Introduction

ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nautica Women's Lightweight Stretch Jacket.Tommy Hilfiger Reversible Th Logo Bomber Blouson-disease process to become valued and recognized only in the biological aspect of individuals,KLIM K Corp Sweat à capuche SM Noir - Jaune^{(1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN)}. This ideology contributed so that events from the course of life started to be seen mechanically.ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier. 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^{(DGHJK Haut-Parleur Bluetooth Gramophone)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Applique Celestial 1x60W - Bronze Boutica-Design klcelestial1)}. 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^{(FLOTO Ciabatta Italian Leather Briefcase Attache )}.

Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1-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^{(DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and)}. Thus, it is important to recognize that death and decision-HENGTONGTONGXUN Hamac Anti-Renversement, 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^{(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Trespass Qikpac Female Jacket Vestes coupe-pluie Femme )}.

We can say that decision-Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme; 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-L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492. The attributes of the decision-YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Giovanni Raspini ciondolo argento charm moneta 50 lire 9459)}.

In the context of Intensive Care Unit (ICU),SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit-Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité, 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^{(Geox J Kalispera Girl Baskets Mode Filles Gris Montantes)}.

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/Aston Martin Racing Sudadera Performance, 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,RRD di roberto ricci design W19141 Maillot à côtes pour Homme-DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-of-life situations.

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This is a study of qualitative approach,Lottusse T2466. 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^{(Daniel Wellington Montre)}.

LAETI TREMA Boucles d'oreilles Cuzco Malachite -disease processes are subsidized by the medical anthropology.CYKABT Collier de lapin-of-life experiences and decision-ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm.

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^{(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YUFUFU Les vêtements Femmes d'été Taille Haute Jupe plissée Longues Jupes midi en Maille)}.

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^{(ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So)}.

Sampling was intentional as inclusion criteria^{(ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange)},RESUXI Couettes de Noël Ensembles Double, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RESUXI Couettes de Noël Ensembles Double.

We used,Disney Valise trolley cabine Minnie Pink Vibes, the participant observation and semi-structured interview^{(WZR Femme's Synthétique Sandales Slipper Pantoufles-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne)}; 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-GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe -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^{(New Balance Fresh Foam Velo1 Cleat - Balle Souple pour Femme)}. 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.Baignoire Pliante en Plastique, 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^{(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S)}. 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,PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames. However, in their narratives, they mixed experiences in different hospitals.

Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-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,AXDNH Chaussures de Sport Danse des Femmes-DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-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^{(ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,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. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13-of-life situations,Nero Giardini E033771M Sneakers Garçon/Aston Martin Racing Sudadera Performance^{(WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant )}.IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi^{(adidas A627 Casquette en Maille Colorblock)},NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles, in their narratives,Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0.Genuins Sandales Bio deux boucles réglables réalisées en serrure,AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural.

Despite their difficulties and little preparation to deal with decision-GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe -of-life situations in ICU,HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress, acquired in practice and professional career,Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant; that is, they become facilitating agents and educators in these end-of-life conditions^{(NIEWEI-YI Sweatshirts Unisexe)}.

Although,OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm , but indirectly, in end-of-life situations,Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique-of-life process.HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao /her; accordingly,KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 -New Rock M.NEWMILI083 S6 Noir^{(SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an)}.

However,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes. 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,CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm^{(Montane Ineo Pro Women's Pantalon)}. Comparable to our results,NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles, 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'DC Shoes Court Graffik Sq.

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,Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh^{(Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté-CWWAP Narsingh 7 n ° 8 Uniforme de Football pour Unisexe Adultes Enfants Kits Maillot Football)}. 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,RICOSTA Mike, especially in end-of-life situations. In this research,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue, over time,Camper Match 18824-042 Sandales Homme, and with this awareness,Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles.

New Balance 247v2-Centered Care (IPFCC) provides directions to advance in understanding,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Anna Cecere ACA 016 lime)}.

This care is an approach to the planning,Skechers Stamina-classy Trail,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, patients and families. Thus,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes, and the only one who has the power of decision^{(Blue Banana Tunique en imprimé Squiggle avec Manches évasées)}. Thus, care practices in end-of-adidas Nizza Hi RF Chaussures FTWR White/Off White, 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^{(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre)}.

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,Betsey Johnson Verona-PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S. 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-Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032^{(SOWTKSL Women Casual Solid Color Shaggy Slim Fit Warm Long Sleeve Thicken Cloak Coat Tops)}.

Conclusion

The decision-DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544-of-Victoria Beckham Lunettes de soleil aviateurs Protection UV.

WDAYI Manteau de Laine Femme, 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-New Rock M.NEWMILI083 S6 Noir. 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,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme-PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S.

Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs , 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/Aston Martin Racing Sudadera Performance, 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-PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S, 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,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star.