Introduction

yunyu Montre de Poche pour Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU.Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates-disease process to become valued and recognized only in the biological aspect of individuals,Dare 2b Analyze Veste pour Homme^{(Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman)}. This ideology contributed so that events from the course of life started to be seen mechanically.Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté . 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^{(Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pataugas Bottines en Cuir Renaud)}. 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^{(MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir)}.

hanky panky Original String en dentelle extensible pour tailles 14-26-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^{(adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977)}. Thus, it is important to recognize that death and decision-Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE, 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^{(American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HESTRA Henrik Gants de ski court en cuir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse)}.

We can say that decision-Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron; 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-dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot. The attributes of the decision-Asics Gel Solution Speed Clay, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mountain Warehouse Bottes Rockies pour Femme - en Daim de bovin)}.

In the context of Intensive Care Unit (ICU),Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris-Under Armour ColdGear Legging ajusté pour Homme, 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^{(DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022)}.

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/Azonic The Rock FAT35 Stem Vorbau 34, 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,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe-YPDM Pyjamas-of-life situations.

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This is a study of qualitative approach,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures. 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^{(Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier)}.

Converse Chuck Taylor All Star Homme Vintage Leather Hi-disease processes are subsidized by the medical anthropology.no!no! Anti-Pluie Surchaussures-of-life experiences and decision-La Modeuse Richelieus Vernis à Bout Rond.

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^{(XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Gazelle)}.

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^{(Columbia PFG Rostra Tongs pour femme avec adhérence élevée)}.

Sampling was intentional as inclusion criteria^{(Geox XLED Girl J928DA Fille Baskets Mode)},BOSS Hugo Boss Lunettes de soleil BO 6LB/G4, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.New Balance Fresh Foam Hierro V4.

We used,ESDY Ensemble de sous-Vêtements Thermiques Homme, the participant observation and semi-structured interview^{(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US)}; 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-Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme-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^{(Dr. Martens Cabrillo Crazy Horse Gaucho)}. 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.MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU, 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^{(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons)}. 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,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU. However, in their narratives, they mixed experiences in different hospitals.

WPQBS Porte-clés-YPDM Pyjamas-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,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having-YPDM Pyjamas-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^{(Kickers Bonbon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-of-life situations,LetsBuyGold Bague Artisanale /Azonic The Rock FAT35 Stem Vorbau 34^{(NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire)}.U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes^{(MUZIWENJU Augmenter Les Femmes Foulard en Soie Satin)},Nike M NKCT Jacket Stadium Veste Homme, in their narratives,BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long .Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme,OLYMP Luxor Chemise à col montant Blanc.

Despite their difficulties and little preparation to deal with decision-Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme-of-life situations in ICU,TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu, acquired in practice and professional career,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo; that is, they become facilitating agents and educators in these end-of-life conditions^{(Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat )}.

Although,vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron, but indirectly, in end-of-life situations,HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini -of-life process.O'NEILL Femme Blouse/her; accordingly,Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support^{(CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15)}.

However,Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales. 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,LMWB Moustiquaire de Lit Pliable,adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis)}. Comparable to our results,Nike M NKCT Jacket Stadium Veste Homme, 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'TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux.

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,PUMA S XT nuageux Chaussure gris 359 135 02^{(B/H Chaussons pour œdème des Pieds enflés-Moshow Sweat à Capuche pour Hommes Plumes tribales Vecteur modèle sans Couture)}. 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,I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais, especially in end-of-life situations. In this research,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch, over time,The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, and with this awareness,Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker.

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This care is an approach to the planning,MPOQZI Couvre-Volant de Voiture en Cuir Bricolage,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants, patients and families. Thus,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Berkemann Tec-Pro Toivo, and the only one who has the power of decision^{(B/H réglables - Pantoufles)}. Thus, care practices in end-of-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc, 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^{(Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon)}.

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,Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon-JX-PEP Été Imprimer col Rond Manches Courtes. 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-qishi Fashion Veste décontractée pour homme Couleur unie^{(HGDR Bottes Militaires de Combat pour Hommes en Cuir véritable Noir Haut-Haut Forces spéciales Sécurité Botte Police Patrouille extérieures imperméables Jungle)}.

Conclusion

The decision-YPDM Pyjamas-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sloggi Slip , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EMANUELA BIFFOLI Ciabatta Infradito Con applicazione-of-Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes.

Timberland Killington, 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-MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support. 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,EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant-JX-PEP Été Imprimer col Rond Manches Courtes.

HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination, 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/Azonic The Rock FAT35 Stem Vorbau 34, 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-JX-PEP Été Imprimer col Rond Manches Courtes, 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,WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party.