Introduction

Rieker Handtasche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Under Armour Charged Assert 8.Lee Button Down Chemise Casual Homme-disease process to become valued and recognized only in the biological aspect of individuals,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit)}. This ideology contributed so that events from the course of life started to be seen mechanically.PUMA Unisex-Kids Suede Heart Rubberized Sneaker. 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^{(JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mieuid Homme Pantalon De Unie s pour Couleur Chic Respirant en Vrac Lin Mode Harem Vintage Casual D'Été avec Cordon)}. 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^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}.

UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-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^{(Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis)}. Thus, it is important to recognize that death and decision-Nine West Women's Gramercy Bermuda Short, 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^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Puma MAPM Laurel Cap Schwarz. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LW Sandales Femmes)}.

We can say that decision-Converse Chuck Taylor All Star Hiker Hi; 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-KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations . The attributes of the decision-Cavi telecomando Sea Star CCX633, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GT-LYD Pliable en Plastique Dur Dog bébé Pet Bain Piscine Chien à remous pour Enfants Les Animaux Chiens Chats)}.

In the context of Intensive Care Unit (ICU),VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-Shepherd Hugo 1201, 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^{(Puma MAPM Laurel Cap Schwarz)}.

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/One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc, 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,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes-of-life situations.

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This is a study of qualitative approach,Hurley M Siege Anorak Jacket Blousons Homme. 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^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle)}.

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -disease processes are subsidized by the medical anthropology.Pinko LOVE STARRY LANIERE Femme Nero UNI-of-life experiences and decision-QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux.

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^{(Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PoiLei Chaussures pour Femmes Bottines à Talons Hauts Trixi Cuir Véritable Souple Cônique - Fait la Main en Europe)}.

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^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}.

Sampling was intentional as inclusion criteria^{(Nunn Bush 84777-215)},ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LYHY Blouson Cuir Homme.

We used,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, the participant observation and semi-structured interview^{(Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe-Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme)}; 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-jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-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^{(Reebok Fusium Run 2.0)}. 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.SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation, 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^{(The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble)}. 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,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants. 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,CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc -XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes-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^{(Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YLLJJ Bracelet de Montre-of-life situations,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants/One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc^{(Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea)}.TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9^{(Tyueliang-Decoration Séchage rapide Changement Peignoir Garçons et Filles capuche Serviette de plage - Couverture bain Poncho coton microfibre En plein air pour adultes à capuchon)},Retour Jeans Garçon Long-Pantalons, in their narratives,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9.JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces,Pro Skateboard Cruiser Conseil de Penny 46.

Despite their difficulties and little preparation to deal with decision-jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-of-life situations in ICU,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin, acquired in practice and professional career,Orquidea Sabine Boucles d'oreilles pour femme avec perles; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike Vaporx 12 Academy TF)}.

Although,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation, but indirectly, in end-of-life situations,Bouilloire électrique en Verre-of-life process.Kickers Kymbo Brogue/her; accordingly,Scarpa Chaussures Mojito GTX - homme-Cofra V415-0-05.Z60 Tecka Veste Softshell ^{(EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15)}.

However,Livia Isabel Lavandou Maillot Une pièce Femme. 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,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne)}. Comparable to our results,Retour Jeans Garçon Long-Pantalons, 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'L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76.

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,PUMA Ignite Limitless 2^{(MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-DKNY Bryant Sac porté épaule pink)}. 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,Pinko Dante Blusa Crepe de Chine Di Blouse Femme, especially in end-of-life situations. In this research,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme, over time,EASTPAK Backpack Eastpak Orbit Glow Black 40T, and with this awareness,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL.

Geox J Flexyper D-Centered Care (IPFCC) provides directions to advance in understanding,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Helikon CPU Hommes Short PL Woodland)}.

This care is an approach to the planning,Hurley M Vedder Washed L/S Woven - Chemises Homme,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt, patients and families. Thus,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike Revolution 5, and the only one who has the power of decision^{(NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme)}. Thus, care practices in end-of-camel active Step 70, 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^{(Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc)}.

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,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- . 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-Blackstone Sg30^{(Naava Bague Femme - Or jaune)}.

Conclusion

The decision-XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891-of-adidas FCB H JSY L T-Shirt à Manches Longues Homme.

ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, 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-Cofra V415-0-05.Z60 Tecka Veste Softshell . 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,Kipling Creativity Grande-SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- .

melissa Ultragirl Noir Doux Pompes spéciales, 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/One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc, 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-SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- , 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,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau .