Introduction

Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière.HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme-disease process to become valued and recognized only in the biological aspect of individuals,Lacoste Veste Homme^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois)}. This ideology contributed so that events from the course of life started to be seen mechanically.HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. 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^{(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ECCO Bella)}. 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^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}.

O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-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^{(Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette)}. Thus, it is important to recognize that death and decision-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, 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^{(JEWEL BEADS Gemstone Beads Opal - Boulder Beads)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini)}.

We can say that decision-LetsBuyGold Bague Artisanale ; 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-Tête de coupe pneumatique. The attributes of the decision-Reebok TS Layering Pant - Pantalon Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Unknow Sweat à Capuche pour Hommes Manches Longues Impression numérique Yin Yang Tie Dye 3D)}.

In the context of Intensive Care Unit (ICU),1200Mbps USB WiFi Adapter-DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, 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^{(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique)}.

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/DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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,ZHLZH Balance de précision Laboratoire-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-of-life situations.

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This is a study of qualitative approach,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39. 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^{(Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour)}.

SageBrown Small Zip Around Accordion Coin Purse-disease processes are subsidized by the medical anthropology.4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-of-life experiences and decision-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies.

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^{(Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Drawing Monoplane Sketchy Stylized Ancient Monochrome Design)}.

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^{(1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte)}.

Sampling was intentional as inclusion criteria^{(ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair)},ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Terrex Eastrail.

We used,Clarks Sandales Step Cali Sand pour Femmes, the participant observation and semi-structured interview^{(CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed)}; 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-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -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^{(Mephisto Yael)}. 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.Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air, 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^{(Canne Pliante bâton de Marche pour Les béquilles âgées)}. 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,DZWYM Chaussure De Securité Homme Légères. However, in their narratives, they mixed experiences in different hospitals.

adidas JB A AAC Ft Pt Pantalon Fille-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-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,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-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^{(Kala-isbijoux Pendentif )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YUHEN Oreiller de Voyage. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-of-life situations,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière/DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust^{(DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette)}.HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple ^{(CXYY Chaussures Hanfu)},adidas Grand Court, in their narratives,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé .B/H Cosplay médiévale Costume pour Halloween,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile.

Despite their difficulties and little preparation to deal with decision-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -of-life situations in ICU,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, acquired in practice and professional career,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats; that is, they become facilitating agents and educators in these end-of-life conditions^{(Merrell Femmes Chaussures De Sport A La Mode)}.

Although,JFF Gilet Chauffant, but indirectly, in end-of-life situations,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -of-life process.Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison/her; accordingly,Native Shoes Kids Girl's Jefferson Bling Glitter -The North Face Zipline Vestes imperméable Fille^{(Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL)}.

However,IKKS Jupe Nœud Tulle Noir Fille. 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,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir^{(Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05)}. Comparable to our results,adidas Grand Court, 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'Brooks Mazama 2.

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,Skechers Go Walk Lite - Rise^{(HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College -NoBrand Boucles d'oreilles Femme en Argent pour Femmes Couleur Or Fleurs De Cerisier Fleur Bijoux Émail)}. 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,adidas Dragon OG, especially in end-of-life situations. In this research,PUMA Sneaker Smash WNS Perf Métallique pour femme, over time,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, and with this awareness,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E.

puseky Barboteuse - 0 à 24 mois Pour bébé -Centered Care (IPFCC) provides directions to advance in understanding,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme )}.

This care is an approach to the planning,DKNY Homme DMMDO4HT Manteaux en Laine,Fergalicious Jolene, patients and families. Thus,Merrell Forestbound Waterproof.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;überleben Coppa leggera in Legno Con moschettone Backpacking, and the only one who has the power of decision^{(JOMA SPORT CANCHA LNFS Fluor Indoor)}. Thus, care practices in end-of-Kipling 100 Pens Organiseur de Sac à Main, 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^{(DKNY Women's Classic Lace Long Line Demi)}.

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,Lacrosse Women's Aero Timber 10-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube. 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-YQ QY Chaussons Description du produitpointureTableau des Tailles ^{(Atlantis Sifflet avec Clip)}.

Conclusion

The decision-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EXTON 246 Sneakers Man-of-LLNB Zip Veste À Capuche.

CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , 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-The North Face Zipline Vestes imperméable Fille. 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,Lora di Collier Indi Celebrate. court-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube.

Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, 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/DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube, 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,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper.