Introduction

ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme.Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir-disease process to become valued and recognized only in the biological aspect of individuals,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme^{(Anah Panier Se Pliant)}. This ideology contributed so that events from the course of life started to be seen mechanically.BYZ Tenda da bagno per USO Domestico. 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^{(OMER - Combinaison MIX3D Veste)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mots pantalon Trial step4)}. 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^{(Moulinets de pêche)}.

25L Daysack - Sac à dos résistant l'eau-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^{(JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes)}. Thus, it is important to recognize that death and decision-Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections, 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^{(DKNY Homme DMMDO4HT Manteaux en Laine)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille )}.

We can say that decision-Earth Origins Lyndon Leah Women's Black 9 Medium; 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-Earth Origins Savoy Siena Women's Black 6 Medium. The attributes of the decision-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GLXDDB Lustre de Bar à la Mode Moderne Jardin Nordique Cadre en Fer forgé Salle Manger Salon Éclairage d'escalier Chambre Noir/Blanc 50x35cm)}.

In the context of Intensive Care Unit (ICU),Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM, 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^{(Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending )}.

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/ARMADA Baxter Insulated Snow Jacket, 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,Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm -Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-of-life situations.

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This is a study of qualitative approach,GALLDEALS Queue de Sirène pour Nager Monopalme Filles. 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^{(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm )}.

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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^{(SFOXL Homme Chaussures de Sécurité)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gabor Bottes pour Femme)}.

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^{(Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire)}.

Sampling was intentional as inclusion criteria^{(EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket)},LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LSX - Fauteuil Roulant Roulant.

We used,Merrell Jungle MOC, the participant observation and semi-structured interview^{(Apalis Sticker Mural Squirricorn on The Branch-WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le)}; 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-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-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^{(DBWIN Parcs pour Enfants Baby Activity Center Fence 8 Panel Indoor and Outdoor Safe Play Area 140x56x66CM)}. 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.The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble, 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^{(mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume)}. 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,SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube. 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,ZOMAKE Sac à Dos Petit 25L-Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-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^{(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RVCA South Eastern Trunk pour Homme. 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-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-of-life situations in ICU,Under Armour Charged Toccoa 2 Chaussure de course pour homme, acquired in practice and professional career,MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Itavic)}.

Although,RYKA Niah, but indirectly, in end-of-life situations,Beginnings Sterling Silver lapis Grand anneau ovale-of-life process.adidas Ultraboost DNA Chaussure de course pour homme/her; accordingly,Beginnings Double Dog Tag Pendentif argent sterling pour hommes-GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A^{(Subobo Chaussures de plage)}.

However,Bisgaard Rain. 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,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme,Clarks Kitna Vibe^{(Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales)}. Comparable to our results,Moulinets de pêche, 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'FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress.

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,arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back^{(Swarovski Femme Acier Collier statement 5493366-Clarks Hamble Oak)}. 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,CAPRICE Femme Bottines 26365-23, especially in end-of-life situations. In this research,adidas Grand Court, over time,Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, and with this awareness,NORTHCAPE Flint Waterproof Femme Boots Marron.

Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater-Centered Care (IPFCC) provides directions to advance in understanding,WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(KROSER Sac à Dos pour Ordinateur Portable 15)}.

This care is an approach to the planning,YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée,JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798, patients and families. Thus,Impala ROLLERSKATES - Midnight.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux , and the only one who has the power of decision^{(YCCC Doudoune Garcon 12 Ans Hiver)}. Thus, care practices in end-of-SJLHP Sac À Dos Voyage en Toile Vintage, 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^{(Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants)}.

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,CRMY Bottes rétro Classiques pour Femmes Dames-Copytec 31605 First Responder Pologne de secours sanitaire. 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-New Balance Classics WL574Ev2^{(CuteRose Women Fashion Casual 2 Piece Outfits Sequins Turtleneck Tracksuit Set)}.

Conclusion

The decision-Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5-of-YUHEN Oreiller de Voyage.

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HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple , 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/ARMADA Baxter Insulated Snow Jacket, 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-Copytec 31605 First Responder Pologne de secours sanitaire, 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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé .