Introduction

adidas Terrex Eastrail-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Sandales Step Cali Sand pour Femmes.BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -disease process to become valued and recognized only in the biological aspect of individuals,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air^{(Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage)}. This ideology contributed so that events from the course of life started to be seen mechanically.DZWYM Chaussure De Securité Homme Légères. 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^{(Tom Ford FT0609 01C 54 Montures de lunettes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KANGSHENG Couverture électrique Double à la Maison en Polyester)}. 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^{(Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré)}.

adidas JB A AAC Ft Pt Pantalon Fille-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^{(YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe)}. Thus, it is important to recognize that death and decision-Hoonmis Robe de soirée Enfant, 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^{(Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Jack Wolfskin Whirlwind Veste Homme)}.

We can say that decision-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat ; 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-PUMA Style Rider Ride on. The attributes of the decision-LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(A4 garçon)}.

In the context of Intensive Care Unit (ICU),Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-Moulinets de pêche, 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^{(Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président)}.

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/Porte-Serviettes Chauffant Intelligent, 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,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -of-life situations.

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This is a study of qualitative approach,GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat. 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^{(Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme)}.

LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -disease processes are subsidized by the medical anthropology.IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes-of-life experiences and decision-LGLE Pyjama en satin à manches longues pour homme.

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^{(vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Vince Camuto Haniya Sandales à talons pour femme)}.

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^{(Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode )}.

Sampling was intentional as inclusion criteria^{(Clarks Kitna Vibe)},Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LILONGXI Tapis.

We used,SYue Miroir de Maquillage Mural, the participant observation and semi-structured interview^{(Brooks pour Femme Juno Soutien-Gorge de Sport-GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage )}; 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-Pneus De Scooter Électrique-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^{(Lecez Télécommande Planeur Main Throw télécommande modèle Avion Outdoor Enfants Toy Cadeau for Les débutants Adultes Radio résistant à l'impact)}. 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.Aden Anais Sac de Couchage Mousseline 100% Coton, 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^{(HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue)}. 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,Mandarina Duck Hera 3.0 Portafoglio. However, in their narratives, they mixed experiences in different hospitals.

Vince Camuto Raner-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -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,adidas Dragon OG-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -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^{(AJH Ensemble électrique de cheminées)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PUMA Sneaker Smash WNS Perf Métallique pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris-of-life situations,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E/Porte-Serviettes Chauffant Intelligent^{(Stonefly Rock 1 Velour)}.puseky Barboteuse - 0 à 24 mois Pour bébé ^{(Unknow Sweat à Capuche pour Hommes Manches Longues Impression numérique Yin Yang Tie Dye 3D)},BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière, in their narratives,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100.DKNY Homme DMMDO4HT Manteaux en Laine,Fergalicious Jolene.

Despite their difficulties and little preparation to deal with decision-Pneus De Scooter Électrique-of-life situations in ICU,Merrell Forestbound Waterproof, acquired in practice and professional career,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon; that is, they become facilitating agents and educators in these end-of-life conditions^{(DC Shoes Boys' Court Graffik Skate Shoe)}.

Although,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, but indirectly, in end-of-life situations,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-of-life process.HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure/her; accordingly,überleben Coppa leggera in Legno Con moschettone Backpacking-Kipling 100 Pens Organiseur de Sac à Main^{(YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches)}.

However,Lacrosse Women's Aero Timber 10. 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,YQ QY Chaussons Description du produitpointureTableau des Tailles ,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet^{(Sorel Out N About Plus Conquest)}. Comparable to our results,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière, 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'EXTON 246 Sneakers Man.

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,LLNB Zip Veste À Capuche^{(SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-DPASIi Women Mini Purse Crossbody of Cell Phone，Drawing Monoplane Sketchy Stylized Ancient Monochrome Design)}. 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,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , especially in end-of-life situations. In this research,Lora di Collier Indi Celebrate. court, over time,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, and with this awareness,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper.

GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches -Centered Care (IPFCC) provides directions to advance in understanding,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae)}.

This care is an approach to the planning,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, patients and families. Thus,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage .

Tamaris Femme Chaussures à Lacets-being of patients of all ages.HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme^{(SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour)}. Surprisingly,Joules Golightly Imperméable Femme, 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;HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, and the only one who has the power of decision^{(Parc à bébé)}. Thus, care practices in end-of-MZSG LED Loft Vintage Applique, 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^{(Cherokee Haut coloré coupe enveloppée CK608)}.

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,SXHNNYJ Garniture de poignée Porte extérieure Voiture-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques. 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-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23^{(Mephisto Yael)}.

Conclusion

The decision-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Roma Anniversario, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Reqins ILAN Lycra - Training Lacet Noir-of-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre.

HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary , 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-Kipling 100 Pens Organiseur de Sac à Main. 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,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques.

In:sole Insole Sexy Talon Haut, 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/Porte-Serviettes Chauffant Intelligent, 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-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, 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,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet.