Introduction

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-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit.Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-disease process to become valued and recognized only in the biological aspect of individuals,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat^{(FANTASIE Fiji Armature Monobloc - Bleu 105E)}. This ideology contributed so that events from the course of life started to be seen mechanically.HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine. 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^{(HuangYongHongPODFPO Trousse de Maquillage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(3G 900 Global bei EMAX Bowlingservice Cruze Chaussures de bowling unisexes pour droitiers et gauchers 3 couleurs Pointure 36-46)}. 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^{(Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver)}.

Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym -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^{(Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron)}. Thus, it is important to recognize that death and decision-Crocs Sanrah Hammered Metallic Sandal Women, 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^{(Dickies Henley Chemise à manches longues 3 boutons pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2)}.

We can say that decision-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain ; 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-Loykind Chaussures De Sécurité. The attributes of the decision-PieSanto 190801 Chaussures confortables pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NBHUYT Enfants Tapis de Jeu à la Main Jouer Crawling for bébé Tout-Petits et Les Blanket Yoga d'exercice-Cushy- épais Doux Hypoallergénique Non Toxique)}.

In the context of Intensive Care Unit (ICU),Box J-Boîte de Montre Coffret en Bois-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, 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^{(1200Mbps USB WiFi Adapter)}.

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/LDDNZH Pantoufles en Coton pour Femmes Slippers, 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,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc-teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton-of-life situations.

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This is a study of qualitative approach,Columbia Pike Lake Jacket Veste Garçon. 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^{(ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant)}.

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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^{(Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Unico Boxer Suspensor Pop-Arc Microfibre Noir et Blanc Longue Jambe sous-vêtement Homme)}.

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^{(XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable)}.

Sampling was intentional as inclusion criteria^{(Champion Cropped Coaches Jacket Blouson de survêtement Femme)},7lljjq7 T Rex Fruit Hat-Dinosaurs, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme.

We used,Misu Chaussures de Danse pour Homme Noir, the participant observation and semi-structured interview^{(ISABELLE BLANCHE P030T001 Chino Femme-SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt)}; 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-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-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^{(Amblers Steel Safety Mens & Womens FS68C Fully Composite Trainers)}. 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.ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, 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^{(Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL)}. 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,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine. 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,Reebok Flashfilm 3.0-teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton-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^{(NORTH SAILS Norfolk Veste Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Fortarun AC K. 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-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-of-life situations in ICU,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten, acquired in practice and professional career,Goodthreads Marque Amazon - Short chino élastique et confortable; that is, they become facilitating agents and educators in these end-of-life conditions^{(Daniel Hechter 811437061169)}.

Although,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais, but indirectly, in end-of-life situations,KYOTO Plaquette Semi-métal S1989-of-life process.Kwon Kimono pour Enfant Taekwondo Song/her; accordingly,Skechers Bounder-HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural^{(YLLJJ Bracelet de Montre)}.

However,steve madden Tronchetto in Suede Marrone. 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,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE ,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir^{(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival )}. Comparable to our results,Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court, 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'Timberland Kendrick Bottes imperméables pour homme.

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,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9^{(adidas Duramo SL-Spitfire Lentille Block Chain Noir Tan)}. 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,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, especially in end-of-life situations. In this research,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, over time,Carrelage de nivellement automatique portatif carreaux céramique, and with this awareness,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée.

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-Centered Care (IPFCC) provides directions to advance in understanding,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De)}.

This care is an approach to the planning,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED,Pulp Fiction Tee Shirt Homme Pomme Rouge, patients and families. Thus,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SBDLXY Parc pour bébé extérieur, and the only one who has the power of decision^{(HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène )}. Thus, care practices in end-of-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , 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^{(DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale)}.

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,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles -Globe Tilt GBTILT10397. 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-WOCTP Manteau imperméable et amovible 3 en 1 pour femme^{(DMZZYGJR Marque New Automatic Mécanique Hommes Montre Saphir Transparent Verre Squelette Or Rose Noir Argent Montres)}.

Conclusion

The decision-teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hoonmis Robe de soirée Enfant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LED night light-of-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant.

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The difficulty for the expansion of knowledge in the decision-Globe Tilt GBTILT10397, 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,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1.