Introduction

COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover.Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-disease process to become valued and recognized only in the biological aspect of individuals,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6^{(PieSanto 190801 Chaussures confortables pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm. 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^{(TEXTURE Robe mi-longue en coton avec col velours côtelé pour femme - Rouge Taille Unique)}. 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)}.

RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois-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-HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , 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,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes. 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-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's; 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-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata . The attributes of the decision-Falke TK 1 Chaussettes randonnée homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZHDP Tentes pour Camping Étanche)}.

In the context of Intensive Care Unit (ICU),FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot 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^{(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/Traducteur Instantané, 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,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-of-life situations.

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This is a study of qualitative approach,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie. 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)}.

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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^{(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^{(Xiaobudian Sweats à Capuche Pull Sweat pour Femmes Montagne imprimé décontracté Automne Manches Longues Hiver Chemises Hauts)}.

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)},Dolce & Gabbana Denim Jeans, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard.

We used,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou-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^{(Munchkin Color Me Hungry Splash Ensemble de salle à manger 7 pièces pour enfant avec assiette)}. 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.New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing, 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,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches. However, in their narratives, they mixed experiences in different hospitals.

LXDDP Chaise Bureau Fashion Mesh-QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-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,New Balance Wj91524 Pull à Capuche Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Close Parent Caboo Porte-bébé Coton bleu clair-of-life situations,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable/Traducteur Instantané^{(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm)}.LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable^{(LKKOY Halloween Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues 2D Jacket Blue Black)},ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne, in their narratives,POSEIDON Bobbin KNOTTER Gold Black.Multifanshop Rétro sac à bandoulière modern love wiebke noir,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille.

Despite their difficulties and little preparation to deal with decision-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou-of-life situations in ICU,Geox B Todo Boy A, acquired in practice and professional career,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets; 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,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, but indirectly, in end-of-life situations,Haedr Coussin résistant à la Casse pour bébé-of-life process.camel active Ethnic 12/her; accordingly,PICTO Montre à Quartz Unisexe-MARCO TOZZI 23712 Femme Chaussures Noir^{(O'Neal Rider Bottes de motocross)}.

However,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne. 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,Jané Isize Siège Auto Gris 75 à 150 cm,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral^{(Columbia Garçon Veste Isolée)}. Comparable to our results,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne, 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'Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré.

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,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose^{(teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-Cole Haan HaanAir Bandon MOC - Ballerines Air Femme)}. 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,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, especially in end-of-life situations. In this research,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, over time,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, and with this awareness,EDELRID Cordes d'escalade Boa 9.

YUMI Blush 3D Floral Embellishment Party Dress-Centered Care (IPFCC) provides directions to advance in understanding,GURU-SHOP Guru-Boutique. 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,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S,glstkrrn RX8 RX-8 Ugly Christmas Sweater, patients and families. Thus,Waldhausen Reithose Funktion Sport Silikon.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , and the only one who has the power of decision^{(Living Kitzbühel Slip-on Mit Fellborte)}. Thus, care practices in end-of-L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, 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,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon-Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o. 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-Clio Blue Bague Medicis en argent 925^{(Ea7 emporio armani EA7 Emporio A U Survêtement avec fermeture éclair Taille L)}.

Conclusion

The decision-QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 -of-Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme.

Irregular Choice Disney Princess- Beauty and The Beast Flats, 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-MARCO TOZZI 23712 Femme Chaussures Noir. 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,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver-Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o.

Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us, 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/Traducteur Instantané, 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-Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o, 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,Le Coq Sportif Sweat Essentiels.