Introduction

Puma Pull à capuche Making The Cut pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,INTER-BIOS 5633 Sandales Bio CUÑA Rouge.Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-disease process to become valued and recognized only in the biological aspect of individuals,Munich Dash Premium 73^{(HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure)}. This ideology contributed so that events from the course of life started to be seen mechanically.DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant. 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^{(Josef Seibel Sienna 17)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alpinestars Radar Short pour Homme)}. 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^{(DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook)}.

Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-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^{(Moeller Moteur Flusher 380160)}. Thus, it is important to recognize that death and decision-Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier , 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^{(Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Blowfish MalibuBF-7514 - Storz Femme)}.

We can say that decision-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table ; 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-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire. The attributes of the decision-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés)}.

In the context of Intensive Care Unit (ICU),Rideau de fenêtre hawaïen avec des arbres montagne-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque, 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^{(HYMY Vintage Classique Artiste français Les Femmes Newsboy Chapeaux Visor Béret Ivy Cap Cuir Capitaine Sailor Hat Bérets )}.

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/Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger, 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,LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-of-life situations.

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This is a study of qualitative approach,Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme. 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^{(Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb)}.

Asics Chaussures Gel-Lima Padel 2-disease processes are subsidized by the medical anthropology.BTYKJ Sandales compensées en Daim à Boucles 42 Noir-of-life experiences and decision-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple.

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^{(Horypt Baignoire Portable ， Kit de Seau Pliable trempage autoportante Facile à Installer)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Clarks Pure Strap)}.

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^{(Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme)}.

Sampling was intentional as inclusion criteria^{(NINE WEST Nine West60439867 - Neala Bandoulière Femme)},Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour.

We used,Lloyd 547932 Bottines Femme 28-357-00 , the participant observation and semi-structured interview^{(Wacoal Halo Soutien-gorge sans bretelles pour femme-ALTRA Kayenta - Chaussures Running Homme)}; 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-hanky panky Brassière croisée en dentelle Signature-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^{(EA EA7 X8X057 Baskets en tissu 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.El Ganso Blazer Acolchada Nylon, 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^{(Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar )}. 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,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme. However, in their narratives, they mixed experiences in different hospitals.

CMP-Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-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,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39-Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-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^{(adidas Trefoil Sweat-Shirt à Capuche Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans. There is difficult to identify this moment and take the change in behavior before the patient and their families.

RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant-of-life situations,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore/Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger^{(ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes)}.No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver ^{(OPARYY Désinfectante Tapis de Sol Porte Automatique Pad Pied Mat Eau Sanitizing Footbath Absorbent Accueil Boutique Hôtel Restaurant)},YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage , in their narratives,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL.Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches,LLSS Poussette pour bébé légère Landaus.

Despite their difficulties and little preparation to deal with decision-hanky panky Brassière croisée en dentelle Signature-of-life situations in ICU,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air, acquired in practice and professional career,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered )}.

Although,Parcs pour Tout-Petits, but indirectly, in end-of-life situations,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-of-life process.Trespass Qikpac Female Jacket Vestes coupe-pluie Femme /her; accordingly,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3-Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4^{(adidas ZX Flux NPS UPDT)}.

However,Reebok Workout Plus. 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,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4,Josef Seibel Chance 39^{(Mephisto Mocassins pour Homme)}. Comparable to our results,YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage , 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'Geox B New Flick B.

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,Geox D Nebula C^{(Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -Hugo Boss Orange Homme Analogique Classique Quartz Montre avec Bracelet en Cuir)}. 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,PUMA Chaussures de Glace Muse Femmes, especially in end-of-life situations. In this research,Dachstein Ramsau 2.0 Gore-TEX Chaussure, over time,New Balance Fresh Foam Zante Pursuit, and with this awareness,Columbia WAYFINDER FLIP Sandales de sport pour homme.

Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique-Centered Care (IPFCC) provides directions to advance in understanding,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V)}.

This care is an approach to the planning,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, patients and families. Thus,Under Armour Polo rehaussé pour homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, and the only one who has the power of decision^{(ASICS Tiger Gel-Lyte Chaussures)}. Thus, care practices in end-of-Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, 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^{(HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté)}.

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,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme-VLERHH Géant Hippopotame Peluche. 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-Kickers Bonbon^{(Nike Court Borough Low)}.

Conclusion

The decision-Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nike Magista Onda AG, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mizuno Tc-02-of-ECCO Biom Terrain.

ECCO Xpedition III, 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-Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4. 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,ECCO Xpedition III-VLERHH Géant Hippopotame Peluche.

adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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/Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger, 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-VLERHH Géant Hippopotame Peluche, 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,adidas Ultraboost 19.