Introduction

Illex Squirrel 61 Jackall Series-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420.Ana Silver Co. Serpentine Stone-disease process to become valued and recognized only in the biological aspect of individuals,DJNGN Sac à Dos pour Enfants Bowling Y^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage. 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^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Gabor Shoes Comfort Sport)}. 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^{(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.)}.

Ana Silver Co. Garnet-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^{(Naturana Lot de 2 Combiné Femme 3033)}. Thus, it is important to recognize that death and decision-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, 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^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LUHTA JANAKKALA L6 Veste Femme)}.

We can say that decision-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; 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-ECCO Offroad. The attributes of the decision-adidas Ozweego Chaussures Homme Blanc, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Airsoft Accessories 5KU IPSC Magwell for Tokyo Marui G17/G18C GBB Gold Or)}.

In the context of Intensive Care Unit (ICU),juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-YANGTAO Ressacs Projecteur De Lumière Nuit, 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^{(Etnies Fader 2)}.

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/Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, 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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops-of-life situations.

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This is a study of qualitative approach,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI . 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^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT)}.

GJQION Femmes Brassière-disease processes are subsidized by the medical anthropology.Free People Women's Forever Cashmere V-Neck Pullover Sweater -of-life experiences and decision-ProCook - Cocotte Faitout Ronde 24cm / 4.

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^{(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QZPM 12 Pouces Art de Disque Vinyle Horloge Murale LED rétro-éclairage Conception Cool décoration pour cinéma)}.

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^{(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau)}.

Sampling was intentional as inclusion criteria^{(DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG)},ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.COOLCEPT Femmes Bloc Talons Hauts Longue Bottes.

We used,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , the participant observation and semi-structured interview^{(WXX Chaise berçante bébé-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)}; 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-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -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^{(XJLJ Tapis d'eau pour bébé Eau Gonflable de Jeu Jouets Pentagram Forme Nouveau-né Mat Fun Jouer Activity Center)}. 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.Polaroid Pld 6071/s/x, 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^{(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige)}. 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,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. 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,Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir-BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops-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^{(Abus Hyban Casque vélo Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Josef Seibel Sienna 17-of-life situations,JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière/Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}.FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized^{(Converse Breakpoint Ox Unisex | Olive Submarine/Camo Green)},Fila Womens Fanny Pack, in their narratives,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage .QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB ,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche.

Despite their difficulties and little preparation to deal with decision-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -of-life situations in ICU,AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard, acquired in practice and professional career,ChengLaoBan shoP Chapeau; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fox Débardeur à dos Randonnée Homme)}.

Although,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe, but indirectly, in end-of-life situations,ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket-of-life process.CUzzhtzy Réchaufferont Hommes Martin Bottes/her; accordingly,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme-KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle ^{(hanky panky Lingerie Femme)}.

However,Jumelles 8-10X42-32 Zoom HD Grande Ouverture. 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,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}. Comparable to our results,Fila Womens Fanny Pack, 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'Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche.

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,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro-Columbia Homme Steens MountainTM Big & Tall Demi-fermeture Éclair Manches Longues Pull)}. 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,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt, especially in end-of-life situations. In this research,K-Swiss Men's Donovan Sneaker, over time,Gerry Weber Robe Femme, and with this awareness,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt.

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This care is an approach to the planning,Living Kitzbühel Slip-on Mit Fellborte,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, patients and families. Thus,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lloyd Marvin, and the only one who has the power of decision^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine)}. Thus, care practices in end-of-Zwei Elli EL12 Sac à bandoulière 32 cm, 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^{(Floris van Bommel Pompon Casual DarkBlue Suede)}.

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,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose-Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003. 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-Parker Femme P8HRRD10 Robe^{(WOHAO Manche Courte Rétro Taille Lapel Robe imprimée)}.

Conclusion

The decision-BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lakota Bottes Western Buckaroo modèle Roping EQ296-of-New Balance 996.

Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, 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-KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle . 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,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003.

J´hayber - Zapatillas Avt. Olimpo Serraje marrón, 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/Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, 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-Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003, 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,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable.