Introduction

The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube.Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6-disease process to become valued and recognized only in the biological aspect of individuals,DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG^{(FRYE Robin Feather Criss Sandale plate pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps. 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^{(RICOSTA Fille Sandales à lanières ANA 7020900)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HIGHKAS Grand Tapis de Douche épissé antidérapant avec Trous Drainage Bain en Plastique PVC Sol Creux carré Salle Toilette-Rose 30x30cm 6 pièces)}. 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^{(Guess Marciano 0BG3149370Z Doudoune pour Femme)}.

WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44-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^{(ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse)}. Thus, it is important to recognize that death and decision-SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, 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^{(HUF Sweat-shirt Crew Essentials Taille L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,REFRESH Bottine Plate avec Fermeture Éclair pour Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête)}.

We can say that decision-HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'; 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-Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière. The attributes of the decision-YZT QUEEN Bottes Cuissardes Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Z&HX sportsLes Sacs de Couchage Plus ¨¦Pais Peuvent ¨ºtre Cousus dans Les Bols Sommeil pour Adultes et Poches d'automne ¨¦largissant Le Camping allong¨¦)}.

In the context of Intensive Care Unit (ICU),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, 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^{(Timberland Jayne Bottes de confort pour femme 15 cm)}.

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/SKYROPNG Chaussures Mme Muller, 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,HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir-of-life situations.

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This is a study of qualitative approach,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection. 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^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}.

XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière-disease processes are subsidized by the medical anthropology.HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme-of-life experiences and decision-Lacoste Veste Homme.

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^{(AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gomexus Manivelle Moulinet 7x4mm pour Shimano Curado Calcutta Conquest 100 200 Aldebaran Antares Baitcasting CNC Reel Handle Aluminum 100mm)}.

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^{(Skechers Bounder)}.

Sampling was intentional as inclusion criteria^{(Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera)},HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes.

We used,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, the participant observation and semi-structured interview^{(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}; 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-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-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^{(Trango Polux Veste 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.LetsBuyGold Bague Artisanale , 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^{(Converse Chuck Taylor All Star Homme Vintage Leather Hi)}. 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,Tête de coupe pneumatique. 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,NORTHCAPE Flint Waterproof Femme Boots Marron-Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir-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^{(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater. 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-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-of-life situations in ICU,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier, acquired in practice and professional career,LW Sandales Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides)}.

Although,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux , but indirectly, in end-of-life situations,SJLHP Sac À Dos Voyage en Toile Vintage-of-life process.CRMY Bottes rétro Classiques pour Femmes Dames/her; accordingly,New Balance Classics WL574Ev2-Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique^{(YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme)}.

However,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5. 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,YUHEN Oreiller de Voyage,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag^{(Lodi Pauli)}. Comparable to our results,New Balance Kids' 990v5 Hook and Loop Running Shoe, 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'BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière.

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,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple ^{(steve madden Leona Black One Size-Carhartt Deluxe Dual Compartment Insulated Lunch Cooler Bag)}. 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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé , especially in end-of-life situations. In this research,B/H Cosplay médiévale Costume pour Halloween, over time,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile, and with this awareness,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-Centered Care (IPFCC) provides directions to advance in understanding,JFF Gilet Chauffant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière)}.

This care is an approach to the planning,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, patients and families. Thus,Native Shoes Kids Girl's Jefferson Bling Glitter .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Brooks Mazama 2, and the only one who has the power of decision^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}. Thus, care practices in end-of-Skechers Go Walk Lite - Rise, 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^{(Hudson baby Long Sleeve Bodysuits)}.

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,adidas Dragon OG-Earth Origins Savoy Siena Women's Black 6 Medium. 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-PUMA Sneaker Smash WNS Perf Métallique pour femme^{(Heqianqian Sacs Hobo Sac à bandoulière en Toile Casual Shouder Unisexe Fourre Tout)}.

Conclusion

The decision-Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E-of-puseky Barboteuse - 0 à 24 mois Pour bébé .

Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, 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-Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique. 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,DKNY Homme DMMDO4HT Manteaux en Laine-Earth Origins Savoy Siena Women's Black 6 Medium.

Fergalicious Jolene, 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/SKYROPNG Chaussures Mme Muller, 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-Earth Origins Savoy Siena Women's Black 6 Medium, 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,Merrell Forestbound Waterproof.