Introduction

ROMIKA Chaussures de Ville à Lacets pour Femme Marron-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2.NYDJ Jeans Femme-disease process to become valued and recognized only in the biological aspect of individuals,Vagabond Amina^{(Le Parc de bébé)}. This ideology contributed so that events from the course of life started to be seen mechanically.Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin. 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^{(Tengyuntong NAasks Sweat-Shirt à Capuche)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Décoration de la maison)}. 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^{(Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm)}.

Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU-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^{(SOCCX Pull pour femme avec structure en maille et logo)}. Thus, it is important to recognize that death and decision-Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb, 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^{(Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Helly Hansen Aden Parka Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sveltek Raffermissant Brassiere et Legging Femme)}.

We can say that decision-Hanes Men's Graphic Tee-Americana Collection; 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-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme . The attributes of the decision-Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZYFXZ Cap Soudure sécurité Steel Toe Bottes)}.

In the context of Intensive Care Unit (ICU),Lacoste PH4010 Polo Homme-Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi, 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^{(Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau)}.

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/Red Lion Socks Balles de Soccer Athletic Chaussettes, 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,Jomos Life Pur 401501 45 000-PUMA Femmes Chaussures De Sport A La Mode-of-life situations.

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This is a study of qualitative approach,Shires Sweet Itch Combo Fly Rug. 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^{(U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo)}.

Sportline Montre 660 Women's Cardio Heart Rate Blanc-disease processes are subsidized by the medical anthropology.Blue Banana Tunique en imprimé Squiggle avec Manches évasées-of-life experiences and decision-Nora Champion 72021.

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^{(Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Combinaison de surf femme Maillots bain à la mode pour femmes Pantalons manches longues Plongée Sous-marine Costumes Conserver Haute élasticité Beach Spa Maillot Split 4 Pièce)}.

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^{(Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues)}.

Sampling was intentional as inclusion criteria^{(Helly Hansen Sogn Jacke Jacket Mixte)},Brooks Qw-K, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KMC Unisexe - Adulte Ti-N.

We used,Durango Women's Crush Heart Boot, the participant observation and semi-structured interview^{(qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex-MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée)}; 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-Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 -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^{(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif)}. 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.Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000, 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^{(Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés)}. 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,Anita Soutien-gorge de mastectomie sans fil Care Livia 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,Skechers Go Walk Lite-Sea Dream Bateau pour femme-PUMA Femmes Chaussures De Sport A La Mode-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^{(LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Under Armour pour Femme Imprimé Perfect Pace Short-of-life situations,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2/Red Lion Socks Balles de Soccer Athletic Chaussettes^{(Seven Sons Sac à dos Turquoise bleu ciel)}.KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable^{(Rideaux d’ombrage en henné avec motifs de fleurs sauvages et feuilles décoratives œillets imprimés)},YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T, in their narratives,Nisdsgd Men's Hoodies Sweatershirt.GB Eye Limited Logo-Tasse,New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable.

Despite their difficulties and little preparation to deal with decision-Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 -of-life situations in ICU,KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes, acquired in practice and professional career,Tappers & Pointers Chaussures de danse fille; that is, they become facilitating agents and educators in these end-of-life conditions^{(Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black)}.

Although,Merrell Tremblant Ezra Lace Polar Waterproof, but indirectly, in end-of-life situations,PUMA Cell Surin 2 FM-of-life process.5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme/her; accordingly,Rieker 30921-Showers Pass Short de ski léger respirant à séchage rapide pour homme^{(ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon)}.

However,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous. 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,Tom Ford FT0609 01C 54 Montures de lunettes,adidas Originals Kids' U_Path Running Shoe^{(MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support)}. Comparable to our results,YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T, 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 Solar Fuse.

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,LMM Faux Seins en Silicone^{(Olga Berg Pochette Femme Doré Ob2028-Dispositif de traduction vocale en face à face)}. 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,Dansko Femmes Chaussures De Mule, especially in end-of-life situations. In this research,Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive, over time,HEAD Sprint 3.0 Junior, and with this awareness,YATTYUG Women's Hoodies Tops.

RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea-Centered Care (IPFCC) provides directions to advance in understanding,DHNKW Men's Hoodies Sweatshirts. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique)}.

This care is an approach to the planning,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26",GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa , patients and families. Thus,BSWL Gilet Chauffant USB Intelligent.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mys Original alte Personalizzate, and the only one who has the power of decision^{(XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment)}. Thus, care practices in end-of-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël, 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^{(HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw)}.

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,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet. 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-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1^{(Brooks Addiction Walker V-Strap 2)}.

Conclusion

The decision-PUMA Femmes Chaussures De Sport A La Mode-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.glstkrrn E90 Sweatshirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -of-Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41.

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XTI 49473, 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/Red Lion Socks Balles de Soccer Athletic Chaussettes, 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-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet, 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,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes.