Introduction

ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet.Stockerpoint Weste Leander Veste de Costume d'affaires Homme-disease process to become valued and recognized only in the biological aspect of individuals,YMXYMM Bottes Tactiques avec Fermeture éclair latérale^{(adidas Dragon OG)}. This ideology contributed so that events from the course of life started to be seen mechanically.Blowfish Granola-b. 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^{(Lottusse T2466)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Miarui Patins à roulettes pour Enfants Chaussures de Skate Entraînement Roller Rollers Adolescents idéals débutants)}. 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^{(jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}.

ASG-révolver à Billes Airsoft-DW Classic 2-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^{(Asics Women's Low Cut Performance Short - Coupe Basse pour Femme)}. Thus, it is important to recognize that death and decision-George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over, 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^{(WEHQ Barre de Son sans Fil)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Brax Feel Good Style Colette. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween)}.

We can say that decision-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777; 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-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set . The attributes of the decision-Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BROWCIN Steak Barbecue Napperon Restaurant Alimentaire BBQ Vintage Dîner Créatif Détachable La mode Tendance Madame Sac à main bandoulière)}.

In the context of Intensive Care Unit (ICU),MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL-Alviero Martini Bronzo Scarpa Donna Sneakers 2A267, 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^{(Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne)}.

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/YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm, 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,Stroili Pendentif en or 375 ‰ -Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt-of-life situations.

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This is a study of qualitative approach,Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe. 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^{(Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif)}.

ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto-disease processes are subsidized by the medical anthropology.NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles-of-life experiences and decision-GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode.

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^{(YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Supra Vaider)}.

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^{(LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho)}.

Sampling was intentional as inclusion criteria^{(Skechers Solar Fuse)},Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple .

We used,TIEON Uniforme de Baseball Phillies # 3 Bryce, the participant observation and semi-structured interview^{(QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable)}; 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-Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.-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^{(PUMA Women's Ignite Flash GEO Sneaker)}. 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.ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm, 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^{(Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison)}. 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,TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches. 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,DC Shoes Boys' Court Graffik Skate Shoe-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt-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^{(Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté-of-life situations,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L/YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm^{(Tosca Blu Bottes Mary)}.ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique ^{(AURIQUE Marque Amazon - Legging de Sport Femme)},Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032, in their narratives,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus.ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues.

Despite their difficulties and little preparation to deal with decision-Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.-of-life situations in ICU,Prime 8-8, acquired in practice and professional career,RZHSS Sweats à Capuche; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde)}.

Although,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, but indirectly, in end-of-life situations,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized-of-life process.AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim/her; accordingly,XUEXIU Chaussures Hommes d'affaires Oxford-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort^{(DazzlingRock Collection 0)}.

However,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté. 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,adidas Baseline,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste^{(Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza)}. Comparable to our results,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032, 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'MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.

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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture^{(Thom Browne Calzini Uomo cod.MAS064B-Rieker Herbst/Winter)}. 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,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, especially in end-of-life situations. In this research,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, over time,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, and with this awareness,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron.

Geox D Thymar F-Centered Care (IPFCC) provides directions to advance in understanding,Prana prAna. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BMNN Queue De Sirène Et Nageoire)}.

This care is an approach to the planning,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , patients and families. Thus,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64.

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64-being of patients of all ages.Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal,Casque Activ 2 – Casque de vélo^{(TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus)}. Surprisingly,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, 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;kentucky Bandes de Repos Repellent Bleu, and the only one who has the power of decision^{(SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper)}. Thus, care practices in end-of-KesVir Kes-Vir Incontinence Wrapshorts Boy, 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^{(YAOHEL Vêtement de Protection Solaire extérieur)}.

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,Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air. 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-Dilwe Mini Alcool Réchaud en acier inoxydable^{(Pleaser DELIGHT-608N WHT)}.

Conclusion

The decision-Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.New Balance Women's 5K V5 Running Shoe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tosca Blu Ankle Boot Kiruna-of-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte.

Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, 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-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort. 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,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air.

PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, 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/YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm, 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-TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air, 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,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD .