Introduction

Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée.TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs-disease process to become valued and recognized only in the biological aspect of individuals,ECCO Offroad^{(Maillots de Basket-Ball pour Hommes et Femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Ozweego Chaussures Homme Blanc. 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^{(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MTBHW Maillot Polaire Cyclisme Homme Ensemble de Cycliste Outdoor Pantalon Rembourrées Vêtements en Hiver)}. 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^{(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme)}.

juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-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^{(arena Dynamo Maillot de Bain Homme)}. Thus, it is important to recognize that death and decision-YANGTAO Ressacs Projecteur De Lumière Nuit, 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^{(TIEON Uniformes de Baseball des Red Sox)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 )}.

We can say that decision-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la ; 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-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI . The attributes of the decision-GJQION Femmes Brassière, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ToteBagFactory Lot de 3 grands sacs fourre-tout Deluxe en toile coton lourd naturel)}.

In the context of Intensive Care Unit (ICU),Free People Women's Forever Cashmere V-Neck Pullover Sweater -ProCook - Cocotte Faitout Ronde 24cm / 4, 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^{(21 shoes Chaussures personnalisé cloutée Customized Original )}.

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/ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, 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,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-of-life situations.

Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003

This is a study of qualitative approach,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables . 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^{(Montane Dyno Stretch Outdoor Short)}.

Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -disease processes are subsidized by the medical anthropology.Polaroid Pld 6071/s/x-of-life experiences and decision-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.

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^{(Yhjkvl Hommes Gym Legging Fitness)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(yuge Diamant Peinture Halloween Plein Rond perceuse 5d Bricolage Daimond Broderie Citrouille Strass Point de Croix décor à la Maison Vacances Cadeau Fulldrill70X90CM Bourgogne)}.

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^{(Under Armour Sportstyle T-shirt col rond à manches courtes Femme)}.

Sampling was intentional as inclusion criteria^{(LetsBuyGold Bague Artisanale )},SMITH Riot Masque de Ski, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau.

We used,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, the participant observation and semi-structured interview^{(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes-FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés)}; 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-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-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^{(MULIZHE Venom Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau)}. 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.mantraroma Pendentif argent 925 sterling labradorite , 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^{(YI'HUI Tapis Roulant)}. 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,DSZZ Health Chaussures de Badminton pour Hommes. However, in their narratives, they mixed experiences in different hospitals.

XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-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,QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB -Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-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^{(Mammut Runbold Pantalon Femme Black FR : XS )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard-of-life situations,ChengLaoBan shoP Chapeau/ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So^{(PUMA Unisex Basket Classic LFS Kids Sneaker)}.Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe^{(JCNHXD Femmes laine bottes de neige chaussures en peluche chaud cuir véritable hautes fourrure plate-forme chaude pour les femmes Black Wool 6)},Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme, in their narratives,ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket.CUzzhtzy Réchaufferont Hommes Martin Bottes,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme.

Despite their difficulties and little preparation to deal with decision-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-of-life situations in ICU,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle , acquired in practice and professional career,Jumelles 8-10X42-32 Zoom HD Grande Ouverture; that is, they become facilitating agents and educators in these end-of-life conditions^{(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie)}.

Although,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond, but indirectly, in end-of-life situations,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life process.Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche/her; accordingly,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^{(SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL)}.

However,K-Swiss Men's Donovan Sneaker. 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,Gerry Weber Robe Femme,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt^{(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe)}. Comparable to our results,Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme, 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'teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton.

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,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur^{(Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-adidas Chaussures Running CF Racer TR Noir Enfants)}. 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,Living Kitzbühel Slip-on Mit Fellborte, especially in end-of-life situations. In this research,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, over time,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, and with this awareness,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée.

Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-Centered Care (IPFCC) provides directions to advance in understanding,Globe Tilt GBTILT10397. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003)}.

This care is an approach to the planning,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,Lloyd Marvin, patients and families. Thus,Zwei Elli EL12 Sac à bandoulière 32 cm.

Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose-being of patients of all ages.Parker Femme P8HRRD10 Robe,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm^{(Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping)}. Surprisingly,Lakota Bottes Western Buckaroo modèle Roping EQ296, 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;New Balance 996, and the only one who has the power of decision^{(Zero Tolerance Rexford Elmax Couteau à Lame Fixe)}. Thus, care practices in end-of-Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, 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^{(XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste)}.

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,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt. 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-J´hayber - Zapatillas Avt. Olimpo Serraje marrón^{(PULLIN Boxer Copacabana Mousse)}.

Conclusion

The decision-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-of-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué.

Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, 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-teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt. 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,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt.

AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat, 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/ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, 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-Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, 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,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine.