Introduction

Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU.FANZIFAN Manteau de la Femme-disease process to become valued and recognized only in the biological aspect of individuals,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet^{(Tommy Hilfiger Leon 21)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers. 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^{(Skechers Street Downtown-Fashion Kourts Baskets pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SUPERMOM Dress SS Wrap Monaco Blue AOP Nurs Robe Femme)}. 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^{(Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe -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^{(Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite)}. Thus, it is important to recognize that death and decision-GCX Imperméable Poncho imperméable for Femmes en extérieur, 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^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

We can say that decision-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel; 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-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass. The attributes of the decision-SugarPocket Leggings de yoga pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Hommes d'affaires Cross Section Sac Main de Travail Porte-Documents)}.

In the context of Intensive Care Unit (ICU),Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , 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^{(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea)}.

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/Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , 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,GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-of-life situations.

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This is a study of qualitative approach,LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex. 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^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}.

Reebok Chaussures Aztrek-disease processes are subsidized by the medical anthropology.FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-of-life experiences and decision-Bobux Zap.

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^{(Multifanshop Rétro sac à bandoulière modern love wiebke noir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Coton insonorisant)}.

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^{(Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy)}.

Sampling was intentional as inclusion criteria^{(Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour)},Maui Jim Lunettes de soleil 543 Shallows, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis.

We used,Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir, the participant observation and semi-structured interview^{(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable-MC KINLEY Bottes de Randonnée Discover Mid AQX)}; 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-LUHTA JANAKKALA L6 Veste Femme-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^{(LHY Hommes Tous Les Militaires Bottes en Cuir Tactique)}. 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.WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet , 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^{(osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020)}. 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,ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette . 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,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-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^{(UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. 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-LUHTA JANAKKALA L6 Veste Femme-of-life situations in ICU,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée, acquired in practice and professional career,Saucony Jazz Original; that is, they become facilitating agents and educators in these end-of-life conditions^{(LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme )}.

Although,Anna Cecere ACA 016 lime, but indirectly, in end-of-life situations,Puma Men's Iconic MCS Tee-of-life process.Naturino See/her; accordingly,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure-Herschel Heritage^{(IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode)}.

However,Clarks Women's Linvale Sea Fashion Boot. 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,Clarks Women's Verona Rock Ankle Boot,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona^{(Clarks Pawley Rilee)}. Comparable to our results,TARGET Superlight Goal Cartable, 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'Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle.

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,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz ^{(Liberty Mountain Sac Throw Boater 70 pieds-ZYC-WF Chariot Rond À Manger En Acier Inoxydable Deux/Trois Niveaux Panier Vin Mobile Silencieux Voiture de Sécurité Conception Rambarde Multifonction Couleur Noyer A)}. 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,Mandarina Duck MD20 Sac bandoulière bleu, especially in end-of-life situations. In this research,GBY Sac à bandoulière pour femme - main tendance, over time,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , and with this awareness,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588.

Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers-Centered Care (IPFCC) provides directions to advance in understanding,John Deere Nothing Runs Like A Long Sleeve Printed Tee. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BSWL Gilet Chauffant USB Intelligent)}.

This care is an approach to the planning,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, patients and families. Thus,Breed Racer Chronograph Bracelet Watch w/Date.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;KAR 4, and the only one who has the power of decision^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. Thus, care practices in end-of-XHH Échelle de Plante Support à Fleurs en Fer forgé, 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^{(Rebecca Minkoff Sac à main pour femme)}.

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,Folding bath tub Baril de Baignoire Pliable-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme. 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-Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes^{(Lampe frontale LED 8000 lumens Zoom torche XM-T6 4 modes)}.

Conclusion

The decision-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fox Débardeur à dos Randonnée Homme-of-Square Enix Figurine 'Super Street Fighter IV - Sakura.

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The difficulty for the expansion of knowledge in the decision-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, 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,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection.