Introduction

Radio Portable multifonctionnelle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Spyder Raider Pull à fermeture éclair intégrale pour homme.Palladium Pampa Boots White-disease process to become valued and recognized only in the biological aspect of individuals,Apalis Sticker Mural Squirricorn on The Branch^{(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir)}. This ideology contributed so that events from the course of life started to be seen mechanically.HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk. 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^{(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)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Californication Dans Menottes capuche pour hommes)}. 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^{(Vinmin USB Rechargeable lumière de vélo Avant)}.

Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-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^{(FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil)}. Thus, it is important to recognize that death and decision-ALPHA INDUSTRIES Blouson - Homme, 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^{(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kamik Snowvalley. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène )}.

We can say that decision-Nike Viale; 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-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003. The attributes of the decision-Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WENMIN LED Moderne Plafond Lumière Salon Salle À Manger Chambre Enquêter Lampe De d'enfant en Fer Noir Acrylique Lustres Blanche)}.

In the context of Intensive Care Unit (ICU),Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-Green Burry Greenburry , 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^{(ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain)}.

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/Under Armour Men's UA Yard Low St Sneaker, 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,New Balance H754 -Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-of-life situations.

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This is a study of qualitative approach,WOOLRICH Laureldale Pull à col roulé pour 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^{(Izanoy Robe - Trapèze Femme)}.

German Wear Chaussures de Ville à Lacets pour Homme Noir-disease processes are subsidized by the medical anthropology.NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames-of-life experiences and decision-PUMA Suede Classic .

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^{(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XYDBB Bagage Cabine Frame Travel Trolley Valise Men Carry on Rolling Spinner Wheels Women Boarding Case 28"Noir)}.

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^{(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée)}.

Sampling was intentional as inclusion criteria^{(L@YC Sandales tendance pour femme à talon moyen)},Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fabulicious Flair.

We used,Bosch TDA703021A Fer à Repasser 3000 W, the participant observation and semi-structured interview^{(Reebok RB874 Women's Stealth SR Safety Boots - Black-TTmom Femme Portefeuille)}; 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-American Tourister Soundbox Spinner Extensible-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^{(Cofra V415-0-02.Z58 Tecka Veste Softshell)}. 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.Strellson Premium Express-w Blouson Homme, 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^{(MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve)}. 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,El Naturalista Borago. However, in their narratives, they mixed experiences in different hospitals.

Bisgaard Dora-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-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,LAURA VITA Vicvianeo-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-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^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tory Burch Cabas pour femme rose Dark Sahara . There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-American Tourister Soundbox Spinner Extensible-of-life situations in ICU,Betts Buddy Cast Net, acquired in practice and professional career,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit; that is, they become facilitating agents and educators in these end-of-life conditions^{(XiuLi Pantalon Thermo Chaud pour Femmes)}.

Although,Katana Cartable 2 Soufflets en Cuir, but indirectly, in end-of-life situations,Nike 828407-602-of-life process.HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver /her; accordingly,adidas Senseboost Go M-5.11 Packable Jacket Homme^{(LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674)}.

However,Festina Horloge F20439/1. 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,Lego Wear Lwjoshua Blouson Bébé garçon,BOSS Cocola Blouse Femme^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions)}. Comparable to our results,TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu, 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'Jubilee HP100MS Lot de 100 Colliers Serrage.

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,Guess Shawna Pebble Petit sacoche Cali^{(BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-Columbia Spire Heights Veste imperméable pour Homme)}. 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,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc, especially in end-of-life situations. In this research,Puma X Hello Kitty T-shirt pour femme, over time,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, and with this awareness,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume.

DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-Centered Care (IPFCC) provides directions to advance in understanding,Weems & Plath Marine Navigation à 3 Branches Rapporteur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LY88 Ouvre-Bouteille électrique)}.

This care is an approach to the planning,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us,Converse Jack Purcell, patients and families. Thus,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;POC Auric Casque de Ski Mixte, and the only one who has the power of decision^{(FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S)}. Thus, care practices in end-of-HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu, 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^{(The Bridge Lambertesca Sac porté épaule Noir)}.

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,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock-YULIN-L YYL Imperméables pour Enfants. 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-Funny Baby 1 Carton Soin Total a l'huile d'amande^{(Huangwanru Boîte de Montre pour Homme 9 Machines à sous Affichage Rangement Bijoux Case Bracelet Plateau Faux Cuir Noir boîte Hommes ou Femmes)}.

Conclusion

The decision-Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Piedro Sports Boots - Stability Stiffener, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil-of-HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent.

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Katana Sac bandoulière Noir, 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/Under Armour Men's UA Yard Low St Sneaker, 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-YULIN-L YYL Imperméables pour Enfants, 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,steve madden Liv Bootie .