Introduction

Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la .Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -disease process to become valued and recognized only in the biological aspect of individuals,GJQION Femmes Brassière^{(Joules Golightly Imperméable Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Free People Women's Forever Cashmere V-Neck Pullover Sweater . 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^{(Kilpi Titicaca-W Jupe 126)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Aaedrag Lampe LED for enfants Plafonnier Chambre Dimmable avec télécommande)}. 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^{(Crocs Crocband Clog Kids)}.

ProCook - Cocotte Faitout Ronde 24cm / 4-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^{(XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes)}. Thus, it is important to recognize that death and decision-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, 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^{(LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps )}.

We can say that decision-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables ; 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-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe . The attributes of the decision-Polaroid Pld 6071/s/x, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TDDEV Vêtements de Fitness d'été Formation Masculine Coton t-Shirt sans Manches en Cours d'exécution Gilet Sport Costume Deux pièces-Blanc_XL)}.

In the context of Intensive Care Unit (ICU),Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse-SMITH Riot Masque de Ski, 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^{(SMXGF Laine Echarpe)}.

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/Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, 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,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt-of-life situations.

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This is a study of qualitative approach,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport. 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^{(chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest)}.

mantraroma Pendentif argent 925 sterling labradorite -disease processes are subsidized by the medical anthropology.DSZZ Health Chaussures de Badminton pour Hommes-of-life experiences and decision-XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.

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^{(Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(17-inch Backpack Sac à Dos avec Sacs d'école Port USB The Seven Deadly Sins for Any Travel and Sport)}.

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^{(Craghoppers Cr165 Sport Homme)}.

Sampling was intentional as inclusion criteria^{(YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière)},mantraroma Bague argent 925 sterling pierre de lune , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau.

We used,L.BRUAT L. Bruat Montre de sport pour femme, the participant observation and semi-structured interview^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles-Mares Volo Race)}; 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-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -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^{(HYCy HYCy® 7pcs / Lot de Foret Profondeur butée Collier Bague positionneur d'espacement repère 3-16mm avec clé pour à Bois)}. 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.PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, 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^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}. 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,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag. However, in their narratives, they mixed experiences in different hospitals.

Lowa Renegade GTX Mid-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt-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,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt-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^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Jumelles 8-10X42-32 Zoom HD Grande Ouverture-of-life situations,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond/Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau^{(N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}.Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot^{(Topologie Bags Tinbox Pouch Dry Black)},Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds, in their narratives,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche.teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt.

Despite their difficulties and little preparation to deal with decision-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -of-life situations in ICU,K-Swiss Men's Donovan Sneaker, acquired in practice and professional career,Gerry Weber Robe Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lucky Brand LK-yewani)}.

Although,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt, but indirectly, in end-of-life situations,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton-of-life process.HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur/her; accordingly,Living Kitzbühel Slip-on Mit Fellborte-YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles^{(Minoura AB-100-4.5 Powder Coated Water Bottle Cage)}.

However,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm. 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,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe^{(Db Shoes Mary Janes pour Femme)}. Comparable to our results,Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds, 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'Globe Tilt GBTILT10397.

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,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour^{(VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-Marmot Wm's Sonora Jacket Veste Femme)}. 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,Lloyd Marvin, especially in end-of-life situations. In this research,Zwei Elli EL12 Sac à bandoulière 32 cm, over time,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose, and with this awareness,Parker Femme P8HRRD10 Robe.

Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-Centered Care (IPFCC) provides directions to advance in understanding,Lakota Bottes Western Buckaroo modèle Roping EQ296. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple)}.

This care is an approach to the planning,New Balance 996,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, patients and families. Thus,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, and the only one who has the power of decision^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}. Thus, care practices in end-of-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, 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^{(Sallypan ModeAntler Mur lumière)}.

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,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine. 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-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine^{(Not brand Mens Messager épaule Sacs Portefeuille Homme Top Couche Multi-Fonctions en Cuir rétro Wallet Sac Hommes)}.

Conclusion

The decision-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Crocs Sanrah Hammered Metallic Sandal Women-of-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau .

yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , 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-YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles. 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,Loykind Chaussures De Sécurité-Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine.

PieSanto 190801 Chaussures confortables pour femme, 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/Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, 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-Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine, 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,Box J-Boîte de Montre Coffret en Bois.