Introduction

Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy.SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S-disease process to become valued and recognized only in the biological aspect of individuals,PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}. This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Pawley Rilee. 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^{(Box J-Boîte de Montre Coffret en Bois)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sacha Bottes pour Femme)}. 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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}.

ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu 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^{(Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga)}. Thus, it is important to recognize that death and decision-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet, 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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Stockerpoint Weste Leander Veste de Costume d'affaires Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nike M NKCT Jacket Stadium Veste Homme)}.

We can say that decision-YMXYMM Bottes Tactiques avec Fermeture éclair latérale; 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-Blowfish Granola-b. The attributes of the decision-ASG-révolver à Billes Airsoft-DW Classic 2, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Uioy Les Femmes Enceintes Robe modèles de Mode Printemps et en Automne Nouvelle Jupe Coton lâche)}.

In the context of Intensive Care Unit (ICU),George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over-Brax Feel Good Style Colette, 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^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

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/Modèle d'avion en métal moulé sous pression 16 cm Boeing B777, 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,No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set -Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine-of-life situations.

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This is a study of qualitative approach,Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm. 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^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage)}.

MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL-disease processes are subsidized by the medical anthropology.Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-of-life experiences and decision-YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm.

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^{(Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MOOLFN Automne et Hiver Taille Plus Robe Pyjama Hommes Peignoir Chemise de Nuit Velours épais Service la Maison Corail)}.

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^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}.

Sampling was intentional as inclusion criteria^{(LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903)},Stroili Pendentif en or 375 ‰ , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe.

We used,ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto, the participant observation and semi-structured interview^{(Huber Romi Veste en Tricot pour Femme Bleu Clair-Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7)}; 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-NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles-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^{(LiangDa Cadre Photo Empreinte Nouveau-né Handprint Kit bébé et du Album for Douche Registre Box Décorations Keepsake Cadeau pour Les Nouveaux Parents)}. 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.GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode, 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^{(Suitline Valise Plus Grande Bagages Rigide)}. 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,Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche. 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,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine-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^{(Tommy Hilfiger Leon 21)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme. 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-NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles-of-life situations in ICU,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, acquired in practice and professional career,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

Although,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus, but indirectly, in end-of-life situations,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42-of-life process.Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues/her; accordingly,Prime 8-8-RZHSS Sweats à Capuche^{(Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite)}.

However,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M. 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,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim^{(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)}. Comparable to our results,Enval 4226711 Polonais pour Homme, 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'XUEXIU Chaussures Hommes d'affaires Oxford.

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,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort^{(TAZAN Mocassins De Conduite pour Hommes Plat-graphke Galactic Saints Artwork Sweatshirt Unisexe)}. 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,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté, especially in end-of-life situations. In this research,adidas Baseline, over time,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste, and with this awareness,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-Centered Care (IPFCC) provides directions to advance in understanding,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea)}.

This care is an approach to the planning,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, patients and families. Thus,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron.

Geox D Thymar F-being of patients of all ages.Prana prAna,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme^{(Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom)}. Surprisingly,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , 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;Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64, and the only one who has the power of decision^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}. Thus, care practices in end-of-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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^{(Multifanshop Rétro sac à bandoulière modern love wiebke 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,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear. 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-Casque Activ 2 – Casque de vélo^{(Makita DTM51RMEX1 DTM51RMEX1-Multiherramienta cambio rápido 18V 4.0 Ah)}.

Conclusion

The decision-Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;kentucky Bandes de Repos Repellent Bleu-of-KesVir Kes-Vir Incontinence Wrapshorts Boy.

Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, 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-RZHSS Sweats 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,Dilwe Mini Alcool Réchaud en acier inoxydable-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear.

New Balance Women's 5K V5 Running Shoe, 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/Modèle d'avion en métal moulé sous pression 16 cm Boeing B777, 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-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear, 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,Tosca Blu Ankle Boot Kiruna.