Introduction

1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.ECCO Offroad-disease process to become valued and recognized only in the biological aspect of individuals,adidas Ozweego Chaussures Homme Blanc^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis)}. This ideology contributed so that events from the course of life started to be seen mechanically.juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume. 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^{(B/H Chaussons pour œdème des Pieds enflés)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(QJXX Coupe-Vent pour des Hommes Ultra léger Longue Doudoune Hiver Extérieur Épaissi Puffer Manteau avec Amovible Fourrure Capuche)}. 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^{(XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm)}.

YANGTAO Ressacs Projecteur De Lumière Nuit-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^{(Trezeta Margot WS Trek)}. Thus, it is important to recognize that death and decision-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, 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^{(B/H réglables - Pantoufles)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon)}.

We can say that decision-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI ; 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-GJQION Femmes Brassière. The attributes of the decision-Free People Women's Forever Cashmere V-Neck Pullover Sweater , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LJXLXY Sac à Dos imprimé école Rucksack Couleur de l'enfant Cartoon Naoshima Freddy Bookbag for Les garçons)}.

In the context of Intensive Care Unit (ICU),ProCook - Cocotte Faitout Ronde 24cm / 4-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, 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^{(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy)}.

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/COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, 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,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-of-life situations.

Eono by Amazon - Sac Organiseurs de Bagage

This is a study of qualitative approach,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe . 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^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité)}.

Polaroid Pld 6071/s/x-disease processes are subsidized by the medical anthropology.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-of-life experiences and decision-SMITH Riot Masque de Ski.

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^{(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CLBING Chaussures Tactiques Désert Hiver Randonnée en Plein Air Bottes Atterrissage Militaires)}.

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^{(YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}.

Sampling was intentional as inclusion criteria^{(Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes)},Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18.

We used,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, the participant observation and semi-structured interview^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime-JFF Gilet Chauffant)}; 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-mantraroma Pendentif argent 925 sterling labradorite -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^{(LES BENJAMIN Short - Homme)}. 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.DSZZ Health Chaussures de Badminton pour Hommes, 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^{(New Era Americana T-Shirt ~ York Yankees)}. 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,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal. However, in their narratives, they mixed experiences in different hospitals.

mantraroma Bague argent 925 sterling pierre de lune -Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-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,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche-Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-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^{(Converse Shoreline Slip on)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ChengLaoBan shoP Chapeau-of-life situations,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe/COOLCEPT Femmes Bloc Talons Hauts Longue Bottes^{(Pangdingk Costume Gonflable d'halloween de Forme Unique)}.ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket^{(Bali Women's Beauty Lift Uplifting Support Underwire Bra)},Walker, in their narratives,CUzzhtzy Réchaufferont Hommes Martin Bottes.AUTIANYU Inuyasha Sac fourre-tout en toile pour femme,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle .

Despite their difficulties and little preparation to deal with decision-mantraroma Pendentif argent 925 sterling labradorite -of-life situations in ICU,Jumelles 8-10X42-32 Zoom HD Grande Ouverture, acquired in practice and professional career,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture)}.

Although,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, but indirectly, in end-of-life situations,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-of-life process.teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt/her; accordingly,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt-K-Swiss Men's Donovan Sneaker^{(WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme)}.

However,Gerry Weber Robe Femme. 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,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton^{(JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding)}. Comparable to our results,Walker, 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'HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur.

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,Living Kitzbühel Slip-on Mit Fellborte^{(Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3-IUBBKI sac à main coloré carreaux en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes)}. 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,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, especially in end-of-life situations. In this research,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, over time,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée, and with this awareness,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe.

Globe Tilt GBTILT10397-Centered Care (IPFCC) provides directions to advance in understanding,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage )}.

This care is an approach to the planning,Lloyd Marvin,Zwei Elli EL12 Sac à bandoulière 32 cm, patients and families. Thus,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose.

Parker Femme P8HRRD10 Robe-being of patients of all ages.Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm,Lakota Bottes Western Buckaroo modèle Roping EQ296^{(yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372)}. Surprisingly,New Balance 996, 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;Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, and the only one who has the power of decision^{(NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12)}. Thus, care practices in end-of-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, 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^{(Under Armour Charged Rogue Twist Ice 302)}.

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,J´hayber - Zapatillas Avt. Olimpo Serraje marrón-Cinzia soft Havana #Beige 10301 IBB621-H 001. 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-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable^{(No Name Baskets Fille Multicolore)}.

Conclusion

The decision-Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué-of-Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit.

Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, 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-K-Swiss Men's Donovan Sneaker. 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,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-Cinzia soft Havana #Beige 10301 IBB621-H 001.

HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, 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/COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, 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-Cinzia soft Havana #Beige 10301 IBB621-H 001, 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,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym .