Introduction

LDDNZH Pantoufles en Coton pour Femmes Slippers-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc.Columbia Pike Lake Jacket Veste Garçon-disease process to become valued and recognized only in the biological aspect of individuals,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm^{(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 )}. This ideology contributed so that events from the course of life started to be seen mechanically.Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron. 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^{(Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Napapijri Boves H Sweatshirt à Capuche Homme)}. 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^{(Anastasia Beverly Hills - Veste Courte rembourrée pour Femme)}.

EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles-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^{(Rieker 30921)}. Thus, it is important to recognize that death and decision-7lljjq7 T Rex Fruit Hat-Dinosaurs, 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^{(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print)}.

We can say that decision-Misu Chaussures de Danse pour Homme Noir; 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-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus ». The attributes of the decision-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pepe Jeans Koko Sand)}.

In the context of Intensive Care Unit (ICU),VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches, 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^{(THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir)}.

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/SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, 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,Odlo Midlayer Full Zip Proita Femme-Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-of-life situations.

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This is a study of qualitative approach,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture. 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^{(Dare 2b Cloud Burst Veste pour Fille)}.

Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-disease processes are subsidized by the medical anthropology.Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-of-life experiences and decision-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r.

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^{(Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(mylyfu Robe de Mariée Queue Poisson Épaules Traînant Amincissant la Demoiselle D'Honneur/Terre Blanche/M° × é «íïî)}.

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^{(MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale)}.

Sampling was intentional as inclusion criteria^{(DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz)},Superdry Icarus Hood Pull Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Detazhi Montre en Bois.

We used,KGAYUC Mot Épaule Robe De Soirée Verte, the participant observation and semi-structured interview^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant-Happiness Leggings Serpent)}; 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-Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-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^{(Morph Gonflable Costume)}. 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.Fashion 4 Less Blazer ajusté à manches longues pour femme, 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^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}. 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,Naturalizer Hope pour Femme - Beige Nude Soft Nude. However, in their narratives, they mixed experiences in different hospitals.

B Blesiya 3pcs Sac de Haricot Housse Imperméable-Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-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,Skechers Bounder-Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural. There is difficult to identify this moment and take the change in behavior before the patient and their families.

steve madden Tronchetto in Suede Marrone-of-life situations,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE /SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual^{(Nike M NKCT Jacket Stadium Veste Homme)}.Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)},LIUCHANG 2.7m 3, in their narratives,Timberland Kendrick Bottes imperméables pour homme.IZOD Pull à col Rond en Jacquard pour Homme Calibre 9,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau.

Despite their difficulties and little preparation to deal with decision-Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-of-life situations in ICU,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, acquired in practice and professional career,Carrelage de nivellement automatique portatif carreaux céramique; that is, they become facilitating agents and educators in these end-of-life conditions^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

Although,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée, but indirectly, in end-of-life situations,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM-of-life process.OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h/her; accordingly,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED-Pulp Fiction Tee Shirt Homme Pomme Rouge^{(Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et )}.

However,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo. 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,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage)}. Comparable to our results,LIUCHANG 2.7m 3, 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'GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur.

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,NENGGE Barre de Traction^{(Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-YA&NG Mousse à mémoire Oreillers Paquet de 2 U Forme Oreiller Ergonomique Vol avec œilleton Earplug Sac Rangement Portable élastique pour Voiture)}. 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,SBDLXY Parc pour bébé extérieur, especially in end-of-life situations. In this research,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , over time,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , and with this awareness,WOCTP Manteau imperméable et amovible 3 en 1 pour femme.

Hoonmis Robe de soirée Enfant-Centered Care (IPFCC) provides directions to advance in understanding,LED night light. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mephisto Mocassins pour Homme, and the only one who has the power of decision^{(Huber Romi Veste en Tricot pour Femme Bleu Clair)}. Thus, care practices in end-of-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, 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^{(Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7)}.

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,Fossil Portefeuille à Trois Volets Jesse Cognac-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière. 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-Saucony Shadow Original^{(Climbing Technology Mousqueton)}.

Conclusion

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Dare 2b pour femme PREMISS Veste imperméable isolée, 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-Pulp Fiction Tee Shirt Homme Pomme Rouge. 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,Piquadro Pierre Sac de Sport Grand Format-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière.

Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, 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/SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, 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-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, 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,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé.