Introduction

ECCO Offroad-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Ozweego Chaussures Homme Blanc.juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-disease process to become valued and recognized only in the biological aspect of individuals,YANGTAO Ressacs Projecteur De Lumière Nuit^{(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux)}. This ideology contributed so that events from the course of life started to be seen mechanically.Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger. 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^{(GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FOLA Fitness Haltères Set)}. 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^{(Bisgaard Rain)}.

Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -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^{(adidas Response It Hommes Synthétique Chaussure de Course)}. Thus, it is important to recognize that death and decision-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , 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^{(LIULINUIJ Boutonnière Au Dos)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GJQION Femmes Brassière. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.)}.

We can say that decision-Free People Women's Forever Cashmere V-Neck Pullover Sweater ; 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-ProCook - Cocotte Faitout Ronde 24cm / 4. The attributes of the decision-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mannequins Femme Full Body Couturiers Dummy étudiants Affichage Robe de mariée)}.

In the context of Intensive Care Unit (ICU),COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , 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^{(Baignoire Pliante pour bébé)}.

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/Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , 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,Polaroid Pld 6071/s/x-HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46-of-life situations.

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This is a study of qualitative approach,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse. 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^{(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag)}.

SMITH Riot Masque de Ski-disease processes are subsidized by the medical anthropology.Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau-of-life experiences and decision-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18.

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^{(TOPO Athletic Chaussures de Course pour Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YANGSANJIN Ecrin - Secoueur Automatique Turntable Montre Stand Motor Winding Affichage Boîte à Bijoux de Rangement)}.

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^{(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux )}.

Sampling was intentional as inclusion criteria^{(JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau)},CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.mantraroma Pendentif argent 925 sterling labradorite .

We used,DSZZ Health Chaussures de Badminton pour Hommes, the participant observation and semi-structured interview^{(Beginnings Double Dog Tag Pendentif argent sterling pour hommes-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes)}; 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-XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal-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^{(cyril tattoo Piercing nombril Swarovski Devilheart rouge)}. 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.mantraroma Bague argent 925 sterling pierre de lune , 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^{(Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme)}. 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,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau. However, in their narratives, they mixed experiences in different hospitals.

L.BRUAT L. Bruat Montre de sport pour femme-HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46-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,ChengLaoBan shoP Chapeau-HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46-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^{(Think! Kapsl_3-000045)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket-of-life situations,CUzzhtzy Réchaufferont Hommes Martin Bottes/Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ^{(HÖGL Publicity)}.AUTIANYU Inuyasha Sac fourre-tout en toile pour femme^{(Sperry Top-Sider Gold A/O 2-Eye Roustabout)},Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands, in their narratives,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle .Jumelles 8-10X42-32 Zoom HD Grande Ouverture,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond.

Despite their difficulties and little preparation to deal with decision-XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal-of-life situations in ICU,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, acquired in practice and professional career,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert)}.

Although,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt, but indirectly, in end-of-life situations,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt-of-life process.K-Swiss Men's Donovan Sneaker/her; accordingly,Gerry Weber Robe Femme-teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt^{(adidas 9 pair Performance Sneaker Socks Unisex short sock)}.

However,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton. 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,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur,Living Kitzbühel Slip-on Mit Fellborte^{(HANYF Boutons de Manchette pour Hommes)}. Comparable to our results,Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands, 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'YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles.

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,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm^{(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris-Think! Denk_383027)}. 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,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée, especially in end-of-life situations. In this research,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe, over time,Globe Tilt GBTILT10397, and with this awareness,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour.

Lloyd Marvin-Centered Care (IPFCC) provides directions to advance in understanding,Zwei Elli EL12 Sac à bandoulière 32 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Merrell Yokota 2)}.

This care is an approach to the planning,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose,Parker Femme P8HRRD10 Robe, patients and families. Thus,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm.

Lakota Bottes Western Buckaroo modèle Roping EQ296-being of patients of all ages.New Balance 996,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat^{(Reebok Chaussures Aztrek)}. Surprisingly,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, 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;J´hayber - Zapatillas Avt. Olimpo Serraje marrón, and the only one who has the power of decision^{(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular)}. Thus, care practices in end-of-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable, 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^{(Ital-Design Bottes Classiques pour Femme)}.

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,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes. 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-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué^{(WUZMING Baignoire Pliante Portable Save Space Adult Child with Cover Insulation Spa Bath Baby Tub)}.

Conclusion

The decision-HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-of-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat.

HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, 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-teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt. 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,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym -LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes.

Crocs Sanrah Hammered Metallic Sandal Women, 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/Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , 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-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes, 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,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau .