Introduction

BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Puma Pull à capuche Making The Cut pour femme.INTER-BIOS 5633 Sandales Bio CUÑA Rouge-disease process to become valued and recognized only in the biological aspect of individuals,Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm^{(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne)}. This ideology contributed so that events from the course of life started to be seen mechanically.Munich Dash Premium 73. 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^{(Trespass Qikpac Female Jacket Vestes coupe-pluie Femme )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Maloja PuzpanM. Pantalon de Loisirs pour Homme)}. 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^{(Geox J Kalispera Girl Baskets Mode Filles Gris Montantes)}.

DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant-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^{(ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe)}. Thus, it is important to recognize that death and decision-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée, 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^{(Daniel Wellington Montre)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau)}.

We can say that decision-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant; 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-Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table . The attributes of the decision-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rasta Imposta Déguisement Super-Héros Beer Man Taille : L)}.

In the context of Intensive Care Unit (ICU),WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum-Rideau de fenêtre hawaïen avec des arbres montagne, 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^{(ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So)}.

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/CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque, 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,Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-Horloge murale murale-of-life situations.

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This is a study of qualitative approach,LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire . 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^{(WZR Femme's Synthétique Sandales Slipper Pantoufles)}.

Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-disease processes are subsidized by the medical anthropology.Asics Chaussures Gel-Lima Padel 2-of-life experiences and decision-BTYKJ Sandales compensées en Daim à Boucles 42 Noir.

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^{(Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Caterpillar Barrison Honey)}.

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^{(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S)}.

Sampling was intentional as inclusion criteria^{(Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 )},Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop .

We used,N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour, the participant observation and semi-structured interview^{(Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement -Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme)}; 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-Lloyd 547932 Bottines Femme 28-357-00 -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^{(HERITOR Montre automatique Maxim semi-squelette en cuir)}. 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.hanky panky Brassière croisée en dentelle Signature, 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^{(IZOD Pull à col Rond en Jacquard pour Homme Calibre 9)}. 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,El Ganso Blazer Acolchada Nylon. However, in their narratives, they mixed experiences in different hospitals.

WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-Horloge murale murale-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,HEHE sous Le Lit De Chaussures Sac Rangement-Horloge murale murale-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^{(Montane Ineo Pro Women's Pantalon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Lloyd 547932 Bottines Femme 28-357-00 -of-life situations in ICU,LLSS Poussette pour bébé légère Landaus, acquired in practice and professional career,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anna Cecere ACA 016 lime)}.

Although,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique, but indirectly, in end-of-life situations,Parcs pour Tout-Petits-of-life process.CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris/her; accordingly,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3^{(The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL)}.

However,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4. 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,Reebok Workout Plus,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4^{(Blue Banana Tunique en imprimé Squiggle avec Manches évasées)}. Comparable to our results,Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy, 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'Josef Seibel Chance 39.

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 B New Flick B^{(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-Miarui Patins à roulettes pour Enfants Chaussures de Skate Entraînement Roller Rollers Adolescents idéals débutants)}. 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,Geox D Nebula C, especially in end-of-life situations. In this research,PUMA Chaussures de Glace Muse Femmes, over time,Dachstein Ramsau 2.0 Gore-TEX Chaussure, and with this awareness,New Balance Fresh Foam Zante Pursuit.

Columbia WAYFINDER FLIP Sandales de sport pour homme-Centered Care (IPFCC) provides directions to advance in understanding,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reebok Flashfilm 3.0)}.

This care is an approach to the planning,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, patients and families. Thus,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DC Shoes Heathrow, and the only one who has the power of decision^{(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique)}. Thus, care practices in end-of-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, 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^{(Bandit - Casque Fighter – Casque pour Streetfight)}.

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,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans. 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-Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme^{(BROWCIN Steak Barbecue Napperon Restaurant Alimentaire BBQ Vintage Dîner Créatif Détachable La mode Tendance Madame Sac à main bandoulière)}.

Conclusion

The decision-Horloge murale murale-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kickers Bonbon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Magista Onda AG-of-Mizuno Tc-02.

ECCO Biom Terrain, 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-Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3. 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,ECCO Xpedition III-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans.

ECCO Xpedition III, 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/CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque, 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-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans, 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,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes.