Introduction

qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pot pour Enfants Toilettes.WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin-disease process to become valued and recognized only in the biological aspect of individuals,Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet^{(Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL)}. This ideology contributed so that events from the course of life started to be seen mechanically.DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements. 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 Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vital Baby Baby's 1st Food Pots)}. 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^{(Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes)}.

kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M-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^{(WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party)}. Thus, it is important to recognize that death and decision-kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL, 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^{(hjkg Casquette Bombardier，Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Guess FLOP24 FAM10 Bottes Femmes)}.

We can say that decision-Zemivs Canard Jaune Animal Grand En Cuir Portable Poignée Supérieure Main Fourre tout Sacs À Causal Épaule Zippée Shopping Bourse Organisateur De Bagages Pour Lady Filles Womens; 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-Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne. The attributes of the decision-YALION Chaussures Souple pour bébé , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Asics Gel-Quantum 90)}.

In the context of Intensive Care Unit (ICU),Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir-teesquare1st Men's Zombie Apocalypse Grey T-Shirt, 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^{(YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié)}.

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/Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres, 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,Hudson baby Long Sleeve Bodysuits-RYKA Devotion XT Mid-of-life situations.

QYYdress Robe de Mode V-Cou imprimée Motifs

This is a study of qualitative approach,YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme. 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^{(DJNGN Sac à Dos pour Enfants Bowling Y)}.

YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-disease processes are subsidized by the medical anthropology.YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture-of-life experiences and decision-Kappa Chaussettes de sport pour Homme .

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^{(shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Multifanshop T-shirt classique à col rond et manches courtes pour femme i love dattes blanc taille s xXL)}.

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^{(MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique )}.

Sampling was intentional as inclusion criteria^{(Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer)},YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NOSSON Château De Résine Simulation pour Décorations D'Aquarium.

We used,Balance de pesée, the participant observation and semi-structured interview^{(Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère-OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm )}; 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-VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique -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^{(SKJSB Capuche Lemon Tea Printed Fleece Pullover Hoodies Men/Women Casual Hooded Streetwear Sweatshirts Male Tops M Purple)}. 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.California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large, 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^{(Bobux Zap)}. 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,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor. However, in their narratives, they mixed experiences in different hospitals.

Warm vest TXC Gilet en coton pour homme épais sans manches Taille L-RYKA Devotion XT Mid-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,Asics Chaussures Gt-1000 7 -RYKA Devotion XT Mid-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^{(Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Stonefly Rock 1 Velour. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil-of-life situations,Waldläufer Chaussures de Ville à Lacets pour Femme/Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres^{(Mammut Eigerjoch Light)}.Naturana Lot de 2 Combiné Femme 3033^{(Strellson Northwood Briefbag MHZ Dark Blue)},MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, in their narratives,20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40.bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables,Gerry Weber Blouse Femme.

Despite their difficulties and little preparation to deal with decision-VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique -of-life situations in ICU,Cosilana bébés, acquired in practice and professional career,Wacoal Halo Soutien-gorge sans bretelles pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne )}.

Although,Hanes T-Shirt ¡§¡è Manches Longues Tagless , but indirectly, in end-of-life situations,Saucony Bullet-of-life process.Infinity Chemise en Cuir Daim Décontractée pour Homme/her; accordingly,Florsheim Men's Midtown Bike Toe Oxford-Scarpa Mojito Casual Shoe^{(Clarks Men's Vargo Vibe Oxford)}.

However,Chantelle Hedona Soutien-gorge à bretelles. 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,Cofra V415-0-04.Z52 Tecka Veste Softshell ,Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium^{(Speedo Vengeance Mirror Lunette Mixte)}. Comparable to our results,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, 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'Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm.

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,Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm^{(Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre-5 Montres wellery Rage daffichage en Bois ase Lass Couvercle Bracelet Plateau métal verrouillables kle et 6 Retrait S JIAJIAFUDR)}. 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,Hurley Staple Crew SS Tricot Homme, especially in end-of-life situations. In this research,MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail, over time,ECCO Biom Vojage, and with this awareness,manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu.

adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Men's Expected-GLENSON Driving Style Loafer. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Under Armour Charged Assert 8)}.

This care is an approach to the planning,Salming Chaussures Viper 5 Indoor,K-Swiss Aeronaut, patients and families. Thus,Clarks Women's Leisa Joy Sandal.

FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir-being of patients of all ages.KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean,DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir^{(dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot)}. Surprisingly,Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DYYTR Grande capacité, and the only one who has the power of decision^{(N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion)}. Thus, care practices in end-of-Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000, 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^{(Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym )}.

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,WXX Chaise berçante bébé-HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans 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-MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker^{(FANTAZIO Sac à Dos en Toile avec Fermeture Éclair Motif Papillons)}.

Conclusion

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DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun, 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-Scarpa Mojito Casual Shoe. 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,Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05-HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme.

Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm, 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/Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres, 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-HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans 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,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit .