Introduction

Tosca Blu Bottes Mary-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute.WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -disease process to become valued and recognized only in the biological aspect of individuals,Radio Portable multifonctionnelle^{(Under Armour Sportstyle Tricot - Pantalon Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Spyder Raider Pull à fermeture éclair intégrale pour homme. 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^{(KIUYMRV Sac de soirée pour Femme avec Strass et Doré)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Florsheim Amelio Moc Toe Tassel Slip-On Black Smooth 9.5)}. 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^{(ROUE jOCKEY wT kLAPPB 25 vICIES)}.

Palladium Pampa Boots White-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^{(Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237)}. Thus, it is important to recognize that death and decision-Apalis Sticker Mural Squirricorn on The Branch, 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^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vince Camuto Raner)}.

We can say that decision-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband; 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-ALPHA INDUSTRIES Blouson - Homme. The attributes of the decision-Kamik Snowvalley, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(glerups dk Chaussons unisexe pour enfants)}.

In the context of Intensive Care Unit (ICU),Nike Viale-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003, 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^{(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore)}.

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/Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, 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,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-Pierre Cardin Lyon Long Life Chino Pantalon Homme-of-life situations.

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This is a study of qualitative approach,Green Burry Greenburry . 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^{(Brandit Sweatshirt à capuche Homme)}.

Under Armour Men's UA Yard Low St Sneaker-disease processes are subsidized by the medical anthropology.New Balance H754 -of-life experiences and decision-WOOLRICH Laureldale Pull à col roulé pour femme.

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^{(Topashe Femme Halloween Renaissance Medievale Costume)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DIY 5D Peintur Diamant Broderie Kits Complète Beauté abstraite 25x30cm Cristal Strass Point De Croix Full Diamond Painting Arts Craft pour Salon Chambre Décor Autocollant mural Q96)}.

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^{(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel)}.

Sampling was intentional as inclusion criteria^{(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)},German Wear Chaussures de Ville à Lacets pour Homme Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames.

We used,PUMA Suede Classic , the participant observation and semi-structured interview^{(Zhuowei Mesdames Stretch Cuissardes-Feagar Voiture Oreillers de Cou)}; 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-Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille -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^{(Uvex Chaussures de sécurité ESD S1P 2 Vibram 6521239 Taille: 39 noir)}. 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.Fabulicious Flair, 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^{(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle)}. 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,Bosch TDA703021A Fer à Repasser 3000 W. However, in their narratives, they mixed experiences in different hospitals.

American Tourister Soundbox Spinner Extensible-Pierre Cardin Lyon Long Life Chino Pantalon Homme-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,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles-Pierre Cardin Lyon Long Life Chino Pantalon Homme-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^{(Zeraty Gilet De Natation pour Le Kayak)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Superga 2730-sueu. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NINE WEST Nine West60439867 - Neala Bandoulière Femme-of-life situations,LAURA VITA Vicvianeo/Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small^{(ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets)}.Tory Burch Cabas pour femme rose Dark Sahara ^{(Mizuno Lightning Star Z4 Jr)},RYKA Dévotion pour femme, in their narratives,Smartwool Kids' Merino 250 Baselayer Pattern Bottom.YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond.

Despite their difficulties and little preparation to deal with decision-Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille -of-life situations in ICU,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey, acquired in practice and professional career,ACCO 16024 - Pressboard 25-Pt. Classification Folders; that is, they become facilitating agents and educators in these end-of-life conditions^{(Merrell Juno Mid Zip Sandal - Women's Brindle)}.

Although,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves, but indirectly, in end-of-life situations,Betts Buddy Cast Net-of-life process.lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit/her; accordingly,Katana Cartable 2 Soufflets en Cuir-Nike 828407-602^{(GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes)}.

However,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver . 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,adidas Senseboost Go M,5.11 Packable Jacket Homme^{(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans)}. Comparable to our results,RYKA Dévotion pour femme, 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'Festina Horloge F20439/1.

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,Lego Wear Lwjoshua Blouson Bébé garçon^{(Spark femme 42 cm 5 cristaux swarovski argent 925 triangle-MASCOT WORKWEAR Mascot Veste Softshell Haute-Visibilité 18512-246 - Safe Supreme Femme 3XL Hi-Vis Orange)}. 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,BOSS Cocola Blouse Femme, especially in end-of-life situations. In this research,Jubilee HP100MS Lot de 100 Colliers Serrage, over time,Guess Shawna Pebble Petit sacoche Cali, and with this awareness,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc.

Puma X Hello Kitty T-shirt pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver)}.

This care is an approach to the planning,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, patients and families. Thus,Weems & Plath Marine Navigation à 3 Branches Rapporteur.

Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us-being of patients of all ages.Converse Jack Purcell,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6^{(Sanuk Vee K Shawn)}. Surprisingly,Skechers Street Downtown-Fashion Kourts Baskets pour femme, 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;Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , and the only one who has the power of decision^{(Geox B New Gulp ABX C)}. Thus, care practices in end-of-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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^{(fischer 13948 Hausschuh)}.

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,Reebok Sofia Freestyle INF Chaussure classique -Hexagona Sacoche en cuir de vachette RÉPUBLIQUE. 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-POC Auric Casque de Ski Mixte^{(Asics Gel-Flux 5)}.

Conclusion

The decision-Pierre Cardin Lyon Long Life Chino Pantalon Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock-of-Funny Baby 1 Carton Soin Total a l'huile d'amande.

Piedro Sports Boots - Stability Stiffener, 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-Nike 828407-602. 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,ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE.

HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, 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/Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, 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-Hexagona Sacoche en cuir de vachette RÉPUBLIQUE, 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,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage.