Introduction

ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,lquide Album Photo Bricolage.Dickies Performance Chino Pantalon plat pour homme-disease process to become valued and recognized only in the biological aspect of individuals,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour^{(lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dickies Temp-iq Performance Cooling T-shirt à manches longues pour 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^{(DOUCAL'S Chaussures - Noir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GPF-fei Chaussure pour Homme Mocassins Chaussures Business Lazy Rondes Orteil Pois Mode Confortable Respirant Loisirs)}. 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^{(Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris)}.

JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-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^{(nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword)}. Thus, it is important to recognize that death and decision-Fila Baskets Femme, 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^{(Nike Quest 3)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Skechers Summits-Forton 52813/BBK Chaussures basses pour homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Studio Untold Femme Grandes Tailles Jupe plissée)}.

We can say that decision-Sanita Saskia Sport Flex Sandale; 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-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon. The attributes of the decision-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YYNUDA Tailleur Femmes 2 Pièce Costume Plaid Double Boutonnage Duffle Blazer Élégant Pantalon)}.

In the context of Intensive Care Unit (ICU),Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, 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^{(LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier)}.

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/Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, 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,Crime London KOMRAD White-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -of-life situations.

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This is a study of qualitative approach,Onitsuka Tiger Baskets Corsair Unisexe-Adulte. 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^{(Ysswjzzzz Masque d'halloween)}.

Pandora Femme Vermeil Charms et perles - 788692C01-disease processes are subsidized by the medical anthropology.MASCOT WORKWEAR Mascot Polo De Travail Crossover-of-life experiences and decision-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python.

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^{(JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TONG Tenue de Sport Femme)}.

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^{(SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture)}.

Sampling was intentional as inclusion criteria^{(U/A Cardigan Pull Femme Géométrique Tricot Automne)},DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4.

We used,Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes , the participant observation and semi-structured interview^{(47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! -HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais)}; 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-SKTWOE Bottes De Cheville Femmes-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^{(HR Bague fantaisie en or blanc 7 mm)}. 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.LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, 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^{(Speedo - City NY Pbck AF Maillot de Bain pour Adulte)}. 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,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant . 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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -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^{(Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison. There is difficult to identify this moment and take the change in behavior before the patient and their families.

vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S-of-life situations,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day/Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle^{(IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes)}.Modus Vivendi Chemise Jeans Manches Courtes Marine 12941^{(LED Câble USB Bluetooth Sound Control Light Music et Ocean Wave Projecteur Projecteurs pour scène 3.16)},AXDNH Chaussures de Danse Femme, in their narratives,YOLL Bébé Baignoire.Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier.

Despite their difficulties and little preparation to deal with decision-SKTWOE Bottes De Cheville Femmes-of-life situations in ICU,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre, acquired in practice and professional career,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon; that is, they become facilitating agents and educators in these end-of-life conditions^{(HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe)}.

Although,SHOPAMZ Chaussure de Securité Homme Femmes, but indirectly, in end-of-life situations,YUIOLIL Children's Microscope 1200x with LED Lights-of-life process.FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur/her; accordingly,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond -Legero Campania^{(WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert)}.

However,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises. 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,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale^{(Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille)}. Comparable to our results,AXDNH Chaussures de Danse Femme, 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'Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt.

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,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No^{(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-Nike Vapor 13 Academy MDS IC)}. 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,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation, especially in end-of-life situations. In this research,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur, over time,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass, and with this awareness,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison.

U/A Coupe-vent à manches longues-Centered Care (IPFCC) provides directions to advance in understanding,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(adidas Munchen Bakset Mode Homme)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse , and the only one who has the power of decision^{(TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette )}. Thus, care practices in end-of-Puma Men's Fenty Sweatsuit Pullover, 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^{(Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle)}.

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,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le-DYHQQ Brancard de Chaussure. 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-bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short^{(adidas Stan Smith El I)}.

Conclusion

The decision-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MELLUSO Sandales pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant-of-adidas Originals Nite Jogger.

Joules Roll Up Welly, 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-Legero Campania. 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,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-DYHQQ Brancard de Chaussure.

Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG, 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/Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, 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-DYHQQ Brancard de Chaussure, 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,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme.