Introduction

YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Speedo Vengeance Mirror Lunette Mixte.Tom' s Company Tom Drag's Spirale d'énergie Limite 300-disease process to become valued and recognized only in the biological aspect of individuals,Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 ^{(Mephisto Mocassins pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mares Volo Race. 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^{(Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BOBD-DW Cardigan pour Homme De Assortie Et Rembourré Mens Zipper Hoodie Outwear Tops Pull Blouse Manteaux Veste en Polaire My Hero Academia)}. 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^{(GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V)}.

LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes-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^{(Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge)}. Thus, it is important to recognize that death and decision-Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, 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^{(ASICS Tiger Gel-Lyte Chaussures)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté)}.

We can say that decision-Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL; 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-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver. The attributes of the decision-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DTNSYRF Joker épaississement des Cheveux épais)}.

In the context of Intensive Care Unit (ICU),KAVU Lorenzo Chemise à Boutons pour Homme-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant, 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^{(STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver)}.

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/Carhartt Henley T-Shirt de Poche pour 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,WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon-of-life situations.

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This is a study of qualitative approach,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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^{(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)}.

XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-disease processes are subsidized by the medical anthropology.WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-of-life experiences and decision-XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes.

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^{(Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Atlantic Stars F6130 Sneaker Donna Powder Pink/Black ALHENA Scarpe Shoe Woman)}.

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^{(Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33)}.

Sampling was intentional as inclusion criteria^{(LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable)},TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme.

We used,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme, the participant observation and semi-structured interview^{(Sac de Couchage en Duvet-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème )}; 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-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B-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^{(Housses de Couette Ensemble Housse Monument Valley Utah USA literie décoratif 3 pièces avec 2 Couvre-oreillers Double)}. 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.Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, 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^{(Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron)}. 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,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes. 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,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon-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^{(Clarks Janey Mae)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cinzia soft Havana #Beige 10301 IBB621-H 001-of-life situations,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women/Carhartt Henley T-Shirt de Poche pour Homme ^{(BOSS Cocola Blouse Femme)}.LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes^{(Neige Guêtres Randonnée imperméable Boot Leg guêtres légère Jambe Couverture for protéger l'escalade pédestre Chasse Ski Enfants 0421)},Geox Jr Strada A, in their narratives,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie.NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode .

Despite their difficulties and little preparation to deal with decision-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B-of-life situations in ICU,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine, acquired in practice and professional career,Illex Squirrel 61 Jackall Series; that is, they become facilitating agents and educators in these end-of-life conditions^{(Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes)}.

Although,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420, but indirectly, in end-of-life situations,Ana Silver Co. Serpentine Stone-of-life process.DJNGN Sac à Dos pour Enfants Bowling Y/her; accordingly,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage-Ana Silver Co. Garnet^{(QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie)}.

However,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR. 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,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs^{(Ysakura Bonnet Thermique Bluetooth)}. Comparable to our results,Geox Jr Strada A, 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'ECCO Offroad.

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,adidas Ozweego Chaussures Homme Blanc^{(HJJH Roulement de Roue Joint Removal Tool-Salewa Ms Wildfire)}. 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,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, especially in end-of-life situations. In this research,YANGTAO Ressacs Projecteur De Lumière Nuit, over time,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, and with this awareness,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la .

Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -Centered Care (IPFCC) provides directions to advance in understanding,GJQION Femmes Brassière. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Liyaya Automatic Induction Night Light)}.

This care is an approach to the planning,Free People Women's Forever Cashmere V-Neck Pullover Sweater ,ProCook - Cocotte Faitout Ronde 24cm / 4, patients and families. Thus,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So.

COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-being of patients of all ages.Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables ,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ^{(Merrell Jungle MOC)}. Surprisingly,Polaroid Pld 6071/s/x, 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;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, and the only one who has the power of decision^{(KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable)}. Thus, care practices in end-of-SMITH Riot Masque de Ski, 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^{(no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud )}.

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,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau-HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination. 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-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18^{(MAGO Gants de Gymnastique - d'entraînement)}.

Conclusion

The decision-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;mantraroma Pendentif argent 925 sterling labradorite -of-DSZZ Health Chaussures de Badminton pour Hommes.

XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, 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-Ana Silver Co. Garnet. 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,mantraroma Bague argent 925 sterling pierre de lune -HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination.

3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau, 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/Carhartt Henley T-Shirt de Poche pour 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-HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination, 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,L.BRUAT L. Bruat Montre de sport pour femme.