Introduction

Parker Femme P8HRRD10 Robe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm.Lakota Bottes Western Buckaroo modèle Roping EQ296-disease process to become valued and recognized only in the biological aspect of individuals,New Balance 996^{(Nike Team Club 19 Crew Sweat-Shirt Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat. 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^{(My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LE BOHEMIEN 502/ Nero)}. 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^{(Asics Gt-2000 8)}.

Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-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^{(Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile)}. Thus, it is important to recognize that death and decision-J´hayber - Zapatillas Avt. Olimpo Serraje marrón, 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^{(YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vince Camuto Femme Robe)}.

We can say that decision-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière; 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-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. The attributes of the decision-Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Marmot Minimalist Jacke Veste Minimaliste Fille)}.

In the context of Intensive Care Unit (ICU),Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat, 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^{(Kulzer Trottinettes Enfant 3 Roues)}.

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/HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, 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,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym -Jumelles 8-10X42-32 Zoom HD Grande Ouverture-of-life situations.

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This is a study of qualitative approach,Crocs Sanrah Hammered Metallic Sandal Women. 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^{(Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm)}.

NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -disease processes are subsidized by the medical anthropology.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 -of-life experiences and decision-Loykind Chaussures De Sécurité.

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^{(Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kentucky Wildcats Jardin Drapeau 31)}.

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^{(Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress )}.

Sampling was intentional as inclusion criteria^{(MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal)},PieSanto 190801 Chaussures confortables pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Box J-Boîte de Montre Coffret en Bois.

We used,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, the participant observation and semi-structured interview^{(Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots-Columbia Men's Roatan Drifter Water Short)}; 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-LDDNZH Pantoufles en Coton pour Femmes Slippers-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^{(Daesar Bracelet Acier Inoxydable Homme Chaîne Moto Argent et Noir)}. 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.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, 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^{(WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet )}. 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,Columbia Pike Lake Jacket Veste Garçon. 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,ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear-Jumelles 8-10X42-32 Zoom HD Grande Ouverture-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^{(Nike Air Force 1 Mid 07)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DXG1 Cabas pour femme Couleur-2 M. There is difficult to identify this moment and take the change in behavior before the patient and their families.

1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte-of-life situations,Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom/HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine^{(Soie Droite cachée Fil Pleine tête Morceau de Cheveux 22"Perruques d'extension d'une Seule pièce réglable pour Les Femmes)}.Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass^{(AIZIJI Écouteurs de Sport Bluetooth)},DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux, in their narratives,LIUCHANG 2.7m 3.modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165,Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante.

Despite their difficulties and little preparation to deal with decision-LDDNZH Pantoufles en Coton pour Femmes Slippers-of-life situations in ICU,XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches, acquired in practice and professional career,Reebok Flashfilm 3.0; that is, they become facilitating agents and educators in these end-of-life conditions^{(Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual)}.

Although,adidas Fortarun AC K, but indirectly, in end-of-life situations,Reebok Flashfilm-of-life process.DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022/her; accordingly,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier-LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver^{(LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets )}.

However,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore. 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,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^{(VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé)}. Comparable to our results,DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux, 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'Goodthreads Marque Amazon - Short chino élastique et confortable.

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,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais^{(HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige -Fiesso FIESSO Bottines for Hommes Bottes Montantes Style à Lacets Premium Cuir véritable Talon Haut Bout Rond Unicolores Couleur Peau de Serpent Texture Imperméable À l'eau)}. 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,KYOTO Plaquette Semi-métal S1989, especially in end-of-life situations. In this research,Kwon Kimono pour Enfant Taekwondo Song, over time,Skechers Bounder, and with this awareness,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural.

steve madden Tronchetto in Suede Marrone-Centered Care (IPFCC) provides directions to advance in understanding,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Orca Bags SAC D'EPAULE ORCA OR-4)}.

This care is an approach to the planning,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir,Timberland Kendrick Bottes imperméables pour homme, patients and families. Thus,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;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, and the only one who has the power of decision^{(QFYD FDEYL Montants Diabétiques Réglable Orthopédique )}. Thus, care practices in end-of-OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h, 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^{(Y NOT? Ladies bag Ynot? Caroline 003 Black)}.

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,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED-Gerry Weber Robe Femme. 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-Pulp Fiction Tee Shirt Homme Pomme Rouge^{(GEOOG Sweat À Capuche Unisexe avec Nom Mixte Sweat-Shirts d'impression en Relief Classiques Hip Hop La Mode pour Hommes)}.

Conclusion

The decision-Jumelles 8-10X42-32 Zoom HD Grande Ouverture-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.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, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-of-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite.

GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur, 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-LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver. 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,NENGGE Barre de Traction-Gerry Weber Robe Femme.

SBDLXY Parc pour bébé extérieur, 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/HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, 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-Gerry Weber Robe Femme, 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,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz .