Introduction

Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41.Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -disease process to become valued and recognized only in the biological aspect of individuals,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction^{(NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc)}. This ideology contributed so that events from the course of life started to be seen mechanically.XTI 49473. 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^{(DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(evergreemi Camouflage d'hiver imprimé à Capuche lâche)}. 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^{(Piquadro Blue Square Leather Backpack Rosa Chiaro)}.

ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-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^{(Softinos Iggy269sof)}. Thus, it is important to recognize that death and decision-Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, 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^{(Free People Women's Forever Cashmere V-Neck Pullover Sweater )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison)}.

We can say that decision-Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b; 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-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande. The attributes of the decision-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rundi Montagne Brouillard Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Noir Toutes Les Tailles - Women's Men's Unisex Sweatshirt Hoodie Black)}.

In the context of Intensive Care Unit (ICU),yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, 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^{(ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe)}.

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/Tommy Hilfiger Honey Flap Satchel, 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,Asics Chaussures Gel-Quantum 180 4-adidas Originals Kids' U_Path Running Shoe-of-life situations.

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This is a study of qualitative approach,Emporio Armani Montre Intelligente ART5019. 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^{(MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie)}.

Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit-disease processes are subsidized by the medical anthropology.TOPO Athletic Chaussures de Course pour Homme-of-life experiences and decision-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm.

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^{(AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(hjurnvbclaiwoxhauenw u-Shaped Oreiller Voyage déjeuner Pause Cou cylindrique 68 * 10 D)}.

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^{(WWTTE Yoga serré Snakeskin Leggings 2V )}.

Sampling was intentional as inclusion criteria^{(QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag)},Roamers Bottines Chelsea - Homme , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair.

We used,Musto Veste légère Crew - Homme, the participant observation and semi-structured interview^{(Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt)}; 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-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-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^{(Bear Knuckle Brawlers Sweat-shirt à capuche - Homme)}. 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.Huber Romi Veste en Tricot pour Femme Bleu Clair, 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^{(YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement)}. 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,adidas Advantage Chaussure de tennis pour femme. 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,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver -adidas Originals Kids' U_Path Running Shoe-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^{(Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-of-life situations,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu /Tommy Hilfiger Honey Flap Satchel^{(ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison)}.B/H Réglable Orthopédique Pantoufles^{(OMCCXO Hiver Automne Femmes Coton Dessin Animé Chaussettes Femme Fille Mignon Chaud Drôle Chaussette Motif Calcetines Cadeaux Livraison Directe)},Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L, in their narratives,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main .Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage,Quickfill.

Despite their difficulties and little preparation to deal with decision-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-of-life situations in ICU,Clarks Atticus Lace, acquired in practice and professional career,adidas Condivo 18 Veste; that is, they become facilitating agents and educators in these end-of-life conditions^{(LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité)}.

Although,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, but indirectly, in end-of-life situations,Geox Jr Agata A-of-life process.Dansko Women's Adrianne Sneaker/her; accordingly,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-Old Crest Cravate - Homme^{(Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl)}.

However,BOSS Pince à Cravate 50403093-001. 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,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa^{(YUHEN LED Chaussures)}. Comparable to our results,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L, 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'Skechers Summits-New World.

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,ALTRA Escalante 2.0 Black^{(Casio A158 Montre Bracelet en Acier Inoxydable-RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur)}. 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,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , especially in end-of-life situations. In this research,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, over time,Liu Jo Écharpe à paillettes 269047 T0300 Noir, and with this awareness,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets.

Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt-Centered Care (IPFCC) provides directions to advance in understanding,Herschel supply Sac à Dos Nova Small. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian)}.

This care is an approach to the planning,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , patients and families. Thus,ALPHA INDUSTRIES Veste Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Clergerie Berlin 3, and the only one who has the power of decision^{(EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant)}. Thus, care practices in end-of-YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, 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^{(ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm )}.

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,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea. 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-YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes^{(XFQ Chaussures De Sécurité Plat Hommes Femmes Toe Acier Casquettes Formateurs Industriel Non-Slip Respirant Travail Sport Protection)}.

Conclusion

The decision-adidas Originals Kids' U_Path Running Shoe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires-of-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer.

ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, 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-Old Crest Cravate - Homme. 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,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard-RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea.

YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, 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/Tommy Hilfiger Honey Flap Satchel, 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-RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, 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,Poussette Légère.