Introduction

Lloyd Marvin-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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-disease process to become valued and recognized only in the biological aspect of individuals,Parker Femme P8HRRD10 Robe^{(Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier)}. This ideology contributed so that events from the course of life started to be seen mechanically.Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm. 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^{(XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JEOLVP Shopping Tote Bags Sign Travel Building Oriental Pearl Sacs à provisions réutilisables Fourre-tout fourre-tout Imprimé pliable Grande taille Bandoulière simple Work Sch)}. 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^{(Columbia PFG Rostra Tongs pour femme avec adhérence élevée)}.

Lakota Bottes Western Buckaroo modèle Roping EQ296-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^{(Geox XLED Girl J928DA Fille Baskets Mode)}. Thus, it is important to recognize that death and decision-New Balance 996, 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^{(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US)}.

We can say that decision-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU; 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-J´hayber - Zapatillas Avt. Olimpo Serraje marrón. The attributes of the decision-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GJongie Sac De Paille D'Été Pour Femme À Bandoulière Oblique En Rotin Clapet Petit Carré)}.

In the context of Intensive Care Unit (ICU),BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-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, 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^{(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons)}.

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/Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, 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,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-CUzzhtzy Réchaufferont Hommes Martin Bottes-of-life situations.

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This is a study of qualitative approach,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat. 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^{(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire])}.

HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-disease processes are subsidized by the medical anthropology.Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym -of-life experiences and decision-Crocs Sanrah Hammered Metallic Sandal Women.

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^{(Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lollipops [P3514 - Sac pochette turquoise vintage 27.5x18x5 cm)}.

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^{(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway)}.

Sampling was intentional as inclusion criteria^{(Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur)},NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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 .

We used,Loykind Chaussures De Sécurité, the participant observation and semi-structured interview^{(Kickers Bonbon-NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire)}; 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-PieSanto 190801 Chaussures confortables pour femme-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^{(XJWDNX Sports De Plein Air Chaussures Hommes Respirant Randonnée Baskets Trekking Escalade Montagne Voyage Marche Antidérapant Shose)}. 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.Box J-Boîte de Montre Coffret en Bois, 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^{(Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat )}. 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,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture. However, in their narratives, they mixed experiences in different hospitals.

LDDNZH Pantoufles en Coton pour Femmes Slippers-CUzzhtzy Réchaufferont Hommes Martin Bottes-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,Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe-CUzzhtzy Réchaufferont Hommes Martin Bottes-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^{(B/H réglables - Pantoufles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle . There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-PieSanto 190801 Chaussures confortables pour femme-of-life situations in ICU,LIUCHANG 2.7m 3, acquired in practice and professional career,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165; that is, they become facilitating agents and educators in these end-of-life conditions^{(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy)}.

Although,Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante, but indirectly, in end-of-life situations,XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches-of-life process.Reebok Flashfilm 3.0/her; accordingly,adidas Fortarun AC K-Reebok Flashfilm^{(Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us)}.

However,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022. 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,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité)}. Comparable to our results,HOIH Sac à dos pour ordinateur portable Pablo Cruise, 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'D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore.

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,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle^{(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe-Nike SB Check Suede)}. 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,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten, especially in end-of-life situations. In this research,Goodthreads Marque Amazon - Short chino élastique et confortable, over time,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais, and with this awareness,KYOTO Plaquette Semi-métal S1989.

Kwon Kimono pour Enfant Taekwondo Song-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Bounder. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}.

This care is an approach to the planning,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural,steve madden Tronchetto in Suede Marrone, patients and families. Thus,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, and the only one who has the power of decision^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime)}. Thus, care practices in end-of-Carrelage de nivellement automatique portatif carreaux céramique, 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^{(JFF Gilet Chauffant)}.

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,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-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt. 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-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^{(Thetford Fäkalientank für C220)}.

Conclusion

The decision-CUzzhtzy Réchaufferont Hommes Martin Bottes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED-of-Pulp Fiction Tee Shirt Homme Pomme Rouge.

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, 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-Reebok Flashfilm. 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,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt.

wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite, 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/Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, 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-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt, 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,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur.