Introduction

Free People Women's Forever Cashmere V-Neck Pullover Sweater -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ProCook - Cocotte Faitout Ronde 24cm / 4.ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-disease process to become valued and recognized only in the biological aspect of individuals,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes^{(Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables . 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^{(Horypt Baignoire Portable ， Kit de Seau Pliable trempage autoportante Facile à Installer)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YBWEN Ladies Beach Cover Up Femmes Creux Crochet Tops Maillots de Bain sans Manches Bikini Cover-ups Net Maillot Beachwear Dissimulations et Sarongs)}. 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^{(Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme)}.

Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -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^{(NINE WEST Nine West60439867 - Neala Bandoulière Femme)}. Thus, it is important to recognize that death and decision-Polaroid Pld 6071/s/x, 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^{(Wacoal Halo Soutien-gorge sans bretelles pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ALTRA Kayenta - Chaussures Running Homme)}.

We can say that decision-SMITH Riot Masque de Ski; 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-Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau. The attributes of the decision-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JJKKFG-H Your Lie April Arima Kousei Tapis pour chambre à coucher)}.

In the context of Intensive Care Unit (ICU),CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-mantraroma Pendentif argent 925 sterling labradorite , 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^{(Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar )}.

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/DSZZ Health Chaussures de Badminton pour Hommes, 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,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal-SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-of-life situations.

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This is a study of qualitative approach,mantraroma Bague argent 925 sterling pierre de lune . 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^{(5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme)}.

3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-disease processes are subsidized by the medical anthropology.L.BRUAT L. Bruat Montre de sport pour femme-of-life experiences and decision-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless .

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^{(RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Diamant H/SI)}.

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^{(Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20)}.

Sampling was intentional as inclusion criteria^{(Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe)},PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag.

We used,Lowa Renegade GTX Mid, the participant observation and semi-structured interview^{(adidas Trefoil Sweat-Shirt à Capuche Homme-ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes)}; 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-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-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^{(Yajun Pique Nique Sac à Dos 4 Personnes Picnic Isotherme Glacière Daypack Camping en Plein Air Backpack Oxford Tissu Haute Capacité Respirant Double Sacs Bandoulière)}. 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.CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et 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^{(Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered )}. 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,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues. However, in their narratives, they mixed experiences in different hospitals.

Zwei Olli O12 Black-SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-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,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-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^{(ASICS Tiger Gel-Lyte Chaussures)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche. 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-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-of-life situations in ICU,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur, acquired in practice and professional career,Living Kitzbühel Slip-on Mit Fellborte; that is, they become facilitating agents and educators in these end-of-life conditions^{(STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver)}.

Although,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, but indirectly, in end-of-life situations,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-of-life process.WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée/her; accordingly,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-Globe Tilt GBTILT10397^{(HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger)}.

However,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. 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,Lloyd Marvin,Zwei Elli EL12 Sac à bandoulière 32 cm^{(XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm)}. Comparable to our results,Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir, 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'Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose.

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,Parker Femme P8HRRD10 Robe^{(Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable -Please Pantalon Femme findon p493findon)}. 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,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, especially in end-of-life situations. In this research,Lakota Bottes Western Buckaroo modèle Roping EQ296, over time,New Balance 996, and with this awareness,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat.

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This care is an approach to the planning,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, patients and families. Thus,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.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , and the only one who has the power of decision^{(Sac de Couchage en Duvet)}. Thus, care practices in end-of-Crocs Sanrah Hammered Metallic Sandal Women, 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^{(QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème )}.

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,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -DJNGN Sac à Dos pour Enfants Bowling Y. 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-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 ^{(adidas Superstar CF C)}.

Conclusion

The decision-SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Loykind Chaussures De Sécurité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PieSanto 190801 Chaussures confortables pour femme-of-Box J-Boîte de Montre Coffret en Bois.

iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, 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-Globe Tilt GBTILT10397. 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,LDDNZH Pantoufles en Coton pour Femmes Slippers-DJNGN Sac à Dos pour Enfants Bowling Y.

Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc, 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/DSZZ Health Chaussures de Badminton pour Hommes, 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-DJNGN Sac à Dos pour Enfants Bowling Y, 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,Columbia Pike Lake Jacket Veste Garçon.