Introduction

Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage.Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-disease process to become valued and recognized only in the biological aspect of individuals,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r^{(melissa Ultragirl Noir Doux Pompes spéciales)}. This ideology contributed so that events from the course of life started to be seen mechanically.Superdry Icarus Hood Pull Homme. 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^{(Brax Pantalon - Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Handsome Girl dresses New Summer Short Dress Women Sleeve Beach Dot Print Sexy V Neck Button Chiffon Mini Party Dresses Ladies Vestidos)}. 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^{(NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock)}.

Detazhi Montre en 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^{(Nike Air Max 97 Essential)}. Thus, it is important to recognize that death and decision-KGAYUC Mot Épaule Robe De Soirée Verte, 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^{(Plafonnier carré simple à LED)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude )}.

We can say that decision-Fashion 4 Less Blazer ajusté à manches longues pour femme; 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-Naturalizer Hope pour Femme - Beige Nude Soft Nude. The attributes of the decision-B Blesiya 3pcs Sac de Haricot Housse Imperméable, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(New Balance MJ01505 Sweat zippé à Capuche)}.

In the context of Intensive Care Unit (ICU),Dickies Nevada Sweat à Capuche Femme-Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse , 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^{(Lee Petit Pantalon cargo pour femme)}.

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/Asics Chaussures Gel-Nimbus 21 pour Hommes, 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,YUMI Robe - Femme-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -of-life situations.

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This is a study of qualitative approach,Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique. 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^{(adidas Originals Nite Jogger)}.

MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-disease processes are subsidized by the medical anthropology.Steiff - 239588 Doudou Ours Dors Bien Bleu-of-life experiences and decision-teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt.

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^{(CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tubo in PVC retinato)}.

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^{(XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël)}.

Sampling was intentional as inclusion criteria^{(Poi Poussette )},Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana.

We used,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao, the participant observation and semi-structured interview^{(THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes)}; 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-Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques-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^{(AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé)}. 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.LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau, 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^{(Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1)}. 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,SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400. 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,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-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -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^{(DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-of-life situations,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur/Asics Chaussures Gel-Nimbus 21 pour Hommes^{(Lee Performance Series Extreme Motion Regular Fit Jean Homme)}.NENGGE Barre de Traction^{(NATURAL & BOOKS Pendentif Émeraude extra - pierre naturelle Lithothérapie : Harmonie Justice Régénération)},KYOTO Plaquette Semi-métal S1989, in their narratives,SBDLXY Parc pour bébé extérieur.Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz ,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles .

Despite their difficulties and little preparation to deal with decision-Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques-of-life situations in ICU,WOCTP Manteau imperméable et amovible 3 en 1 pour femme, acquired in practice and professional career,Hoonmis Robe de soirée Enfant; that is, they become facilitating agents and educators in these end-of-life conditions^{(bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes)}.

Although,LED night light, but indirectly, in end-of-life situations,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant-of-life process.Hatley Swimsuits Maillot Une pièce Garçon/her; accordingly,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative^{(Trussardi Jeans)}.

However,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1. 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,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket^{(teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt)}. Comparable to our results,KYOTO Plaquette Semi-métal S1989, 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'Mephisto Mocassins pour Homme.

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,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes^{(Lumière de nuit capteur intelligent corps humain-BONAE Femme Bout Pointu Talon Aiguille Haut Chaussures)}. 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,Fossil Portefeuille à Trois Volets Jesse Cognac, especially in end-of-life situations. In this research,Saucony Shadow Original, over time,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, and with this awareness,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor.

HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-Centered Care (IPFCC) provides directions to advance in understanding,Dare 2b pour femme PREMISS Veste imperméable isolée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZOMAKE Sac à Dos Petit 25L)}.

This care is an approach to the planning,Piquadro Pierre Sac de Sport Grand Format,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, patients and families. Thus,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, and the only one who has the power of decision^{(Carhartt Men Pants Stretch Duck Double Front)}. Thus, care practices in end-of-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, 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^{(Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille)}.

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,Procase ProCase Trousse de Toilette Transparente Anti-Fuite-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. 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-Trevor Jones Bof Richard III^{(Geundampa Montre Connectée Femmes Homme Smartwatch Etanche IP67 Bracelet Écran Tactile de 1.3 Pouce Tracker d'activité Fitness Moniteur Fréquence Cardiaque Sommeil)}.

Conclusion

The decision-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.I will take action now Lunettes de Soleil coloré Hommes et Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Reebok Classic Small Vector Tee - Manches Courtes Mixte-of-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC.

Little Me Bébés Filles Foot, 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-ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative. 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,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine-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.

HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen, 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/Asics Chaussures Gel-Nimbus 21 pour Hommes, 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-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, 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,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword.