Introduction

aden by anais gigoteuse cozy plus-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,steve madden Femmes Sandales À Talon.Mammut Runbold Pantalon Femme Black FR : XS -disease process to become valued and recognized only in the biological aspect of individuals,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière^{(JINGJIE Ski Veste Pantalon Set)}. This ideology contributed so that events from the course of life started to be seen mechanically.GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia. 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^{(Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FACAIA Globes pour Enfants)}. 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^{(SLONGK Bobine D'Allumage 077905115T)}.

adidas Ultraboost 19 M-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^{(DC Femmes Recherche 18)}. Thus, it is important to recognize that death and decision-modamoda de Messenger Ital Sac à bandoulière en cuir T06, 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^{(Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Enuff Skateboards Skully Complete Skateboard. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(New Balance Mfcellg)}.

We can say that decision-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique; 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-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation. The attributes of the decision-KEEN Targhee Lace High Polar Waterprooof, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Felina Soutien-Gorge avec Armature Femme)}.

In the context of Intensive Care Unit (ICU),adidas Stabil Bounce-adidas Tan Graphic Crewneck Sweat-Shirt Homme, 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^{(qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique)}.

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/Merrell Vapor Glove 4, 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,Columbia Youth Firecamp Mid 2 WP-Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental-of-life situations.

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This is a study of qualitative approach,Sorel Out N About Plus Conquest. 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^{(HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple )}.

Love Moschino Borsa Quilted Nappa Pu-disease processes are subsidized by the medical anthropology.Asics Chaussures Gelsaga Gel-Saga Sou-of-life experiences and decision-ALTRA Superior 4.0 Black.

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^{(LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Redskins Kick Blouson Garçon)}.

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^{(Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir)}.

Sampling was intentional as inclusion criteria^{(PALLADIUM-EU Pampa Sport Cuff Wpn)},Sperry Top-Sider Femmes Bottes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Merrell Yokota 2.

We used,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, the participant observation and semi-structured interview^{(LDH Étendu sur Le Genou Doudoune Femme-YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V)}; 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-adidas Superstar-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^{(Yajun Bracelet Jade Violet Naturel Sculpté à La Main Bijoux De Charme Mode Auspicious Cloud Accessoires 1pc)}. 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.Northland Kosh Veste Garçon Gitane FR: 6A , 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^{(Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »)}. 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,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt . 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,Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental-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^{(Forrest Gump bubba gump schrimps hutkappe rouge)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ital-Design Bottes Classiques pour Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage-of-life situations,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle/Merrell Vapor Glove 4^{(Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker)}.Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie^{(Astrology Jewelry Argent Sterling Ouvrir Travail Texas Longhorn Bull Pendentif Collier)},LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill, in their narratives,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1.Splendid Lorne Ii Mule pour femme,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent.

Despite their difficulties and little preparation to deal with decision-adidas Superstar-of-life situations in ICU,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse, acquired in practice and professional career,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule; that is, they become facilitating agents and educators in these end-of-life conditions^{(Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été )}.

Although,FxsD Cigar Cabinet, but indirectly, in end-of-life situations,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne-of-life process.LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans/her; accordingly,PICKME Hommes Femmes USB Chauffage Gilet-JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou^{(Harnais de sécurité d'escalade)}.

However,K-Swiss Legging taille moyenne 7/8 pour femme. 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,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir^{(AlokHnvj Banbag Simple De Canapé Paresseux)}. Comparable to our results,LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill, 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'PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël.

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,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en^{(KLIM K Corp Sweat à capuche SM Noir - Jaune-Kappa - T-Shirt Irmiou Man)}. 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,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture, especially in end-of-life situations. In this research,CAMELBAK Eddy Bouteilles, over time,YPDM Peignoir, and with this awareness,Lumières de Partie.

FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe-Centered Care (IPFCC) provides directions to advance in understanding,SOCCX Pull pour femme avec structure en maille et logo. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large)}.

This care is an approach to the planning,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil ,PENGSHAO Plateau à Fromage en Bambou, patients and families. Thus,AXDNH Chaussures de Danse Femme.

ADSE Horloge Murale à Pendule-being of patients of all ages.Dead Threads - Four Pockets Men's Slim-Fit Punk Pants,HAFLINGER Everest Cascade^{(G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces )}. Surprisingly,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite, 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;RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , and the only one who has the power of decision^{(Square Enix Figurine 'Super Street Fighter IV - Sakura)}. Thus, care practices in end-of-Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, 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^{(Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage )}.

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,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien -CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping. 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-KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité^{(FZC-YM Anatomie du modèle de Simulation articulaire Larynx Humain Trois Fois agrandie （Boutique Britannique）)}.

Conclusion

The decision-Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct -of-Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre.

Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir, 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-JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou. 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,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping.

FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite, 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/Merrell Vapor Glove 4, 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-CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping, 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,DLH Sandales à Talons Hauts pour Femmes.