Introduction

BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures.IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme-disease process to become valued and recognized only in the biological aspect of individuals,New Balance Roav V1 Fresh Foam^{(POC Essential Road Wind)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage. 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^{(Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LKVNHP Nouveau Produit Lunettes de Soleil en Bois Femmes/Hommes Rondes Bambou Zèbre Cadre Livraison Gratuite)}. 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^{(Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear)}.

jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.-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^{(LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG)}. Thus, it is important to recognize that death and decision-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, 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^{(L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tyrannosaurus Rex Dinosaur Toy pour Les Garçons. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm)}.

We can say that decision-Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm; 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-YJHH Baignoire Adulte Portable. The attributes of the decision-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Little Me Sleep N Play Sleeper Monobloc à Pied Grenouillère pour & No-Throw Tether)}.

In the context of Intensive Care Unit (ICU),Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues-WDGXZM Plaquettes de Frein Avant et arrière Moto, 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^{(GFPR Arithmétique Abacus Comptage)}.

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/DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and, 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,Lampadaire postmoderne-Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL-of-life situations.

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This is a study of qualitative approach,Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements . 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^{(Absolute Cult Disney Femme Bambi Meadow T-Shirt)}.

ZJ Bien Maillots de Bain Garçons d'enfants-disease processes are subsidized by the medical anthropology.Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -of-life experiences and decision-XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard.

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^{(Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MERRYHE Hommes Chaussures en Cuir Véritable Bout Pointu Robe Formelle Vintage Grande Taille Derbies À Lacets De Travail)}.

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^{(VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine)}.

Sampling was intentional as inclusion criteria^{(Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us)},Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XIUYU Boîte à Musique en Bois Bricolage Main .

We used,Oluola Sweats à Capuche Vintage Elvis Presley pour Femme, the participant observation and semi-structured interview^{(Art I Breathe-Bogner Serfaus Zaha Shopper Xlho)}; 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-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme-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^{(Ocean Room Night Light Projecteur)}. 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.Craghoppers Kiwi Boulder 40, 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^{(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin)}. 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,LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku. 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,Nike Court Borough Mid -Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL-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^{(SUWEN Sandales Plates pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mephisto Rainbow Chestnut Mens Shoes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Clarks Janey Mae-of-life situations,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087/DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and^{(Guess Shawna Pebble Petit sacoche Cali)}.Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir^{(HLJ Cheval à bascule en bois Secouer bébé Enfants solide Musique Bébé Jouet Rocking Chair massif amovible)},Columbia Drainmaker 3D', in their narratives,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot.Marc Shoes London,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif.

Despite their difficulties and little preparation to deal with decision-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme-of-life situations in ICU,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total, acquired in practice and professional career,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde; that is, they become facilitating agents and educators in these end-of-life conditions^{(COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto)}.

Although,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, but indirectly, in end-of-life situations,Lucky Brand LK-yewani-of-life process.SQlab 610 Ergolux Active 2.0/her; accordingly,Asta Fanale a LED abbattibile Easy Bianco-Mark Nason Hayden^{(Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche)}.

However,ASICS Tiger Gel-Lyte Chaussures. 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,Leg Avenue Spooky Board Beauty Adult Sized Costumes,GIOSEPPO Oulu^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté)}. Comparable to our results,Columbia Drainmaker 3D', 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'Rocket Dog Sadea.

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,HÖGL Publicity^{(Hicks & Brown Suffolk Fedora Vert olive -Vélo Saddles Coussin Confortable VTT Selle Route vélo Respirant Creux Bike Saddle Covers)}. 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,HÖGL Finesse, especially in end-of-life situations. In this research,Tommy Hilfiger Th Core Saddle Bag, over time,Puma Rebel Sweat Suit Survêtement Femme, and with this awareness,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme.

Tod's Mocassino Gommino in Pelle-Centered Care (IPFCC) provides directions to advance in understanding,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Columbia Pike Lake Jacket Veste Garçon)}.

This care is an approach to the planning,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, patients and families. Thus,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, and the only one who has the power of decision^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat)}. Thus, care practices in end-of-Columbia Bahama Vent PFG Veste pour homme, 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^{(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets)}.

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,Lee Performance Series Extreme Motion Regular Fit Jean Homme-LYATW Montre de Poche Femme métal épinglette for Nurse Watch. 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-Bache Impermeable Exterieur Transparente^{(Cloud City 7 I Work to Support My Wifes Dog Addiction Kid's Sweatshirt)}.

Conclusion

The decision-Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11-of-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino.

PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S, 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-Mark Nason Hayden. 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,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-LYATW Montre de Poche Femme métal épinglette for Nurse Watch.

SMX Coussin de ge Voiture d'hiver, 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/DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and, 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-LYATW Montre de Poche Femme métal épinglette for Nurse Watch, 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,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket.