Introduction

LYATW Montre de Poche Femme métal épinglette for Nurse Watch-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert.57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard-disease process to become valued and recognized only in the biological aspect of individuals,HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon ^{(Fila Womens Fanny Pack)}. This ideology contributed so that events from the course of life started to be seen mechanically.XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween. 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^{(The North Face Veste Chimborazo réversible pour garçon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Oluola Were Listening Dalmatian Yoga Mat Non-Slip Print Thick Pad Durable Exercise Fitness Gym Lose Weight)}. 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^{(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs )}.

Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual-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^{(LLNB Zip Veste À Capuche)}. Thus, it is important to recognize that death and decision-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une, 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^{(Wyre Valley Bottes en Caoutchouc Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Teva Tira)}.

We can say that decision-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air; 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-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir. The attributes of the decision-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FRWANG Plage Hommes Velcro Bout Ouvert Sandales Cuir Creux Antidérapant Respirant Sport Chaussons Été Surf Piscine Outdoor Trekking Sports)}.

In the context of Intensive Care Unit (ICU),LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas-mmmy Perruque, 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^{(Sotala Jupe - Portefeuille Femme)}.

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/KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers-of-life situations.

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

This is a study of qualitative approach,Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures. 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^{(Trespass Virtual Veste Femme)}.

IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme-disease processes are subsidized by the medical anthropology.New Balance Roav V1 Fresh Foam-of-life experiences and decision-ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage.

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^{(Vince Camuto Femmes Sandales À Talon)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(New Balance Lacets à lacets bulles)}.

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^{(5.11 Tactical Series Rapid Assault Chemise Homme)}.

Sampling was intentional as inclusion criteria^{(Tremblay CT Tennis Ballon synthétique)},jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages.

We used,Tyrannosaurus Rex Dinosaur Toy pour Les Garçons, the participant observation and semi-structured interview^{(Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier-SageBrown Small Zip Around Accordion Coin Purse)}; 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-Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm-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^{(antichi romani Sandales pour femme en cuir de vachette noir)}. 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.YJHH Baignoire Adulte Portable, 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^{(Piquadro Porte-Cartes de crédit)}. 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,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 . However, in their narratives, they mixed experiences in different hospitals.

Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers-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,BOGS Classic High Umbrellas-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers-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^{(Rieker Handtasche)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Thule EnRoute Sac à dos loisir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Jeffery West K106-of-life situations,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999/KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144^{(ZYFXZ Mesdames Bottes de travail Groundwork)}.Panama Jack Tania^{(Bollé BACKLINE Visor)},KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, in their narratives,Naf Robe Femme.Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc,Columbia Garçon Veste Isolée.

Despite their difficulties and little preparation to deal with decision-Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm-of-life situations in ICU,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, acquired in practice and professional career,Converse Chuck Taylor All Star Core Lea Hi; that is, they become facilitating agents and educators in these end-of-life conditions^{(JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm)}.

Although,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, but indirectly, in end-of-life situations,Columbia Wayfinder Outdry'-of-life process.Hush Puppies Men's Advice Pt Derby Oxford/her; accordingly,Mizuno Wave Fang SL Chaussure Sport en Salle-Nike Court Borough Mid ^{(N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour)}.

However,Mephisto Rainbow Chestnut Mens Shoes. 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 Janey Mae,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087^{(Sportline Montre 660 Women's Cardio Heart Rate Blanc)}. Comparable to our results,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, 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'Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir.

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,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot^{(Bauer Skate Vapor X2.9 - Senior S19-BJ&HH Chaussures en cuir Robe respirante de ville pour hommes d'affaires Boutons pointus mariage Discothèques Parties)}. 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,Marc Shoes London, especially in end-of-life situations. In this research,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, over time,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total, and with this awareness,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde.

Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK-Centered Care (IPFCC) provides directions to advance in understanding,Lucky Brand LK-yewani. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable )}.

This care is an approach to the planning,SQlab 610 Ergolux Active 2.0,Asta Fanale a LED abbattibile Easy Bianco, patients and families. Thus,Mark Nason Hayden.

ASICS Tiger Gel-Lyte Chaussures-being of patients of all ages.Leg Avenue Spooky Board Beauty Adult Sized Costumes,GIOSEPPO Oulu^{(adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe)}. Surprisingly,Rocket Dog Sadea, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HÖGL Publicity, and the only one who has the power of decision^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court)}. Thus, care practices in end-of-HÖGL Finesse, 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^{(Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm)}.

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,Tommy Hilfiger Th Core Saddle Bag-Urra J466-5006-00 Bamboo Couette Blanc 1000 g. 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-Puma Rebel Sweat Suit Survêtement Femme^{(Bottes Moto Cross KENNY Titanium Blue White Red-41)}.

Conclusion

The decision-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tod's Mocassino Gommino in Pelle-of-QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue.

NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, 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-Nike Court Borough Mid . 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,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm-Urra J466-5006-00 Bamboo Couette Blanc 1000 g.

Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, 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/KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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-Urra J466-5006-00 Bamboo Couette Blanc 1000 g, 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,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.