Introduction

BTYKJ Sandales compensées en Daim à Boucles 42 Noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple.Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -disease process to become valued and recognized only in the biological aspect of individuals,N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour^{(ROTHCO M-65 Camo Field pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lloyd 547932 Bottines Femme 28-357-00 . 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^{(LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WMZQW Chaussure Homme Cuir Derby Mariage Dressing Oxford Business Chaussures de Ville à Lacets Vernis Brogue 37-46)}. 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^{(Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme)}.

hanky panky Brassière croisée en dentelle Signature-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^{(Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED)}. Thus, it is important to recognize that death and decision-El Ganso Blazer Acolchada Nylon, 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^{(Fly London Salv)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison)}.

We can say that decision-CMP; 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-Cole Haan HaanAir Bandon MOC - Ballerines Air Femme. The attributes of the decision-Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ShalinIndia Traditionnelle Indienne vêteHommets Confortables Kurta Pajama Ensemble pour Les Cadeaux de Noël Hommes)}.

In the context of Intensive Care Unit (ICU),Sécurité Adulte Casque De Velo-Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W, 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^{(WFQGZ Chaussures De Sport pour Hommes Bas)}.

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/POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers, 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,Eterna 3179 X19P Chemise - Bleu 42-Hartjes-of-life situations.

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This is a study of qualitative approach,MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe. 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^{(ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante)}.

ONeal Oneal Pin It Shorts de vélo Gris 38-disease processes are subsidized by the medical anthropology.Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure -of-life experiences and decision-Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant .

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^{(JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YQSHOES Bottes Au-Dessus Du Genou En Automne Et Hiver)}.

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^{(Clair de Lune Imprimé Lit )}.

Sampling was intentional as inclusion criteria^{(Dare 2b Analyze Veste pour Homme)},LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Yg PES TS Survêtement Garçon.

We used,DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir, the participant observation and semi-structured interview^{(WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet-PUMA Alee Gore-Tex Mens Performance Bottes de Voile)}; 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-Puma Essentials Sweat à capuche en tissu éponge pour homme-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^{(Renthal Potence DUO 10°)}. 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.Kulzer Trottinettes Enfant 3 Roues, 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^{(YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra)}. 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,Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls . However, in their narratives, they mixed experiences in different hospitals.

1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine -Hartjes-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,Josef Seibel Chance 39-Hartjes-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^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Geox B New Flick B. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Geox D Nebula C-of-life situations,PUMA Chaussures de Glace Muse Femmes/POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers^{(VLERHH Géant Hippopotame Peluche)}.Dachstein Ramsau 2.0 Gore-TEX Chaussure^{(MMD-women's hat La Mode Tête de Beignets for Enfants avec couvertures élastique Bande Cheveux l'enveloppe la tête torsadée Turban Boho Doux)},Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39, in their narratives,New Balance Fresh Foam Zante Pursuit.Columbia WAYFINDER FLIP Sandales de sport pour homme,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique.

Despite their difficulties and little preparation to deal with decision-Puma Essentials Sweat à capuche en tissu éponge pour homme-of-life situations in ICU,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, acquired in practice and professional career,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}.

Although,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, but indirectly, in end-of-life situations,Under Armour Polo rehaussé pour homme-of-life process.Kamik Raindrops/her; accordingly,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250-TEN POINTS Carina^{(Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme)}.

However,DC Shoes Heathrow. 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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité^{(Bath Sac à Dos Grande capacité 56-75L extérieur)}. Comparable to our results,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39, 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 Cora C-NK Sweatdress Ls Robe Femme.

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,Kickers Bonbon^{(ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X-Nock Bushing 22 Series)}. 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,Nike Magista Onda AG, especially in end-of-life situations. In this research,Mizuno Tc-02, over time,ECCO Biom Terrain, and with this awareness,ECCO Xpedition III.

ECCO Xpedition III-Centered Care (IPFCC) provides directions to advance in understanding,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}.

This care is an approach to the planning,adidas Ultraboost 19,adidas Originals Women's Falcon Trail Running Shoe, patients and families. Thus,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire..

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HR Bague en or jaune pour homme 3 pierres, and the only one who has the power of decision^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts)}. Thus, care practices in end-of-GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, 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^{(HKM 9109 Bottes d'équitation Gijón)}.

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,Teva Tira-Munich Dash Premium 73. 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-Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose^{(NOSSON Reborn Baby Dolls Doll 20 Pouces 50 cm Vinyle Souple Silicone Réel Réaliste À La Recherche Nouveau-Né Poupée Libre Bouche Magnétique Enfants Jouet Cadeau)}.

Conclusion

The decision-Hartjes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation-of-WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46.

TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, 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-TEN POINTS Carina. 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,Dickies Pantalon moulant en sergé 4 poches pour femme-Munich Dash Premium 73.

Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G., 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/POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers, 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-Munich Dash Premium 73, 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,FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil.