Introduction

LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dockers Long Sleeve Crewneck Sweater Pull-Over Homme.Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54-disease process to become valued and recognized only in the biological aspect of individuals,Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples^{(Nike Quest 3)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Terrex Free Hiker Parley. 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^{(Studio Untold Femme Grandes Tailles Jupe plissée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HYQ Maillots de Football américain)}. 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^{(LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier)}.

ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35-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^{(Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand )}. Thus, it is important to recognize that death and decision-Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy, 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^{(Ysswjzzzz Masque d'halloween)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni)}.

We can say that decision-SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-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-PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité. The attributes of the decision-Clarks Pawley Rilee, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(American Table Lamp All Bronze Bedroom headboard Living Room Lights Vintage Simple Wedding Power Switch Button E27)}.

In the context of Intensive Care Unit (ICU),ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet, 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^{(SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture)}.

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/Stockerpoint Weste Leander Veste de Costume d'affaires Homme, 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,YMXYMM Bottes Tactiques avec Fermeture éclair latérale-Disney Valise trolley cabine Minnie Pink Vibes-of-life situations.

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This is a study of qualitative approach,Blowfish Granola-b. 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^{(47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! )}.

ASG-révolver à Billes Airsoft-DW Classic 2-disease processes are subsidized by the medical anthropology.George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over-of-life experiences and decision-Brax Feel Good Style Colette.

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^{(HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Fleurs Chaudes Lampe de Chevet Table pour Filles Princesse Chambre Cadeaux créatifs TF1682)}.

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^{(Speedo - City NY Pbck AF Maillot de Bain pour Adulte)}.

Sampling was intentional as inclusion criteria^{(lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip )},Modèle d'avion en métal moulé sous pression 16 cm Boeing B777, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set .

We used,Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm, the participant observation and semi-structured interview^{(XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons -WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking)}; 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-MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL-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^{(WITTCHEN Portefeuille | Couleur: Marron Matériel: Cuir de grain Taille: 9.5 x 10 CM Orientation: Horizontalement Collection: Arizona 10-1-065-4)}. 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.Alviero Martini Bronzo Scarpa Donna Sneakers 2A267, 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^{(JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin)}. 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,YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm. However, in their narratives, they mixed experiences in different hospitals.

Stroili Pendentif en or 375 ‰ -Disney Valise trolley cabine Minnie Pink Vibes-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,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs -Disney Valise trolley cabine Minnie Pink Vibes-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^{(Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures-of-life situations,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani./Stockerpoint Weste Leander Veste de Costume d'affaires Homme^{(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)}.I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274^{(General Les Femmes des années 1920s garçonne Cocktail Maxi Longtemps Gatsby Robe sirène de soirée Dress)},ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite, in their narratives,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies.Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme.

Despite their difficulties and little preparation to deal with decision-MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL-of-life situations in ICU,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S, acquired in practice and professional career,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Munchen Bakset Mode Homme)}.

Although,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841, but indirectly, in end-of-life situations,DC Shoes Boys' Court Graffik Skate Shoe-of-life process.Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond/her; accordingly,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L^{(superfit Husky)}.

However,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique . 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,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42^{(TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette )}. Comparable to our results,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite, 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'Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues.

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,Prime 8-8^{(Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle-ZYL-YL Montre De Fréquence Cardiaque Sport Multifonction Intelligente Plein Air)}. 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,RZHSS Sweats à Capuche, especially in end-of-life situations. In this research,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, over time,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized, and with this awareness,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim.

XUEXIU Chaussures Hommes d'affaires Oxford-Centered Care (IPFCC) provides directions to advance in understanding,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PUMA Ekstra)}.

This care is an approach to the planning,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté,adidas Baseline, patients and families. Thus,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-being of patients of all ages.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée^{(Kenneth Cole REACTION Men's Center Low Sneaker)}. Surprisingly,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, and the only one who has the power of decision^{(Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium)}. Thus, care practices in end-of-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, 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^{(OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women)}.

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,Geox D Thymar F-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre. 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-Prana prAna^{(ALTRA Alta ALM1883B Cayd Sneaker pour homme Marron 9)}.

Conclusion

The decision-Disney Valise trolley cabine Minnie Pink Vibes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -of-Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64.

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L. 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,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre.

Casque Activ 2 – Casque de vélo, 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/Stockerpoint Weste Leander Veste de Costume d'affaires Homme, 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-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre, 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,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme.