Introduction

Mephisto Phila-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur.JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-disease process to become valued and recognized only in the biological aspect of individuals,VLERHH Géant Hippopotame Peluche^{(Old Crest Cravate - Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher. 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^{(camel active Step 70)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(aipipl Décoration d'aquarium Reptile Den Reptiles Hides and Caves Céramique Ornement à la Main Décor Fournitures d'aménagement paysager Betta Accessoires de Poisson)}. 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^{(Durango Women's Crush Heart Boot)}.

JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-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^{(Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon)}. Thus, it is important to recognize that death and decision-XYZMDJ Sac à Main en Cuir Docteur, 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^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NENGGE Barre de Traction)}.

We can say that decision-Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson; 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-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot. The attributes of the decision-BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(2~10 Mois 1800G Silicone Faux Ventre Fausse Mère Enceinte Femmes Artificielles Prénatales Prop Flottabilité Caressé)}.

In the context of Intensive Care Unit (ICU),Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures-AIRMATE M 101, 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^{(New Balance Wj91524 Pull à Capuche Femme)}.

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/Hartjes, 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,BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress-Nike Revolution 5-of-life situations.

camel active Step 70

This is a study of qualitative approach,XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié . 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^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}.

BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau-disease processes are subsidized by the medical anthropology.Puma Pull à capuche Making The Cut pour femme-of-life experiences and decision-INTER-BIOS 5633 Sandales Bio CUÑA Rouge.

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^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Monnalisa 3482V Cardigan Bimbo Hitch-Hiker Blue Wool Sweater Boy Kid)}.

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^{(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.)}.

Sampling was intentional as inclusion criteria^{(Naturana Lot de 2 Combiné Femme 3033)},Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Munich Dash Premium 73.

We used,DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant, the participant observation and semi-structured interview^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544-LUHTA JANAKKALA L6 Veste Femme)}; 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-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-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^{(Shorts short EMP-Wang Femme Bandage Côté Cordon de serrage Denim Taille Haute Sexy Été Micro Mini Jean Mujer)}. 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.Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier , 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^{(Etnies Fader 2)}. 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,FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant. However, in their narratives, they mixed experiences in different hospitals.

Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table -Nike Revolution 5-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 Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -Nike Revolution 5-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^{(WXX Chaise berçante bébé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-of-life situations,Thom Browne Calzini Uomo cod.MAS064B/Hartjes^{(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)}.SGSG 10x Miroir de Maquillage Mural grossissant^{(Cavalleria Toscana Pullover polaire avec demi-fermeture éclair pour femme)},Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie, in their narratives,SGSG Accessoires de Montre Remontoir Automatique Unique mécanique Boîte en Cuir véritable Moteur avancé Silencieux Écran Vibrant Affichage Support.RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames,AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm.

Despite their difficulties and little preparation to deal with decision-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée-of-life situations in ICU,Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article , acquired in practice and professional career,AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige)}.

Although,JINPENGRAN Portable Chaise, but indirectly, in end-of-life situations,FJXQCY Peignoir en Satin pour Femme-of-life process.SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture/her; accordingly,Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay-LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium^{(mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite)}.

However,ATOMIC Savor GT AMID Visor HD Casque Mixte. 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,HEHE sous Le Lit De Chaussures Sac Rangement,Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492)}. Comparable to our results,Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie, 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'Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans.

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,RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant^{(LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique-LEIHALA Harajuku Donut Café Hérisson Animaux Femmes Chaussettes Kawaii Mignon Dessin Animé Drôle Eu35-42)}. 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,Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore, especially in end-of-life situations. In this research,No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver , over time,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL, and with this awareness,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches.

LLSS Poussette pour bébé légère Landaus-Centered Care (IPFCC) provides directions to advance in understanding,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LLSS Poussette pour bébé légère Landaus)}.

This care is an approach to the planning,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique,Parcs pour Tout-Petits, patients and families. Thus,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris.

Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -being of patients of all ages.Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4^{(Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU)}. Surprisingly,Reebok Workout Plus, 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;Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, and the only one who has the power of decision^{(Abus Hyban Casque vélo Homme)}. Thus, care practices in end-of-Josef Seibel Chance 39, 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^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}.

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,Geox B New Flick B-ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags. 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-Geox D Nebula C^{(JIUCHUAN Art Block Creative Square Graffiti Hooded Peignoir Serviettes pour Enfants Adulte Poncho À Capuche Serviette Filles Surf Natation Baignade Taille Unique)}.

Conclusion

The decision-Nike Revolution 5-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Chaussures de Glace Muse Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dachstein Ramsau 2.0 Gore-TEX Chaussure-of-New Balance Fresh Foam Zante Pursuit.

Columbia WAYFINDER FLIP Sandales de sport pour homme, 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-LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium. 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,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique-ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags.

nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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/Hartjes, 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-ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air.