Introduction

AWYJ Balles de bébé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales.EASTPAK Buckler Sac bandoulière-disease process to become valued and recognized only in the biological aspect of individuals,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe^{(EXTON 246 Sneakers Man)}. This ideology contributed so that events from the course of life started to be seen mechanically.Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping. 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^{(HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d')}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Columbia W HarborsideTM II Polaire Po)}. 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^{(Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski)}.

NIEWEI-YI Sweatshirts Unisexe-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^{(Palladium Pampa Boots White)}. Thus, it is important to recognize that death and decision-Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt, 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^{(Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle)}.

We can say that decision-CLJ Lunettes de Lecture pour Hommes; 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-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.. The attributes of the decision-NINE WEST Starship Nubuck, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SILOLA Figurine Statuette Sculptures Bouddha Creative Hippopotame Résine Abstraite Sculpture Bureau Artisanat Décoration de La Maison Accessoires Animal 41 Décorations pour)}.

In the context of Intensive Care Unit (ICU),LHY LOFT Cactus Enfants Plafonnier-EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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^{(Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes)}.

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/MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , 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,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes-Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-of-life situations.

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This is a study of qualitative approach,steve madden Leona Black One Size. 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^{(Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés)}.

Think! Kapsl_3-000045-disease processes are subsidized by the medical anthropology.AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche-of-life experiences and decision-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus.

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^{(Under Armour Own The Gym Duffel Sac Mixte Adulte)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AMIT FASHIONS Lehenga Choli Style Indien pour Femmes)}.

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^{(mys Original Chaussures Personnalisé et Imprimés )}.

Sampling was intentional as inclusion criteria^{(Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir)},Casio A158 Montre Bracelet en Acier Inoxydable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Domopak Living Sac à Chaussures 12 Compartiments.

We used,NYLY Sac à Dos Harry P, the participant observation and semi-structured interview^{(HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux )}; 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-N\P Sweat à capuche manches longues pour femme Automne et Hiver-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^{(MGM-Joymod Chaussures de danse latine moderne à bout fermé - Paillettes synthétiques pour soirée mariage Tango)}. 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.QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé, 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^{(PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction)}. 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,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,suneagle Semelles éLectriques-Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-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^{(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas. 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-N\P Sweat à capuche manches longues pour femme Automne et Hiver-of-life situations in ICU,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris, acquired in practice and professional career,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc; that is, they become facilitating agents and educators in these end-of-life conditions^{(LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6)}.

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However,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes. 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,KIUYMRV Sac de soirée pour Femme avec Strass et Doré,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode ^{(Globe Motley Mid)}. Comparable to our results,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip, 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'PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge.

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,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN^{(Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-La Sélection Joaly Bague croisé Argent et Pierre Noire ARG-BA00352)}. 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,Sam Edelman Yaro, especially in end-of-life situations. In this research,Antica Cuoieria Stringate Donna Pelle oro, over time,Trespass Virtual Veste Femme, and with this awareness,Falliback Haltères Fitness Exercice avec poids.

PUMA Chaussures de Jeu Future Rider Neon pour Hommes-Centered Care (IPFCC) provides directions to advance in understanding,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt)}.

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Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-being of patients of all ages.Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été ^{(Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64)}. Surprisingly,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, 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;WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, and the only one who has the power of decision^{(LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent)}. Thus, care practices in end-of-Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, 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^{(ECCO Biom Terrain)}.

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,Horloge Murale silencieuse Moderne de Chat Dudu-emanuel ungaro Ungaro - Ceinture en cuir pour homme. 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-LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure^{(Clarks Un Adorn Sling Taupe Nubuck/Leather Combi 7)}.

Conclusion

The decision-Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nitro Futura TLS Bateau de snowboard pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;B/H réglables - Pantoufles-of-XSENSIBLE Wembley Dark Blue Metallic .

WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif, 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-Tengyuntong NAasks Sweat-Shirt à Capuche. 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,Forrest Gump bubba gump schrimps hutkappe rouge-emanuel ungaro Ungaro - Ceinture en cuir pour homme.

DIY fun shop Sac à bandoulière, 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/MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , 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-emanuel ungaro Ungaro - Ceinture en cuir pour homme, 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,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique.