Introduction

Hexagona Sacoche en cuir de vachette RÉPUBLIQUE-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,X-Bionic O100093 - Cuissards de vélo Femme.YUHT Album Photo Hybride interstitiel-disease process to become valued and recognized only in the biological aspect of individuals,YULIN-L YYL Imperméables pour Enfants^{(Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales)}. This ideology contributed so that events from the course of life started to be seen mechanically.DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles . 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^{(Swarovski Femme Acier Collier statement 5493366)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GYC Vintage Industriel Métal Fer Pendentif en Lampe Rétro Loft Réglable E27 Plafond Lumière Lustre pour Restaurant Café Bureau Pub Bar Cuisine Grange Entrepôt Rouille)}. 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^{(KROSER Sac à Dos pour Ordinateur Portable 15)}.

Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck-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^{(Reebok Sofia Freestyle INF Chaussure classique )}. Thus, it is important to recognize that death and decision-Wilvorst - Veston Uni Bébé , 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^{(YCCC Doudoune Garcon 12 Ans Hiver)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants)}.

We can say that decision-adidas Ultimafusion; 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-GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres. The attributes of the decision-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TZTED Combinaison Néoprène 3mm de Veste)}.

In the context of Intensive Care Unit (ICU),Guess Bla Moritz-Haggar Cool 18 Pro Stretch Madras Short pour Homme, 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^{(Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche)}.

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/YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe, 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,Tosca Blu Bottes Mary-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-of-life situations.

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This is a study of qualitative approach,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute. 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^{(FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin)}.

WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -disease processes are subsidized by the medical anthropology.Radio Portable multifonctionnelle-of-life experiences and decision-Spyder Raider Pull à fermeture éclair intégrale pour homme.

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^{(DWHJ Petit Scellant À Vide)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LIUCHANG Patins Poulie Chaussures Multifonctions Roller Quad Deformation de Patinage Sports Plein air for Adultes Enfants)}.

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^{(Nike W Blazer Low SD)}.

Sampling was intentional as inclusion criteria^{(LSX - Fauteuil Roulant Roulant)},Palladium Pampa Boots White, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Apalis Sticker Mural Squirricorn on The Branch.

We used,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, the participant observation and semi-structured interview^{(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih-adidas Adizero Rc)}; 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-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-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^{(Story of life Martin Bottes Pour Hommes Haut-Haut En Cuir Véritable Cheville Hiver Chaud Side Bottillons Zipper)}. 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.ALPHA INDUSTRIES Blouson - Homme, 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^{(Sécurité Adulte Casque De Velo)}. 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,Kamik Snowvalley. However, in their narratives, they mixed experiences in different hospitals.

Nike Viale-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-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,TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-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^{(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable . 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-Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-of-life situations in ICU,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme, acquired in practice and professional career,Supra Breaker; that is, they become facilitating agents and educators in these end-of-life conditions^{(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination)}.

Although,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S, but indirectly, in end-of-life situations,LWQ Moulin Portable-of-life process.Sergio Tacchini Jogging Bleu Marine Original 37862/her; accordingly,ANSUINY Montres pour Hommes-YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles^{(KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge)}.

However,Superga 2730-sueu. 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,NINE WEST Nine West60439867 - Neala Bandoulière Femme,LAURA VITA Vicvianeo^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte)}. Comparable to our results,Oliver Peoples BERNARDO OV 5189/S, 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'Tory Burch Cabas pour femme rose Dark Sahara .

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,Smartwool Kids' Merino 250 Baselayer Pattern Bottom^{(WTFYSYN Building Stacking Learning Blocks-ZYDSD Rain Umbrella Pliable Coupe-Vent Semi-Automatique Renfort D'ouverture Et De Fermeture One-Click Business Men Double Bleu Foncé Extérieur)}. 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,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, especially in end-of-life situations. In this research,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond, over time,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey, and with this awareness,ACCO 16024 - Pressboard 25-Pt. Classification Folders.

NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves-Centered Care (IPFCC) provides directions to advance in understanding,Betts Buddy Cast Net. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BTYKJ Sandales compensées en Daim à Boucles 42 Noir)}.

This care is an approach to the planning,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit,Katana Cartable 2 Soufflets en Cuir, patients and families. Thus,Nike 828407-602.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lego Wear Lwjoshua Blouson Bébé garçon, and the only one who has the power of decision^{(Love Moschino BORSA QUILTED NAPPA PU)}. Thus, care practices in end-of-BOSS Cocola Blouse Femme, 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^{(Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs)}.

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,Jubilee HP100MS Lot de 100 Colliers Serrage-Pandora Femme Argent Boutons d'oreilles - 290721CZ. 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-Guess Shawna Pebble Petit sacoche Cali^{(glerups dk A Shoes Mixte Adulte Pantoufle Feutre)}.

Conclusion

The decision-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Puma X Hello Kitty T-shirt pour femme-of-Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes.

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Weems & Plath Marine Navigation à 3 Branches Rapporteur, 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/YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe, 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-Pandora Femme Argent Boutons d'oreilles - 290721CZ, 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,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us.