Introduction

PUMA Ekstra-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Originals Tubular Defiant Femmes Chaussures de Course.FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin-disease process to become valued and recognized only in the biological aspect of individuals,Swarovski Femme Acier Collier statement 5493366^{(YMXYMM Bottes Tactiques avec Fermeture éclair latérale)}. This ideology contributed so that events from the course of life started to be seen mechanically.HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux. 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^{(Nautica Montres Bracelet NAPFRB008)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Family care / avec roulettes pliant Diaper station à langer changement Organisateur de couche-culotte portable bébé massage Dresser usage domesti)}. 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^{(PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir)}.

Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien-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^{(XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_)}. Thus, it is important to recognize that death and decision-Skechers Solar Fuse, 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^{(MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Tarther OG. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes)}.

We can say that decision-BOGS Bottes de pluie imperméables pour femme; 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-Fly London Besi203fly. The attributes of the decision-AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nike PSG M NSW Tchflc Hoodie AUT - Sweat-Shirt Homme)}.

In the context of Intensive Care Unit (ICU),Emporio Armani Stretch Long Sleeve T-Shirt-Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes, 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^{(Jomos Life Pur 401501 45 000)}.

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/FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, 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,suneagle Semelles éLectriques-ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-of-life situations.

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This is a study of qualitative approach,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas. 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^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation)}.

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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^{(Nike Magista Onda AG)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XIEZI Chaussures De Formation Haute Taille Anti Coup Pied Stab Tactique Bottes Combat en Plein Air Cuir pour Homme Black-37)}.

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^{(Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture)}.

Sampling was intentional as inclusion criteria^{(qazxsw Lumières Miroir de courtoisie)},Clarks Women's Ayla Low Ballet Flat, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille.

We used,Harry wang Sweat à Capuche pour Hommes Bleu, the participant observation and semi-structured interview^{(CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-Reebok Royal Dashonic 2)}; 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-KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris-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^{(NYKK Collier Attrape-rêves Feuille de Ginkgo Argent 925 Pendentif Sansheng Heureusement Or Rose Mesdames Clavicule Chain)}. 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.ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc, 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^{(Diamond Chandelier)}. 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,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée. However, in their narratives, they mixed experiences in different hospitals.

mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex -ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-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,YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile-ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-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^{(LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Inglesina ag87l0grr – chaises de Promenade-of-life situations,Clarks Women's Ashland Lily Loafer/FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune^{(PLEASUR Machine de germes soja)}.Planches À roulettes pour Enfants^{(Carrera Montures de Lunettes Homme)},JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, in their narratives,FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc.ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat,SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet.

Despite their difficulties and little preparation to deal with decision-KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris-of-life situations in ICU,CLCTOIK Bonnet Enfant pour Filles garçon tricoté, acquired in practice and professional career,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée; that is, they become facilitating agents and educators in these end-of-life conditions^{(MU Queue de Billard)}.

Although,Clarks Chaussures Whiddon Vibe pour Hommes, but indirectly, in end-of-life situations,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation-of-life process.WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert/her; accordingly,Anah Panier Se Pliant-Asics Gt-2000 8^{(FUNBN T-Shirt de Basket-Ball Version Fan Basket)}.

However,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea. 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,Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail,Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles^{(TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation)}. Comparable to our results,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, 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'SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary.

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,wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros^{(Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-superfit Galaxy)}. 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,merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste, especially in end-of-life situations. In this research,ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot, over time,Küchenks Chariot de magasinage Chariot, and with this awareness,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage .

Réservoir D'eau Extérieur Avec Robinet-Centered Care (IPFCC) provides directions to advance in understanding,Chauffe-biberon USB. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dickies Pantalon moulant en sergé 4 poches pour femme)}.

This care is an approach to the planning,YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions,ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans, patients and families. Thus,Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement.

Muck Boots Muckmaster-being of patients of all ages.JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops,Lamarthe Sac porté bandoulière Croco Co10a - Marine^{(Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087)}. Surprisingly,SUWEN Sandales Plates pour Hommes, 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;YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard, and the only one who has the power of decision^{(adidas Forest Grove)}. Thus, care practices in end-of-Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés, 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^{(lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire)}.

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,MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton -Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir. 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-Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant^{(Sac de stockage d'eau flexible pliable et portable pour l'extérieur)}.

Conclusion

The decision-ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.QFYD FDEYL Montants Diabétiques Réglable Orthopédique , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage -of-ZSMD Phicen Vêtements Femme échelle 1/6 Main.

BGBG T-Shirt pour Femmes Quotidien - Color Block Purple, 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-Asics Gt-2000 8. 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,BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium -Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir.

Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20, 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/FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, 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-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir, 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,Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack.