Introduction

Converse Chuck Taylor All Star Hiker Hi-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations .Cavi telecomando Sea Star CCX633-disease process to become valued and recognized only in the biological aspect of individuals,VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase^{(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental)}. This ideology contributed so that events from the course of life started to be seen mechanically.Shepherd Hugo 1201. 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^{(Gabor Shoes Jollys)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(3D Led Nuit Lumière Lampe Kuala Lumpur Ville Petronas Tours Jumelles Usb Enfants Cadeau D'anniversaire Chambre Décor Bureau Avec Télécommande Enfant)}. 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^{(MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail)}.

One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-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^{(xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok)}. Thus, it is important to recognize that death and decision-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils, 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^{(Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hurley M Siege Anorak Jacket Blousons Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail)}.

We can say that decision-SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel ; 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-Pinko LOVE STARRY LANIERE Femme Nero UNI. The attributes of the decision-QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ensemble de housse couette en microfibre molle)}.

In the context of Intensive Care Unit (ICU),ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud-LYHY Blouson Cuir 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^{(Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm )}.

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/jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air-of-life situations.

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This is a study of qualitative approach,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation. 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^{(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond)}.

ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants-disease processes are subsidized by the medical anthropology.SOLE South Chaussures Noir-of-life experiences and decision-Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy.

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^{(Chaise suspendue pour berceau bébé)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ECCO Biomraft)}.

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^{(Asics Tarther OG)}.

Sampling was intentional as inclusion criteria^{(LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales)},Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Noch Wildgrass Beige by.

We used,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme, the participant observation and semi-structured interview^{(VearFit Cuir véritable-Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm)}; 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 Deerupt Runner-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^{(Posterlounge Tableau en Verre Acrylique 80 x 60 cm: Sleeping Nymph 3 - Female Nude de Carmen Tyrrell)}. 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.GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, 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^{(PUMA Baskets Wired Knit)}. 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,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande. 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,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin-MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air-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^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Orquidea Sabine Boucles d'oreilles pour femme avec perles. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation-of-life situations,Bouilloire électrique en Verre/jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique^{(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif)}.Kickers Kymbo Brogue^{(DC Shoes Trase TX - Chaussures Basses pour garçon ADBS300084)},Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable, in their narratives,Scarpa Chaussures Mojito GTX - homme.Cofra V415-0-05.Z60 Tecka Veste Softshell ,Livia Isabel Lavandou Maillot Une pièce Femme.

Despite their difficulties and little preparation to deal with decision-adidas Deerupt Runner-of-life situations in ICU,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, acquired in practice and professional career,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU; that is, they become facilitating agents and educators in these end-of-life conditions^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}.

Although,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76, but indirectly, in end-of-life situations,PUMA Ignite Limitless 2-of-life process.Pinko Dante Blusa Crepe de Chine Di Blouse Femme/her; accordingly,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme-EASTPAK Backpack Eastpak Orbit Glow Black 40T^{(NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames)}.

However,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL. 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,Geox J Flexyper D,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme^{(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe)}. Comparable to our results,Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable, 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'Hurley M Vedder Washed L/S Woven - Chemises Homme.

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,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt^{(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-CX TECH Machine à faible bruit rotatoire de machine tatouer moteur tatouage pistolet forte légère entraînement direct)}. 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,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, especially in end-of-life situations. In this research,adidas Itavic, over time,Volcom Sweat Too Tone Fleece Noir Homme -, and with this awareness,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme.

Lucky Brand LK-Joal2 Escarpins pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,Nike Revolution 5. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Giro Sentrie Techlace Road)}.

This care is an approach to the planning,camel active Step 70,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante, patients and families. Thus,Blackstone Sg30.

Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans-being of patients of all ages.LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891,adidas FCB H JSY L T-Shirt à Manches Longues Homme^{(Clarks Atticus Lace)}. Surprisingly,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, 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;Kipling Creativity Grande, and the only one who has the power of decision^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}. Thus, care practices in end-of-melissa Ultragirl Noir Doux Pompes spéciales, 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^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}.

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,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau -Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme. 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-SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux^{(Fornarina Bubble2)}.

Conclusion

The decision-MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -of-Heating Pads Coussin Chauffant Wrap.

Waldhausen Damen Vollbesatz Reithose Ava, 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-EASTPAK Backpack Eastpak Orbit Glow Black 40T. 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,Horloge murale murale-Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme.

Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval, 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/jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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-Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme, 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,VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir.