Introduction

Shepherd Hugo 1201-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc.JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-disease process to become valued and recognized only in the biological aspect of individuals,Hurley M Siege Anorak Jacket Blousons Homme^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions)}. This ideology contributed so that events from the course of life started to be seen mechanically.SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel . 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^{(BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Boland 71015 Cape de Chasseur)}. 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^{(LY88 Ouvre-Bouteille électrique)}.

Pinko LOVE STARRY LANIERE Femme Nero UNI-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^{(Filet de sécurité pour enfants)}. Thus, it is important to recognize that death and decision-QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, 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^{(FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(The Bridge Lambertesca Sac porté épaule Noir)}.

We can say that decision-LYHY Blouson Cuir Homme; 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-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique. The attributes of the decision-jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DC Comic dc comics Harley Quinn Charm Tee Combo - Noir Petit)}.

In the context of Intensive Care Unit (ICU),SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants, 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^{(Cerdá Ligera Lady Bug)}.

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/SOLE South Chaussures Noir, 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,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy-YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-of-life situations.

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This is a study of qualitative approach,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.. 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^{(ZJ Bien Maillots de Bain Garçons d'enfants)}.

Noch Wildgrass Beige by-disease processes are subsidized by the medical anthropology.MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme-of-life experiences and decision-adidas Deerupt Runner.

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^{(Jesse James Workwear Workers Hort Industry)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hjkl Été Combat Boot Hommes Femmes Escalade Entraînement Léger Imperméable Bottes Randonnée en Plein Air Respirant Mesh)}.

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^{(FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables )}.

Sampling was intentional as inclusion criteria^{(Chiba pour Homme Lake Tahoe Gants)},GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande.

We used,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, the participant observation and semi-structured interview^{(YQSHOES Bottes-KCSds Bobo perruque de cheveux courts)}; 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-DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas-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^{(LOSRLY Mini robe à volants avec col creux et plusieurs niveaux imprimé floral bande de taille pour femme)}. 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.TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body, 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^{(Tory Burch Cabas pour femme rose Dark Sahara )}. 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,zhengchunleiX Travel Daypacks. 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,Kickers Kymbo Brogue-YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-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^{(Minnetonka Leopard Kilty)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Scarpa Chaussures Mojito GTX - homme. 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-DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas-of-life situations in ICU,Pinko Dante Blusa Crepe de Chine Di Blouse Femme, acquired in practice and professional career,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit)}.

Although,EASTPAK Backpack Eastpak Orbit Glow Black 40T, but indirectly, in end-of-life situations,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL-of-life process.Geox J Flexyper D/her; accordingly,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme-Hurley M Vedder Washed L/S Woven - Chemises Homme^{(adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe)}.

However,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt. 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,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court,adidas Itavic^{(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot)}. Comparable to our results,Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training, 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'Volcom Sweat Too Tone Fleece Noir Homme -.

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,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme^{(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme-Tom und Eva - präsentiert von ZMOKA Sac à main tendance pour femme ZMOKA®)}. 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,Lucky Brand LK-Joal2 Escarpins pour Femme, especially in end-of-life situations. In this research,Nike Revolution 5, over time,camel active Step 70, and with this awareness,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante.

Blackstone Sg30-Centered Care (IPFCC) provides directions to advance in understanding,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip , and the only one who has the power of decision^{(glstkrrn E90 Sweatshirt)}. Thus, care practices in end-of-mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent , 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^{(Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys)}.

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,Heating Pads Coussin Chauffant Wrap-Bertha Watches montres Madeline Nacre montre femme. 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-Waldhausen Damen Vollbesatz Reithose Ava^{(TSEINCE Robe Femmes Chic O Cou À Manches Bouffantes Dames D'été Élégant Lacets Slim Taille Robes 1C619 S Blanc)}.

Conclusion

The decision-YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Horloge murale murale, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-of-VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir.

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Mephisto Phila, 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/SOLE South Chaussures Noir, 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-Bertha Watches montres Madeline Nacre montre femme, 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,Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur.