Introduction

Ideal Colliers de Serrage en Acier Inoxydable 1 5/20-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BELL Choice of Pros Sweat à Capuche pour Homme.4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin-disease process to become valued and recognized only in the biological aspect of individuals,Superga 2750 Crochet^{(Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Finn Comfort Chaussures de Ville à Lacets pour Femme Gris. 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^{(Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SXX Femmes coton Mini robes)}. 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^{(GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet)}.

Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures-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^{(Cole Haan HaanTucker Venetian - Tucker Vénitien Homme)}. Thus, it is important to recognize that death and decision-Lacoste Polo Homme, 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^{(Restyle Split Tunic - Robe à col roulé Noire et Gothique)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Munich Dash Premium 73)}.

We can say that decision-mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume; 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-Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues. The attributes of the decision-Foster-Natur Combinaison de Neige - Doudoune Bébé , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SQSLAY Sacs à bandoulière en Silicone de pour Femme chaîne dorée)}.

In the context of Intensive Care Unit (ICU),Seven Sons Sac à dos Turquoise bleu ciel-Jallatte Basket DE SECURITE JALATHLON S3, 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^{(Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau)}.

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/RICOSTA Daphne, 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,Carhartt T-shirt à manches courtes pour homme-Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin-of-life situations.

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This is a study of qualitative approach,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit. 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^{(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA])}.

Pleaser BEJEWELED-3019RSF-7-disease processes are subsidized by the medical anthropology.Scarpa R-Evo Trek GTX-of-life experiences and decision-Lloyd Bazar.

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^{(Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TATANE Hommes Femmes Sport Chaussures De Course Casual Marche Jogging)}.

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^{(Deerhunter Veste de chasse Highland)}.

Sampling was intentional as inclusion criteria^{(HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46)},Vince Camuto Robe décontractée à volants floraux pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe.

We used,Outline equiline tapis de selle dressage en coton noir, the participant observation and semi-structured interview^{(GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.)}; 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-Shepherd Lina Henrik-5240-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^{(AG Adriano Goldschmied Everett Slim Straight Leg Jeans in Jamestown 30)}. 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.KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes, 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^{(AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé)}. 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,Bearpaw Moc Ii. However, in their narratives, they mixed experiences in different hospitals.

totes Parapluie cannes Fille-Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin-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,DHNKW Men's Hoodies Sweatshirts-Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin-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^{(Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26". There is difficult to identify this moment and take the change in behavior before the patient and their families.

GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -of-life situations,BSWL Gilet Chauffant USB Intelligent/RICOSTA Daphne^{(glstkrrn E28 Legend Sweatshirt)}.jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains ^{(SPIDI Gant en cuir Str-5)},KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes, in their narratives,Déambulateur.BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino.

Despite their difficulties and little preparation to deal with decision-Shepherd Lina Henrik-5240-of-life situations in ICU,mys Original alte Personalizzate, acquired in practice and professional career,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten)}.

Although,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, but indirectly, in end-of-life situations,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1-of-life process.glstkrrn E90 Sweatshirt/her; accordingly,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41^{(Under Armour Campus W/U Veste pour femme)}.

However,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED . 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,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction,XTI 49473^{(Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20)}. Comparable to our results,KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes, 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'ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes.

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,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt^{(ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu -PEPINO Jungen Minilette Blau)}. 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,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, especially in end-of-life situations. In this research,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, over time,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande, and with this awareness,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black.

yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-Centered Care (IPFCC) provides directions to advance in understanding,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Horloge murale murale)}.

This care is an approach to the planning,Tommy Hilfiger Honey Flap Satchel,Asics Chaussures Gel-Quantum 180 4, patients and families. Thus,Emporio Armani Montre Intelligente ART5019.

Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit-being of patients of all ages.TOPO Athletic Chaussures de Course pour Homme,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm^{(Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45)}. Surprisingly,Roamers Bottines Chelsea - Homme , 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;smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, and the only one who has the power of decision^{(Furla 1927 S Tri-Fold Couleur Océan 1056757)}. Thus, care practices in end-of-Musto Veste légère Crew - Homme, 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^{(QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège )}.

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,FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-Lacoste PH4010 Polo Homme. 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-Huber Romi Veste en Tricot pour Femme Bleu Clair^{(FAOAOTT Jeu de Tournevis 15pc isolé pour téléphone Portable PC Montres Console Petits appareils Outils à Main)}.

Conclusion

The decision-Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Advantage Chaussure de tennis pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-of-YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm .

Clarks Women's Ada Mist Sandal, 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-Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41. 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,Clarks Women's Ada Mist Sandal-Lacoste PH4010 Polo Homme.

Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL, 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/RICOSTA Daphne, 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-Lacoste PH4010 Polo Homme, 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,Walking Cradles Étui pour femme - Beige taupe.