Introduction

YZT QUEEN Bottes Cuissardes Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Andrea Conti Chaussures basses en cuir à lacets pour femme.chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest-disease process to become valued and recognized only in the biological aspect of individuals,SKYROPNG Chaussures Mme Muller^{(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond)}. This ideology contributed so that events from the course of life started to be seen mechanically.HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger . 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^{(Chaise suspendue pour berceau bébé)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pendant Collier avec pendentif en argent sterling 925 - Bijou rouge Choix blanc et or)}. 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^{(Asics Tarther OG)}.

Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-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^{(LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales)}. Thus, it is important to recognize that death and decision-XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, 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^{(VearFit Cuir véritable)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm)}.

We can say that decision-Lacoste Veste Homme; 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-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. The attributes of the decision-O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PSSYXT moustiquaire Maisons Moustiquaire pour auvents de lit Double Adultes Trois Portes auvent d'été Plus la Taille)}.

In the context of Intensive Care Unit (ICU),Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, 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^{(PUMA Baskets Wired Knit)}.

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/LetsBuyGold Bague Artisanale , 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,Tête de coupe pneumatique-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-of-life situations.

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This is a study of qualitative approach,Reebok TS Layering Pant - Pantalon 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^{(Béaba BÉABA Sac à Langer Sydney I)}.

1200Mbps USB WiFi Adapter-disease processes are subsidized by the medical anthropology.DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA-of-life experiences and decision-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust.

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^{(Clarks Women's Linvale Sea Fashion Boot)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Vionic Tide Perf Tongs pour femme avec support de voûte plantaire invisible)}.

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^{(E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée)}.

Sampling was intentional as inclusion criteria^{(ECCO Wayfly)},ZHLZH Balance de précision Laboratoire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39.

We used,SageBrown Small Zip Around Accordion Coin Purse, the participant observation and semi-structured interview^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif)}; 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-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-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^{("N/A" Sweat à capuche « N/A » Fron-T Armame-Nt Worst Crows pour homme)}. 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.LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies, 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^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}. 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,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46. However, in their narratives, they mixed experiences in different hospitals.

adidas Terrex Eastrail-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-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,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux -58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-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^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SJLHP Sac À Dos Voyage en Toile Vintage. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CRMY Bottes rétro Classiques pour Femmes Dames-of-life situations,New Balance Classics WL574Ev2/LetsBuyGold Bague Artisanale ^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}.Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique^{(Nomad BUSPOTC5L Spot foldable daypack)},Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme, in their narratives,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5.YUHEN Oreiller de Voyage,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag.

Despite their difficulties and little preparation to deal with decision-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-of-life situations in ICU,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière, acquired in practice and professional career,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple ; that is, they become facilitating agents and educators in these end-of-life conditions^{(MSR FlyLite - Tente)}.

Although,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé , but indirectly, in end-of-life situations,B/H Cosplay médiévale Costume pour Halloween-of-life process.Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile/her; accordingly,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_-AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats^{(Racoon Pantalon imperméable Bébé garçon)}.

However,JFF Gilet Chauffant. 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,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et ,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille)}. Comparable to our results,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche 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'Native Shoes Kids Girl's Jefferson Bling Glitter .

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,The North Face Zipline Vestes imperméable Fille^{(PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames-WYZQ Montre de Poche Quartz Vintage Antique Rome Bronze Loup gaufrage Unisexe Pendentif Collier Charme Cadeaux Mode Floral personnalité Animale exquise)}. 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,IKKS Jupe Nœud Tulle Noir Fille, especially in end-of-life situations. In this research,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /, over time,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir, and with this awareness,Brooks Mazama 2.

Skechers Go Walk Lite - Rise-Centered Care (IPFCC) provides directions to advance in understanding,adidas Dragon OG. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DC Shoes Heathrow Prestige)}.

This care is an approach to the planning,PUMA Sneaker Smash WNS Perf Métallique pour femme,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, patients and families. Thus,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Merrell Forestbound Waterproof, and the only one who has the power of decision^{(L.Z.HHZL Chaussures d'affaires pour Hommes)}. Thus, care practices in end-of-Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon, 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^{(Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique)}.

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,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0-LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre . 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-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads^{(Quiksilver Outsider Merica Chapeau de protection solaire pour homme)}.

Conclusion

The decision-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;überleben Coppa leggera in Legno Con moschettone Backpacking-of-Kipling 100 Pens Organiseur de Sac à Main.

Lacrosse Women's Aero Timber 10, 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-AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats. 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,YQ QY Chaussons Description du produitpointureTableau des Tailles -LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre .

SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, 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/LetsBuyGold Bague Artisanale , 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-LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre , 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,EXTON 246 Sneakers Man.