Introduction

O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Reebok Aztrek Double Mix Pops.Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-disease process to become valued and recognized only in the biological aspect of individuals,NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer^{(Vionic Women's)}. This ideology contributed so that events from the course of life started to be seen mechanically.Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra. 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^{(FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CHZDXGNY Tapis Épaissir Doux Enfants Chambre De Jeu Moderne Grand Rose pour Le Salon 1200Mm X 1800Mm Zzm3000)}. 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^{(VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique )}.

DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG-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^{(Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet)}. Thus, it is important to recognize that death and decision-Primigi PPD 34125, 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^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Go Walk Lite - Rise)}.

We can say that decision-CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour 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-2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P. The attributes of the decision-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Love Shoes Mode Doux Semelle Danse Tango Chaussures Dames Standard Latine Salle De Bal Anti-Slip Peep Toe Mi Talon Salsa Rumba)}.

In the context of Intensive Care Unit (ICU),QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-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^{(Dansko Femmes Chaussures De Mule)}.

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/Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches, 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,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween-Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -of-life situations.

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This is a study of qualitative approach,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir. 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^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}.

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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^{(KTDT Horloge de Table Style Train Mode rétro)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DC Shoes Chaussures Lowtop Syntax pour garçons)}.

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^{(hanky panky Original String en dentelle extensible pour tailles 14-26)}.

Sampling was intentional as inclusion criteria^{(Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée)},graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410.

We used,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, the participant observation and semi-structured interview^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver -MYMAO Pluie épaisse Ponchos ~ Qualité Premium)}; 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-Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles -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^{(Shirt sidez Soulja Boy Swag Mens Zipper Hoodie)}. 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.YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant, 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^{(Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche )}. 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,SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid. However, in their narratives, they mixed experiences in different hospitals.

Irregular Choice Schatzi-Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -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,LIU-JO Cappotto in misto lana Donna cod.CF008T2403-Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -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^{(Sylvie Flirty Swimwear Britta Monokini Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lumière de nuit capteur intelligent corps humain. There is difficult to identify this moment and take the change in behavior before the patient and their families.

cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière-of-life situations,Meet World Sac De Boxe Lourd/Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches^{(wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite)}.Aircast® PodaLib® Attelle releveur de pied ^{(WMZQW Talon Haut sur Les Bottes Au Genou de Cuisse en Cuir Suédé pour Femmes La Vie Quotidienne Bureau)},GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image, in their narratives,QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces.WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL,Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois.

Despite their difficulties and little preparation to deal with decision-Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles -of-life situations in ICU,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, acquired in practice and professional career,CNAJOI-TDFY Lampe Frontale de vélo LED; that is, they become facilitating agents and educators in these end-of-life conditions^{(Giro Monaco II Gel Gants de Cyclisme)}.

Although,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche, but indirectly, in end-of-life situations,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière-of-life process.N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité/her; accordingly,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16-Nunn Bush 84777-215^{(Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu)}.

However,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne. 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,WEHQ Café de Presse française,HURRISE Masque de sommeil en jade naturel^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages)}. Comparable to our results,GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image, 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'HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes.

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,Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable ^{(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl-GQLB DIY Anime Modèle 3D Puzzle Building Block Mini Nano Bricolage Jouets Blocks éducation Jouet Enfants Multicolores Football Stade)}. 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,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween, especially in end-of-life situations. In this research,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité., over time,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, and with this awareness,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc.

Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement -Centered Care (IPFCC) provides directions to advance in understanding,Adult Raincoats Imperméable réfléchissant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre )}.

This care is an approach to the planning,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme,Papillio Daytona, patients and families. Thus,Etnies Fader 2.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;New Balance Wj91524 Pull à Capuche Femme, and the only one who has the power of decision^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos )}. Thus, care practices in end-of-Close Parent Caboo Porte-bébé Coton bleu clair, 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^{(Will's Vegan Shoes WVSport Bottes de randonnée Noir - )}.

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,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-Maui Jim Haleakala Noir Mat HCL Bronze Polar. 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-LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable^{(Nine West Women's Cotton Shirt Dress with Contrast Ties at Waist)}.

Conclusion

The decision-Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.POSEIDON Bobbin KNOTTER Gold Black, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Multifanshop Rétro sac à bandoulière modern love wiebke noir-of-Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille.

Geox B Todo Boy A, 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-Nunn Bush 84777-215. 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,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets-Maui Jim Haleakala Noir Mat HCL Bronze Polar.

BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, 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/Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches, 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-Maui Jim Haleakala Noir Mat HCL Bronze Polar, 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,Haedr Coussin résistant à la Casse pour bébé.