Introduction

BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-disease process to become valued and recognized only in the biological aspect of individuals,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz^{(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure )}. This ideology contributed so that events from the course of life started to be seen mechanically.AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat. 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^{(Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Munich Oxygen 14 Padel)}. 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^{(HJTLK Chariot de magasinage léger 39L)}.

HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-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^{(Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass)}. Thus, it is important to recognize that death and decision-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , 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^{(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Crocs Sanrah Hammered Metallic Sandal Women. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL)}.

We can say that decision-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ; 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-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain . The attributes of the decision-Loykind Chaussures De Sécurité, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LLLQQQ Lampe Murale européenne de décoration en Bois for Salon rétro Couloir créatif)}.

In the context of Intensive Care Unit (ICU),PieSanto 190801 Chaussures confortables pour femme-Box J-Boîte de Montre Coffret en Bois, 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^{(XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@)}.

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/iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, 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,LDDNZH Pantoufles en Coton pour Femmes Slippers-teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt-of-life situations.

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This is a study of qualitative approach,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc. 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^{(Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales)}.

Columbia Pike Lake Jacket Veste Garçon-disease processes are subsidized by the medical anthropology.B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm-of-life experiences and decision-Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron.

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^{(CMP Manteau Feel Warm Flat)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(madows backpacks Sac à dos en cuir pour femme - Grande capacité Taille : 30 cm x 29 14 cm)}.

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^{(Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000)}.

Sampling was intentional as inclusion criteria^{(Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps )},EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.7lljjq7 T Rex Fruit Hat-Dinosaurs.

We used,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, the participant observation and semi-structured interview^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom-Échelle de Tabouret Pliable en 2 étapes)}; 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-Misu Chaussures de Danse pour Homme Noir-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^{(Under Armour Charged Assert 8)}. 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.HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus », 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^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}. 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,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. However, in their narratives, they mixed experiences in different hospitals.

VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt-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,XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches-teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt-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^{(Obut - ATX Competition 175mm Boules de pétanque)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Reebok Flashfilm 3.0. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Fortarun AC K-of-life situations,Reebok Flashfilm/iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture^{(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme)}.DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022^{(PISTIL Designs pour Femme Gelato par Temps Froid Chapeau)},CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités, in their narratives,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier.LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore.

Despite their difficulties and little preparation to deal with decision-Misu Chaussures de Danse pour Homme Noir-of-life situations in ICU,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle, acquired in practice and professional career,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten; that is, they become facilitating agents and educators in these end-of-life conditions^{(Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc)}.

Although,Goodthreads Marque Amazon - Short chino élastique et confortable, but indirectly, in end-of-life situations,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-of-life process.KYOTO Plaquette Semi-métal S1989/her; accordingly,Kwon Kimono pour Enfant Taekwondo Song-Skechers Bounder^{(Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat)}.

However,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural. 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,steve madden Tronchetto in Suede Marrone,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE ^{(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille )}. Comparable to our results,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités, 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'Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir.

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,Timberland Kendrick Bottes imperméables pour homme^{(YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon-YZ Baby Sling)}. 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,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9, especially in end-of-life situations. In this research,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, over time,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, and with this awareness,Carrelage de nivellement automatique portatif carreaux céramique.

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This care is an approach to the planning,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, patients and families. Thus,Pulp Fiction Tee Shirt Homme Pomme Rouge.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NENGGE Barre de Traction, and the only one who has the power of decision^{(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 )}. Thus, care practices in end-of-SBDLXY Parc pour bébé extérieur, 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^{(Chorchester Robe à capuche pour cobra serpent multiangle Polygon)}.

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,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz -Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe. 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-SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles ^{(Sdjj Sac à dos en cuir pour femme Motif drapeau écossais)}.

Conclusion

The decision-teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WOCTP Manteau imperméable et amovible 3 en 1 pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hoonmis Robe de soirée Enfant-of-LED night light.

YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, 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-Skechers Bounder. 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,Hatley Swimsuits Maillot Une pièce Garçon-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe.

Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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/iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, 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-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe, 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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.