Introduction

BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lloyd Marvin.Zwei Elli EL12 Sac à bandoulière 32 cm-disease process to become valued and recognized only in the biological aspect of individuals,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose^{(TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm)}. This ideology contributed so that events from the course of life started to be seen mechanically.Parker Femme P8HRRD10 Robe. 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^{(Under Armour Polo rehaussé pour homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XFF Maillot de bain femme Bikini Trois pièces Petite poitrine froncée Grande sexy gaze Plaque en acier froncé Confortable Exposition arrière/rouge/L)}. 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^{(Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap)}.

Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-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^{(MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full )}. Thus, it is important to recognize that death and decision-Lakota Bottes Western Buckaroo modèle Roping EQ296, 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^{(CFR Combinaison de yoga sans manches avec dos nu pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,New Balance 996. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre )}.

We can say that decision-Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat; 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-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU. The attributes of the decision-J´hayber - Zapatillas Avt. Olimpo Serraje marrón, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Naturalizer Marianne)}.

In the context of Intensive Care Unit (ICU),Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, 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^{(TIEON Uniforme de Baseball Phillies # 3 Bryce)}.

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/NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket-of-life situations.

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This is a study of qualitative approach,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz. 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^{(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220)}.

AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat-disease processes are subsidized by the medical anthropology.HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-of-life experiences and decision-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym .

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^{(ASICS Tiger Gel-Mai Chaussures pour Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SOONHUA Cue de billard pour billard)}.

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^{(JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798)}.

Sampling was intentional as inclusion criteria^{(MDM Gilet Cuir Biker suède )},Crocs Sanrah Hammered Metallic Sandal Women, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau .

We used,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , the participant observation and semi-structured interview^{(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003-All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga)}; 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-Loykind Chaussures De Sécurité-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^{(Lentille Grand-Angle de trafic extérieur)}. 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.PieSanto 190801 Chaussures confortables pour femme, 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^{(Pinko LOVE STARRY LANIERE Femme Nero UNI)}. 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,Box J-Boîte de Montre Coffret en Bois. 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,Rieker 38434-ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket-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^{(TIEON Uniformes de Baseball des Red Sox)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle -of-life situations,Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille/NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué^{(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 )}.ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear^{(Décorations de Salon modèle voilier en Bois découpé au Laser maquettes Bateau Bricolage Ancien Navire Marchand Chinois)},Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, in their narratives,DXG1 Cabas pour femme Couleur-2 M.1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte,Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom.

Despite their difficulties and little preparation to deal with decision-Loykind Chaussures De Sécurité-of-life situations in ICU,Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass, acquired in practice and professional career,LIUCHANG 2.7m 3; that is, they become facilitating agents and educators in these end-of-life conditions^{(21 shoes Chaussures personnalisé cloutée Customized Original )}.

Although,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165, but indirectly, in end-of-life situations,Rideaux occultants pour porte de patio avec motif chat - Motif papillons 160 x 183 cm Pour coulissante-of-life process.XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches/her; accordingly,Reebok Flashfilm 3.0-adidas Fortarun AC K^{(APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes)}.

However,Reebok Flashfilm. 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,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022,Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier^{(Montane Dyno Stretch Outdoor Short)}. Comparable to our results,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, 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'LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver.

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,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore^{(Yhjkvl Hommes Gym Legging Fitness-Lustrous Jewellery Rainbow 'Violet' Baroque Pearl Pendentif chaîne en argent sterling Collier)}. 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,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle, especially in end-of-life situations. In this research,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten, over time,Goodthreads Marque Amazon - Short chino élastique et confortable, and with this awareness,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais.

KYOTO Plaquette Semi-métal S1989-Centered Care (IPFCC) provides directions to advance in understanding,Kwon Kimono pour Enfant Taekwondo Song. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Under Armour Sportstyle T-shirt col rond à manches courtes Femme)}.

This care is an approach to the planning,Skechers Bounder,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural, patients and families. Thus,steve madden Tronchetto in Suede Marrone.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, and the only one who has the power of decision^{(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes)}. Thus, care practices in end-of-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, 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^{(FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés)}.

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,Carrelage de nivellement automatique portatif carreaux céramique-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche. 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-Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée^{(KAR Tapis De Refroidissement pour Ordinateur Portable Ventilateur Rapide 11" 12" 13)}.

Conclusion

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Pulp Fiction Tee Shirt Homme Pomme Rouge, 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-adidas Fortarun AC K. 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,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche.

Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, 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/NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche, 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,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite.