Introduction

HHORD Panier De Bicyclette Rétro Tissé D'imitation-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vinmin USB Rechargeable lumière de vélo Avant.ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille-disease process to become valued and recognized only in the biological aspect of individuals,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout^{(Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme. 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^{(WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(STERB Veilleuse Gel de silice Lampe Chevet Charge USB)}. 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^{(mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex )}.

Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes-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^{(DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt)}. Thus, it is important to recognize that death and decision-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger, 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^{(GJQION Femmes Brassière)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hicks & Brown Suffolk Fedora Vert olive . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs )}.

We can say that decision-NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12; 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-SMXGF Laine Echarpe. The attributes of the decision-LiliMill 5579, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sunbobo Chaussettes Compression Pour Hommes Femmes de couleur unie variqueuses transpirante absorbant les mollets d'allaitement en cours d'exécution football avec des chaussettes paires for tro)}.

In the context of Intensive Care Unit (ICU),N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion-WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, 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^{(XSY Denim Zipper Genou Talon Hiver Bottes)}.

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/QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour 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,Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile -BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-of-life situations.

Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles

This is a study of qualitative approach,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme. 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^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}.

Tamaris 1-1-25012-23-disease processes are subsidized by the medical anthropology.DC Femmes Recherche 18-of-life experiences and decision-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

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^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Saucony Shadow Original S1108 745)}.

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^{(Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small)}.

Sampling was intentional as inclusion criteria^{(DXG1 Cabas pour femme Couleur-2 M)},xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ISABELLE BLANCHE P030T001 Chino Femme.

We used,Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet, the participant observation and semi-structured interview^{(adidas Ultraboost S.Rdy Baskets-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un )}; 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-Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ -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^{(Grancey Collier prénom avec Coeur Personnalisé Forme Ronde jusqu'à 8 Noms Gravés Nom Enfant de Disque pour Femme Mère Fille Grand-mère)}. 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.MWOOOK Escarpins Femmes Talons Aiguilles, 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^{(Barrière de lit Rail for Enfants en Bas âge)}. 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,Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne. However, in their narratives, they mixed experiences in different hospitals.

LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-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,ZHMIAO Maillot de Football américain pour Homme 4# Carr-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-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^{(Noppies Skinny Jeans Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats. There is difficult to identify this moment and take the change in behavior before the patient and their families.

TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation-of-life situations,JOOP! Jeans Tondo Sousa Sac porté épaule jaune/QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme^{(Poussette Légère)}.DBWIN Parc de Jeu pour Enfants^{(PUMA Chaussures Ella Ballet Metallic pour Femme)},teesquare1st Men's Zombie Apocalypse Grey T-Shirt, in their narratives,The North Face Veste Chimborazo réversible pour garçon.Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra.

Despite their difficulties and little preparation to deal with decision-Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ -of-life situations in ICU,New Era Americana T-Shirt ~ York Yankees, acquired in practice and professional career,In:sole Insole Sandales Talon Haut; that is, they become facilitating agents and educators in these end-of-life conditions^{(LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable)}.

Although,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2, but indirectly, in end-of-life situations,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-of-life process.Essuyez Chaud/her; accordingly,ADHW Chaise Longue d'extérieur-WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap^{(Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer)}.

However,Vienty Sandales à talon Ani Lacets Cuir. 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,adidas Originals Chaussures Junior Haiwee,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel^{(Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans)}. Comparable to our results,teesquare1st Men's Zombie Apocalypse Grey T-Shirt, 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'Fournitures de salle bain Piscine gonflable Baignoire.

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,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme ^{(PICTO Montre à Quartz Unisexe-Ouuager-Home Boîte de montre Double fibre carbone à bijoux 4 Ecrin collier lunettes anneau boîte rangement portable Montre Haute qualité)}. 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,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, especially in end-of-life situations. In this research,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, over time,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, and with this awareness,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches.

Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement-Centered Care (IPFCC) provides directions to advance in understanding,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag)}.

This care is an approach to the planning,YCCC Doudoune Garcon 12 Ans Hiver,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite, patients and families. Thus,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes .

Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière-being of patients of all ages.Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme^{(Re-Ment Sanrio Hinamatsuri)}. Surprisingly,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise, 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;LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos, and the only one who has the power of decision^{(Clarks Men's Weaver Moccasin)}. Thus, care practices in end-of-Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs, 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^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 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,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble -AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski. 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-L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm^{(HUIO Tapis Le Lavage Couloir Machine à la Main Sec Laver Rectangle pour Enfants)}.

Conclusion

The decision-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules-of-SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité.

Verre À Whisky Fait Main Real Bullet, 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-WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap. 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,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski.

Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats, 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/QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour 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-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski, 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,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin.