Introduction

Joules Golightly Imperméable Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.MZSG LED Loft Vintage Applique-disease process to become valued and recognized only in the biological aspect of individuals,SXHNNYJ Garniture de poignée Porte extérieure Voiture^{(PieSanto 190801 Chaussures confortables pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23. 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^{(JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DAYUFEI Amende 1:72 US Navy Ea-18G Vaq-141 Roar Electronic Warfare Aircraft Alloy Collection Model)}. 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^{(Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by)}.

PUMA Roma Anniversario-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^{(YUMI Blush 3D Floral Embellishment Party Dress)}. Thus, it is important to recognize that death and decision-Reqins ILAN Lycra - Training Lacet Noir, 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^{(WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Andrea Conti Chaussures basses en cuir à lacets pour femme)}.

We can say that decision-HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary ; 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-SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme. The attributes of the decision-In:sole Insole Sexy Talon Haut, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CafePress Ensemble pyjama Shut Up & Dance It Out Gris)}.

In the context of Intensive Care Unit (ICU),XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds, 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^{(Camper Runner)}.

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/BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , 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,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-of-life situations.

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This is a study of qualitative approach,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. 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^{(ZAIPP Enfant Tapis Jouer Tapis)}.

Tentes à Tente rétractable de lit-disease processes are subsidized by the medical anthropology.adidas Originals Chaussures Junior Haiwee-of-life experiences and decision-Ysswjzzzz Masque d'halloween.

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^{(Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Daniel Hechter 5642 Pantalon de Travail pour Homme - Beige 34 FR)}.

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^{(Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond)}.

Sampling was intentional as inclusion criteria^{(Under Armour Herren UA HOVR Havoc Low Basketballschuhe)},Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique.

We used,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore, the participant observation and semi-structured interview^{(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt-Vagabond Amina)}; 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-NanXi Moustiquaire auvent 4 Coin pour Les Lits-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^{(Lieblingsstück Pièce préférée MagalieL.)}. 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.ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison, 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^{(wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite)}. 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,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50. 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,Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-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^{(RAVIAN AB Roue Perfect)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZHTY Casiers à vin de Plafond. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL-of-life situations,Statue Sculpture Figurine Statuette/BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène ^{(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm)}.WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables^{(Décoration de Sculpture tête Bouddha)},LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile, in their narratives,LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable.IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode,Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental.

Despite their difficulties and little preparation to deal with decision-NanXi Moustiquaire auvent 4 Coin pour Les Lits-of-life situations in ICU,Zhuowei Mesdames Stretch Cuissardes, acquired in practice and professional career,NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière)}.

Although,Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement , but indirectly, in end-of-life situations,Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants-of-life process.Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P/her; accordingly,YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier-CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping^{(O'Neal Rider Bottes de motocross)}.

However,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand . 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,Magie Professionnelle Chapeau Claque Double Fond ,MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson^{(Columbia Garçon Veste Isolée)}. Comparable to our results,LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile, 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'adidas Little Boys' Tricot Pant.

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,Hermes Cadre Photo en argent cm 13 x 18^{(teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-APJJ Gilet Chauffant avec 3 USB À Température Réglable)}. 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,Jack Wolfskin Cloudburst Veste pour Hommes, especially in end-of-life situations. In this research,Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta, over time,Meindl Asti Mid GTX Wanderschuh TEX Braun, and with this awareness,Guess Short Dress.

LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-Centered Care (IPFCC) provides directions to advance in understanding,Vince Camuto Femme Robe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport)}.

This care is an approach to the planning,Vans T Classic Baskets à enfiler,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage, patients and families. Thus,aden by anais gigoteuse cozy plus.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Ultraboost 19 M, and the only one who has the power of decision^{(Living Kitzbühel Slip-on Mit Fellborte)}. Thus, care practices in end-of-modamoda de Messenger Ital Sac à bandoulière en cuir T06, 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^{(LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement)}.

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,Enuff Skateboards Skully Complete Skateboard-EXTON 246 Sneakers Man. 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-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique^{(Sallypan Applique Murale en Verre de cuivre)}.

Conclusion

The decision-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;KEEN Targhee Lace High Polar Waterprooof-of-adidas Stabil Bounce.

adidas Tan Graphic Crewneck Sweat-Shirt Homme, 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-CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping. 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,Merrell Vapor Glove 4-EXTON 246 Sneakers Man.

Columbia Youth Firecamp Mid 2 WP, 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/BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , 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-EXTON 246 Sneakers Man, 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,Sorel Out N About Plus Conquest.