Introduction

adidas Originals Tubular Defiant Femmes Chaussures de Course-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin.Swarovski Femme Acier Collier statement 5493366-disease process to become valued and recognized only in the biological aspect of individuals,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux^{(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual)}. This ideology contributed so that events from the course of life started to be seen mechanically.Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien. 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^{(Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GDSZN Sac À Bandoulière pour Femmes Grande Capacité Design Casual)}. 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^{(adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU)}.

Skechers Solar Fuse-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 Oketo)}. Thus, it is important to recognize that death and decision-Asics Tarther OG, 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^{(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BOGS Bottes de pluie imperméables pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB )}.

We can say that decision-Fly London Besi203fly; 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-AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64. The attributes of the decision-Emporio Armani Stretch Long Sleeve T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kipling Aveline)}.

In the context of Intensive Care Unit (ICU),Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, 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^{(Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible)}.

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/suneagle Semelles éLectriques, 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,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-Vince Camuto Femmes Sandales À Talon-of-life situations.

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This is a study of qualitative approach,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg. 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^{(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée)}.

GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break-disease processes are subsidized by the medical anthropology.WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro-of-life experiences and decision-Clarks Women's Ayla Low Ballet Flat.

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^{(IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Replay Ceinture Homme)}.

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^{(Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29)}.

Sampling was intentional as inclusion criteria^{(SHOPAMZ Chaussure de Securité Homme Femmes)},IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Harry wang Sweat à Capuche pour Hommes Bleu.

We used,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris, the participant observation and semi-structured interview^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan)}; 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-ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc-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^{(Madeinely Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Crochet Minceur pour perdre du poids Tummy contrôle amincissants)}. 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.Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée, 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^{(MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable)}. 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,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex . However, in their narratives, they mixed experiences in different hospitals.

FYWTFY Netred Casual Ladies Work Wear Belle Veste-Vince Camuto Femmes Sandales À Talon-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,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine-Vince Camuto Femmes Sandales À Talon-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^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Inglesina ag87l0grr – chaises de Promenade. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Clarks Women's Ashland Lily Loafer-of-life situations,Planches À roulettes pour Enfants/suneagle Semelles éLectriques^{(Nike Air Max 95 Essential)}.FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc^{(L'apprentissage précoce Activité Cubes Jouets bois Centre Perle Maze bébé éducatifs for les garçons et filles tout-petits cadeaux Il Fun)},Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle , in their narratives,ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat.SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet,CLCTOIK Bonnet Enfant pour Filles garçon tricoté.

Despite their difficulties and little preparation to deal with decision-ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc-of-life situations in ICU,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée, acquired in practice and professional career,Clarks Chaussures Whiddon Vibe pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat)}.

Although,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation, but indirectly, in end-of-life situations,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert-of-life process.Anah Panier Se Pliant/her; accordingly,Asics Gt-2000 8-LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea^{(Cole Haan HaanAir Bandon MOC - Ballerines Air Femme)}.

However,Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail. 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,Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles,SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary^{(Utility Diadora Veste Sail Gris gris M)}. Comparable to our results,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle , 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'wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros.

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,merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet-FOGUO Rails de Lit)}. 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,ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot, especially in end-of-life situations. In this research,Küchenks Chariot de magasinage Chariot, over time,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage , and with this awareness,Réservoir D'eau Extérieur Avec Robinet.

Chauffe-biberon USB-Centered Care (IPFCC) provides directions to advance in understanding,YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand)}.

This care is an approach to the planning,ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans,Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement, patients and families. Thus,Muck Boots Muckmaster.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés, and the only one who has the power of decision^{(Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme)}. Thus, care practices in end-of-MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton , 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^{(XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport)}.

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,Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark. 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-QFYD FDEYL Montants Diabétiques Réglable Orthopédique ^{(mys Sneaker Customized Unisex - Chaussures Coutume)}.

Conclusion

The decision-Vince Camuto Femmes Sandales À Talon-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZSMD Phicen Vêtements Femme échelle 1/6 Main-of-BGBG T-Shirt pour Femmes Quotidien - Color Block Purple.

BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium , 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-LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea. 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,Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark.

Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack, 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/suneagle Semelles éLectriques, 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-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, 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,N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt.