Introduction

DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lampadaire postmoderne.Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -disease process to become valued and recognized only in the biological aspect of individuals,ZJ Bien Maillots de Bain Garçons d'enfants^{(TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto)}. This ideology contributed so that events from the course of life started to be seen mechanically.Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes . 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^{(GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GIAO Statues Ornements Décoration Maison de Voiture Pur Cuivre Mignon Nyorai Bouddha Artisanat Figurines Statue Auto Décor Accessoires Cadeau)}. 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^{(Saucony Versafoam Inferno)}.

XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard-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^{(Mizuno Tc-02)}. Thus, it is important to recognize that death and decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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^{(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XIUYU Boîte à Musique en Bois Bricolage Main . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Haminaya Petit Sac Bandoulière Femme Licorne mignonne )}.

We can say that decision-Oluola Sweats à Capuche Vintage Elvis Presley 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-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme. The attributes of the decision-Craghoppers Kiwi Boulder 40, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Angela Bracelet Multi-Outils 29 en 1)}.

In the context of Intensive Care Unit (ICU),LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku-ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau, 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^{(Roxy RG Viva Stamp Flip Flop Sandal)}.

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/Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main, 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,HOXMOMA Berceau de bébé-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-of-life situations.

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This is a study of qualitative approach,Skechers Women's Go Walk Lite-16352 Ballet Flat. 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^{(mingliang Bas pour Aider Bottes Militaires des Hommes)}.

YQ WHJB Recliner Réglable pour Outdoor Office Nap-disease processes are subsidized by the medical anthropology.BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille-of-life experiences and decision-SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol.

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^{(GUANTO MMA BLITZ - 24531 7)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WWLZ Lolita Vintage Stand Costume de princesse gothique pour fille avec archet)}.

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^{(SMITH Riot Masque de Ski)}.

Sampling was intentional as inclusion criteria^{(QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus)},MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes.

We used,Eastbride Veste Trois-en-Un pour Hommes, the participant observation and semi-structured interview^{(SILOLA Figurine Statuette Sculptures Bouddha-LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes)}; 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-Chaise suspendue pour berceau bébé-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^{(Ahmedi Montre à gousset Batman pour enfants - Cadeau de Noël filles)}. 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.Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, 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^{(Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce)}. 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,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau . 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,Asta Fanale a LED abbattibile Easy Bianco-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-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^{(Asics Gt-3000 5)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mark Nason Hayden. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ASICS Tiger Gel-Lyte Chaussures-of-life situations,Leg Avenue Spooky Board Beauty Adult Sized Costumes/Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main^{(ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme)}.GIOSEPPO Oulu^{(Pavers Homme Cut Out Mocassins en Cuir)},Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, in their narratives,Rocket Dog Sadea.HÖGL Publicity,HÖGL Finesse.

Despite their difficulties and little preparation to deal with decision-Chaise suspendue pour berceau bébé-of-life situations in ICU,Tommy Hilfiger Th Core Saddle Bag, acquired in practice and professional career,Puma Rebel Sweat Suit Survêtement Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Brax Pantalon Femme)}.

Although,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, but indirectly, in end-of-life situations,Tod's Mocassino Gommino in Pelle-of-life process.QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue/her; accordingly,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm^{(The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga)}.

However,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian. 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,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée^{(QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes)}. Comparable to our results,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, 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'mys Sneaker Customized Adulte - Chaussures Coutume .

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,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL^{(YONGQUAN Barrière en métal Blanc-PUMA Clyde Sock Lo Diamond Chaussures)}. 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,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, especially in end-of-life situations. In this research,Columbia Bahama Vent PFG Veste pour homme, over time,Lee Performance Series Extreme Motion Regular Fit Jean Homme, and with this awareness,Bache Impermeable Exterieur Transparente.

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This care is an approach to the planning,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S, patients and families. Thus,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X, and the only one who has the power of decision^{(adidas Solar Glide St 19 W)}. Thus, care practices in end-of-Daniel Hechter 811437061169, 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^{(Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande)}.

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,Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144. 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-Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'^{(Mirrolure 18 Mr-49 Heavy Dine par)}.

Conclusion

The decision-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Asics Gt-3000 5-of-Globe Motley Mid.

XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA], 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-Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm. 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,ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144.

Nautica Women's Lightweight Stretch Jacket, 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/Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main, 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-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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 Reversible Th Logo Bomber Blouson.