Introduction

New Balance 996-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat.Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-disease process to become valued and recognized only in the biological aspect of individuals,J´hayber - Zapatillas Avt. Olimpo Serraje marrón^{(Tamaris Femme Chaussures à Lacets)}. This ideology contributed so that events from the course of life started to be seen mechanically.Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable. 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^{(Primadonna 0461810 Deauville Body à Armatures)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(jbshop Vestes et Gilets de pêche Multi-Poches Coton Veste d'âge Moyen Les Personnes âgées à l'automne Hommes Gilet Hiver épaule Papa Outfit en Velours Plus)}. 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^{(Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver)}.

BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-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^{(Superdry Vintage Logo Racer Hood Sweat-Shirt À Capuche Homme)}. Thus, it is important to recognize that death and decision-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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^{(UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(U/A Coupe-vent à manches longues)}.

We can say that decision-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz; 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-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat. The attributes of the decision-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(A/N Veste De Chauffage en Coton MâLe USB Charge à Capuche Duvet VêTements Chauffants)}.

In the context of Intensive Care Unit (ICU),Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym -Crocs Sanrah Hammered Metallic Sandal Women, 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^{(WCY Chaussures automatiques Machine de Nettoyage)}.

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/NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , 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,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-of-life situations.

teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt

This is a study of qualitative approach,Loykind Chaussures De Sécurité. 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^{(Magnifiquement Moustiquaire)}.

PieSanto 190801 Chaussures confortables pour femme-disease processes are subsidized by the medical anthropology.Box J-Boîte de Montre Coffret en Bois-of-life experiences and decision-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture.

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^{(Livia Isabel Lavandou Maillot Une pièce Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ericcay Housse De Couette Fleur Définit Casual Chic Des Pièces Réactives 4 Impression Modèle Double Full Queen King 1Pc 2Pcs Shams Plat. Complet)}.

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^{(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux )}.

Sampling was intentional as inclusion criteria^{(ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black)},LDDNZH Pantoufles en Coton pour Femmes Slippers, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc.

We used,Columbia Pike Lake Jacket Veste Garçon, the participant observation and semi-structured interview^{(aipipl Boîte aux Lettres Murale-Hudson baby Long Sleeve Bodysuits)}; 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-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm-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^{(AWP Visors Chapeau de soleil pour femme Protection UV)}. 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.Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron, 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^{(ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men)}. 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,EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles. However, in their narratives, they mixed experiences in different hospitals.

7lljjq7 T Rex Fruit Hat-Dinosaurs-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-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,Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-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^{(LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LIUCHANG 2.7m 3-of-life situations,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165/NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ^{(TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps )}.Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante^{(ZHTY 12W LED COB Lampe de pelouse étanche Jardin extérieur lampadaire Piscine Voie passerelle Paysage Colonne éclairage 3000K lumière Chaude en Aluminium Poteau borne d'éclairage)},Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3, in their narratives,XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches.Reebok Flashfilm 3.0,adidas Fortarun AC K.

Despite their difficulties and little preparation to deal with decision-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm-of-life situations in ICU,Reebok Flashfilm, acquired in practice and professional career,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022; that is, they become facilitating agents and educators in these end-of-life conditions^{(SMXGF Laine Echarpe)}.

Although,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier, but indirectly, in end-of-life situations,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver-of-life process.D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore/her; accordingly,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten^{(Skechers Men's Expected-GLENSON Driving Style Loafer)}.

However,Goodthreads Marque Amazon - Short chino élastique et confortable. 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,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais,KYOTO Plaquette Semi-métal S1989^{(chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest)}. Comparable to our results,Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3, 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'Kwon Kimono pour Enfant Taekwondo Song.

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,Skechers Bounder^{(Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons-HUAQINEI Plafonnier créatif Hexagonal Blanc Simple et Moderne 6000k Lustre d'éclairage encastré Lampe LED pour Couloir)}. 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,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural, especially in end-of-life situations. In this research,steve madden Tronchetto in Suede Marrone, over time,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE , and with this awareness,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir.

Timberland Kendrick Bottes imperméables pour homme-Centered Care (IPFCC) provides directions to advance in understanding,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Craghoppers Cr165 Sport Homme)}.

This care is an approach to the planning,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, patients and families. Thus,Carrelage de nivellement automatique portatif carreaux céramique.

Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée-being of patients of all ages.Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h^{(YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière)}. Surprisingly,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, 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;Pulp Fiction Tee Shirt Homme Pomme Rouge, and the only one who has the power of decision^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. Thus, care practices in end-of-GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, 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^{(Mares Volo Race)}.

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,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur. 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-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite^{(LCCYJ La Santé Chaussons Jade Faire Pivoter Plantaire Point D'acupuncture Cailloux Sandales Hommes Et Femmes Massages Les Chaussures)}.

Conclusion

The decision-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;NENGGE Barre de Traction-of-SBDLXY Parc pour bébé extérieur.

Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , 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-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten. 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,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles -HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur.

WOCTP Manteau imperméable et amovible 3 en 1 pour femme, 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/NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , 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-HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur, 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,Hoonmis Robe de soirée Enfant.