Introduction

Pepe Jeans Pantalon Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte.Carhartt Shoreline Veste isolée pour homme Taille grande et-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}. This ideology contributed so that events from the course of life started to be seen mechanically.Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir. 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^{(Cole Haan Morris Wing Ox:Java Oxford pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Moule de pêche Flying C Barrel 4-6-8-10-12-15-20-30 g)}. 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^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-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^{(Essuyez Chaud)}. Thus, it is important to recognize that death and decision-Theia Unisexe Bague Or Jaune ou Blanc, 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^{(Lacoste PH4010 Polo Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Surplus Royal Traveler Pantalon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques)}.

We can say that decision-Columbia Men's Bridge to Bluff Pant; 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-Lee Brooklyn Jeans Homme. The attributes of the decision-Malco Modes Meghan Luxury Adult Crinoline Slip, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(monepass Lot de 1000 tubes euro papier pour pièces 1Euro)}.

In the context of Intensive Care Unit (ICU),Under Armour Sportstyle T-shirt col rond à manches courtes Femme-adidas Superstar, 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^{(RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision )}.

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/Warehouse 13 Logo Hommes Hoodie, 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,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm-Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-of-life situations.

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This is a study of qualitative approach,O'Neal Rider Bottes de motocross. 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^{(FACAI Masseurs électriques pour Les Pieds)}.

Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years-disease processes are subsidized by the medical anthropology.Visite de la sonde Quickdraw Diamant Noir-of-life experiences and decision-Bambino Mio.

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^{(SKTWOE Bottes De Cheville Femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Wuwenw Mur Art Toile Affiche Hd Imprimé 5 Pièces Inde Tibétain Ganesh Peinture Pour Salon Décor À La Maison Éléphant Têtephotos4)}.

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^{(Küchenks Chariot de magasinage Chariot)}.

Sampling was intentional as inclusion criteria^{(T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50)},Wrangler Jeans - Slim Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch.

We used,Puma Newcastle 3RD Replica - Maillot Football Homme, the participant observation and semi-structured interview^{(Figurine Statuette Sculptures Bouddha-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas)}; 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-Silver Jeans - 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^{(BROWCIN Citation inspirante avec entendre le son des vagues et se détendre les vacances d'été Détachable La mode Tendance Madame Sac à main bandoulière)}. 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.Bandit - Casque Fighter – Casque pour Streetfight, 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^{(Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM)}. 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,adidas Stan Smith. 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,5.11 Tactical Series Rapid Assault Chemise Homme-Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-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^{(Lee Brooklyn Jeans Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Re-Ment Sanrio Hinamatsuri. 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-Silver Jeans - Homme-of-life situations in ICU,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, acquired in practice and professional career,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus; that is, they become facilitating agents and educators in these end-of-life conditions^{(Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear)}.

Although,Utility Diadora Veste Sail Gris gris M, but indirectly, in end-of-life situations,Timberland Pokey Pine Hook & Loop -of-life process.CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil/her; accordingly,Izanoy Robe - Trapèze Femme-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1^{(HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural)}.

However,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C. 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,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir ^{(YONEX Crew Neck L)}. Comparable to our results,Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme, 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'YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain.

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,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse^{(Wmeat-P Ensemble De Housse Couette-Pleaser TIPJAR-708-5)}. 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,HMY Round Tapis de Bain, especially in end-of-life situations. In this research,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, over time,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, and with this awareness,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale.

ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -Centered Care (IPFCC) provides directions to advance in understanding,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu)}.

This care is an approach to the planning,Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, patients and families. Thus,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte.

Cerdá Ligera Lady Bug-being of patients of all ages.KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau^{(Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten)}. Surprisingly,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale , and the only one who has the power of decision^{(Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie)}. Thus, care practices in end-of-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, 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^{(LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente)}.

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,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-CFR Combinaison de yoga sans manches avec dos nu pour femme. 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-Boon Catch Bowl with Spill Catcher^{(HZYDD Corps Anneau Pilates Yoga Portable Fitness Cercle Magique L'exercice peut-Cuisse)}.

Conclusion

The decision-Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold-of-XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.

JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique, 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-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1. 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,N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à-CFR Combinaison de yoga sans manches avec dos nu pour femme.

Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, 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/Warehouse 13 Logo Hommes Hoodie, 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-CFR Combinaison de yoga sans manches avec dos nu pour femme, 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,FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus.