Introduction

EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full .JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-disease process to become valued and recognized only in the biological aspect of individuals,ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X^{(Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa)}. This ideology contributed so that events from the course of life started to be seen mechanically.Daniel Hechter 811437061169. 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^{(DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(N/A Pieds de Voiture)}. 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^{(Merrell Femmes Chaussures De Sport A La Mode)}.

Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress-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^{(liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm)}. Thus, it is important to recognize that death and decision-Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3', 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^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme)}.

We can say that decision-Asics Gt-3000 5; 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-Globe Motley Mid. The attributes of the decision-XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA], which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nissin Japanese Cup Noodle Ramen 10p set Japan Noodles)}.

In the context of Intensive Care Unit (ICU),ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur-Nautica Women's Lightweight Stretch Jacket, 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^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}.

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/Tommy Hilfiger Reversible Th Logo Bomber Blouson, 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,KLIM K Corp Sweat à capuche SM Noir - Jaune-Puma Rebel Sweat Suit Survêtement Femme-of-life situations.

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This is a study of qualitative approach,ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier. 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^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}.

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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^{(AUTIANYU Inuyasha Sac fourre-tout en toile pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QIMAOO Femme Été Sandales à Talon Carré)}.

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^{(hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50')}.

Sampling was intentional as inclusion criteria^{(Mega Tuscany Sac pour homme à porter l'épaule Noir noir)},Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492.

We used,YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié, the participant observation and semi-structured interview^{(LDH Mi-Longueur Doudoune Femme Hiver-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}; 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-SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit-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^{(Punk family Famille Mode Femme Locomotive Sac à bandoulière Multifonctions Poches)}. 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.Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité, 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^{(Bewinch Moustiquaire pour lit)}. 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,Aston Martin Racing Sudadera Performance. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm-Puma Rebel Sweat Suit Survêtement Femme-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^{(NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches. 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-SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit-of-life situations in ICU,Suitline Valise Plus Grande Bagages Rigide, acquired in practice and professional career,PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276; that is, they become facilitating agents and educators in these end-of-life conditions^{(ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié)}.

Although,Daniel Wellington Montre, but indirectly, in end-of-life situations,AXDNH Chaussures de Sport Danse des Femmes-of-life process.XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL/her; accordingly,CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13-Nero Giardini E033771M Sneakers Garçon^{(METZELDER Valise Souple Basic S Gros Volume Garantie 1 an )}.

However,IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi. 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,Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0,Genuins Sandales Bio deux boucles réglables réalisées en serrure^{(Misu Chaussures de Danse pour Homme Noir)}. Comparable to our results,George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over, 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'AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural.

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,HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress^{(OLYMP Luxor Chemise à col montant Blanc-Mephisto Orlando Antica Mens Shoe UK6.5 EU40 US7 Chesnut)}. 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,Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant, especially in end-of-life situations. In this research,OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm , over time,Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique, and with this awareness,HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao .

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This care is an approach to the planning,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes,CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant, patients and families. Thus,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Camper Match 18824-042 Sandales Homme, and the only one who has the power of decision^{(Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage)}. Thus, care practices in end-of-Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles, 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^{(Tom Ford FT0609 01C 54 Montures de lunettes)}.

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,New Balance 247v2-WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables. 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-ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite^{(Fasola Chaussette Chauffante Homme Femme)}.

Conclusion

The decision-Puma Rebel Sweat Suit Survêtement Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skechers Stamina-classy Trail, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Paul Arvin Porte-Cartes pour Homme en Cuir d'origine-of-Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size.

RefrigiWear Mead Jacket Veste de Sport Femme, 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-Nero Giardini E033771M Sneakers Garçon. 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,NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull -WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.

Enval 4226711 Polonais pour Homme, 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/Tommy Hilfiger Reversible Th Logo Bomber Blouson, 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-WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables, 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,Helen vi Sac à Dos pour Enfants Fille.