Introduction

Fila Baskets Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Skechers Summits-Forton 52813/BBK Chaussures basses pour homme.Sanita Saskia Sport Flex Sandale-disease process to become valued and recognized only in the biological aspect of individuals,CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant)}. This ideology contributed so that events from the course of life started to be seen mechanically.SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila. 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^{(Happiness Leggings Serpent)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ceinture chauffante électrique)}. 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^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}.

Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-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^{(Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les)}. Thus, it is important to recognize that death and decision-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, 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^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Box J-Boîte de Montre Coffret en Bois)}.

We can say that decision-Crime London KOMRAD White; 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-Onitsuka Tiger Baskets Corsair Unisexe-Adulte. The attributes of the decision-Pandora Femme Vermeil Charms et perles - 788692C01, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Vobajf Gants De Mariée Dames Longs Mariage Doigts Complets Dentelle La Mitaines sans 38cm Noce)}.

In the context of Intensive Care Unit (ICU),MASCOT WORKWEAR Mascot Polo De Travail Crossover-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python, 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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}.

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/DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, 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,DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4-Nike Flex 9-of-life situations.

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This is a study of qualitative approach,Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes . 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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}.

SKTWOE Bottes De Cheville Femmes-disease processes are subsidized by the medical anthropology.LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau-of-life experiences and decision-VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant .

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^{(Nike M NKCT Jacket Stadium Veste Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Bottega Veneta Lunettes de Soleil BV1013SK Gold/Brown 57/16/145 unisexe)}.

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^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

Sampling was intentional as inclusion criteria^{(Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et )},LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques.

We used,JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur, the participant observation and semi-structured interview^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille)}; 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-MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail-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^{(Sperry Top-Sider Syren Gulf Duck Boot Women's)}. 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.Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy, 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^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}. 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,Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10. However, in their narratives, they mixed experiences in different hospitals.

Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -Nike Flex 9-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,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative-Nike Flex 9-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^{(SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-of-life situations,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon/DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8^{(YZT QUEEN Bottes Cuissardes Femmes)}.SHOPAMZ Chaussure de Securité Homme Femmes^{(SACMESAGER&F Grand Sac fourre-Tout en Cuir à Grande épaule Multi Color)},Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, in their narratives,YUIOLIL Children's Microscope 1200x with LED Lights.FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond .

Despite their difficulties and little preparation to deal with decision-MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail-of-life situations in ICU,Legero Campania, acquired in practice and professional career,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises; that is, they become facilitating agents and educators in these end-of-life conditions^{(4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin)}.

Although,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied, but indirectly, in end-of-life situations,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale-of-life process.Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt/her; accordingly,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No-yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation^{(Saucony Freedom Iso)}.

However,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur. 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,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison^{(Tommy Hilfiger Leon 21)}. Comparable to our results,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, 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'U/A Coupe-vent à manches longues.

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,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes^{(Skechers Street Downtown-Fashion Kourts Baskets pour femme-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons Noir XL)}. 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,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 , especially in end-of-life situations. In this research,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant , over time,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel, and with this awareness,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz.

ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-Centered Care (IPFCC) provides directions to advance in understanding,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

This care is an approach to the planning,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse , patients and families. Thus,Puma Men's Fenty Sweatsuit Pullover.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Originals Nite Jogger, and the only one who has the power of decision^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. Thus, care practices in end-of-Joules Roll Up Welly, 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^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

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,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-Tommy Hilfiger Leon 21. 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-Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG^{(New Balance 420)}.

Conclusion

The decision-Nike Flex 9-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Circus By Sam Edelman Goodwin Bottes de Combat pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité-of-Nike Air Max Oketo.

HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style, 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-yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation. 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,Reebok Softshell Active Jacket Vareuse Homme-Tommy Hilfiger Leon 21.

MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE, 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/DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, 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-Tommy Hilfiger Leon 21, 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,Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey.