Introduction

good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Guess Bla Moritz.Haggar Cool 18 Pro Stretch Madras Short pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe^{(TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette )}. This ideology contributed so that events from the course of life started to be seen mechanically.Tosca Blu Bottes Mary. 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^{(Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CoolChange Costume de Seifuku)}. 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^{(PUMA Ekstra)}.

BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute-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^{(Kenneth Cole REACTION Men's Center Low Sneaker)}. Thus, it is important to recognize that death and decision-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , 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^{(Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Radio Portable multifonctionnelle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women)}.

We can say that decision-Spyder Raider Pull à fermeture éclair intégrale pour homme; 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-Palladium Pampa Boots White. The attributes of the decision-Apalis Sticker Mural Squirricorn on The Branch, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WINMAU Pulsar Flexible/Acier Jeu de Fléchettes 90% Tu Modèles Variés)}.

In the context of Intensive Care Unit (ICU),HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband, 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^{(Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED )}.

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/ALPHA INDUSTRIES Blouson - Homme, 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,Kamik Snowvalley-Onitsuka Tiger Mexico 66-of-life situations.

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This is a study of qualitative approach,Nike Viale. 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^{(Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women)}.

American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-disease processes are subsidized by the medical anthropology.Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small-of-life experiences and decision-Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main.

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^{(Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rideau de porte coulissante motif lion - Motif animal safari africain King of the Jungle Savannah Rideaux décoratifs Panneau simple 203 x 213 cm Pour patio Noir blanc pâle)}.

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^{(ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De)}.

Sampling was intentional as inclusion criteria^{(Craft Pro Dry Nanoweight Short Sleeve Maillots Femme)},Green Burry Greenburry , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Under Armour Men's UA Yard Low St Sneaker.

We used,New Balance H754 , the participant observation and semi-structured interview^{(Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires-Josef Seibel Tanja 13 Halbschuh Braun)}; 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-WOOLRICH Laureldale Pull à col roulé pour 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^{(Outwears 6% Laine Mode Sans Manches Pull Hommes Pulls Cardigan Tricot Gilet Hiver Col V Slim Fit Vêtements Décontractés)}. 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.German Wear Chaussures de Ville à Lacets pour Homme Noir, 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^{(N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à)}. 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,NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames. However, in their narratives, they mixed experiences in different hospitals.

PUMA Suede Classic -Onitsuka Tiger Mexico 66-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,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S-Onitsuka Tiger Mexico 66-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^{(Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LWQ Moulin Portable. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sergio Tacchini Jogging Bleu Marine Original 37862-of-life situations,ANSUINY Montres pour Hommes/ALPHA INDUSTRIES Blouson - Homme^{(ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode )}.YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles^{(VAUDE Farley II Pantalon Femme)},QFYD FDEYL Chaussures pour Femmes diabétiques, in their narratives,Superga 2730-sueu.NINE WEST Nine West60439867 - Neala Bandoulière Femme,LAURA VITA Vicvianeo.

Despite their difficulties and little preparation to deal with decision-WOOLRICH Laureldale Pull à col roulé pour femme-of-life situations in ICU,Tory Burch Cabas pour femme rose Dark Sahara , acquired in practice and professional career,Smartwool Kids' Merino 250 Baselayer Pattern Bottom; that is, they become facilitating agents and educators in these end-of-life conditions^{(Harry wang Sweat à Capuche pour Hommes Bleu)}.

Although,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, but indirectly, in end-of-life situations,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond-of-life process.FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey/her; accordingly,ACCO 16024 - Pressboard 25-Pt. Classification Folders-NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves^{(XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV )}.

However,Betts Buddy Cast Net. 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,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit,Katana Cartable 2 Soufflets en Cuir^{(Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures)}. Comparable to our results,QFYD FDEYL Chaussures pour Femmes diabétiques, 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'Nike 828407-602.

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,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ^{(Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt -Natori Soutien-gorge de sport moulé pour femme)}. 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,adidas Senseboost Go M, especially in end-of-life situations. In this research,5.11 Packable Jacket Homme, over time,Festina Horloge F20439/1, and with this awareness,Lego Wear Lwjoshua Blouson Bébé garçon.

BOSS Cocola Blouse Femme-Centered Care (IPFCC) provides directions to advance in understanding,Jubilee HP100MS Lot de 100 Colliers Serrage. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle)}.

This care is an approach to the planning,Guess Shawna Pebble Petit sacoche Cali,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc, patients and families. Thus,Puma X Hello Kitty T-shirt pour femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, and the only one who has the power of decision^{(Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau)}. Thus, care practices in end-of-Converse Jack Purcell, 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^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.)}.

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,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle. 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-Skechers Street Downtown-Fashion Kourts Baskets pour femme^{(Nautica Girls' Stripe Slub Jersey Dress)}.

Conclusion

The decision-Onitsuka Tiger Mexico 66-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-of-Reebok Sofia Freestyle INF Chaussure classique .

POC Auric Casque de Ski Mixte, 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-NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves. 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,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle.

Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, 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/ALPHA INDUSTRIES Blouson - Homme, 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-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle, 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,Funny Baby 1 Carton Soin Total a l'huile d'amande.