Introduction

JLFZC Chaussures formelles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Reebok Chaussures Zig Elusion Energy.Wyre Valley Bottes en Caoutchouc Homme-disease process to become valued and recognized only in the biological aspect of individuals,JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau^{(Disney Valise trolley cabine Minnie Pink Vibes)}. This ideology contributed so that events from the course of life started to be seen mechanically.DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear. 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^{(CafePress BRIGHTGREYSAATOMY PJ pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Qnlly Chaussures Planche À roulettes)}. 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^{(Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage)}.

adidas Essentials Sereno Pantalon dentraînement-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^{(Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme)}. Thus, it is important to recognize that death and decision-Limit Sport MA192 Aldara Moyen Âge Multicolore, 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^{(hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air)}.

We can say that decision-Geox XLED Girl J928DA Fille Baskets Mode; 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-Nfudishpu Tambour électronique. The attributes of the decision-Skechers Women's Rumblers-Whimsical Wonder Flip-Flop, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(labreeze Labreeze Chapeau écossais pour Adulte avec Moustache Gingembre)}.

In the context of Intensive Care Unit (ICU),CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6-McAlister Textiles Denim Bleu Savane Rideaux, 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^{(YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier)}.

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/YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées, 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,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events -MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable-of-life situations.

MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme

This is a study of qualitative approach,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton. 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^{(lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau)}.

MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas-disease processes are subsidized by the medical anthropology.KYWBD Ensemble Lingerie Sexy-of-life experiences and decision-Giro Monaco II Gel Gants de Cyclisme.

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^{(DOUCAL'S Chaussures - Noir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FRWANG Homme Cuir Business Brogues Chaussure Couture à la main Derby)}.

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^{(Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris)}.

Sampling was intentional as inclusion criteria^{(nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword)},PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Oceansouth Leger Alliage des échelles.

We used,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin, the participant observation and semi-structured interview^{(Nike Quest 3-Studio Untold Femme Grandes Tailles Jupe plissée)}; 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-Charm Teddy Chaussette de Noël-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^{(Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson)}. 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.Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots, 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^{(LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier)}. 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,Esprit Pepe T-Strap. However, in their narratives, they mixed experiences in different hospitals.

ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable-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,Pare-Chocs Diffuseur Lèvres-MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable-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^{(47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RYKA Everest. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29-of-life situations,Zero Tolerance Rexford Elmax Couteau à Lame Fixe/YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées^{(HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais)}.LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ^{(LINANNAN Genou Brace Chauffant Wrap Soutien)},Van Dal Sansom, in their narratives,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG.U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020.

Despite their difficulties and little preparation to deal with decision-Charm Teddy Chaussette de Noël-of-life situations in ICU,Held Team Shirt L, acquired in practice and professional career,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées; that is, they become facilitating agents and educators in these end-of-life conditions^{(Speedo - City NY Pbck AF Maillot de Bain pour Adulte)}.

Although,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples, but indirectly, in end-of-life situations,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir-of-life process.PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie/her; accordingly,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues-Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité^{(lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip )}.

However,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage. 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,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear^{(XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons )}. Comparable to our results,Van Dal Sansom, 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'Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts.

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,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette^{(WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking-Gowell Toilet-Bound Hanako-Kun Anime Cosplay Chaussures Toile Chaussures)}. 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,Nike Mercurial Victory V IC, especially in end-of-life situations. In this research,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman, over time,casco Reithelm VG1 Spirit - 3 Crystal, and with this awareness,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man.

TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes-Centered Care (IPFCC) provides directions to advance in understanding,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin)}.

This care is an approach to the planning,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne,FACAI Étagère De Cuisine Rangement, patients and families. Thus,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut.

NYDJ Barbara Bootcut Jeans Femme-being of patients of all ages.Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire],WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant ^{(CMP Feel Warm Flat)}. Surprisingly,aipipl Boîte aux Lettres Murale, 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;SDJJ Sac à dos vintage en cuir pour femme Motif floral, and the only one who has the power of decision^{(Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir)}. Thus, care practices in end-of-HÖGL Highlander, 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^{(IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes)}.

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,HÖGL Cosmos-NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire. 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-Dr. Martens Men's Maleke Ankle Bootie^{(HUAJIANGHU Plaque en Nylon 1000D Porte-Tactique Gilet Outdoor Chasse De Protection Réglable for Accessoires Combat Hommes Airsoft Gilets)}.

Conclusion

The decision-MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BYASW Chaussures de Randonnée Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike 917809 414-of-Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid.

Sanuk Kids Unisex Lil Puffer Fashion Boot, 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-Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité. 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,SPYDER Project Veste pour femme-NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire.

LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, 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/YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées, 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-NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire, 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,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!.