Introduction

J´hayber - Zapatillas Avt. Olimpo Serraje marrón-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable.BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-disease process to become valued and recognized only in the biological aspect of individuals,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^{(Columbia Powder Pass)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit. 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^{(Hanes T-Shirt ¡§¡è Manches Longues Tagless )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(IUBBKI Never Trust The Living - Beetlejuice Creepy Cute Goth Diaper Bag Sac à dos Mommy Grande capacité Élégant Durable Étanche Multifonction de voyage)}. 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^{(LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex)}.

Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-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^{(Cavi telecomando Sea Star CC330)}. Thus, it is important to recognize that death and decision-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat, 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^{(YUHT LED Strip Lights)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fergalicious Jolene)}.

We can say that decision-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym ; 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-Crocs Sanrah Hammered Metallic Sandal Women. The attributes of the decision-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(KLH Sac fourre-Tout à imprimé Serpent de Grande capacité)}.

In the context of Intensive Care Unit (ICU),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 -Loykind Chaussures De Sécurité, 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^{(adidas Originals Baskets Mode 3MC X Truth Never Told)}.

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/PieSanto 190801 Chaussures confortables pour femme, 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,Box J-Boîte de Montre Coffret en Bois-K-Swiss Men's Donovan Sneaker-of-life situations.

Gerry Weber Robe Femme

This is a study of qualitative approach,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture. 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^{(XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture)}.

LDDNZH Pantoufles en Coton pour Femmes Slippers-disease processes are subsidized by the medical anthropology.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-of-life experiences and decision-Columbia Pike Lake Jacket Veste Garçon.

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^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LXJ-CQ Oreiller de Cou coloré Doodle Paysage surréaliste Fantastique Voyage en Forme U Housse Lavable Design Ergonomique)}.

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^{(New Balance 247v2)}.

Sampling was intentional as inclusion criteria^{(Columbia Homme - Manches Courtes T-Shirt athlétique)},B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron.

We used,EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, the participant observation and semi-structured interview^{(Prime 8-8-Asics Accelerate - Veste de Running pour Femme)}; 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-7lljjq7 T Rex Fruit Hat-Dinosaurs-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^{(Kickers Orilegend)}. 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.Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, 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^{(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier )}. 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,Misu Chaussures de Danse pour Homme Noir. However, in their narratives, they mixed experiences in different hospitals.

HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-K-Swiss Men's Donovan Sneaker-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,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165-K-Swiss Men's Donovan Sneaker-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^{(DKNY Homme DMMDO4HT Manteaux en Laine)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches-of-life situations,Reebok Flashfilm 3.0/PieSanto 190801 Chaussures confortables pour femme^{(XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille )}.adidas Fortarun AC K^{(TPOO Chaussures à Talon Haut Pointues pour Hommes d'affaires décontractées de Coiffeur Coiffeur)},Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton, in their narratives,Reebok Flashfilm.DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier.

Despite their difficulties and little preparation to deal with decision-7lljjq7 T Rex Fruit Hat-Dinosaurs-of-life situations in ICU,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver, acquired in practice and professional career,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending )}.

Although,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, but indirectly, in end-of-life situations,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-of-life process.Goodthreads Marque Amazon - Short chino élastique et confortable/her; accordingly,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-KYOTO Plaquette Semi-métal S1989^{(GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode)}.

However,Kwon Kimono pour Enfant Taekwondo Song. 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,Skechers Bounder,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural^{(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm )}. Comparable to our results,Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton, 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'steve madden Tronchetto in Suede Marrone.

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,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE ^{(SFOXL Homme Chaussures de Sécurité-TBS Sharks)}. 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,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir, especially in end-of-life situations. In this research,Timberland Kendrick Bottes imperméables pour homme, over time,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9, and with this awareness,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-Centered Care (IPFCC) provides directions to advance in understanding,Carrelage de nivellement automatique portatif carreaux céramique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire)}.

This care is an approach to the planning,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,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, patients and families. Thus,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h.

Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED-being of patients of all ages.Pulp Fiction Tee Shirt Homme Pomme Rouge,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^{(EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket)}. Surprisingly,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, 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;wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite, and the only one who has the power of decision^{(Apalis Sticker Mural Squirricorn on The Branch)}. Thus, care practices in end-of-GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur, 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^{(WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le)}.

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,NENGGE Barre de Traction-Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm. 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-SBDLXY Parc pour bébé extérieur^{(Balloon Garland Arch Kit)}.

Conclusion

The decision-K-Swiss Men's Donovan Sneaker-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles -of-WOCTP Manteau imperméable et amovible 3 en 1 pour femme.

Hoonmis Robe de soirée Enfant, 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-KYOTO Plaquette Semi-métal S1989. 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,LED night light-Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm.

YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, 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/PieSanto 190801 Chaussures confortables pour femme, 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-Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm, 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,Hatley Swimsuits Maillot Une pièce Garçon.