difficulty for the expansion of knowledge in the decision-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, 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,Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches.