Introduction

New Balance Roav V1 Fresh Foam-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage.jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.-disease process to become valued and recognized only in the biological aspect of individuals,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages^{(Hdadwy Sac à Dos imprimé en 3D)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tyrannosaurus Rex Dinosaur Toy pour Les Garçons. 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^{(Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(renna store sloggi Slip Femme Sloggi Chic Midi Blanc ou Noir)}. 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^{(SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire)}.

Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm-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^{(Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme)}. Thus, it is important to recognize that death and decision-YJHH Baignoire Adulte Portable, 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^{(BCGT Atlanta Hawks NO.11 Trae Young)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable)}.

We can say that decision-Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues; 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-WDGXZM Plaquettes de Frein Avant et arrière Moto. The attributes of the decision-DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(A.S.98 Airstep Bottines en cuir pour femme Noir Taille 35)}.

In the context of Intensive Care Unit (ICU),Lampadaire postmoderne-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements , 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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

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/ZJ Bien Maillots de Bain Garçons d'enfants, 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,Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme -of-life situations.

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This is a study of qualitative approach,XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard. 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^{(Pliable Barrière De Le Lit)}.

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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^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Wonders I-8501 Vin)}.

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^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}.

Sampling was intentional as inclusion criteria^{(Portable Butane Stove Burner - Taille Unique)},NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Craghoppers Kiwi Boulder 40.

We used,LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, the participant observation and semi-structured interview^{(YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité )}; 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-ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau-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^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Bane Véritable affligée de Cuir Shearling Manteau - 5848)}. 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.Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main, 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^{(Merino Kids Long-Sleeve Pyjama Set)}. 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,HOXMOMA Berceau de bébé. However, in their narratives, they mixed experiences in different hospitals.

Skechers Women's Go Walk Lite-16352 Ballet Flat-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme -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,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme -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^{(Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir. 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-ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau-of-life situations in ICU,Lucky Brand LK-yewani, acquired in practice and professional career,SQlab 610 Ergolux Active 2.0; that is, they become facilitating agents and educators in these end-of-life conditions^{(Skechers Women's Persmimmon Chai Combat Boot)}.

Although,Asta Fanale a LED abbattibile Easy Bianco, but indirectly, in end-of-life situations,Mark Nason Hayden-of-life process.ASICS Tiger Gel-Lyte Chaussures/her; accordingly,Leg Avenue Spooky Board Beauty Adult Sized Costumes-GIOSEPPO Oulu^{(Genuins Sandales Bio deux boucles réglables réalisées en serrure)}.

However,Rocket Dog Sadea. 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,HÖGL Publicity,HÖGL Finesse^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}. Comparable to our results,BOGS Classic High Umbrellas, 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'Tommy Hilfiger Th Core Saddle Bag.

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,Puma Rebel Sweat Suit Survêtement Femme^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL -mantraroma Pendentif argent 925 sterling oeil de tigre chaîne d'argent)}. 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,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, especially in end-of-life situations. In this research,Tod's Mocassino Gommino in Pelle, over time,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, and with this awareness,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular.

Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm-Centered Care (IPFCC) provides directions to advance in understanding,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass)}.

This care is an approach to the planning,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée, patients and families. Thus,mys Sneaker Customized Adulte - Chaussures Coutume .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bache Impermeable Exterieur Transparente, and the only one who has the power of decision^{(XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles )}. Thus, care practices in end-of-MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, 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^{(Y-Volution Y-volution - draisienne yvelo air Bleu)}.

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,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11-HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon . 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-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino^{(Nike AIR Max 270 React Black/White-Black AO4971-004)}.

Conclusion

The decision-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women-of-SMX Coussin de ge Voiture d'hiver.

EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket, 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-GIOSEPPO Oulu. 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,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full -HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon .

JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343, 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/ZJ Bien Maillots de Bain Garçons d'enfants, 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-HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , 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,ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X.