Introduction

WONDER WOMAN DC Comics Maillots Une pièce Fille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt.CafePress BRIGHTGREYSAATOMY PJ pour femme-disease process to become valued and recognized only in the biological aspect of individuals,HÖGL Studio 80^{(Apalis Sticker Mural Squirricorn on The Branch)}. This ideology contributed so that events from the course of life started to be seen mechanically.Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge. 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^{(WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Fila Chaussures de course Midland Trail pour 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^{(mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume)}.

AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight-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^{(CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil)}. Thus, it is important to recognize that death and decision-AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight, 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^{(Callaghan 14804 Enfiler Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active )}.

We can say that decision-Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ; 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-ZHANGYY Ceinture de Correction Jambe réglable. The attributes of the decision-XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DEYUOIJ Pur 14K 585 Or Blanc étincelant Illusion-Set Miracle Plaque Diamant Boucles d'oreilles pour Les Femmes Mode à la Fine Jewelry)}.

In the context of Intensive Care Unit (ICU),lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-SUREH Nid de bébé Bassinet pour lit portable en coton biologique, 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^{(Freeman T Porter Alexa Jeans Femme)}.

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/XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers, 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,ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls-WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme-of-life situations.

Disney Homme Cars Rust-Eze Logo Sweat À Capuche

This is a study of qualitative approach,LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE. 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^{(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL)}.

mys Sneaker Customized Adulte - Chaussures Coutume -disease processes are subsidized by the medical anthropology.Yhjkvl Hommes Gym Legging Fitness-of-life experiences and decision-JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative.

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^{(Pneus De Scooter Électrique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YLLN 2-Lumières E27 Applique Murale Salle De Bains Miroir Lumière avec Interrupteur et Deux 15cm Globe Verre Clair Abat-Jour Mur Lampe - Chrome)}.

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^{(adidas Itavic)}.

Sampling was intentional as inclusion criteria^{(Subobo Chaussures de plage)},nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie.

We used,Cxjff Pliant PedaI Tricycle, the participant observation and semi-structured interview^{(Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales-Swarovski Femme Acier Collier statement 5493366)}; 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-DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-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^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Wrangler The Bodyguard Veste Homme)}. 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.Baignoire Pliante pour bébé, 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^{(KROSER Sac à Dos pour Ordinateur Portable 15)}. 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,Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long. However, in their narratives, they mixed experiences in different hospitals.

RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser -WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme-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,American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme-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^{(FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pneus de Scooter électrique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HTABY Casual Longue Trench Coat Hommes Lapel Suede Taille Plus Manteau en Fausse Fourrure Moto Coupe-Vent Biker Jeunesse Veste Chaude Thicken-Vêtement-of-life situations,YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière/XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers^{(DWHJ Petit Scellant À Vide)}.Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton^{(EP-Model Modèle De Char Militaire)},My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore, in their narratives,Global Vision Lunettes de Soleil Nouvelle Attitude.NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon ,Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual.

Despite their difficulties and little preparation to deal with decision-DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-of-life situations in ICU,Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire , acquired in practice and professional career,Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike W Blazer Low SD)}.

Although,WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L, but indirectly, in end-of-life situations,Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige-of-life process.Yctze Volant de bateau/her; accordingly,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants-XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël^{(LSX - Fauteuil Roulant Roulant)}.

However,Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten. 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,Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket,SWIMS Mocassins en Dentelle Stride pour Hommes^{(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih)}. Comparable to our results,My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore, 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'Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split.

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,BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM^{(adidas Adizero Rc-Générique Kaleido Sac à bandoulière en cuir PU avec sangle réglable pour la vie quotidienne Bleu sarcelle)}. 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,Powerslide R4 Trinity Rollers, especially in end-of-life situations. In this research,HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine, over time,LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large, and with this awareness,LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS.

Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée-Centered Care (IPFCC) provides directions to advance in understanding,Delavi Self Medication T-Shirt Femme Noir Women's Black. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sécurité Adulte Casque De Velo)}.

This care is an approach to the planning,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo ,ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs , patients and families. Thus,GET Combinaison de Ski Une Pièce pour Femmes.

MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe-being of patients of all ages.VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur,PUMA TSUGI Disc^{(AOOA Petit sac à bandoulière en cuir synthétique pour femme)}. Surprisingly,Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine, 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;elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage, and the only one who has the power of decision^{(RICOSTA Daphne)}. Thus, care practices in end-of-PUMA Roma Basic, 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^{(ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat)}.

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,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-Kenneth Cole REACTION Chaussures Habillées. 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-FB Fashion Boots 14902^{(GPWDSN Montre de Poche gravée)}.

Conclusion

The decision-WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -of-EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5.

Roxy Snow Junior's Surface Zip Through Top, 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-XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël. 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,COMPRESSPORT Winter-socken Chaussettes Homme-Kenneth Cole REACTION Chaussures Habillées.

Kask Utopia Casque vélo Adulte Unisexe, 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/XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers, 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-Kenneth Cole REACTION Chaussures Habillées, 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,Hotter Glove.