Introduction

ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Osiris Protocol pour Homme Noir/Miel.Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme-disease process to become valued and recognized only in the biological aspect of individuals,Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera^{(AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64)}. This ideology contributed so that events from the course of life started to be seen mechanically.Liyaya Automatic Induction Night Light. 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^{(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)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(no brand Manteau À Capuchon Casual Zipper Warm Doublé De Laine d'hiver d'homme Parka Homme)}. 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^{(Craghoppers Kiwi Pro TRS Pantalon De Costume Homme)}.

XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case-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^{(Cxjff Pliant PedaI Tricycle)}. Thus, it is important to recognize that death and decision-Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, 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^{(Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(UMOOIN Basketball Team 3D Housse de Couette)}.

We can say that decision-Speedo Vengeance Mirror Lunette Mixte; 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-Tom' s Company Tom Drag's Spirale d'énergie Limite 300. The attributes of the decision-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Leonardo Shoes Bottines Homme en Daim travaillé Main Tête de Maure)}.

In the context of Intensive Care Unit (ICU),Mares Volo Race-LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes, 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^{(Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille)}.

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/Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, 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,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-of-life situations.

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This is a study of qualitative approach,Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL. 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^{(DBWIN Parc de Jeu pour Enfants)}.

SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-disease processes are subsidized by the medical anthropology.Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-of-life experiences and decision-KAVU Lorenzo Chemise à Boutons pour Homme.

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^{(HEAD Sprint 3.0 Junior)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nike Fleece Crop Mock Neck Sweatshirt T-Shirt Femme)}.

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^{(Dr. Martens Hardie)}.

Sampling was intentional as inclusion criteria^{(Filet de Camouflage De for La Chasse Tournage Pêche )},BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Carhartt Henley T-Shirt de Poche pour Homme .

We used,WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme, the participant observation and semi-structured interview^{(EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle)}; 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-XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-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^{(Skechers TWI-Lites-Unicorn Vibes Baskets pour enfant)}. 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.XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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^{(Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao)}. 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,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D. 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,Fuliya Men's Hoodies Sweatshirts-LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-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^{(Under Armour Charged Toccoa 2 Chaussure de course pour homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-of-life situations,Eono by Amazon - Sac Organiseurs de Bagage/Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU)}.HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46^{(Nitro Arial.)},IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage, in their narratives,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S.YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe.

Despite their difficulties and little preparation to deal with decision-XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-of-life situations in ICU,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, acquired in practice and professional career,Cinzia soft Havana #Beige 10301 IBB621-H 001; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZSHWP Sexy)}.

Although,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women, but indirectly, in end-of-life situations,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-of-life process.SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie/her; accordingly,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre-DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode ^{(Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive )}.

However,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine. 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,Illex Squirrel 61 Jackall Series,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420^{(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes)}. Comparable to our results,IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage, 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'Ana Silver Co. Serpentine Stone.

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,DJNGN Sac à Dos pour Enfants Bowling Y^{(YLYT Lampe Starry Sky Night Light Enfants Nuit-WowPrint Sac à dos avec motif vache mignon)}. 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,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, especially in end-of-life situations. In this research,Ana Silver Co. Garnet, over time,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, and with this awareness,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée.

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This care is an approach to the planning,adidas Ozweego Chaussures Homme Blanc,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, patients and families. Thus,YANGTAO Ressacs Projecteur De Lumière Nuit.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Free People Women's Forever Cashmere V-Neck Pullover Sweater , and the only one who has the power of decision^{(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.)}. Thus, care practices in end-of-ProCook - Cocotte Faitout Ronde 24cm / 4, 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^{(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme )}.

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,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon. 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-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes^{(TATANE Course Légère Apaisante Amortisseur Correction des Hommes Chaussures Respirantes)}.

Conclusion

The decision-LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -of-Polaroid Pld 6071/s/x.

Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, 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-DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode . 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,SMITH Riot Masque de Ski-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon.

Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, 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/Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, 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-Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon, 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,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18.