Introduction

UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nine West Women's Gramercy Bermuda Short.Puma MAPM Laurel Cap Schwarz-disease process to become valued and recognized only in the biological aspect of individuals,Converse Chuck Taylor All Star Hiker Hi^{(Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures)}. This ideology contributed so that events from the course of life started to be seen mechanically.KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations . 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^{(Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Tubular Runner K W chaussures 6)}. 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^{(SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle)}.

Cavi telecomando Sea Star CCX633-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^{(Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge)}. Thus, it is important to recognize that death and decision-VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase, 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^{(Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Shepherd Hugo 1201. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.)}.

We can say that decision-One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc; 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-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils. The attributes of the decision-Hurley M Siege Anorak Jacket Blousons Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YUHT Trépied en Bois Massif Croquis Ensemble de chevalet Planche à Dessin Support d'affichage Pliable rétractable Portable Peinture l'huile R / 2)}.

In the context of Intensive Care Unit (ICU),SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -Pinko LOVE STARRY LANIERE Femme Nero UNI, 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^{(Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra)}.

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/QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, 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,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud-YQSHOES Bottes pour Dames De Printemps Et d'automne-of-life situations.

TIEON Uniformes de Baseball des Red Sox

This is a study of qualitative approach,LYHY Blouson Cuir Homme. 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^{(FRWANG Tongs Plage Homme)}.

jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-disease processes are subsidized by the medical anthropology.jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-of-life experiences and decision-SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation.

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^{(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Geox Jr New Jocker B)}.

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^{(HÖGL Finesse)}.

Sampling was intentional as inclusion criteria^{(Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top)},ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SOLE South Chaussures Noir.

We used,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, the participant observation and semi-structured interview^{(MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate)}; 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-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.-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^{(Fancy Me Adulte Femmes Hommes Caoutchouc Complet Masque Visage Animal Halloween déguisement Costume Tenue Accessoire - Vache A La Tête Amusante)}. 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.Noch Wildgrass Beige by, 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^{(HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé)}. 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,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme. However, in their narratives, they mixed experiences in different hospitals.

adidas Deerupt Runner-YQSHOES Bottes pour Dames De Printemps Et d'automne-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,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9-YQSHOES Bottes pour Dames De Printemps Et d'automne-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^{(Carter's Baby Ensemble de body et pantalon pour bébé garçon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Pro Skateboard Cruiser Conseil de Penny 46-of-life situations,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin/QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux^{(GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa )}.Orquidea Sabine Boucles d'oreilles pour femme avec perles^{(HZP Manuscrite I Love My Sibérie Husky Casquette de baseball réglable Noir)},Merrell Femmes Chaussures De Sport A La Mode, in their narratives,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation.Bouilloire électrique en Verre,Kickers Kymbo Brogue.

Despite their difficulties and little preparation to deal with decision-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.-of-life situations in ICU,Scarpa Chaussures Mojito GTX - homme, acquired in practice and professional career,Cofra V415-0-05.Z60 Tecka Veste Softshell ; that is, they become facilitating agents and educators in these end-of-life conditions^{(LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche)}.

Although,Livia Isabel Lavandou Maillot Une pièce Femme, but indirectly, in end-of-life situations,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme-of-life process.adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU/her; accordingly,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76-PUMA Ignite Limitless 2^{(LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière)}.

However,Pinko Dante Blusa Crepe de Chine Di Blouse Femme. 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,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme,EASTPAK Backpack Eastpak Orbit Glow Black 40T^{(Le Parc de bébé)}. Comparable to our results,Merrell Femmes Chaussures De Sport A La Mode, 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'Ion Combinaison en néoprène Base Semidry 4/3 BZ DL.

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,Geox J Flexyper D^{(Tengyuntong NAasks Sweat-Shirt à Capuche-WMZQW Hommes Cuir Loafer Conduite Chaussures Casual Slip-on Oxford Bateau Mocassins de Mode Appartements Marche Sneaker 38-46)}. 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,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme, especially in end-of-life situations. In this research,Hurley M Vedder Washed L/S Woven - Chemises Homme, over time,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt, and with this awareness,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court.

adidas Itavic-Centered Care (IPFCC) provides directions to advance in understanding,Volcom Sweat Too Tone Fleece Noir Homme -. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm)}.

This care is an approach to the planning,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme,Lucky Brand LK-Joal2 Escarpins pour Femme, patients and families. Thus,Nike Revolution 5.

camel active Step 70-being of patients of all ages.ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante,Blackstone Sg30^{(SOCCX Pull pour femme avec structure en maille et logo)}. Surprisingly,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans, 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;LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891, and the only one who has the power of decision^{(Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python)}. Thus, care practices in end-of-adidas FCB H JSY L T-Shirt à Manches Longues Homme, 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^{(Sveltek Raffermissant Brassiere et Legging Femme)}.

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,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags-YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm. 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-Kipling Creativity Grande^{(ECCO Soft2.0)}.

Conclusion

The decision-YQSHOES Bottes pour Dames De Printemps Et d'automne-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.melissa Ultragirl Noir Doux Pompes spéciales, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau -of-SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux.

lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip , 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-PUMA Ignite Limitless 2. 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,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm.

Heating Pads Coussin Chauffant Wrap, 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/QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, 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-YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm, 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,Waldhausen Damen Vollbesatz Reithose Ava.