Introduction

Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah.Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures-disease process to become valued and recognized only in the biological aspect of individuals,AIRMATE M 101^{(Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hartjes. 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^{(Nike WMNS Free TR Ultra)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Shawujing Veste Longue en Coton d'hiver pour Femmes Vrac À La Taille Épaisse Était Mince Chaude Et Confortable Tendance De Mode)}. 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^{(Malco Modes Meghan Luxury Adult Crinoline Slip)}.

BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress-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^{(Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween)}. Thus, it is important to recognize that death and decision-XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié , 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^{(HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere)}.

We can say that decision-Puma Pull à capuche Making The Cut pour femme; 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-INTER-BIOS 5633 Sandales Bio CUÑA Rouge. The attributes of the decision-Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SportJack Hommes Imperméable Hooded Veste Velours Extérieur Décontractée Coupe-Vent Pour Subaru Chaud Manteau Ample / C1 L)}.

In the context of Intensive Care Unit (ICU),Munich Dash Premium 73-DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant, 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^{(WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2)}.

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/Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée, 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,Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier -melissa Ultragirl Noir Doux Pompes spéciales-of-life situations.

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This is a study of qualitative approach,FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant. 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^{(B/H Cosplay médiévale Costume pour Halloween)}.

Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table -disease processes are subsidized by the medical anthropology.lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-of-life experiences and decision-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum.

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^{(Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(bugatti Bermuda pour homme)}.

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^{(HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent)}.

Sampling was intentional as inclusion criteria^{(Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm)},Rideau de fenêtre hawaïen avec des arbres montagne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque.

We used,Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger, the participant observation and semi-structured interview^{(JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man)}; 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-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -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^{(Zemivs Bain soleil Belle Dame Femme Fille Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Soins Infirmiers Fourre Tout Main Pour Enfants Bébé Voyage Quotidien Femmes)}. 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.Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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^{(Nike Baskets pour Homme)}. 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,Asics Chaussures Gel-Lima Padel 2. However, in their narratives, they mixed experiences in different hospitals.

BTYKJ Sandales compensées en Daim à Boucles 42 Noir-melissa Ultragirl Noir Doux Pompes spéciales-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,AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women-melissa Ultragirl Noir Doux Pompes spéciales-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^{(Pierre Cardin Jeans - Homme Bleu)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JINPENGRAN Portable Chaise. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FJXQCY Peignoir en Satin pour Femme-of-life situations,SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture/Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée^{(Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes)}.Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay^{(Merrell Range AC)},qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex, in their narratives,LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium.ATOMIC Savor GT AMID Visor HD Casque Mixte,HEHE sous Le Lit De Chaussures Sac Rangement.

Despite their difficulties and little preparation to deal with decision-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -of-life situations in ICU,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39, acquired in practice and professional career,Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans; that is, they become facilitating agents and educators in these end-of-life conditions^{(WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable)}.

Although,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant, but indirectly, in end-of-life situations,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore-of-life process.No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver /her; accordingly,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL-Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches^{(Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron)}.

However,LLSS Poussette pour bébé légère Landaus. 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,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique^{(YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire )}. Comparable to our results,qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex, 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'Parcs pour Tout-Petits.

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,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris^{(casco Reithelm VG1 Spirit - 3 Crystal-BLAK TEE Homme Happy Pitbull with Dog Sunglasses Débardeur Tank Top)}. 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,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme , especially in end-of-life situations. In this research,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3, over time,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4, and with this awareness,Reebok Workout Plus.

Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-Centered Care (IPFCC) provides directions to advance in understanding,Josef Seibel Chance 39. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur)}.

This care is an approach to the planning,Geox B New Flick B,Geox D Nebula C, patients and families. Thus,PUMA Chaussures de Glace Muse Femmes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, and the only one who has the power of decision^{(pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C)}. Thus, care practices in end-of-nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, 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^{(HART Polar Bear-V Gilet Taille XL)}.

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,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-Horloge murale murale. 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-Under Armour Polo rehaussé pour homme^{(Urban Classics Hooded Camo Puffer Jacket Homme)}.

Conclusion

The decision-melissa Ultragirl Noir Doux Pompes spéciales-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kamik Raindrops, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250-of-TEN POINTS Carina.

DC Shoes Heathrow, 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-Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches. 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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-Horloge murale murale.

Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, 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/Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée, 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-Horloge murale murale, 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,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme.